Cyndi Zarbano – Essential Assessment, Interpretation and Intervention Strategies

Outline

Identification & Management of Crisis

• • Master “down and dirty” prompt assessment skills
• End the “Red Flags”
  • Rapid stabilizing interventions for the unstable patient
• Manage the decompensating patient
  • Better outcomes through quick intervention

Easy Steps to ABG Analysis

• Acid base imbalance
• 4 abnormal findings when reading your lab result
• A simple tool to rapidly and efficiently interpret ABG’s!

The 5 Steps to Rhythm Strip Interpretation

• Systematically reviewing the major components of a rhythm strips
• Identifying rhythm changes and management of:
• Atrial Fibrillation and Atrial Flutter
• Paroxysmal Supra-Ventricular Tachycardia (PSVT)
• V-Tach and V-Fib

Managing Chest Drainage

• Indications for chest tubes
• Circumventing re-expansion pulmonary edema
• Avoiding common complications of chest drainage

Master Central Line Care

• • Common issues experienced with central lines
  • Using which port for what on a triple lumen PICC
  • Use of a “cell-saver” to reduce lost hemoglobin during blood draws
• The challenge of CVP monitoring

Pacemakers & AICDs

• Indications for pacemakers
• Meaning of pacemaker codes
• Types of Pacemakers
• Device management
• Practical solutions to common pacemaker problems