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The purpose of this course is to provide nurses with information that is key to understanding the characteristics and general treatment protocols for different types of ventricular dysrhythmias. It also covers the general responsibilities that nurses have in caring for patients with dysrhythmias. This information is extremely valuable to the nurse's role in identifying and managing these conditions when they occur.
After completing this course, you should be able to:
Define and assess the characteristics of premature ventricular contractions
Define and assess the characteristics of ventricular tachycardia
Define and assess the characteristics of ventricular fibrillation
Define and assess the characteristics of ventricular asystole
Define and assess the characteristics of pulseless electrical activity
Explain and execute the responsibilities involved in caring for patients with various types of dysrhythmias
This course provides a brief summary and overview of the heart's components and functional properties as background for a discussion about electrocardiogram (EKG) interpretation. It also provides guidance on calculating heart rate on the EKG, autonomic nervous system effects, and how to assess sinus rhythm.
After completing this course, you should be able to:
Define the heart's electrophysiologic properties, electrical conduction and mechanical response systems
Interpret normal EKG waveforms
Calculate heart rate on the EKG
Assess the effects of the autonomic nervous system
The purpose of this course is to provide nurses with information that is key to understanding the characteristics and interventional protocols for treating atrial dysrhythmias, junctional dysrhythmias and the various types of heart block. This information is extremely valuable to the nurse's ability to identify and analyze these conditions when they occur in patients.
After completing this course, you should be able to:
Define and assess the characteristics of premature atrial contractions
Define and assess the characteristics of paroxysmal atrial tachycardia
Define and assess the characteristics of atrial fibrillation
Define and assess the characteristics of atrial flutter
Define and assess the characteristics of a junctional rhythm
Define and assess the characteristics of a junctional tachycardia
Define and assess the characteristics of the different types of heart block, including Mobitz type I and Mobitz type II
The purpose of this course is to provide nurses with an explanation of terms that are key to understanding dysrhythmias, as well as important information about each type of dysrhythmia. This information is extremely valuable to the nurse's ability to identify and analyze sinus dysrhythmias when they occur in patients.
After completing this course, you should be able to:
Explain the 7-Step Method to analyzing dysrhythmias
Define and assess the characteristics of sinus dysrhythmias
Define and assess the characteristics of sinus arrhythmia
Define and assess the characteristics of sinus bradycardia
Define and assess the characteristics of sinus tachycardia
Define and assess the characteristics of sinus pause, sinus arrest and sinus block
Describes how to determine the electrical axis of the heart using the 12-lead ECG. Illustrates six frontal plane lead positions and charges using original graphics. Identifies vector direction, based on QRS deflection and presents a method to calculate its net deflection. Demonstrates the step-by-step process to determine electrical axis using actual ECGs and discusses causes of axis deviation. Emphasizes patient assessment, accurate documentation and comparison of ECG findings in the evaluation of axis deviation.
Identifies ECG changes associated with intraventricular conduction disturbances. Discusses the normal process of synchronous ventricular activation and anatomic differences of bundle branches. Emphasizes the clinical significance of right and left bundle branch blocks. Differentiates between bifascicular, trifasicular and bilateral bundle branch blocks. Demonstrates detection of the onset of intraventricular conduction disturbances and determining the area involved through the use of actual ECGs.
Assesses the cardiac waveform to distinguish clinically insignificant changes from those warranting immediate intervention.Focuses on differentiation between ventricular ectopy and aberrancy through authentic examples of rhythm strips and 12-lead ECGs. Describes action potential phases of the cardiac ventricular cells and explains the difference between normal cardiac impulse conduction and ventricular ectopic impulse conduction.
Compares right bundle branch block aberration to left ventricular ectopy and left bundle branch block aberration to right ventricular ectopy. Defines Torsades de Pointes, its causes and management.
Presents four dysrhythmias originating in the AV node, and four originating in the ventricles. For each dysrhythmia, the program illustrates characteristic waveforms, and presents nursing actions and medical interventions.
Discusses cardiac dysrhythmias of the sinoatrial node and the atria. Presents the importance of dysrhythmias, and the nursing responsibilities, including evaluation of the patient and the dysrhythmia.
Demonstrates the operation of the bedside cardiac monitor, the central station monitor and telemetry. Explains programming the central station monitor, and shows preparation of the patient and the equipment for telemetry.
Introduces cardiac monitoring and the ECG, relating the cardiac cycle to the specific features of the ECG waveforms. Shows the 12-lead ECG; explains the Lead I and Modified Lead I configurations. Demonstrates the proper procedure for applying electrodes to the patient.
Nurses are required to regularly participate in mock code exercises for respiratory and cardiac arrest (code blue), and respiratory arrest alone (code purple) in different settings. This program demonstrates code situations and describes in detail the appropriate responses required. While it is not a substitute for participation in a mock code, it is a valuable tool to help nurses respond to codes confidently and successfully.
Susan Holcombe, RN, CCRN, MN; Marlene Link, RN; Jan George, RN
Be able to assess patient before and after inventional treament; know the benefits of an endotracheal tube for airway control rather that bag/valve/mask or mask or mouth to mouth; list potential enhancers of transthoracic resistance; know the proper use of the automated-external defibrillator; learn the drugs and dosage for each algorithm, endotracheal tube, calculate continuous infusions, differentiate stable/unstable symptoms.
This program will evaluate the equipment and supplies within and on the code cart. Both a laryngoscope and pre-loaded syringe will be assembled for use. Proper placement of the code cart at a resuscitation scene will be shown and the proper procedure for validating the contents and condition of equipment on the code cart will be demonstrated.
John Kane, MD; Alan Chait, MD; John LaRose, MD; Tom Bersot, MD; Stephen G. Young, MD; Gustav Schoenfeld, MD; Virgil Brown, MD
Increasing awareness and importance of controlling cholesterol in patients with heart disease and other high risk individuals. Most recent NCEP guidelines for management of hypertension in adults.
Differentiate between heart failure secondary to left-ventricular systolic dysfunction and heart failure secondary to left-ventricular diastolic dysfunction; Describe the initial pharmacologic management for patients with heart failure in the setting of reduced left-ventricular systolic function; Discuss current AHCPR recommendations for patient and family education and counseling in reference to left - ventricular systolic dysfunction.
Terry Lea, RN, BSN; Sabrina Bodin, RN, BSN; Anna Banford, RN
Identify the location and placement of the12 EKG leads. Explain the difference in the 12 leads and understand the advantage of using a 12 lead EKG vs. the difference between facing and opposite leads. Relate EKG changes to Patient Care. Describe the basic to advanced EKG interpretation.
Robert B. Supernaw, PharmD; Mary J. Ferrill, PharmD; Sian Carr-Lopez, PharmD
Hyperlipidemia: Reducing Risk by Reducing Cholesterol; Should We Be Treating Patients With Medication?; Hypertension and Cardiovascular Risk: Will Controlling Blood Pressure Reduce the Risk?
Susan Simmons Holcomb, RN, MN, CCRN; Jan George, RN, BSN, CCRN; Mary Dugan Saxon, RN, MSN, CCRN
Identify typical and atypical patterns of chest pain in the acute myocardial infarction patient; Identify atpical heart rate and blood pressure presentations presenting with anterior wall vs. inferior wall myocardial infarction; Compare differences in presentation in patients with myocardial infarction who are male, young, female, elderly, and/or diabetic; State criteria for the diagnosis of myocardial infarction vs. 12-lead EKG; Identify the locations of common myocardial infarctions on the 12-lead EKG. Identify lab data currently being used to diagnose acute myocardial infarction and list immediate interventions for the patient. Identify situations in which interventional therapy may be the treatment of choice.
Randas Batista, MD; O.H. Frazier, MD; Tomas A. Salerno, MD
This program is designed for cardiologists and cardiovascular surgeons involved in the care of patients with end-stage heart disease. This program features leading cardiologists and surgeons who will explore innovative approaches for dealing with patients with severe heart disease. The tape also includes footage from actual surgical procedures with step by step narration.
Virginia Strootman, RN - Marijane Barbone, RN - Sue Masoorli, RN
The objectives of this program are to distinguish the three types of central vascular access devices, explain implementation of the appropriate nursing management of central vascular access devices, and articulate the rationale for central vascular access device nursing procedures. Specific topics include: Non-Tunneled Catheters; Tunneled Catheters; Implanted Ports .
Antonio M. Calafiore, MD; Randas Batista, MD; Tomas A. Salerno, MD
This program is designed for cardiologists and cardiovascular surgeons . A live surgical procedure is shown and leading cardiologists and surgeons discuss recent progress in the battle against heart disease.
Susan Simmons Holcomb, RN, MN, CCRN; Marlene Link, RN, MN; Jan George, RN, BSN, CCRN
Identify fixed versus modifiable risk for women who develop heart disease; State the differences between men and women undergoing diagnostic procedures such as exercise stress tests; List the differences in the outcomes of women vs. men under interventional cardiology procedures. Compare the presentation of signs and symptoms between men and women presenting to the Emergency Department with Ischemic-type chest pain; Identify differences between treatment modalities for men and women presenting to the Emergency Department with Ischemic-type chest pain.