Product Detail

Upon completion of this self-study package, you will be able to:

1. Analyze Coagulation Studies (PT/INT and PTT) and discuss clinical applications.
2. Analyze a Complete Blood Count with Differential and and discuss clinical applications (Anemias, Left Shifts, Infections, etc.).
3. Recognize the clinical implications of metabolic panels.
4. Recognize life-threatening electrolyte imbalances, as well as potential causes and remedies.
5. Predict renal function based on BUN, Creatinine, BUN/CR ratio, and GFR.
6. List/explain/interpret the components of a cardiac panel utilized in a suspected acute myocardial infarction.
7. Analyze blood gases and discuss clinical implications.
8. Differentiate between bacterial meningitis and viral meningitis based on lumbar puncture findings.
9. Recognize the key clinical indicators and implications on a urinalysis.
10. Identify when a urinalysis is positive for a urinary tract infection.

1. Electrolytes: Norms and Imbalances
   1. Basic Metabolic Panel (BMP)
      1. Sodium, chloride, potassium, glucose, CO2
   2. Magnesium, phosphorous
   3. Calcium
      1. Calcium levels
      2. Ionized calcium levels
   4. Panic Values/Life-threatening Imbalances
2. Comprehensive Metabolic Panel: Indications and Implications
   1. BMP Plus
      1. LFTs
      2. Albumin
      3. Protein
3. CBC with Differential: Interpreting the Components
   1. Hemoblogin & hematocrit
   2. Anemias/polycythemias
   3. Thrombocytopenia
   4. Left shifts & right shifts
   5. Leukopenia & leukocytosis
   6. Pancytopenia
4. Renal Function Tests: Acute vs. Chronic Influences
   1. Creatinine
   2. BUN
   3. BUN/CR ratios
   4. Glomerular Filtration Rate (GFR)
5. Cardiac Enzymes: It's All in the Timing
   1. Troponin I
   2. CK
   3. CK-MB
6. Coagulation/Thrombotic Risk Panels: Clues to Clotting
   1. aPTT
   2. PT
   3. INR
   4. D-dimer
7. Urinalysis: Beyond the Dipstick
   1. Parameters measured & interpretation
   2. Culture
   3. 24-hr urines: What are they telling us?
8. Blood Gases: Identifying the Underlying Abnormality
   1. Arterial Blood Gases (ABG)
   2. Interpreting ABGs: It's easier than you think!
   3. Venous Blood Gases (VBG)
   4. Mixed Venous Blood Gases
9. Labs and Sepsis: Taking a Team Approach
   1. Cultures
   2. Lactate
   3. Base Excess
   4. Specimen collection
10. Lumbar Punctures / Cerebral Spinal Fluid
    1. Gamma globulin
    2. Total protein
    3. Glucose
    4. Cell Count
    5. Bacterial Meningitis
    6. Viral Meningitis
    7. Encephalitis

Sean G. Smith, MSc, FP-C, C-NPT, CEN, CFRN, CTRN, TCRN, CPEN, CCRN-CMC (Adult), CCRN-K (Neonatal), CCRN-K (Pediatric), is a humanitarian/flight nurse-paramedic who is triple board-certified in neonatal, pediatric, and adult critical care and emergency medicine. He brings 30+ years of education and team/leadership experience to his presentations from a career that includes global health, tropical medicine, research molecular neuroendocrinology, nuclear engineering technology, US Navy aviation/NASA manned space flight support, and high-performance teams/high yield pedagogy, dozens of national/international conference presentations and various awards and honors. Author/co-author/review credits include a best-selling laboratory medicine textbook, a chapter on shock in Nursing Core Curriculum a section in the newly released Resuscitation Crisis Manual, numerous other industry standard textbooks, and several professional association critical care/emergency medicine curriculums and board certification review courses (AACN, ANN, ENA, SCCM, etc.). Additionally, Sean routinely consults on clinical, legal, and certification matters for numerous high-profile hospital systems (Yale, Mayo, etc.). He holds a MSc in Pharmacy/Forensic Science, bachelor’s degrees in business administration, nursing, and molecular biology, and post graduate certificates in Forensic Death Investigation, Legal Consulting, and Tropical Medicine. In addition to being active in a number of professional associations (SCCM, AACN, WADEM, etc.), Sean is a life member of Mensa, The Emergency Nurses Association, and the Air Surface Transport Nurses Association. He has served on the executive committees and in various leadership roles of numerous charities and professional associations and has led/participated in 50+ medical missions (Dominican Republic, Honduras, Morocco, Liberia, Nepal, Iraq, Democratic Republic of Congo, and Haiti). Sean served as a clinician and educator during the largest Ebola and Cholera outbreaks in recent history and is currently active building sustainable neonatal-pediatric cardiac critical care capacity in Iraq, as well as serving as part of a national level multidisciplinary child sexual assault forensics team in Guyana, South America. Hobbies include Scuba diving and vintage science kits, tube amplifiers and motorcycles. Speaker Disclosures:
Financial: Sean Smith is an independent contractor. He receives a speaking honorarium and recording royalties from PESI, Inc. He has no relevant financial relationships with ineligible organizations.
Non-financial: Sean Smith is a member of the American Association of Critical Care Nurses.

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Nurses/Nurse Practitioners/Clinical Nurse Specialists - Credit Expired: 8/6/2016
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 7.2 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 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