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Cardiac Emergencies: Quickly Recognize Life-Threatening Dysrhythmias & Manage Your Most Unstable Patients

Managing complex cardiac patients can be challenging for even experienced nurses in today’s outcome- and technology-driven cardiology world. Are you familiar with the core measures frequently monitored on your unit? Are you confident in your ability to care for a patient who has a wearable defibrillator? Are you comfortable in your ability to titrate and wean oxygen? Can you apply restraints to a patient on CPAP? Do you hesitate on the steps necessary to cardiovert or defibrillate your unstable patient? You will leave this training with improved rhythm interpretation skills, the ability to quickly recognize life-threatening dysrhythmias and confidence to manage your unstable cardiac patients!
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Information

Faculty:
Marcia Gamaly
Duration:
Full Day
Format:
Audio and Video
Copyright:
Nov 10, 2017

Description

  • Accurately interpret cardiac rhythms
  • Compare novel anticoagulant therapies for prevention of thromboembolism
  • Drug titration: What is important to know?
  • Post-catheterization complications: Be ready to intervene!
  • Sharpen care of the patient with myocardial ischemia
  • TIMI, HEART & ASCVD: What’s the difference?
  • Improve management of your septic patient
  • Master skills required for today’s telemetry/postacute cardiac nurse

Managing complex cardiac patients can be challenging for even experienced nurses in today’s outcome- and technology-driven cardiology world. Are you familiar with the core measures frequently monitored on your unit? Are you confident in your ability to care for a patient who has a wearable defibrillator? Are you comfortable in your ability to titrate and wean oxygen? Can you apply restraints to a patient on CPAP? Do you hesitate on the steps necessary to cardiovert or defibrillate your unstable patient? You will leave this training with improved rhythm interpretation skills, the ability to quickly recognize life-threatening dysrhythmias and confidence to manage your unstable cardiac patients!

Handouts

Outline

Cardiac rhythm review

  • Sinus
  • Atrial
  • Junctional
  • Ventricular
  • Blocks
  • SKILLS: Video presentation
    • Cardioversion
    • Pacing
    • Defibrillation

Commonly prescribed medications

  • Anticoagulants
  • Vasodilators
  • Antiarrythmics
  • Vasopressors
  • Inotropics
  • Miscellaneous agents

Myocardial Ischemia – “Time is muscle”

  • Pathophysiology
  • Cardiac enzymes & diagnostic testing
  • Core measures
  • Risk assessment tools
  • Treatment/interventions
  • SKILLS: Telemetry monitoring
  • EKG lead placement
  • Telemetry packs – 3, 5, and 6-leads

Heart failure

  • Pathophysiology
  • Diagnostic testing
  • Core measures
  • Treatment/interventions
  • SKILLS: Oxygen delivery systems
    • Nasal cannula to CPAP
  • SKILLS: Prevention of respiratory depression/failure
    • Pulse oximetry – how effective is it?
    • End-Tidal CO2 monitoring

Monitoring the post-cardiac catheterization patient

  • Assessment of cath site
  • Monitoring for complications/ hematoma
  • SKILLS: Hemostatic devices
    • Radial access device (e.g., VascBand®)
    • Femoral access device (e.g., FemoStop®)

Trends in patient management

  • Life-Vest
  • WATCHMAN® Device
  • Left Ventricular Assist Device
  • Chest and abdominal drainage systems (e.g., PleurX®)

Faculty

Marcia Gamaly Related seminars and products: 11


Marcia Gamaly, MSN, MHA, RN-BC, CEN, PCCN, has over twenty years of nursing experience at the bedside and in staff development. Marcia currently works as a clinical nurse educator at St. Mary Medical Center in Langhorne, Pennsylvania. In her current role, she oversees and plans the educational needs for over 250 nurses and support staff on a variety of units, including a step-down, neuro-tele and medical-surgical units. She has developed and presented on a variety of topics including certification courses for critical care, progressive care, medical-surgical, oncology and emergency nursing. Other presentations include telemetry skills day, medical-surgical skills day, cardiac dysrhythmia interpretation, post-operative care and heart failure. Additionally, Marcia is an instructor for BLS, ACLS, PALS, TNCC, ENPC and ASLS and works as a per-diem emergency department staff nurse.

She is a doctoral student at Villanova University, with a research interest in bariatrics. She is certified in medical-surgical nursing, progressive care nursing, emergency nursing, and professional staff development. She is a member of the Emergency Nurses Association, American Association of Critical Care Nurses, and American Society of Metabolic and Bariatric Surgery.

Marcia combines her role in clinical education with hands-on experience to deliver a high-level learning opportunity that is patient-focused and outcome-driven. The meaningful insights she has to share will be applied easily at the bedside to improve your own care of patients!

Speaker Disclosures:

Financial: Marcia Gamaly has an employment relationship with St. Mary Medical Center and Lower Bucks Hospital. She receives a speaking honorarium from PESI, Inc.

Non-financial: Marcia Gamaly is a member of the Academy of Medical-Surgical Nurses; America Association of Critical-Care Nurses; American Nurses Association; American Society of Metabolic and Bariatric Surgery; and Emergency Nurses Association.