Product Detail

1. Analyze EKG changes associated with ischemia, injury, and infarction patterns.
2. Evaluate current medical management for complicated STEMI and NSTEMI patients.
3. Distinguish between the features and best treatments for each heart block.
4. Diagnose common cardiac and pulmonary disorders using the chest x-ray.
5. Develop a systematic approach to chest x-ray interpretations.
6. Incorporate clinical pearls of EKG and CXR interpretation into daily practice.
7. Analyze the treatment plans for the different types of cardiomyopathy.
8. Implement new pharmacological and nonpharmacological treatments for heart failure patients in your clinical setting.
9. Assess troubleshooting and emergency management of the LVAD patient.
10. Interpret the earliest signs and symptoms of aortic aneurysms.
11. Investigate assessment cues and complications associated with endovascular stent grafts.
12. Analyze challenging case studies to recognize the borderline and abnormal patient findings that you may have previously missed.

DAY ONE

12 Lead EKG Pearls from a Cardiac Expert

• Coronary angiographic correlation
• Ischemia, injury, infarction patterns
• Atypical presentations
• Advanced 12 lead EKG – subtle and high-risk signs
• Presentations, analysis, and clinical application

STEMI and NSTEMI: Quick Assessment to Improve Outcomes

• Differentiating cardiac and non-cardiac causes of elevated troponins
• Stress tests – what to order & how to interpret results
• Medical management
  • Coronary stents
  • Fibrinolytics
  • Antiplatelets
  • Beta blockers
  • Statins

Identification and Treatment of Heart Blocks

• 1st Degree AV Block
• 2nd Degree AV Block, Type I Wenckbach
• 2nd Degree AV Block, Type II, Mobitz II
• 3rd Degree AV Block
• Right bundle branch block vs left bundle branch block
• Incomplete RBBB and LBBB

As Easy as Black and White: Chest X-ray Evaluation

• The chest x-ray
  • Black and white principles
  • Systematic approach
  • Invasive line identification
• As easy as black
  • Identifying pneumothorax and subcutaneous emphysema
  • Treatment priorities
• As easy as white
• Identifying
  • Pulmonary edema
  • Pneumonia
  • Pleural effusion
  • ARDS
  • Cardiomyopathy
  • Pericardial effusion
  • Cardiac tamponade
• Clinical application and treatment
• Beyond the basics
  • Aortic aneurysm
  • Lung tumor
  • Esophagogastrectomy
  • Post op changes with pneumonectomy

DAY TWO

Cardiomyopathy and Heart Failure – Cutting Edge Assessment Skills and Treatments

• Differentiating cardiomyopathy and HF
• Types of cardiomyopathy
  • Ischemic
  • Nonischemic
  • Takotsubo/Broken Heart
  • Peripartum
  • Tachycardia induced
  • Hypertensive
  • Drug/alcohol/toxin induced
• Pharmacological Treatments
  • Ace inhibitors
  • Angiotensin receptor blockers
  • Angiotensin receptor neprilysin inhibitor
  • Beta blockers
  • Diuretics
• Optimizing outcomes with titrations of medications
• Nonpharmacological interventions
• Advanced care planning
• Case studies & clinical application

Advanced Heart Failure Treatment – LVAD (Left Ventricular Assist Device)

• Mechanics of LVAD
• Patient selection
• Care of the LVAD patient in community setting
• Complications of LVAD
• LVAD case Studies & clinical application

Preventing an Aortic Aneurysm/Dissection

• Rapid & correct identification of the troublesome signs and symptoms
• Endoluminal graft repair
• Medical/medication management
• Assessment cues
• Treatment of complications – including spinal cord ischemia
• Case presentations and analysis

Sharpen Your Assessment Skills with Challenging Case Studies

• Case presentation
• Vital sign and lab analysis
• 12 lead EKG analysis
• CXR analysis
• Interventions and treatment plan

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 $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.

---

Cardiovascular Technology Professionals
Cardiovascular Credentialing International (CCI) recognizes programs and providers approved by the American Nurses Credentialing Center’s Commission on Accreditation (ANCC). This self-study package will qualify for 12.6 contact hour.

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.

---

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.

• Nurses, Nurse Practitioners, Clinical Nurse Specialist, Physician Assistants 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 a cardiac emergency!