Seminar Detail

2-Day: All Things Cardiac: Cardiac Nursing Essentials AND Cardiac Disorders & Diagnostics
2-Day: All Things Cardiac: Cardiac Nursing Essentials AND Cardiac Disorders & Diagnostics

Where:   FAIRFAX, VA

When:  Thursday, May 4, 2017 - Friday, May 5, 2017

Course Description
Cardiac patients can present stable, unstable, or having life-threatening symptoms. Early differentiation is an essential step to establish diagnoses and begin appropriate treatment. Physical assessment skills, understanding the cardiac monitor and being able to quickly interpret the EKG are imperative to rule out life-threatening scenarios.

Attend this comprehensive program and gain the skills and knowledge you need to manage any situation. Drawing on over 20 years of cardiac and critical care experience, Cyndi Zarbano will teach you the latest evidence-based approaches to evaluating and treating patients with cardiac problems. Through interactive discussion and hands-on learning, you will have the opportunity to enhance your assessment skills, improve your ability to interpret the EKG, analyze cardiac care case scenarios and explore the latest in treatment techniques. You will leave with a renewed commitment to achieving excellence in cardiac care.
If there is no CE tab, please refer to the course brochure (on the Details tab) for continuing education information.
Learner Objectives:

    Day One

    1. Employ proper technique for measuring jugular vein distention (JVD).
    2. Contrast systolic and diastolic murmurs by where they fall in the S1/S2 cardiac cycle.
    3. List 3 benefits of beta blockers in a patient with coronary artery disease.
    4. Identify benefits for patients using blood thinners in atrial fibrillation that is not related to valve dysfunction.
    5. Differentiate findings on the 12-lead EKG to determine if a patient has axis deviation and what health care issues that may identify.
    6. Evaluate findings in common cardiac labs, such as CKMB, Troponin, BNP/Pro-BNP levels.
    7. Recognize 2 tools of recognition and 4 rapid interventions for patients experiencing Acute Coronary Syndrome (ACS).

    Day Two:
    1. Explain the difference between systolic and diastolic heart failure using a simple hand gesture to recognize ventricular dysfunction for each.
    2. Stage heart failure using the American Heart Association/American College of Cardiology tool and identify intervention goals for each stage.
    3. Compare and contrast the use of the Impella device and intra-aortic balloon pumps in severe cardiac impairment.
    4. Learn a simple monitoring technique to help differentiate if the patient is having an atrial dysrhythmia or not.
    5. Identify EKG clues to patients having aberrant pathways.
    6. Discuss Takotsubo as a type of dilated cardiomyopathy and state interventions to bridge that diagnosis to a return of normal ventricular function.
    7. Recognize changes in Hypothermia Protocol and lessons that have been learned through the years to achieve better outcomes.
Program Outline


  • Cardiovascular Assessment: Critical Clues You Should NEVER Miss
    • Neck Vein Evaluation
    • What does the Blood Pressure Really Mean?
    • Don't Miss a Beat Interpreting Heart Sounds
    • Significant Murmurs
  • Cardiovascular Drug Cabinet: Know Your Alphabet
    • ACEI
    • ARBs
    • Aldosterone Blockers
    • Anti-Platelets
    • New Anticoagulants
    • Beta Blockers
    • Calcium Channel Blockers
    • Digoxin
    • Pressor Agents
    • Manipulating the Cardiac Output Equation
  • Essentials of 12-Lead EKG Interpretation
    • Location, Location, Location!
      • Anatomy of a 12-Lead
    • Utilizing a Systematic Approach
    • Normal vs. Abnormal
      • P Waves
      • QRS
      • T Waves
      • ST Segment
    • Clues to Determining Right & Left Bundle Branch Blocks
    • Determining QRS Axis & Deviation
    • R-Wave Progression
  • Life-Threatening EKG Changes: Clues from the 12-Lead
    • 5-Step Method for Finding Myocardial Ischemia & Injury
    • Spectrum of Coronary Artery Ischemia
    • STEMI and NSTEMI - What's the Difference
  • Acute Coronary Syndromes: Diagnosis & Current Management Guidelines
    • Cardiac Labs
    • EKG Identification of Infarct Location
    • Management Guidelines: Identifying the Differences
      • STEMI
      • NSTEMI


  • The Failing Heart: HF Diagnosis & Current Management Priorities
    • Systolic vs. Diastolic Heart Failure
    • Classification Systems
    • Medication Management
    • Biventricular Pacing & Implantable Cardioverter Defibrillators
    • Ventricular Assist Devices
    • Intra-Aortic Balloon Pump & Impellas
  • Fast & Slow Dysrhythmias
    • Choosing Your Monitor Leads Wisely
    • Using the Lewis Lead
    • Identifying AV Passive & Active Tachycardias
    • Identifying Aberrant Pathways
    • Atrial Fibrillation with WPW
    • AV Node Re-entry Tachycardia
    • Mono and Polymorphic V-Tachs
    • Heart Blocks
  • Cardiomyopathies & Channelopathies
    • Right Ventricular Cardiomyopathies
      • Diluted
      • Hypertrophic
      • Arrhythmogenic
    • Takotsubo Syndrome
    • Brugada Syndrome
    • LQTS & Other Channelopathies
  • MI Mimics
    • Wolff-Parkinson-White Syndrome (WPW)
    • LBBB & Ventricular Paced Rhythms
    • Pericarditis
    • Early Repoloarization
    • Prinzmetal (Variant) Angina
    • Hypo & Hyperkalemia
    • Hypothermia Protocol
      • Updates & New Changes


Cyndi Zarbano is an intensive care nurse with over 20 years of nursing experience who is currently practicing in the Twin Cities area of Minnesota. She is a nationally-recognized seminar speaker who has opened multiple national symposiums and speaks on several topics for PESI, as well as a variety of other companies in the US and Canada. In addition to her speaking engagements, Cyndi is a published author with a variety of books including Clinical Nursing Assessment Skills Pocket Guide and the Med-Surg Pocket Guide. Her products also include textbooks, webcasts and webinars.

Along with her MS and BSN in nursing, she has 3 other undergraduate degrees and multiple nursing certifications. She served as a US Naval Officer for 10 years, leaving service as an LCDR (Lieutenant Commander) in 2001. Prior to nursing, she worked as a counselor with the mentally ill and dangerous in a facility in southern Minnesota. She returned to that facility as a Lead Psychiatric Nurse for two years after leaving the military. Additionally, Cyndi has a legal nurse consulting business and continues to serve as a testifying expert in medical related cases. Cyndi's teaching style is dynamic and high energy while informal and easy to understand. You will leave her program with a renewed commitment to achieving nursing excellence in critical care.

Speaker Disclosures:

Financial: Cyndi Zarbano has an employment relationship with Fairview South. She receives a speaking honorarium from PESI, Inc.

Non-financial: Cyndi Zarbano has no relevant non-financial relationship to disclose.
Credits listed below are for full attendance at the live event only. Certificates of Completion are distributed at the conclusion of the live seminar for those who register prior to the event date and attend the full day. A letter of attendance will be issued to participants who register at the event, arrive late, or leave early. For those who registered day of (walk-ins), and are in full attendance, a certificate of completion for full CE credit will be sent within 30 days following the event. For those in partial attendance (arrived late or left early), an adjusted certificate of completion reflecting partial credit will be issued within 30 days (if your board allows). Please see “live seminar schedule” for full attendance start and end times. NOTE: Boards do not allow credit for breaks or lunch.

If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. For other credit inquiries not specified below, or questions on home study credit availability, please contact or 800-844-8260 before the event.

Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your professions standards.

PESI, Inc. offers continuing education programs and products under the brand names PESI, PESI Healthcare, PESI Rehab and Psychotherapy Networker.

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