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2-Day Managing Patient Emergencies: Critical Care Skills Every Nurse Must Know

Mrs. Kelp is admitted with pneumonia and right-sided heart failure. Twenty minutes after admission, she develops worsening dyspnea and hypotension. The patients in our hospitals are sicker than ever before. It is not uncommon to find patients on regular medical floors with central lines, chest tubes, pacemakers and AICDs.
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Information

Faculty:
Dr. Paul Langlois
Duration:
2 Full Days
Format:
Audio and Video
Copyright:
Sep 18, 2019

Description

Mrs. Kelp is admitted with pneumonia and right-sided heart failure. Twenty minutes after admission, she develops worsening dyspnea and hypotension.

  • Are you prepared to manage her unstable condition?
  • Do you know what respiratory measures are necessary?
  • Do you know the best way to manage her hypotension?

The patients in our hospitals are sicker than ever before. It is not uncommon to find patients on regular medical floors with central lines, chest tubes, pacemakers and AICDs.

Some nursing homes are accepting patients on ventilators, and patients are now being sent home on vasoactive drips such as dobutamine. Even though acuity levels are higher, you are still caring for many patients and don’t have the luxury of frequent, comprehensive assessments. Therefore, it is important to be able to rapidly assess and implement appropriate interventions.

Watch this recording to sharpen your skills and leave prepared to identify and manage your next patient emergency!

Handouts

Outline

Day One

Identifying the RED Flags

  • Critical Thinking During a Crisis
  • Vital Signs & ABCDs
  • Methods for Establishing and Maintaining Airway
  • Breathing: More Than a Rate Issue
  • Circulation & Perfusion
  • Differential Diagnosis - 4 Methods of Determining Cause
  • Rapid Assessment Techniques
  • Critical Questions to Ask Your Patient
  • Identifying High-Risk Populations
  • Pre-Morbid Conditions
  • Age Considerations

Cardiovascular Prevention, Presentation, Action for: “I’m having chest pain”

  • Recognizing Arrhythmias - Stable, Unstable and Lethal
  • 12-Lead EKG: Just the Down and Dirty
  • Utilizing a Systematic Approach
  • Patterns of Ischemia, Injury & Infarct
  • Acute Myocardial Infarction: STEMI/NSTEMI
  • Key Assessments & Interventions tPA Guidelines
  • Cath Lab Intervention
  • Laboratory Parameters
  • Recognizing Subtle Changes
  • Heart Failure
  • Recent Advances in Care
  • Medication Management
  • Managing Intake and Output Vascular Abnormalities

Respiratory Prevention, Presentation, Action for: “I can’t breathe”

  • Assessment & Critical Interventions for:
    • Pulmonary Embolism
    • Pulmonary Edema
    • Acute Asthma Attack
    • Spontaneous Pneumothorax
    • Allergic Reactions
    • The Patient Who Needs Assistance O2, CPAP, BiPAP
    • Indications for Intubation
    • Positive Pressure Ventilation
    • Chest Tube Management
    • Ventilator Settings Every Nurse Must Know
    • Easy ABG Analysis… Really!

Endocrine Prevention, Presentation, Action for: “I don’t feel right”

  • The Differences of DKA and HHNK
  • Early Recognition of Hypoglycemia
  • Thyroid Storm: Physical and Psychiatric Symptoms
  • Managing Adrenal Crisis
  • Critical Lab Findings

Day Two

Gastrointestinal Prevention, Presentation, Action for: “My aching belly”

  • Warning Signs of Acute Pancreatitis
  • Upper vs. Lower GI Bleeding
  • Perforated Bowel
  • Early Signs of Small Bowel Obstruction - Illeus
  • Interpreting the Lab Tests

Neurological Prevention, Presentation and Action for: “My head hurts!”

  • Elevated Intracranial Pressure
  • Clues When you Don’t have a Monitor
  • Ischemic vs. Hemorrhagic Stroke
  • Inclusion/Exclusion for tPA
  • Essential Assessments post-tPA
  • Management Strategies for Seizures
  • The Patient in Withdrawal
  • Known vs. Suspected ETOH/Drug Abuse
  • Interventions for Delirium Tremors
  • Critical Labs

Renal Prevention, Presentation and Action for: “I can’t make urine”

  • Acute vs. Chronic Kidney Disease
  • Recognizing Acute Kidney Injury
  • Key Assessments
  • Interpreting the Lab Data

Pain, Agitation & Delirium

  • Analgesics: Too Much or Too Little
  • Managing the Bedside Procedure
  • Type of Sedating Medications
  • Ensuring Appropriate Monitoring
  • Delirium: So Many Causes, So Many Options…
  • Key Assessments & Interventions

Managing the Decompensating Patient No Pulse, No Blood Pressure, No Respirations... Now What?

  • Identifying Cardiac Causes
  • Street Drugs & Poisoning
  • Critical Assessments & Interventions
  • MUST KNOW Reversal Agents

Faculty

2-Day Managing Patient Emergencies: Critical Care Skills Every Nurse Must Know

Dr. Paul Langlois, APN, Ph.D., CCRN, CCNS, CNRN Related seminars and products: 21


Dr. Paul Langlois, APN, Ph.D., CCRN, CCNS, CNRN, is a critical care clinical specialist in the Surgical, Medical, Neurologic, Burn, CCU and Trauma ICUs of Cook County Hospital, Chicago. Drawing on over 30 years of experience assessing and managing patients with life-threatening diseases, Dr. Langlois provides advanced-level training to nurses, physician assistants, nurse practitioners and physicians. Dr. Langlois received his Doctor of Nursing degree from Rush University in Chicago, Illinois.

Dr. Langlois is committed to providing the highest quality of care to patients through advanced education. His presentations are evidence-based, timely and provide participants with case studies to facilitate critical thinking. As a bedside clinical nurse specialist, he has developed several institution-wide protocols for the multidisciplinary assessment and management of the cardiac, neurologic, septic, and multi-system organ failure patient.

His presentations are enthusiastically delivered and offer practical tips that help make the most challenging concepts easy to understand. Linking knowledge to clinical practice is the goal of every educational program.

 

Speaker Disclosures:

Financial: Paul Langlois has an employment relationship with Cook County Hospital. He receives a speaking honorarium from PESI, Inc.

Non-financial: Paul Langlois has no relevant non-financial relationship to disclose.