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1. Examine emerging technologies and identify indications for use, benefits and potential risks, as well as appropriate and safe utilization.
2. Investigate current clinical guidelines and management strategies for critical care problems including; SIRS, sepsis and septic shock.
3. Describe patients in various stages of sepsis, measures of early fluid resuscitation points and discuss early evidence-based therapy.
4. Discriminate between the treatments for ischemic and hemorrhagic stroke.
5. Recognize dangerous drug-drug interactions of medications used in treating critical conditions.
6. Distinguish the best pharmacologic methods to achieve blood pressure control for patients with ischemic and hemorrhagic stroke.

Case Study: The patient admitted with Pneumonia currently on a Ventilator

• Diagnosis
• Community vs. Hospital Acquired
• Physical Assessment Findings
• Interpreting the Chest X-ray
• Gram Stain vs. Culture & Sensitivity
• Typical Bacteria Causing Pneumonia
• Antibiotics
• Top Choice for Empiric Antibiotics
• What is an Antibiogram?
• When to Switch from Empiric to
• Narrow-Spectrum Antibiotics
• Blood Gas Analysis
• Four Criteria for Ventilator Associated Pneumonia
• Modes of Mechanical Ventilation
• Intubation Criteria
• SIMV, AC, Bi-level, CPAP, NIPPV

Case Study: The patient admitted with Acute Respiratory Distress Syndrome (ARDS)

• Diagnosis by Berlin Definition
• Pain Medications
• Sedating Medications
• Neuromuscular Blocking Agents
• Prone Positioning

Case Study: Ischemic and Hemorrhagic Stroke

• Diagnosis: Ischemic & Hemorrhagic
• FAST Assessment
• Interpreting the CT Scan, MRI &
• Brain Angiography
• Implications of Transient Ischemic Attack
• Stroke vs. Bell’s Palsy
• Critical Labs
• Blood Pressure Control: How & When
• Labetalol
• Nicardipine
• Metroprolol
• Intra-Arterial Thrombolysis
• Mechanical Thromboectomy
• Aneurysm Clipping vs. Coiling
• Risks & Benefits
• Administering TPA for Ischemic Stroke
• Intracranial Pressure Monitoring
• Intraparenchymal Catheter
• External Ventricular Drain
• Interpreting Ventricular Waveforms

Case Study: The patient admitted in Renal Failure

• Diagnosis
• Laboratory Values:
• BUN
• Creatinine, Creatinine Clearance
• Electrolyte Alterations
• Physical Assessment Findings
• Modes of Dialysis
• Indications & Contraindications
• Venous Access: Location is a Priority
• Continuous Renal Replacement Therapy
• SCUF, CVVH, CVVHD, CVVHDF
• Intermittent Dialysis

Case Study: The patient admitted with Multi-System Failure

• Systemic Inflammatory Response Syndrome (SIRS)
• Sepsis
• Guidelines from the Society of Critical
• Care Medicine
• Septic Shock
• Fluid Resuscitation
• Which Fluids
• How Much & How Quickly
• Antibiotic Pharmacology for Infections
• What to Start First
• Six Vasopressors to Consider
• Phenylephrine
• Norepinephrine
• Epinephrine
• Dopamine
• Dobutamine
• Vasopressin
• Bleeding Alterations with Multi-Organ Failure
• Disseminated Intravascular Coagulation (DIC)
• Diagnosis
• Treatment

Paul Langlois, APN, PhD, CCRN, CCNS, is a critical care clinical specialist in the surgical, medical, neurologic, burn, CCU and trauma ICUs of Cook County Hospital, Chicago. Drawing on over 40 years of experience assessing and managing patients with life-threatening diseases, Dr. Langlois provides advanced-level training to nurses, physician assistants, nurse practitioners, respiratory therapists and physicians.

Dr. Langlois is committed to providing the highest quality of care to patients through advanced education. His presentations are evidence-based, timely and provide participants with numerous case studies to facilitate critical thinking. As a bedside clinical nurse specialist, he has developed several institution-wide protocols for the multidisciplinary assessment and management of the infectious disease and multi-system organ failure patient.

His presentations are enthusiastically delivered and offer highly practical tips that help make the most challenging concepts easy to understand. Linking knowledge to clinical practice is the goal of every education program. Speaker Disclosures:
Financial: Paul Langlois has employment relationships with Cook County Hospital and Emergency Care Consultants. He receives a speaking honorarium and recording royalties from PESI, Inc. He has no relevant financial relationships with ineligible organizations.
Non-financial: Paul Langlois is a member of the American Nurses Association and the American Association of Critical Care Nurses.

For U.S. and Canadian customers, a CE test is available for $9.99 USD per participant. International CE rates may vary; 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 may be emailed, faxed or mailed to participants completing the post-test/evaluation and paying the CE fee.

**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.

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Nurses/Nurse Practitioners/Clinical Nurse Specialists - Credit Expired: 11/3/2018
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 6.3 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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Pharmacology Nurse Practitioners
This self-study program offers 210 instructional minutes of pharmacology content which is designed to qualify for 3.5 contact hours toward your pharmacology requirement.

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Other Professions
This self-study activity qualifies for 6.25 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, and other Healthcare Professionals