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ICU Crisis Management

ICU Crisis Management

ICU Crisis Management

Medical Education Systems, Inc.
Medical Education Systems, Inc.
on behalf of Medical Education Systems Inc

$60.00 $ 60.00 $ 60.00

$60.00 $ 60.00 $ 60.00

$ 60.00 $ 60.00 $ 60.00
$ 60.00 $ 60.00 $ 60.00
Normal Price: $60.00 $60.00

Review:

Launch date: 07 Jul 2016
Expiry Date:

Last updated: 11 Jan 2018

Reference: 163603

This course is no longer available

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Course Availability

This course is only available to trainees days after purchase. It would need to be repurchased by the trainee if not completed in the allotted time period. This course is no longer available. You will need to repurchase if you wish to take the course again.

Description

The Intensive Care Unit (ICU) is an acute care environment designed to centralize the administration of critical health care to severely ill patients. Intensive care units are specialized today and a hospital may have the following areas:
a. Medical intensive care unit (MICU) b. Surgical intensive care unit (SICU) c. Cardiovascular surgical intensive care unit (CSICU) d. Coronary care unit (CCU) e. Respiratory intensive care unit (RICU) f. Neonatal intensive care unit (NICU) g. Pediatric intensive care unit (PICU) h. Burn unit (BU) i. Neurosurgical intensive care unit (NEICU)
Smaller hospitals may have only one or two intensive care areas that provide services to the total critical care population in the hospital. Larger hospitals usually have more specialized intensive care areas.
The goal of any intensive care unit is to maximize the level of care administered to the critically ill patient. This is accomplished in several ways. First, the intensive care area places the patient within close proximity to the staff. Second, ICU staff are trained and certified to administer the latest critical care procedures and medications. Third, the ICU incorporates the lastest monitoring and therapeutic equipment.

Objectives

Upon completion of this section, given an open-book, multiple choice exam, you will be able to apply the information learned to correctly answer a minimum of 80% of the test items. Successful completion of this exam will require you to have mastered the following learning objectives:
1. Discuss the goals of the critical care areas.
Describe the indications and the positive physiological effects for each of the following modalities.
a. SIMV
b. PEEP
c. CPAP
d. PSV
e. AMV
Describe the hazards and side effects of each of the following modalities:
a. SIMV
b. PEEP
c. CPAP
d. PSV
e. AMV
Describe and identify the pressure, volume, and flow waveforms for each of the following modalities:
a. SIMV
b. PEEP
c. CPAP
d. PSV
e. AMV

Be able to:
List the four basic techniques that are used to assess the patient at the bedside.
Describe the factors that should be noted in each of the following areas of bedside patient assessment and be able to describe normal findings and interpret abnormal findings in each assessment area:
a. Neurological assessment
b. Pulmonary assessment
c. Cardiovascular assessment

Define and explain the significance of the following terms:
a. Dyspnea
b. Cyanosis

Describe the indications and significance of data obtained from the following monitoring devices or lines:
a. Oximeters
b. CO 2 monitors
c. Arterial lines
d. Swan-Ganz lines
e. CVP lines

Define the following terms associated with arterial blood gas analysis and interpretation:
a. Acidosis
b. Alkalosis
c. Hypoxia
d. Hyperoxia
e. Acidemia
f. Alkalemia
g. Hypercapnia
h. Hypocapnia
i. Respiratory acidosis
j. Respiratory alkalosis
k. Hypoventilation
l. Hyperventilation
m. Hypoxemia
n. Hyperoxemia
o. Metabolic acidemia
p. Metabolic alkalosis

Describe the physiological and clinical significance of each of the following arterial blood gas parameters:
a. pH
b. PaCO 2
c. PaO2

Be able to differentiate between
the various types of compensation that can occur in arterial blood gases.
Given a set of arterial blood gases;
be able to interpret them in terms of the acid- base and oxygenation status.
13. Describe the normal and primary abnormal findings associated with each of the following aspects of a chest x-ray.
a. Bony structure
b. Pleural space
c. Heart
d. Diaphragm
e. Lung fields
f. Airways
Describe the etiology, clinical manifestations, management, complications, and prognosis for each of the following diseases when mechanical ventilation is required:
a. COPD
b. Asthma
c. ARDS
d. Blunt-chest trauma
e. Post-surgical recovery
f. Myasthenia gravis
g. Guillain-Barr é
h. Pulmonary edema

Describe various kinds of problems that can exacerbate....
respiratory failure and give examples for each general category.
Describe the general clinical picture of the patient in impending or frank respiratory failure
and the kinds of variations that can occur.
Define
How is respiratory failure definitively diagnosed?
Describe the indications and procedure
for establishing an airway in the patient in respiratory failure.
Describe the procedure for establishing
the initial ventilator parameters for the patient in respiratory failure.
Discuss the significance of the following factors in the ventilator patient for whom ventilator discontinuance or weaning is contemplated:
a. Physiological preparation
b. Cardiovascular status
c. Nutrition
d. Fatigue
e. Fluid balance
Discuss the normal limits and usefulness of the following assessment procedures used to evaluate the ventilator patient’s spontaneous ventilatory reserve:
a. Arterial blood gases
b. Alveolar-arterial oxygen gradient
c. Peak inspiratory pressure
d. Spontaneous minute ventilation
e. Maximal voluntary ventilation
f. Respiratory rate
g. Vital capacity
h. Forced expiratory volume in 1 second
i. Spontaneous tidal volume
j. VD/V T ratio
k. Shunt fraction
Describe the application, advantages, and disadvantages of each of the following methods of ventilator discontinuance or weaning:
a. Spontaneous breathing trials
b. SIMV
c. Pressure support
d. AMV
Medical Education Systems, Inc.

Author Information Play Video Bio

Medical Education Systems, Inc.
on behalf of Medical Education Systems Inc

Medical Education Systems, Inc. provides home study courses and contact hours (CEU's) for EMTs, Nurses, Respiratory Therapists, Sleep Therapists, and other healthcare professionals. We understand that every profession has different requirements for contact hours as set forth by your professional society and your state board requirements.

Current Accreditations

This course has been certified by or provided by the following Certified Organization/s:

  • California Board of Registered Nursing (CBRN)
  • 30.00 Hours
  • Florida Board of Nursing
  • 30.00 Hours -
    Exam Pass Rate: 70
  • District of Columbia Board of Nursing (DCBON)
  • 30.00 Hours

Faculty and Disclosures

Additional Contributors

Conflicts Declared

Conflicts of Interest declaration by Author:

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