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1. Analyze EKG changes associated with ischemia, injury and infarction patterns.
2. Specify the features of right bundle branch block from the features of left bundle branch block.
3. Evaluate axis deviation and the implications for clinical practice.
4. Assess common cardiac and pulmonary disorders using the chest x-ray.
5. Detect the placement of invasive lines on chest x-rays.
6. Develop a systematic approach to chest x-ray interpretation.
7. Incorporate the clinical pearls of EKG and chest x-ray interpretation into daily practice.

Part I: The ABCs of 12-Lead EKG Interpretation
The 12-Lead EKG

• Cardiac electrical conduction system
• Electrical vectors
• Normal polarity & P-QRS-T configuration of each lead

Ace the Axis

• Left & right axis deviation
• Causes & criteria
• Methods of determining axis deviation
• Clinical applications

Beat the Bundles

• Right & left bundle branch blocks
• Causes & complications
• Left anterior & left posterior hemiblocks

Correlate the Coronary Anatomy

• The coronary arteries
• Left ventricular walls
• Relationship to the 12-lead

Differential Diagnosis in Acute Coronary Syndrome

• Ischemia, injury & infarction patterns
• Reciprocal changes
• STEMI vs. NSTEMI
• Coronary spasm
• Takotsubo cardiomyopathy

Putting it all Together

• The 30-second diagnosis
• Coronary angiographic correlation
• Presentations, analysis & clinical applications

Advanced Interpretation

• Atrial & ventricular hypertrophy
• WPW – Wolff-Parkinson-White Syndrome
• Prolonged QT intervals

Part II: Chest X-Ray Interpretation as Easy as Black & White
The Chest X-Ray

• Technique
• Black & white principles
• Projections

Systematic Approach

• Bone structures & Intercostal spaces
• Soft tissues & vasculature
• Pleural surfaces
• Heart & great vessels
• Invasive lines

As Easy as Black

• Identifying pneumothorax & subcutaneous emphysema
• Treatment priorities

As Easy as White

• Identifying:
  • Pleural Effusion
  • Pulmonary Edema
  • Pneumonia
  • ARDS
  • Cardiomyopathy
  • Cardiac Tamponade
• Clinical applications & interventions

Beyond the Basics

• Identification & Initial Treatment of:
  • Aortic aneurysm
  • Post-op changes with pneumonectomy
  • Esophagogastrectomy
  • Dextrocardia

Cheryl Herrmann, RN, MS, APRN, CCRN, CNS-CSC/CMC, has 35+ years of nursing experience-15 years as a bedside nurse in SICU, Neuro ICU, and CVICU, and 20 years as a cardiac clinical nurse specialist. As a cardiac SNS, she cares for patients in cardiac prep and recovery, cardiac catheterization, surgery, ICU, telemetry/progressive unites, and at discharge. In addition, Cheryl is a prehospital RN for the local ambulance service. She has a passion for cardiac nursing and is an advocate for heart health.

Cheryl is a reviewer for a critical care textbook as well as several nursing journals, one of which, Critical Care Clinics, recently published her article "A Woman's Heart Is Different." She is a popular presenter for national conferences such as the American Association of Critical Care Nurses NTI. Cheryl has been honored with the American Association of Critical-Care Nurses Circle of Excellence--Excellent Clinical Nurse Specialist Award.

Speaker Disclosures:

Financial: Cheryl D. Herrmann has an employment relationship with UnityPoint Health Cardiology. She receives a speaking honorarium from PESI, Inc.

Non-financial: Cheryl D. Herrmann is a member of the Illinois Society of Advanced Practice Nurses and National Association of Clinical Nurse Specialists.

Save time and $10 off the price of other submission methods – purchase & take the CE test online for $9.99 USD per participant. Additional processing fees apply for other submission methods (i.e. mail, fax, etc.). Please contact our Customer Service at 1-800-844-8260 for more details.

Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Please note, your state licensing board dictates whether self study is an acceptable form of continuing education. Please refer to your state rules and regulations.

Certificates of Successful Completion are available for email, download and/or printing from your online account immediately following the successful completion of the post-test/evaluation.

**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.

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners. For speaker disclosures, please see the faculty biography.

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners.  For speaker disclosures, please see the faculty biography.

Continuing Education Information
NOTE: Tuition includes one free CE Certificate (participant will be able to print the certificate of completion after passing the online post-test (80% passing score) and completing the evaluation). Instructional methods will include PowerPoint, didactic lecture, and others. Continuing Education Information: Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Program content is reviewed periodically per accrediting board rules for currency and appropriateness for credit. Credit approvals are subject to change. Please note, your state licensing board dictates whether self-study is an acceptable form of continuing education. Please refer to your state rules and regulations. 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, please contact info@pesi.com or 800-844-8260 before purchase. Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of your profession. 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 profession's standards. For Planning Committee disclosures, please see statement above. For speaker disclosures, please see the faculty biography.

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Nurses/Nurse Practitioners/Clinical Nurse Specialists - Credit Expired: 4/25/2022
No CE available for this board.

California Nurses: PESI, Inc. is a provider approved by the California Board of Registered Nursing, Provider #:17118 for 6.0 self-study contact hours.

You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

Florida Nurses: PESI, Inc. is an approved provider by the Florida Board of Nursing. Provider #: FBN2858. These materials qualify for 6.0 self-study contact hours.

Iowa Nurses: PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 6.0 self-study contact hours. Please email cepesi@pesi.com with your license number, include the title, speaker name and date. PESI must have this number on file in order for your hours to be valid.

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Other Professions
This self-study activity qualifies for 6.0 clock hours of instructional content as required by many national, state and local licensing boards and professional organizations. Retain your certificate of completion and contact your board or organization for specific filing requirements.

Disclaimer: **Information obtained in this course should be used within your scope of practice.
**It is your ethical responsibility to report accurate hours to your licensing board.
**All self-study participants must complete and pass (80% or better) a post-test and evaluation prior to receiving a certificate of completion. If you require a copy of the test/evaluation for CE purposes, please print at the time you take the test. Or you may call our customer service department and a copy of your test/evaluation will be emailed to you. Please allow 30-45 days.

• Nurses
• Nurse Practitioners
• Clinical Nurse Specialists
• Physician Assistants