All Things Pulmonary-An Intensive Online Course Created by Nurses for Nurses – Cyndi Zarbano

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Do you recognize the subtle signs of respiratory distress?

When seconds count…will you intervene in time to prevent a crisis?

Respiratory changes are often the first sign of a larger problem, and they are not just confined to critical care — they happen in all settings. Every nurse needs to be able to identify respiratory issues in their early stages and respond effectively to avoid life-threatening complications.

The complexity of the pulmonary system can confuse even seasoned nurses. This comprehensive, self-paced online course makes these difficult concepts easy to remember and understand. Quickly interpret lab findings and enhance your assessment skills — never miss critical breath sounds again!

Join expert Cyndi Zarbano, MSN, BSN, CCRN, CEN, PCCN, CMSRN, CLNC, NLCP, and master specialized pulmonary skills, increase your credibility, and grow your career potential — most importantly, your new skills will improve your patients’ treatment outcomes.

• Easy ABG’s — Cyndi’s step-by-step approach is easy to remember and will have you deciphering the findings at a glance
• Ventilation, perfusion and oxygenation — finally master the oxyhemoglobin dissociation curve and know what symptoms to anticipate
• Mechanical ventilation skills every nurse should know
• Pulmonary drug cabinet from A to Z
• Emergency management of common and not-so-common respiratory conditions

Expert presenter Cyndi Zarbano, MSN, BSN, CCRN, CEN, PCCN, CMSRN, CLNC, NLCP, is knowledgeable, energetic, and entertaining. Her trainings are dynamic, engaging, and easy to follow. And even more importantly, she’s passionate about helping nurses like you to be better at what you do.

Here’s what others have to say…

. . . about Cyndi’s trainings:

AWESOME! [Cyndi] keeps you engaged throughout the entire seminar. Thank you!
– Helen, RN

I came out of class feeling inspired to be a better nurse. And, it also helped to be acknowledged for what a difficult job this is.
– Angela, RN

Thank you for a fun and informative seminar! I really enjoyed the anecdotal examples to drive the points home and the “Pearls”! You have a gift of teaching what you love and what you love is sincere! You are an inspiration.
– Heidi, RN

Cyndi is funny as it relates to topic & has anecdotal stories to cement an idea.

Here’s what will be covered in this comprehensive online course:

Module 1

Oxygenation, Ventilation and Perfusion

• Physiology of Gas Exchange
• 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

Blood Gas Interpretation (ABGs)

• Easy Steps to ABG Analysis
• Acid Base Imbalances
• The Big “4” Abnormal Results
• Rapid Interpretation Tools

Oxygen Delivery Devices

Pro’s and Con’s of:

• Nasal Cannulas
• Oxymizer/Oxymask
• Simple Face Mask
• Non-Rebreather Mask
• Venturi Mask

Physical Assessment

• 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
• Inspection & Percussion

 Module 2

Imagery (X-ray Interpretation)

• Changes on the Chest X-ray
• Tips & Reminders
• Types of X-rays
• Positioning
• Interpretation & Diagnosis

Airway Pharmacologic Agents

• The Pulmonary Drug Cabinet from A to Z
• Anti-Cholinergic Agents
• Anti-Inflammatory Drugs
• Bronchodilators
• Combo-Drugs
• Inhalers & Spacers
• And More!

Basic and Advanced Airway Management

• Managing Obstruction
• Airway Adjuncts
• Know Your Role in Intubation
• The “5-point Check”
• Rapid Sequence Intubation
• Managing Chest Tubes
• Avoiding Common Complications

Module 3

Non-Invasive Ventilation (CPAP & BIPAP)

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

Invasive Mechanical Ventilation (Ventilators)

• Responding to the Alarms
• Management Strategies that Improve Outcomes
  • Patient Comfort
  • Decreasing Workload
  • Frequent Assessment
  • Cardiac Output Clues
  • Suctioning

Modes on Ventilators

• Volume Control
• Pressure Controlled Ventilation
• PEEP
• ECMO

Other Ventilator Extremes

• Artificial Surfactant
• Inhaled Pulmonary Vasodilators
• Nitric Oxide
• Proning
• Partial Liquid Ventilation

Complications of Mechanical Ventilation

• BaroTrauma & VoluTrauma
• Oxygen Toxicity
• Ventilator Associated Pneumonia

 Module 4

Weaning and Extubation

• Why, When & How
• Causes of Weaning Failure
• Setting up for Success

ABCDE Bundle

• EBP Driving Practice
• Proven Outcomes
• Current Practice Guidelines

Ventilation and Oxygenation Issues

• Asthma, CHF, Pneumonia and ARDS (Asthma, Pneumonia, Heart Failure/Pulmonary Edema)
• Signs & Symptoms of Each
• Lab Findings
• Treatment Recommendations
• Emergency Management

 Module 5

Perfusion Issues: Putting It All Together

• ARDS, PE, Septic Shock, TRALI, TACO
• Identifying the Cause
• Prevention Measures
• Critical Assessment Clues
• Managing Complications