Robin Gilbert – Cardiac and Respiratory Complexities: Quickly Differentiate to Take Rapid Action

Outline

Hemodynamics

• Do you need a Swan-Ganz?
• Preload/Afterload
• Contractility
• Cardiac output
• Cardiac index
• Mean arterial pressure

Respiratory Diagnoses

• Will the real cause of SOB please stand up: Complicating the respiratory diagnosis
• Clinical presentation, signs/symptoms, interventions, management of:
  • Pneumonia
  • Asthma
  • COPD
  • Acute Respiratory Distress Syndrome
  • Pulmonary embolism (Air, Fat, Amniotic)
• Anaphylaxis
• Acute Respiratory Failure
• Pleural effusions
• Pneumothorax
• Foreign body aspiration

Respiratory Interventions and Medications

• Pharmacology
• ABGs: Simplifying the numbers
• Chest Tubes: Indications, set-up, troubleshooting
• Capnography: Interpreting what it tells us
• Ventilation and NPPV basics: Modes of ventilation and appropriate uses

Cardiac Diagnoses

• Bradycardic & tachycardic rhythms: Essentials that you need to know
• Is This Patient Having an MI?
  • Pericarditis
  • Myocarditis
  • Endocarditis
  • Etiology, Clinical Presentation, ECG changes, Treatment
• Aortic Stenosis
• Heart Failure
• Current best practice recommendations
• Long-term prognosis

Acute Coronary Syndrome

• Unstable Angina
• STEMI
• Non-STEMI
• Differentiating the Three

Cardiac Interventions and Medications

• Pharmacology
  • Vasopressors vs. Inotropes
  • Ace Inhibitors, Beta blockers
  • Anticoagulants
• Stabilization & Treatment procedures
  • Stents, CABG, LVADS
• What’s Trending?
  • Current trending technology
• Case Presentations & Identify Probable Diagnosis