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1. Evaluate the types of ventilation/perfusion inequalities and how to treat them.
2. Differentiate between lung-based vs cardiac-based disease.
3. Evaluate the presentation differences between obstructive and restrictive lung diseases.
4. Distinguish between shunt effect and dead-space effect.
5. Choose the type of assessment techniques that are best to learn quickly about the deteriorating patient’s condition.
6. Apply the best treatment modalities to optimize outcomes for a patient in crisis.

Respiratory Failure: Quickly Identify and Distinguish

• Is it an oxygenation or a ventilation problem?
• Why does it matter?

Best Approaches to Differentiate Cardiac and Pulmonary Symptoms

• Advanced understanding of breath sounds
• X-rays don’t tell the whole story
• Not all edema is visible
• Evaluating the patient’s response to therapy

Confidently Assess Respiratory Disease

• Dig deeper into ABG interpretation
• Tips to focus on one system at a time
• Treatment strategies to begin as you assess

Transition the Patient from Crisis to Stable

• Solutions to calm the panic-stricken patient
• When lab results don’t correlate with the presentation
• WHY is the patient presenting the way they are?

Stair-step Strategy to Determine Treatment

• What about bronchodilators?
• Oxygen is a drug – how to optimize oxygen delivery
• When oxygen therapy isn’t enough – positive pressure ventilation vs mechanical ventilation

Mistakes YOU Can Prevent

• Misinterpretation of obstructive vs restrictive disease – or both?
• All that wheezes may not be respiratory
• Improper treatment modalities – start simple and work up
• Missed clues from an urgent situation – know when to call in reinforcements

Tim Martindale, MS, RN, RRT, has spent over 38 years working in healthcare in a variety of clinical settings, including respiratory therapy, critical care, med/surg, and long-term care. He has taught nurses, respiratory therapists, nurse practitioners, and physician assistants in various situations, including numerous classes on respiratory, cardiac and critical care. Tim has particularly enjoyed presenting for the Critical Care Consortium and as an invited guest for the National Healthcare Corporation conference.

Additionally, Tim has authored a book entitled Respiratory Therapy for Nurses and has produced a series of learning videos for healthcare professionals.

Speaker Disclosures:
Financial: Timothy Martindale has an employment relationship with Health Carousel. He receives a speaking honorarium and recording royalties from PESI, Inc. He has no relevant financial relationships with ineligible organizations.
Non-financial: Timothy Martindale has no relevant non-financial relationships.

Save time and $10 off the price of other submission methods – purchase & take the CE test online for $19.99 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: 4/17/2023
No CE available for this board.

California Nurses: PESI, Inc. is a provider approved by the California Board of Registered Nursing, Provider #:17118 for 5.0 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 5.0 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 5.0 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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Physician Assistants

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Other Professions
This self-study activity qualifies for 5.0 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.

• 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 in the care of the patient experiencing respiratory distress!