Sandy A Salicco – Identification & Management of a Crisis

Mrs. Mrs. of COPD. She develops worsening dyspnea, hypotension and coma twenty minutes after being admitted.

Sandy A Salicco – Identification & Management of a Crisis

Mrs. Mrs. of COPD. She develops worsening dyspnea, hypotension and coma twenty minutes after being admitted.

Are you ready to take care of her infirmities?

Do you know the best ways to protect your lungs?

Are you able to help her manage hypotension?

Patients in hospitals are more sick than ever. Patients are often found on regular medical floors that have central lines, chest tubes and pacemakers. Patients are being sent home with vasoactive drips like dobutamine by some nursing homes that accept patients on ventilators. Even though acuity levels are higher, you are still caring for many patients and don’t have the luxury of frequent, comprehensive assessments. It is essential to quickly assess and then implement the appropriate interventions. You will learn new skills and be ready to handle your next patient crisis.

OUTLINE

IDENTIFYING THE ROUGH FLAGS

• Critical Thinking is Essential During a Crisis
• Rapid Assessment Techniques
• ABCD in 10 Seconds
• Important Questions to Ask Your Patient

CARDIOVASCULAR

Prevention, presentation, and action for: “I’m Having Chest Pain”

• Recognizing Arrhythmias
  • Stable, Unstable, and lethal
• 12-Lead EKG: Just the Down and Dirty
  • Utilizing a A Systematic Approach
  • Patterns of Ischemia, Injury & Infarct
• Acute Myocardial Injury: STEMI/NSTEMI
  • Key Assessments & Interventions
  • Guidelines for tPA
  • Cath Lab Intervention
• Heart Failure
  • Recent Developments in Care
  • Medication Management
  • Fluid Restriction

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Prevention, presentation, and action for: “I Can’t Breathe”

• Assessment & Intervention
  • Anxiety vs. Respiratory Signs
  • The patient who requires assistance
    • O2, CPAP, BiPAP
  • Intubation signs
  • Positive Pressure Ventilation
• Respiratory syndromes
  • Spontaneous Pneumothorax
    • Chest Tube Management
  • COPD
    • Presentation: Why the Pursed Lips & Barrel Chest
    • PROACTIVE interventions, not reactive
  • Respiratory Failure
    • Every Nurse Should Know About Ventilator Settings

NEUROLOGICAL

Prevention, presentation and action for: “My Head Hurts!”

• Elevated intracranial Pressure
  • Clues When you Don’t have a Monitor
• Ischemic vs. Hemorrhagic Stroke
  • Inclusion/Exclusion in tPA
  • Post about Essential Assessments-tPA

MANAGEMENT OF A DECOMPENSING PHILIPPIENT

Prevention, presentation and action for: “The Crashing Patient”

• Anaphylaxis
• Sepsis
• Shock
• Considerations for Transport
• Activate the Rapid Response Team

OBJECTIVES

1. Please describe two types of How to use rapid assessment techniques for the best results a patient emergency.
2. Evaluate techniques for getting critical information during a Rapid patient assessment
3. Recognize the EARLY assessment results in clinical syndromes that can progress quickly and cause death-These are dangerous conditions
4. Prioritize nursing actions to address specific neurological, cardiac, respiratory, and endocrine emergencies.
5. Care review of The diabetic patient in diabetic ketidosis versus the HHNK/HHS. Key differences in presentation, lab results, and plan of care.
6. Heat failure can be described in terms of left and right-Sideline failure; Discuss treatment options, acute as well as follow-up-up care.
7. Shock and Sepsis: Discuss the most important interventions and discuss treatment options.

Here’s what you’ll get in Sandy A Salicco – Identification & Management of a Crisis