Cyndi Zarbano – 2-Day All Things Pulmonary

You’ll leave with practical, immediate solutions-You can improve your patient outcomes and increase your knowledge with these strategies

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Cyndi Zarbano – 2-Day All Things Pulmonary

• ABG Interpretation Made Easy
• There are no Respiratory Assessment clues you should miss
• Nursing Personnel Can Use Mechanical Ventilation
• Emergent Event Management Strategies
• The Pulmonary The Drug Cabinet: A to Z

Rapidly, the condition of your lungs can change from being stable to one that is life-threatening.-Situations that are life-threatening, where every second counts. This comprehensive program will equip you with the knowledge and skills to handle any situation. This program draws on more than 20 years of experience in critical care. Cyndi Zarbano, MSN., BSN. CCRN. CEN. PCCN. CMSRN. CLNC. NLCP. You will learn the most recent evidence.-Patients with pulmonary issues can be treated using evidence-based techniques. You’ll have the opportunity to enhance your assessment skills, improve your ability to quickly interpret lab findings and explore the latest treatment techniques for airway management and mechanical ventilation. You’ll leave with practical, immediate results.-You can improve your patient outcomes and increase your knowledge with these strategies

OUTLINE-DAY ONE

The Pulmonary Triad

• Oxygenation, Ventilation & Perfusion
• Math made easy!
  • V/Q Match vs. Mis-Match
  • Calculating Shunting
  • Do2 Oxygen Delivery
  • Oxygen Consumption VO2
  • Oxyhemoglobin dissociation cure
  • SVO2 Monitoring
  • StO2
• It is important to put it All Together

Steps for ABG Analysis

• Acid Base Imbalances
• These are the 4 Abnormal Results
• Rapid Interpretation Tool

The Respiratory Assessment Tips You Must Never Miss!

• Common Adventitious Breath Sounds
• What are the Causes & When Are They Heard?
  • Crackles/Rales – Wet vs. Dry
  • Wheezes – Airway Obstruction Not Always a Problem
  • Rhonchi – Differing the Differences
  • Stridor – Emergency Treatment
  • Pleural Friction Rub
• Advanced Assessment Skills
• Transmitted Voice Sounds
• Inspection & Percussion
• Chest X changes-Ray

And the Assessment Indicates…

• Bronchitis Acute vs. Chronic
• Emphysema
• Pulmonary Fibrosis
• Obstructive Sleep Apnea

Pulmonary Drug Cabinet: From A To Z

• Anti-Cholinergic Agents
• Anti-Inflammatory drugs
• Bronchodilators
• Combo-Drugs
• Inhalers & Spacers
• Plus!

Airway Management Techniques

• Management Obstruction
• Airway Adjuncts
• Know your role in intubation
• The “5-Point Check”
• Rapid Sequence intubation

How to manage chest tubes

• Chest Tube Indications
• Urgent vs. Urgent
• Avoid common complications

OUTLINE – DAY TWO

Know the Goal: CPAP & BiPAP

• Advantages & Disadvantages
• Contraindications
• Fit assessment
• How to determine the settings

Nursing Personnel Can Use Mechanical Ventilation

• Responding to Alarms
• Management Strategies That Improve Outcomes
  • Patient Comfort
  • Decreasing workload
  • Frequent Assessment
  • Cardiac Output Clues
  • Suctioning
• Pressure vs. Volume Control
• Advanced Modes & Ventilator Extremes
• ECMO

Complications of Mechanical Ventilation

• BaroTrauma & VoluTrauma
• Oxygen Toxicity
• Ventilator-Associated Pneumonia

Ventilator-Related Problems

• What, When, And How
• Weaning Failure Causes
• Set yourself up for success!
• ABCDE Bundle

Restrictive Lung Diseases

• Pulmonary Edema
  • Signs & Symptoms
  • Treatment
  • Systolic Dysfunction
  • Diastolic Dysfunction
• ARDS
  • Progression Mnemonic
  • Staging
  • Presentation
  • Lab Findings
  • Chest X changes-Ray
  • Respiratory Support
    • Oxygen Control
    • Early Intubation
    • Exogenous Surfactant
    • Proning
    • Liquid Mechanical Ventilation

Emergency Management of Asthma

• Assessment Findings
• Identify the Trigger
• Steroid Considerations

The Patient with Pulmonary Embolism

• The Most Likely Causes
• Prevention Measures
• Signs & Symptoms
• Diagnosis & Treatment

Shock Management: Managing the Patient

• Critical Assessment Clues
• Interventions
• Complications
• Sepsis

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OBJECTIVES

1. Assess key components of a rapid physical assessment to determine the causes of an acute or persistent respiratory emergency.
2. Discuss the immediate treatment of patients suffering from an acute respiratory emergency. Also, discuss techniques for managing emergent airway problems.
3. Analyze evidenced-Interventions based on a pulmonary embolism.
4. Discuss the role of the latest oral anticoagulation drugs in treating pulmonary embolism.
5. You can tell the difference between non-cardiac and cardiac.-The clinical presentation and treatment of cardiac pulmonary embolism.
6. Identify potential complications of ARDS such as lung trauma, pneumonia and multisystem or organ failure.
7. You can manage the emergency treatment of tension pneumothorax by following current practice guidelines.
8. To be able to determine the best treatment strategy, it is important to distinguish between COPD exacerbations and heart failure.
9. Analyze the ARDS pathophysiology in relation to atelectasis and compliance, oxygenation ventilation, perfusion, as well as other assessment data during the course of the disease.
10. Demonstrate individual and collective strategies to reduce the effects of ARDS pathophysiology, and promote a return back to homeostasis.
11. List the most common causes of ARDS pathology.
12. To ensure the best possible patient outcomes, recognize and distinguish different ventilator modes in patients with ARDS.