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Digital Seminar

Cardiac Output Manipulations for Hemodynamic Stability


Speaker:
Cyndi Zarbano, MSN-Ed, CCRN, CMSRN, LNC
Duration:
2 Hours 01 Minutes
Format:
Audio and Video
Copyright:
Nov 09, 2022
Product Code:
POS078482
Media Type:
Digital Seminar


Description

A common reason for transfer to intensive care is that a patients’ status has become unstable. In this session, view Cyndi Zarbano as you learn the how’s and why’s of keeping our patients hemodynamically stable.  When training CCU/ICU nurses, Cyndi often shares “if you can learn to understand how and why we manipulate the cardiac output mathematical equation, you will improve your critical thinking skills – and patient care outcomes!” Cyndi has been a national seminar speaker for 15 years earning a reputation for being engaging using humor, stories, and nursing experiences to help attendee’s “get it”! Her career has included flight nursing, prior military background leaving service as a Lieutenant Commander, and nearly 30 years in various intensive care roles.

Credit

Planning Committee Disclosure - No relevant relationships

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners.  For speaker disclosures, please see the faculty biography.



* Credit Note - **

NOTE: Tuition includes one free CE Certificate (participant will be able to print the certificate of completion after passing the online post-test (80% passing score) and completing the evaluation). Instructional methods will include PowerPoint, didactic lecture, and others.

Continuing Education Information:  Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Program content is reviewed periodically per accrediting board rules for currency and appropriateness for credit. Credit approvals are subject to change. Please note, your state licensing board dictates whether self-study is an acceptable form of continuing education, as well as which credit types are acceptable for continuing education hours. Please refer to your state rules and regulations. If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. 
For other credit inquiries not specified below, please contact info@pesi.com or 800-844-8260 before purchase.

Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of your profession.  As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your profession's standards.  

For Planning Committee disclosures, please see the statement above.  For speaker disclosures, please see the faculty biography.


* Credit Note - ---

Earn up to 2.0 CE hours. Please see below, for more details, as credit amounts vary by state and profession. 


Nurses - Nurses, Nurse Practitioners, and Clinical Nurse Specialists - ANCC

PESI, Inc. is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation. Nurses completing these self-study materials will earn 2.0 contact hours. Expires: 10/13/2025.


Nurses - California Nurses

PESI, Inc. is a provider approved by the California Board of  Registered Nursing, Provider #: 17118 for 2.0 self-study contact hours. 

** You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.


Nurses - Florida Nurses

PESI, Inc. is an approved provider by the Florida Board of  Nursing. Provider #: FBN2858. These materials qualify for 2.0 self-study contact hours.

CE Broker


Nurses - Iowa Nurses

PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 2.0 self-study contact hours. Please email cepesi@pesi.com with your license number, include the title, speaker name and date. PESI must have this number on file in order for your hours to be valid.


Physicians Assistants - Physician Assistants

AAPA accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit™ from organizations accredited by ACCME such as PESI. Physician assistants may receive a maximum of 2.0 hours for completing this self-study program. This activity was originally recorded on 11/09/2022. It was last reviewed on 10/19/2022 and is valid until 10/19/2025

 

PESI, Inc. is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. PESI, Inc. designates this enduring material for a maximum of 2.0 AMA PRA Category 1 Credit(s)™.


Other Professions

This self-study activity qualifies for 2.0 continuing education clock hours as required by many national, state and local licensing boards and professional organizations. Save your activity advertisement and certificate of completion, and contact your own board or organization for specific requirements.



Handouts/Brochure

Speaker

Cyndi Zarbano, MSN-Ed, CCRN, CMSRN, LNC's Profile

Cyndi Zarbano, MSN-Ed, CCRN, CMSRN, LNC Related seminars and products


Cyndi Zarbano, MSN-Ed, CCRN, CMSRN, LNC, has been a nurse for 29 years working in the intensive care, emergency department and flight nursing settings. For much of her career she has also served as an open-heart nurse working with both valve replacements and coronary artery bypass graft patients.

She has been a legal nurse consultant since 2008, working with over 200 cases for both plaintiff, defense, and numerous boards of nursing cases. In addition to her legal work, Cyndi currently works as an intensive care nurse for Mayo in Minnesota.

Having spoken nationally and internationally, Cyndi has earned the reputation of keeping attendees engaged with the use of current clinical knowledge, evidence-based practice, fascinating nursing experiences, the injection of humor to keep learning fun, and utilizing learning tools to encourage knowledge retention. Cyndi is a veteran of the US Navy having served ten years and leaving service as a Lieutenant Commander.

 

Speaker Disclosures:
Financial: Cynthia Zarbano is the owner of Clinical Review Consultants and has an employment relationship with Mayo Mankato. She receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Cynthia Zarbano has no relevant non-financial relationships.


Additional Info

Access for Self-Study (Non-Interactive)

Access never expires for this product.


Questions?

Visit our FAQ page at www.pesi.com/faq or contact us at www.pesi.com/info


Objectives

  1. Determine cardiac output manipulations for hemodynamic stability.
  2. Analyze the three components of stroke volume and determine how we can manipulate it.
  3. Differentiate the six vasopressors and how we select which is the right one for each patient situation.
  4. Choose pharmacological agents to optimally stabilize patients in crisis.

Outline

  • Cardiac Output (CO) = Heart Rate (HR) x Stroke Volume (SV)
  • Normal and abnormal values for multiple cardiac findings
  • Breaking down the equation to manipulate each component
    • Heart Rate – too fast or too slow
    • Stroke Volume
      • Preload – “dry or over-tanked up”
      • Afterload – manipulating the pressure the heart pushes against to move blood forward
      • Contractility – too much or too little squeeze
  • How the initiation of drugs and fluid options can manipulate the equation
  • Swan Ganz catheters, FloTrak or Vigileo monitors can drive interventions
  • The role of Intra-Aortic Balloon Pumps or Impella’s
  • Understand the rationale behind medication selection

Target Audience

  • Nurses
  • Nurse Practitioners
  • Clinical Nurse Specialists
  • Physician Assistants

Reviews

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