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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