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1. Determine where and why vesicular, bronchovesicular and bronchial sounds can be normal or abnormal and the significance of the abnormalities.
2. Determine pathophysiology and differential diagnoses for crackles, wheezes, rhonchi and rubs.
3. Evaluate management of obstructive vs. restrictive lung disease.
4. Demonstrate a thorough 6-part neurological exam and document findings.
5. Assess primary causes of mental status changes and identify which patients are at risk for delirium and how to respond.
6. Distinguish whether abnormal S1 and S2 heart sounds are pathological or benign.
7. Measure whether systolic and diastolic murmurs are benign or indicate cardiac disease.

Respiratory Exam

1. Abnormal Lung Sounds
1. Pneumonia
2. Atelectasis
3. URI
4. Bronchial Breathing
5. Bronchophony
6. Egophony
7. Whispered Petroliloquy
8. Death Rattle
9. Absent Breath Sounds
10. Pneumothorax
11. Hemothorax
1. Crackles
2. Rhonchi
3. Stridor
4. Wheezes
1. Asthma
2. COPD
3. Emphysema
5. Pleural Friction Rub
2. Strategies for Detection
1. Chronic Bronchitis
2. Pneumonia
3. Emphysema
4. Acute Asthma
5. Croup

Neurological Exam

1. Mental Status
1. Mnemonic to Cover All Bases
1. Stroke
2. Overdose
3. Infection
4. Toxic states
5. Mental illness
2. Cranial Nerves
1. Techniques to Cover I-XII Quickly and Completely
2. Motor
3. Evaluate Strength and Symmetry
3. Sensory
1. Quick Field/Bedside Assessment
4. Coordination
1. Simple Test to Assess
5. Reflexes
1. Systematic Approach/Technique
6. Head Injury Evaluation
1. Glasgow Coma Scale
7. Abnormalities of Consciousness
8. Clinical Clues
1. Delirium
2. Stupor
3. Coma
9. Altered Mental Status
1. Confusion Assessment Method (CAM)

Cardiac Exam

1. Auscultation Sites, Sequencing and Skills
1. S2 split
2. S3
3. S4
4. Gallop
5. Opening Snap
1. Mitral and Tricuspid Valves
6. Clicks
1. Mitral Valve Prolapse
7. Systolic Ejection Sounds
1. Hyperdynamic State
2. Murmurs
1. Intensity (Grade I - VI)
2. Location
3. Radiation
4. Pitch
5. Quality
6. Timing
7. Pattern or Configuration
8. Functional vs. Pathologic Murmur
3. Strategies for Detection of Abnormal
4. Cardiac Sounds
1. Innocent Systolic Ejection Murmur
2. Mitral Valve Prolapse
3. Aortic Stenosis
4. Systolic Regurgitation
5. Mitral Regurgitation
6. Tricuspid Regurgitation
5. Diastolic Murmurs
1. Aortic Regurgitation
2. Aortic Stenosis
3. Mitral Stenosis
4. Patient Ductus Arteriosis
6. Prosthetic Heart Sounds
1. Pericardial Rubs
2. Mediastinal Crunch

Biography is not currently avaiable.

For U.S. and Canadian customers, CE is available for $20.00 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 will 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, and Clinical Nurse Specialists
This self-study activity consists of 6.25 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.

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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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, Nurse Practitioners, Clinical Nurse Specialists Respiratory Care Practitioners, Paramedics, Physician Assistants