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Essential Assessment, Interpretation and Intervention Strategies – Cyndi Zarbano

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Critically ill patients are everywhere these days – on the Med-Surg floor, in the ICU, the PACU, the ED, the OR, even long-term care! A good working knowledge of the concepts for managing high-acuity patients is indispensable.

Join Cyndi Zarbano and learn the latest in essential critical care skills that you must know to be successful, including:

  • Rapid Assessment
  • ABG Analysis
  • Central Line Care
  • Easy Strip Interpretation

OUTLINE

Identification & Management of Crisis

    • Master “down and dirty” prompt assessment skills
  • End the “Red Flags”
    • Rapid stabilizing interventions for the unstable patient
  • Manage the decompensating patient
    • Better outcomes through quick intervention

Easy Steps to ABG Analysis

  • Acid base imbalance
  • 4 abnormal findings when reading your lab result
  • A simple tool to rapidly and efficiently interpret ABG’s!

The 5 Steps to Rhythm Strip Interpretation

  • Systematically reviewing the major components of a rhythm strips
  • Identifying rhythm changes and management of:
  • Atrial Fibrillation and Atrial Flutter
  • Paroxysmal Supra-Ventricular Tachycardia (PSVT)
  • V-Tach and V-Fib

Managing Chest Drainage

  • Indications for chest tubes
  • Circumventing re-expansion pulmonary edema
  • Avoiding common complications of chest drainage

Master Central Line Care

    • Common issues experienced with central lines
    • Using which port for what on a triple lumen PICC
    • Use of a “cell-saver” to reduce lost hemoglobin during blood draws
  • The challenge of CVP monitoring

Pacemakers & AICDs

  • Indications for pacemakers
  • Meaning of pacemaker codes
  • Types of Pacemakers
  • Device management
  • Practical solutions to common pacemaker problems

OBJECTIVES

  • Identify 5 essentials components of a “down and dirty” assessment in your patient when they have a sudden decomposition in health status.
  • State 3 rapid interventions that can stabilize a patient who is symptomatic with a low blood pressure.
  • Recognize the most common causes of arterial blood gas abnormalities.
  • Quickly identify the 3 most common dysrhythmias using rhythm strip interpretation.
  • Manage the risk to avoid re-expansion pulmonary edema in the patient with a chest tube for pleural effusion.
  • Review the correct technique for opening an occluded central line lumen.
  • Summarize the difference between failure to capture and failure to sense in a pacemaker and how each is resolved.

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