2-Day-Cardiovascular Course-Conquer the Deteriorating Cardiac Patient – Cheryl Herrmann

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Imagine you are taking care of your patient – anywhere – any department/floor in the hospital, a nursing home, surgical site, or during a home health visit and suddenly grasp that an emergent cardiac situation is unfolding. Do you feel confident that you would know how to respond?

When your patient is experiencing an acute myocardial infarction, heart failure exacerbation, or a dissecting aneurysm, are you confident you can rapidly assess and intervene with the most current evidence-based interventions? What if your patient has an LVAD? Do you have the ability to deliver the care needed for this patient and troubleshoot the device? Join nationally-recognized cardiac clinical nurse specialist Cheryl Herrmann, RN, MS, APN, CCRN, CCNS-CSC-CMC, in this 2-day recording as she explains complex concepts to advance your current skills and transform your own practice.

You will analyze challenging case studies to recognize the borderline and abnormal findings that you may have previously missed. Whether you are a seasoned cardiac professional or noncardiac professional wanting to learn more about life-threatening cardiac issues, you do not want to miss this workshop. It is guaranteed to provide you with new clinical insights and critical thinking skills, so you won’t need to feel uncertain, scared or at risk anymore!

1. Analyze EKG changes associated with ischemia, injury, and infarction patterns.
2. Evaluate current medical management for complicated STEMI and NSTEMI patients.
3. Distinguish between the features and best treatments for each heart block.
4. Identify common cardiac and pulmonary disorders using the chest x-ray.
5. Develop a systematic approach to chest x-ray interpretations.
6. Incorporate clinical pearls of EKG and CXR interpretation into daily practice.
7. Compare the treatment plans for the different types of cardiomyopathy.
8. Implement new pharmacological and nonpharmacological treatments for heart failure patients in your clinical setting.
9. Explain troubleshooting and emergency management of the LVAD patient.
10. Interpret the earliest signs and symptoms of aortic aneurysms.
11. Explore assessment cues and complications associated with endovascular stent grafts.
12. Analyze challenging case studies to recognize the borderline and abnormal patient findings that you may have previously missed.

DAY ONE

12 Lead EKG Pearls from a Cardiac Expert

• Coronary angiographic correlation
• Ischemia, injury, infarction patterns
• Atypical presentations
• Advanced 12 lead EKG – subtle and high-risk signs
• Presentations, analysis, and clinical application

STEMI and NSTEMI: Quick Assessment to Improve Outcomes

• Differentiating cardiac and non-cardiac causes of elevated troponins
• Stress tests – what to order & how to interpret results
• Medical management
  • Coronary stents
  • Fibrinolytics
  • Antiplatelets
  • Beta blockers
  • Statins

Identification and Treatment of Heart Blocks

• 1st Degree AV Block
• 2nd Degree AV Block, Type I Wenckbach
• 2nd Degree AV Block, Type II, Mobitz II
• 3rd Degree AV Block
• Right bundle branch block vs left bundle branch block
• Incomplete RBBB and LBBB

As Easy as Black and White: Chest X-ray Evaluation

• The chest x-ray
  • Black and white principles
  • Systematic approach
  • Invasive line identification
• As easy as black
  • Identifying pneumothorax and subcutaneous emphysema
  • Treatment priorities
• As easy as white
• Identifying
  • Pulmonary edema
  • Pneumonia
  • Pleural effusion
  • ARDS
  • Cardiomyopathy
  • Pericardial effusion
  • Cardiac tamponade
• Clinical application and treatment
• Beyond the basics
  • Aortic aneurysm
  • Lung tumor
  • Esophagogastrectomy
  • Post op changes with pneumonectomy

DAY TWO

Cardiomyopathy and Heart Failure – Cutting Edge Assessment Skills and Treatments

• Differentiating cardiomyopathy and HF
• Types of cardiomyopathy
  • Ischemic
  • Nonischemic
  • Takotsubo/Broken Heart
  • Peripartum
  • Tachycardia induced
  • Hypertensive
  • Drug/alcohol/toxin induced
• Pharmacological Treatments
  • Ace inhibitors
  • Angiotensin receptor blockers
  • Angiotensin receptor neprilysin inhibitor
  • Beta blockers
  • Diuretics
• Optimizing outcomes with titrations of medications
• Nonpharmacological interventions
• Advanced care planning
• Case studies & clinical application

Advanced Heart Failure Treatment – LVAD (Left Ventricular Assist Device)

• Mechanics of LVAD
• Patient selection
• Care of the LVAD patient in community setting
• Complications of LVAD
• LVAD case Studies & clinical application

Preventing an Aortic Aneurysm/Dissection

• Rapid & correct identification of the troublesome signs and symptoms
• Endoluminal graft repair
• Medical/medication management
• Assessment cues
• Treatment of complications – including spinal cord ischemia
• Case presentations and analysis

Sharpen Your Assessment Skills with Challenging Case Studies

• Case presentation
• Vital sign and lab analysis
• 12 lead EKG analysis
• CXR analysis
• Interventions and treatment plan