Mrs. Kelp is admitted to your floor with pneumonia and an exacerbation of COPD. Twenty minutes after admission, she develops worsening dyspnea and hypotension.
Sandy A Salicco – Identification & Management of a Crisis
Mrs. Kelp is admitted to your floor with pneumonia and an exacerbation of COPD. Twenty minutes after admission, she develops worsening dyspnea and hypotension.
Are you prepared to manage her unstable condition?
Do you know what respiratory measures are necessary?
Do you know the best way to manage her hypotension?
The patients in our hospitals are sicker than ever before. It is not uncommon to find patients on regular medical floors with central lines, chest tubes, pacemakers and AICDs. Some nursing homes are accepting patients on ventilators, and patients are now being sent home on vasoactive drips such as dobutamine. Even though acuity levels are higher, you are still caring for many patients and don’t have the luxury of frequent, comprehensive assessments. Therefore, it is important to be able to rapidly assess and implement appropriate interventions. Attend this seminar to sharpen your skills and leave prepared to identify and manage your next patient emergency!
OUTLINE
IDENTIFYING THE RED FLAGS
Critical Thinking During a Crisis
Rapid Assessment Techniques
ABCD in Less Than 10 Seconds
Critical Questions to Ask Your Patient
CARDIOVASCULAR
Prevention, Presentation, Action for: “I’m Having Chest Pain”
Recognizing Arrhythmias
Stable, Unstable and Lethal
12-Lead EKG: Just the Down and Dirty
Utilizing a Systematic Approach
Patterns of Ischemia, Injury & Infarct
Acute Myocardial Infarction: STEMI/NSTEMI
Key Assessments & Interventions
tPA Guidelines
Cath Lab Intervention
Heart Failure
Recent Advances in Care
Medication Management
Fluid Restriction
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Prevention, Presentation, Action for: “I Can’t Breathe”
Assessment & Intervention
Anxiety vs. Respiratory Symptoms
The Patient Who Needs Assistance
O2, CPAP, BiPAP
Indications for Intubation
Positive Pressure Ventilation
Respiratory Syndromes
Spontaneous Pneumothorax
Chest Tube Management
COPD
Presentation: Why the Pursed Lips & Barrel Chest
PROACTIVE not Reactive Interventions
Respiratory Failure
Ventilator Settings Every Nurse Must Know
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 for tPA
Essential Assessments post-tPA
MANAGING THE DECOMPENSATING PATIENT
Prevention, Presentation and Action for: “The Crashing Patient”
Anaphylaxis
Sepsis
Shock
Considerations for Transport
Activating the Rapid Response Team
OBJECTIVES
Describe two types of rapid assessment techniques and how to employ them for the best results during a patient emergency.
Evaluate techniques for getting critical information during a rapid patient assessment.
Recognize EARLY assessment findings in clinical syndromes that may progress rapidly and cause life-threatening conditions.
Prioritize nursing actions for specific neurological, cardiac, respiratory and endocrine emergencies.
Review care of the diabetic patient in diabetic ketoacidosis versus HHNK/HHS. Differentiate key differences in presentation, lab results and plan of care.
Define heat failure with regards to left- and right-sided failure; discuss treatment options, acute and follow-up care.
Discuss critical interventions and review treatment options for Sepsis and Shock.
Here’s What You’ll Get in Sandy A Salicco – Identification & Management of a Crisis
