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1. Anticipate changing assessment priorities of progressive care patients and their families.
2. Evaluate ECG characteristics and initial management strategies of common dysrhythmias.
3. Analyze ABG results with greater ease and confidence.
4. Analyze ventilator modes, challenges and nursing management.
5. Determine early signs of clinical deterioration before things get worse.
6. Choose the best interventions for care of patients with acute coronary syndromes.
7. Appraise the indications for electrophysiology studies.
8. Categorize current sepsis recommendations.
9. Differentiate acute ischemic stroke and hemorrhagic stroke between clinical presentation and nursing management.
10. Plan your response to life-threatening electrolyte imbalances.
11. Determine nursing interventions to endocrine disorders: DKA, HNK, SIADH, DI.
12. Examine the special needs of trauma patients in progressive care units.
13. Evaluate the current trends being seen in the treatment of progressive care patients (ECMO, REBOA, assistive devices).

Neurology: Starting at the Top

• ICP
• Traumatic Brain Injury
• Stroke
• Seizures

Cardiovascular: Keeping in Rhythm

• Acute Coronary Syndrome (STEMI, NON-STEMI, Angina)
• EKG interpretation (The down and dirty)
• Diagnostics
• Heart failure
• Pericarditis, Myocarditis, Endocarditis
• Valve disease

Pulmonary

• Acute respiratory failure
• Acute respiratory distress syndrome
• COPD, Asthma, Asthma COPD
• Overlap Syndrome
• Pulmonary embolism
• BiPAP, CPAP, mechanical ventilation

Acid Base in a Nutshell: ABG’s

• Buffer to Blame: Who’s Guilty? (Respiratory or Metabolic)
• Is there an accomplice involved? (Compensating/Not compensating)

Renal System

• Assessment
• Acute Kidney Injury
• Potassium, Sodium, Calcium, Magnesium Imbalance

Gastrointestinal System

• Bowel obstructions
• Abdominal Compartment Syndrome
• Acute abdomen
• GI Bleed
• Pancreatitis

Hematologic & Immune System

• DIC
• Thrombocytopenia
• Anaphylactic reactions

Endocrine

• Hyperglycemic states
• SIADH
• Diabetes
• Thyroid storm

Hemodynamic Basics

• Parameters
• Monitoring systems

Pharmacology

• Vasopressors & Inotropes
• Insulin drips
• Antiarrhythmics
• Pulmonary medications
• Sedation
• Sink or swim: IV fluids in critically ill
• TXA

Multisystems

• Sepsis
• Multisystem trauma

Critical Care Patients with Special Needs

• Bariatric patient
• High risk obstetric
• Assistive devices

Preparations for the Future

• CardioMEMS HF system
• Watchman
• Impella
• Extracorporeal cardiopulmonary resuscitation (ECPR)
• Resuscitative endovascular balloon occlusion of the aorta (REBOA)
• Tandem heart

Pulling it all Together

• Case based presentations & discussion

Robin Gilbert, MSN, RN, CEN, CPEN, has over 25 years’ experience in emergency nursing. She is both a certified emergency nurse and certified pediatric emergency nurse. Robin has experience as an emergency department manager, manager of cardiac & pulmonary rehabilitation and currently as the regional manager for staff development at Central Main Medical Center. She instructs the NCLEX review class for Kaplan and tutors nursing students online for a local college of nursing. Her experience also includes having been an item writer for the Board Certification of Emergency Nursing and a former chairperson. In her current role, Robin is able to remain up to date in the trends and best practice standards for care in emergency nursing. Robin received her BSN from Curry College, Massachusetts and her MSN from Saint Joseph’s College, Maine. Robin is an active member of the Emergency Nurses Association, the American Nurses Association, Society of Critical Care Medicine, and is a reviewer for the ANCC’s Pathway to Excellence.

Speaker Disclosures:
Financial: Robin Gilbert has employment relationships with EBSCO, Central Maine Medical Center, Rumford Hospital, Pathway to Excellence, and Kaplan University. She receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Robin Gilbert is a member of the Society of Critical Care Medicine, the American Association of Cardiovascular and Pulmonary Rehabilitation, and the Emergency Nurses Association.

Save time and $10 off the price of other submission methods – purchase & take the CE test online for $29.99 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.

California Nurses: PESI, Inc. is a provider approved by the California Board of Registered Nursing, Provider #:17118 for 12.5 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 12.5 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 12.6 self-study contact hours.

Copies of the evaluation may be sent to the IBON. 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.

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Other Professions
This self-study activity qualifies for 12.5 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.

• RNs, RTs, NPs, and PAs from Medical-Surgical floors, Cardiology, Neurology, Critical Care, Emergency, Urgent Care, Skilled Nursing Facilities
• Anyone desiring next-level skills to proactively assess and intervene for the high acuity patient!