Advanced Management of Complex and Critically Ill Patients – Cyndi Zarbano

Outline

Understand Hemodynamics Today

• Cardiac Output = Heart Rate x Stroke Volume
  • Use a simple analogy to learn the components and finally Get It
• Preload, Afterload and Contractility
• Manipulating the mathematical equation to stabilize

The ICU Trio in Crisis!

• IV Fluids – picking the right one for the situation
• 5 pressor agents – How they work when to use them
  • Blood products! FFP, Platelets, PRBC’s and Cryoprecipitate

Demystify hemodynamic waveforms and

Correctly Measuring Each

• Assessment clues to hemodynamic instability
• Central Venous Pressures
• Arterial Lines
• Swan Ganz Catheters

Mechanical Ventilation for Nurses

• How to manage patients on ventilators
• Avoiding Ventilator Acquired Pneumonia (VAP)
• Using CPAP or BiPAP

Manage Shock

• Assessment and management of:
  • Cardiogenic Shock
  • Septic Shock
  • Hypovolemic Shock

Manage the Neuro Patient

• Use a “5-point Neuro Check” to easily identify changes in condition
• Stroke and Stabilization
  • Ischemic
  • Hemorrhagic
  • Delirium
  • How to assess & intervene

Life-threatening EKG Changes: Clues from the 12-Lead

• Spectrum of coronary artery ischemia
• 5-step method for finding myocardial ischemia and injury
• STEMI and NSTEMI – What’s the difference?
• Location, location, location!

End-of-Life Care in the ICU

• The needs of the patient
• Practical tips to help your patients and families with the end-of-life journey