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Terri A. Donaldson – Complex Cardiac Emergencies: Assessment, Recognition and Management

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Faculty:
Terri A. Donaldson
Duration:
5 Hours 20 Minutes
Format:
Audio and Video
Copyright:
Oct 15, 2013

Description

Outline

  1. Acute Coronary Syndrome (ACS)
    1. Unstable angina/NSTEMI
    2. STEMI
    3. Assessment of chest pain
      1. Atypical presentations
    4. Diagnosis of ACS
      1. Cardiac biomarkers
      2. Electrocardiographic changes
        1. Ischemia
        2. Injury
        3. Infarction
      3. Diagnostic studies
        1. Rest and stress imaging studies
        2. Stress testing
        3. Cardiac catheterization
        4. Coronary angiography
      4. Evidenced-based guidelines for management of ACS
      5. Pharmacologic management
      6. Reperfusion options
        1. Selection of strategies
        2. Pharmacologic reperfusion
        3. Percutaneous coronary intervention (PCI)
        4. Surgical reperfusion
      7. Ancillary therapy
  2. Imposters and Variants
    1. 12-Lead ECG
      1. Early repolarization
      2. Hypertrophy
      3. Pericarditis
      4. Cor pulmonale
    2. Chest pain
    3. Pericarditis
    4. Pulmonary embolism
    5. Aortic dissection
    6. Management decisions
  3. Complications of Myocardial Infarction
    1. Cardiogenic shock
      1. Hemodynamic parameters
      2. Pharmacogical management
      3. Mechanical assist devices
    2. Right ventricular infarction
      1. Clinical presentation and diagnosis
      2. Management strategies
    3. Mechanical complications and management strategies
      1. Ventricular septal defect
      2. Left ventricular free wall rupture
      3. Left ventricular aneurysm
      4. Papillary muscle rupture
  4. Urgent/Emergent Cardiac Dysrhythmias
    1. Ventricular dysrhythmias
    2. Heart block
    3. Supraventricular rhythms
      1. Atrial tachycardia
      2. Atrial fibrillation/flutter
      3. Re-entry tachycardias
      4. Wolff-Parkinson-White
      5. Junctional tachycardia
    4. Management approaches
  5. Cardiac Tamponade
    1. Etiology
    2. Clinical presentation
    3. Physical exam findings
    4. Diagnosis and management
  6. What’s on the Horizon for Cardiac Nursing?

Faculty

Terri A. Donaldson, DNP, RN, ACNP-BC Related seminars and products: 1


Terri A. Donaldson has over 23 years of experience in cardiac and critical care nursing. She is currently an Assistant Professor of Nursing at Vanderbilt University School of Nursing in Nashville, where she teaches in the acute care nurse practitioner and doctoral nursing programs. Terri is also the coordinator of the transplantation subspecialty in the Acute Care Nurse Practitioner Program. She frequently lectures on cardiovascular disorders, including coronary artery disease, medical and surgical interventions for cardiovascular disease, heart failure, and heart transplantation.

Terri has extensive experience caring for patients requiring critical care interventions, including mechanical ventilation, pulmonary artery catheters and hemodynamic monitoring, vasoactive medications, mechanical assist devices, and continuous renal replacement therapy. As a cardiovascular clinical nurse specialist, Terri has facilitated skill development of critical care nurses at the bedside and assisted in the care of patients with complex cardiovascular disease. Terri completed her Doctor of Nursing Practice degree in 2007.

Disclosures:
Financial: Terri Allison Donaldson is receiving a fee for speaking at this educational activity.
Nonfinancial: Terri Allison Donaldson has no relevant nonfinancial relationships to disclose.


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