Seminar Detail

Cardiac and Respiratory Complexities: Quickly Differentiate to Take Rapid Action
Wednesday, December 12, 2018 at 8:00 AM - 4:00 PM

This event is not currently available for purchase.

For more information: Call (800) 844-8260
Course Description:

You are assessing the patient who just returned from endoscopy following a foreign body removal. The patient is complaining of his throat itching. On assessment, his vital signs are normal, but he appears anxious. Is this normal following the procedure? Do you put him on a cardiac monitor? Should you call a rapid response?

We have all been faced with the clinical dilemma when our patient has rapidly progressing dyspnea, tachypnea, fever, cough, and chest pain. What is happening? Distinguishing between heart failure, pneumonia, and ARDS can be difficult. Did you know that COPD could mask a pulmonary embolism? When your patient is wheezing, do you make the assumption it is asthma? Or could the presentation be caused by heart failure or an allergic reaction?

Attending this conference will provide you with the confidence to recognize early and identify appropriate interventions to prevent further deterioration. We will discuss when non-invasive ventilation devices should - and should not - be used. If you are still struggling with blood gases, don't let blood gases intimidate you! Learn quick and easy ways to interpret ABG results. You will learn from actual patient stories to illustrate the complexities and co-morbidities of cardiac and respiratory diagnoses!
If there is no CE tab, please refer to the course brochure for continuing education information.
Learner Objectives:

  1. Review the nursing assessment for patients with airway or ventilatory problems.
  2. Describe the pathophysiologic changes that occur causing the signs and symptoms associated with airway or ventilatory problems.
  3. Select appropriate interventions for airway or ventilatory problems.
  4. Differentiate between ventilator modes and the use of NPPV.
  5. Evaluate appropriate treatment strategies for high-risk ECG findings.
  6. Plan for emerging treatments in heart failure.
  7. Analyze management options for acute coronary syndromes.
  8. Describe the diagnosis, evaluation, and management of inflammatory cardiac disease.
Program Outline

  • Hemodynamics
    • Do you need a Swan-Ganz?
    • Preload/Afterload
    • Contractility
    • Cardiac output
    • Cardiac index
    • Mean arterial pressure
  • Respiratory Diagnoses
    • Will the real cause of SOB please stand up: Complicating the respiratory diagnosis
    • Clinical presentation, signs/symptoms, interventions, management of:
      • Pneumonia
      • Asthma
      • COPD
      • Acute Respiratory Distress Syndrome
      • Pulmonary embolism (Air, Fat, Amniotic)
    • Anaphylaxis
    • Acute Respiratory Failure
    • Pleural effusions
    • Pneumothorax
    • Foreign body aspiration
  • Respiratory Interventions and Medications
    • Pharmacology
    • ABGs: Simplifying the numbers
    • Chest Tubes: Indications, set-up, troubleshooting
    • Capnography: Interpreting what it tells us
    • Ventilation and NPPV basics: Modes of ventilation and appropriate uses
  • Cardiac Diagnoses
    • Bradycardic & tachycardic rhythms: Essentials that you need to know
    • Is This Patient Having an MI?
      • Pericarditis
      • Myocarditis
      • Endocarditis
      • Etiology, Clinical Presentation, ECG changes, Treatment
    • Aortic Stenosis
    • Heart Failure
    • Current best practice recommendations
    • Long-term prognosis
  • Acute Coronary Syndrome
    • Unstable Angina
    • STEMI
    • Non-STEMI
    • Differentiating the Three
  • Cardiac Interventions and Medications
    • Pharmacology
      • Vasopressors vs. Inotropes
      • Ace Inhibitors, Beta blockers
      • Anticoagulants
    • Stabilization & Treatment procedures
      • Stents, CABG, LVADS
    • What's Trending?
      • Current trending technology
    • Case Presentations & Identify Probable Diagnosis
Target Audience

  • Nurses
  • Nurse Practitioners
  • Clinical Nurse Specialists


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 extensive experience working in the emergency department, progressive care, intermediate care, transitional care, step-down and, currently, as the regional manager for staff development at Central Maine Medical Center. Robin draws on her expertise to teach her own hospital staff and experienced healthcare audiences throughout the country on a variety of critical care and emergency nursing topics.

She has been an item writer for the Board Certification of Emergency Nursing (BCEN), a former Chairperson of BCEN, and most recently a contributing writer for the current CEN Review Manual. Robin is an active member of the Emergency Nurses Association, the American Nurses Association, Society of Critical Care Medicine, Association for Nursing Professional Development, and is a reviewer for the ANCC’s Pathway to Excellence.

Speaker Disclosures

Financial: Robin Gilbert has an employment relationship with Central Maine Medical Center and Rumford Hospital. She receives a speaking honorarium from PESI, Inc.

Non-financial: Robin Gilbert has no relevant nonfinancial relationship to disclose.
Credits listed below are for full attendance at the live event only. After attendance has been verified, pre-registered attendees will receive an email from PESI Customer Service with the subject line, “Evaluation and Certificate” within one week. This email will contain a link to complete the seminar evaluation and allow attendees to print, email or download a certificate of completion if in full attendance. For those in partial attendance (arrived late or left early), a letter of attendance is available through that link and 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.

Nurses, Nurse Practitioners, and Clinical Nurse Specialists
American Nurses Credentialing Center Logo
PESI, Inc. is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation. Nurses in full attendance will earn 6.3 contact hours. Partial contact hours will be awarded for partial attendance.

Pharmacology Nurse Practitioners
This program offers 120 instructional minutes of pharmacology content which is designed to qualify for 2.0 contact hours toward your pharmacology requirement to receive credit. It is your responsibility to submit your certificate of successful completion and a copy of the seminar brochure to your licensing board.

Other Professions
This activity qualifies for 380 minutes of instructional content as required by many national, state and local licensing boards and professional organizations. Save your course outline and certificate of completion, and contact your own board or organization for specific requirements.

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