Cyndi Zarbano – 2-Day All Things Pulmonary

Outline

OUTLINE – DAY ONE

The Pulmonary Triad

• Oxygenation, Ventilation & Perfusion
• Math Made Easy!
  • V/Q Match vs. Mis-Match
  • Calculating Shunting
  • Oxygen Delivery DO2
  • Oxygen Consumption VO2
  • Oxyhemoglobin Dissociation Curve
  • SVO2 Monitoring
  • StO2
• Putting it All Together

Easy Steps to ABG Analysis

• Acid Base Imbalances
• The 4 Abnormal Results
• Rapid Interpretation Tool

Respiratory Assessment Clues You Should NEVER Miss!

• Common Adventitious Breath Sounds
• What are the Causes & When Are They Heard?
  • Crackles/Rales – Wet vs. Dry
  • Wheezes – Not Always Airway Obstruction
  • Rhonchi – Differentiating the Differences
  • Stridor – Emergency Treatment
  • Pleural Friction Rub
• Advanced Assessment Skills
• Transmitted Voice Sounds
• Inspection & Percussion
• Changes on the Chest X-Ray

And the Assessment Indicates…

• Bronchitis Acute vs. Chronic
• Emphysema
• Pulmonary Fibrosis
• Obstructive Sleep Apnea

Pulmonary Drug Cabinet: From A to Z

• Anti-Cholinergic Agents
• Anti-Inflammatory Drugs
• Bronchodilators
• Combo-Drugs
• Inhalers & Spacers
• And More!

Airway Management Techniques

• Managing Obstruction
• Airway Adjuncts
• Know Your Role in Intubation
• The “5-Point Check”
• Rapid Sequence Intubation

Managing Chest Tubes

• Indications for Chest Tubes
• Emergent vs. Urgent
• Avoiding Common Complications

OUTLINE – DAY TWO

Know the Goal: CPAP & BiPAP

• Advantages & Disadvantages
• Contraindications
• Assessing the Fit
• Determining the Settings

Mechanical Ventilation for Nurses

• Responding to the Alarms
• Management Strategies that Improve Outcomes
  • Patient Comfort
  • Decreasing Workload
  • Frequent Assessment
  • Cardiac Output Clues
  • Suctioning
• Pressure vs. Volume Control
• Advanced Modes & Ventilator Extremes
• ECMO

Complications of Mechanical Ventilation

• BaroTrauma & VoluTrauma
• Oxygen Toxicity
• Ventilator-Associated Pneumonia

Weaning Patients Off the Ventilator

• Why, When and How
• Causes of Weaning Failure
• Setting up for Success!
• ABCDE Bundle

Restrictive Lung Diseases

• Pulmonary Edema
  • Signs & Symptoms
  • Treatment
  • Systolic Dysfunction
  • Diastolic Dysfunction
• ARDS
  • Progression Mnemonic
  • Staging
  • Presentation
  • Lab Findings
  • Changes on the Chest X-Ray
  • Respiratory Support
    • Oxygen Control
    • Early Intubation
    • Exogenous Surfactant
    • Proning
    • Liquid Mechanical Ventilation

Emergency Management of Asthma

• Assessment Findings
• Identifying the Trigger
• Steroid Considerations

The Patient with Pulmonary Embolisms

• The Likely Causes
• Prevention Measures
• Signs & Symptoms
• Diagnosis & Treatment

Managing the Patient in Shock

• Critical Assessment Clues
• Interventions
• Complications
• Sepsis