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2-Day All Things Pulmonary

Respiratory conditions can quickly change from stable to life-threatening situations where seconds count. Attend this comprehensive program and gain the skills and knowledge you need to manage any situation. Drawing on over 20 years of critical care experience, Cyndi Zarbano, MSN, BSN, CCRN, CEN, PCCN, CMSRN, CLNC, NLCP, will teach you the latest evidence-based approaches to evaluating and treating patients with pulmonary problems. You’ll have the opportunity to enhance your assessment skills, improve your ability to quickly interpret lab findings and explore the latest treatment techniques for airway management and mechanical ventilation. You will leave with practical, immediately-applicable strategies that improve patient outcomes and enhance your expertise!
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Information

Faculty:
Cyndi Zarbano
Duration:
11 Hours 30 Minutes
Format:
Audio and Video
Copyright:
Dec 06, 2016

Description

  • Easy ABG Interpretation
  • Respiratory Assessment Clues You Should NEVER Miss
  • Mechanical Ventilation for Nurses
  • Management Strategies for Emergent Events
  • The Pulmonary Drug Cabinet from A to Z

Respiratory conditions can quickly change from stable to life-threatening situations where seconds count. Attend this comprehensive program and gain the skills and knowledge you need to manage any situation. Drawing on over 20 years of critical care experience, Cyndi Zarbano, MSN, BSN, CCRN, CEN, PCCN, CMSRN, CLNC, NLCP, will teach you the latest evidence-based approaches to evaluating and treating patients with pulmonary problems. You’ll have the opportunity to enhance your assessment skills, improve your ability to quickly interpret lab findings and explore the latest treatment techniques for airway management and mechanical ventilation. You will leave with practical, immediately-applicable strategies that improve patient outcomes and enhance your expertise!

 

Handouts

Outline

OUTLINE - DAY ONE

The Pulmonary Triad

  • Oxygenation, Ventilation & Perfusion
  • Math Made Easy!
    • V/Q Match vs. Mis-Match
    • Calculating Shunting
    • Oxygen Delivery DO2
    • Oxygen Consumption VO2
    • Oxyhemoglobin Dissociation Curve
    • SVO2 Monitoring
    • StO2
  • Putting it All Together

Easy Steps to ABG Analysis

  • Acid Base Imbalances
  • The 4 Abnormal Results
  • Rapid Interpretation Tool

Respiratory Assessment Clues You Should NEVER Miss!

  • Common Adventitious Breath Sounds
  • What are the Causes & When Are They Heard?
    • Crackles/Rales - Wet vs. Dry
    • Wheezes - Not Always Airway Obstruction
    • Rhonchi - Differentiating the Differences
    • Stridor - Emergency Treatment
    • Pleural Friction Rub
  • Advanced Assessment Skills
  • Transmitted Voice Sounds
  • Inspection & Percussion
  • Changes on the Chest X-Ray

And the Assessment Indicates…

  • Bronchitis Acute vs. Chronic
  • Emphysema
  • Pulmonary Fibrosis
  • Obstructive Sleep Apnea

Pulmonary Drug Cabinet: From A to Z

  • Anti-Cholinergic Agents
  • Anti-Inflammatory Drugs
  • Bronchodilators
  • Combo-Drugs
  • Inhalers & Spacers
  • And More!

Airway Management Techniques

  • Managing Obstruction
  • Airway Adjuncts
  • Know Your Role in Intubation
  • The “5-Point Check”
  • Rapid Sequence Intubation

Managing Chest Tubes

  • Indications for Chest Tubes
  • Emergent vs. Urgent
  • Avoiding Common Complications

OUTLINE - DAY TWO

Know the Goal: CPAP & BiPAP

  • Advantages & Disadvantages
  • Contraindications
  • Assessing the Fit
  • Determining the Settings

Mechanical Ventilation for Nurses

  • Responding to the Alarms
  • Management Strategies that Improve Outcomes
    • Patient Comfort
    • Decreasing Workload
    • Frequent Assessment
    • Cardiac Output Clues
    • Suctioning
  • Pressure vs. Volume Control
  • Advanced Modes & Ventilator Extremes
  • ECMO

Complications of Mechanical Ventilation

  • BaroTrauma & VoluTrauma
  • Oxygen Toxicity
  • Ventilator-Associated Pneumonia

Weaning Patients Off the Ventilator

  • Why, When and How
  • Causes of Weaning Failure
  • Setting up for Success!
  • ABCDE Bundle

Restrictive Lung Diseases

  • Pulmonary Edema
    • Signs & Symptoms
    • Treatment
    • Systolic Dysfunction
    • Diastolic Dysfunction
  • ARDS
    • Progression Mnemonic
    • Staging
    • Presentation
    • Lab Findings
    • Changes on the Chest X-Ray
    • Respiratory Support
      • Oxygen Control
      • Early Intubation
      • Exogenous Surfactant
      • Proning
      • Liquid Mechanical Ventilation

Emergency Management of Asthma

  • Assessment Findings
  • Identifying the Trigger
  • Steroid Considerations

The Patient with Pulmonary Embolisms

  • The Likely Causes
  • Prevention Measures
  • Signs & Symptoms
  • Diagnosis & Treatment

Managing the Patient in Shock

  • Critical Assessment Clues
  • Interventions
  • Complications
  • Sepsis

 

Faculty

2-Day All Things Pulmonary

Cyndi Zarbano, MSN, BSN, CCRN, CEN, PCCN, CMSRN, CLNC Related seminars and products: 48

Clinical Review


Cyndi Zarbano, MSN, BSN, CCRN, CEN, PCCN, CMSRN, CLNC, has been a nurse for more than 25 years and a legal nurse consultant (LNC) for 12. Many of her cases in the last decade have been consulting and educating nurses who have gotten into trouble with the board of nursing and helping hem complete their corrective action stipulations. Medication errors and patient injury are a common cause of corrective action, license suspension and loss of license.

Cyndi’s clinical area of expertise has been in various intensive care/critical care roles, currently working for Mayo in Minnesota. She has been a national seminar speaker for over ten years speaking to diverse healthcare audiences throughout the country. During her presentations, she has earned the reputation of keeping attendees engaged with the use of current clinical knowledge, fascinating legal stories, and the interjection of nursing humor to keep it fun.

Speaker Disclosures:

Financial: Cyndi Zarbano is the owner of Clinical Review Consultants. She receives a speaking honorarium from PESI, Inc.

Non-financial: Cyndi Zarbano has no relevant non-financial relationship to disclose.