Robin Gilbert – Progressive Care Certificate Course: Conquer the High Acuity Patient

Description

Handouts

Outline

Neurology: Starting at the Top

• ICP
• Traumatic Brain Injury
• Stroke
• Seizures

Cardiovascular: Keeping in Rhythm

• Acute Coronary Syndrome (STEMI, NON-STEMI, Angina)
• EKG interpretation (The down and dirty)
• Diagnostics
• Heart failure
• Pericarditis, Myocarditis, Endocarditis
• Valve disease

Pulmonary

• Acute respiratory failure
• Acute respiratory distress syndrome
• COPD, Asthma, Asthma COPD
• Overlap Syndrome
• Pulmonary embolism
• BiPAP, CPAP, mechanical ventilation

Acid Base in a Nutshell: ABG’s

• Buffer to Blame: Who’s Guilty? (Respiratory or Metabolic)
• Is there an accomplice involved? (Compensating/Not compensating)

Renal System

• Assessment
• Acute Kidney Injury
• Potassium, Sodium, Calcium, Magnesium Imbalance

Gastrointestinal System

• Bowel obstructions
• Abdominal Compartment Syndrome
• Acute abdomen
• GI Bleed
• Pancreatitis

Hematologic & Immune System

• DIC
• Thrombocytopenia
• Anaphylactic reactions

Endocrine

• Hyperglycemic states
• SIADH
• Diabetes
• Thyroid storm

Hemodynamic Basics

• Parameters
• Monitoring systems

Pharmacology

• Vasopressors & Inotropes
• Insulin drips
• Antiarrhythmics
• Pulmonary medications
• Sedation
• Sink or swim: IV fluids in critically ill
• TXA

Multisystems

• Sepsis
• Multisystem trauma

Critical Care Patients with Special Needs

• Bariatric patient
• High risk obstetric
• Assistive devices

Preparations for the Future

• CardioMEMS HF system
• Watchman
• Impella
• Extracorporeal cardiopulmonary resuscitation (ECPR)
• Resuscitative endovascular balloon occlusion of the aorta (REBOA)
• Tandem heart

Pulling it all Together

• Case based presentations & discussion

Faculty

Robin Gilbert, MSN, RN, CEN, CPEN Related seminars and products: 18

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Robin Gilbert, MSN, RN, CEN, CPEN, has over 25 years’ experience in emergency nursing. She is both a certified emergency nurse and certified pediatric emergency nurse. Robin has extensive experience working in the emergency department, progressive care, intermediate care, transitional care, step-down and, currently, as the regional manager for staff development at Central Maine Medical Center. Robin draws on her expertise to teach her own hospital staff and experienced healthcare audiences throughout the country on a variety of critical care and emergency nursing topics.

She has been an item writer for the Board Certification of Emergency Nursing (BCEN), a former Chairperson of BCEN, and most recently a contributing writer for the current CEN Review Manual. Robin is an active member of the Emergency Nurses Association, the American Nurses Association, Society of Critical Care Medicine, Association for Nursing Professional Development, and is a reviewer for the ANCC’s Pathway to Excellence.

Speaker Disclosures:

Financial: Robin Gilbert has an employment relationship with Central Maine Medical Center and Rumford Hospital. She receives a speaking honorarium from PESI, Inc.

Non-financial: Robin Gilbert has no relevant non-financial relationship to disclose.