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DAY 1

1. Employ proper technique for measuring jugular vein distention (JVD).
2. Contrast systolic and diastolic murmurs by where they fall in the S1/S2 cardiac cycle.
3. List 3 benefits of beta blockers in a patient with coronary artery disease.
4. Identify benefits for patients using blood thinners in atrial fibrillation that is not related to valve dysfunction.
5. Differentiate findings on the 12-lead EKG to determine if a patient has axis deviation and what health care issues that may identify.
6. Explain a simple monitoring technique to help differentiate if the patient is having an atrial dysrhythmia or not.
7. Identify EKG clues to patients having aberrant pathways.

DAY 2

1. Explain the difference between systolic and diastolic heart failure using a simple hand gesture to recognize ventricular dysfunction for each.
2. Stage heart failure using the American Heart Association/American College of Cardiology tool and identify intervention goals for each stage.
3. Compare the use of the Impella device and intra-aortic balloon pumps in severe cardiac impairment.
4. Evaluate findings in common cardiac labs, such as CKMB, Troponin, BNP/ Pro-BNP levels.
5. Recognize 2 tools of recognition and 4 rapid interventions for patients experiencing Acute Coronary Syndrome (ACS).
6. Describe the decision-making process for stroke prevention in the patient with atrial fibrillation.

DAY 1

Cardiovascular Assessment: Critical Clues You Should NEVER Miss

• Impending Doom: Recognizing the Red Flags
• Neck Vein Evaluation
• What Does the Blood Pressure Really Mean?
• Don't Miss a Beat Interpreting Heart Sounds
• Significant Murmurs
• Rapid Stabilizing Interventions

Life-Threatening EKG Changes: Clues From the 12-Lead

• Location, Location, Location! Anatomy of the 12-Lead
• 3 Rules of Recognition
• Cardiac Axis: Meaning & Assessment
• Recognition of RBBB & LBBB
• STEM I & NSTEM I -- What's the Difference

Fast & Slow Dysrhythmias

• Choosing Your Monitor Leads Wisely
• Identifying AV Passive & Active Tachycardias
• Aberrant Pathways
• Atrial Fibrillation with WPW
• AV Node Re-entry Rhythms
• Mono and Polymorphic V-Tach
• Heart Blocks
• Critical Nursing Actions

Cardiovascular Drug Cabinet from A to Z

• The Latest Updates & Recommendations
• Medications that Impact Cardiac Output
• Vasoactive Medications
• Medications that Impact Clotting
• Treating Hyperlipidemia
• Management Strategies for Hypertension
• Nursing Implications for Administration
• Polypharmacy
• Precautions with the Elderly Patient

DAY 2

Acute Coronary Syndrome: Diagnosis & Management Guidelines

• STEM I vs. NSTEM I Treatment Strategies
• Critical Cardiac Labs
• EKG Interpretation: Identifying the Differences
• Urgent vs. Emergent Interventions
• Managing Complications

The Failing Heart: Acute Management Priorities

• Systolic vs. Diastolic Heart Failure
• Classification Systems
• Acute Medication Protocols
• Nursing Considerations With:
• Biventricular Pacing
• Implantable Cardioverter Defibrillators
• Intra-Aortic Balloon Pump

Cardiac Emergencies: Risk, Recognition, & Response

• Bedside Assessment Clues
• Key Interventions for:
• Pulmonary Embolus
• Myocardial Rupture/Tamponade
• Tension Pneumothorax
• Aortic Dissection
• Critical Thinking Checkpoints

Emergency Interventions for Atrial Fibrillation

• Critical Decision-Making: The Decompensating Patient
• Pharmacological Management Strategies to:
• Control Rate
• Control Rhythm
• Prevent Stroke
• Current Treatment Recommendations:
• Cardioversion
• Ablation
• Surgical Intervention
• Key Nursing Assessments & Interventions

Cyndi Zarbano, MSN-Ed, CCRN, CMSRN, LNC, has been a nurse for nearly 30 years specializing in intensive care. She earned her legal nurse consultant training through the Vickie Milazzo Institute in 2008 and has worked on nearly 250 cases for various boards of nursing. She has worked with attorneys on pre-corrective action and with nurses to meet consultation requirements to fulfill corrective action guidelines.

Additionally, Cyndi has worked as a legal nurse consultant responsible to analyze medical records, determine merit, assist with client interviews, attend medical appointments, locate testing experts, complete chronologies, review billing for accuracy, provide deposition/jury question development, and assist in court strategy development. Cyndi is a renowned national seminar speaker having spoken for numerous companies since 2008, including her own, Clinical Review Consultants. She works for Mayo Clinic in Minnesota continuing her passion for bedside nursing in critical care. Speaker Disclosures:
Financial: Cynthia Zarbano is the owner of Clinical Review Consultants and has an employment relationship with Mayo Mankato. She receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Cynthia Zarbano 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.

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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 12.2 contact hour.

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Nurses, Nurse Practitioners, and Clinical Nurse Specialists
This self-study activity consists of 12.25 clock hours of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please save the course outline, the certificate of completion you receive from this self-study activity and contact your state board or organization to determine specific filing requirements.

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Nurses/Nurse Practitioners/Clinical Nurse Specialists - Credit Expired: 11/28/2020
No CE available for this board.

California Nurses: PESI, Inc. is a provider approved by the California Board of Registered Nursing, Provider #:17118 for 12.0 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 12.0 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 6.25 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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Pharmacology Nurse Practitioners
This self-study program offers 180 instructional minutes of pharmacology content which is designed to qualify for 3.0 contact hours toward your pharmacology requirement.

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Other Professions
This self-study activity qualifies for 12.25 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, Nurse Practitioners, Clinical Nurse Specialists, Cardiovascular Technology Professionals