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1. Evaluate the results of Coagulation Studies (PT/INT and PTT).
2. Analyze a Complete Blood Count with Differential and discuss clinical applications (Anemias, Left Shifts, Infections, etc.).
3. Recognize the clinical implications of metabolic panels.
4. Distinguish between life-threatening electrolyte imbalances, as well as potential causes and remedies.
5. Predict renal function based on BUN, Creatinine, BUN/CR ratio, and GFR.
6. Interpret cardiac panel results in a suspected acute myocardial infarction.
7. Analyze blood gases and pertinent clinical implications.
8. Differentiate between bacterial meningitis and viral meningitis based on lumbar puncture findings.
9. Recognize the key clinical indicators and implications for infection on a urinalysis.

Basic Metabolic Profile (BMP)

• Glucose
• Acid Base
• Renal Function
• Electrolytes
• Life-threatening Electrolytes
  • Potassium
  • Magnesium
  • Sodium
  • Calcium

Comprehensive Metabolic Panel: Indications and Implications

• LFTs: Exploring the Liver
• AST/ALT/ALP/Total Bilirubin/Proteins
• Health Issues in Liver Failure
  • Jaundice
  • Ascites
  • Hepatic
  • Encephalopathy

CBC with Differential: Interpreting the Components

• What Can Impact WBC and Neutrophil Findings
• Anemias/Polycythemias
• Understanding the Differential
• The Left Shift Explained
• Guidelines on Transfusing have Changed

Acute Renal Failure: Identify the Cause

• Creatinine
• BUN
• BUN/CR ratios
• Glomerular Filtration Rate
• Urine Osmolality
• FENA

Cardiac Labs: Ischemia vs. Myocardial Infarction

• Cardiac Panels
• EKG Clues Supporting the Findings
• Distinguishing STEMI vs. NSTEMI
• BNP
• Pro-BNP

Coagulation/Thrombotic Risk Panels: Clues to Clotting

• The Clotting Cascade
• The Right Lab Test for the Medication
• aPTT
• PT
• INR
• D-dimer
• Disseminated Intravascular Coagulopathy

Urinalysis: Does Your Patient Have a UTI?

• Latest Guidelines
• Culture

Blood Gases: Identifying the Underlying Abnormality

• Three Types of Gases
• Interpreting Arterial Blood Gases: It’s Easier Than You Think!
• Venous Blood Gases
• Mixed Venous Blood Gases

Labs and Sepsis: Taking a Team Approach

• Cultures, Gram Stains and Sensitivities
• Systematic Inflammation
• Labs of Sepsis
  • Lactate Levels
  • Procalcitonin Levels
  • WBCs
  • Neutrophils

Lumbar Punctures / Cerebral Spinal Fluid

• Bacterial Meningitis
• Viral Meningitis
• Viral Encephalitis

Understanding Thyroid Dysfunction

• TSH
• T4 Levels
• T3 Uptake

Differentiating Hyperglycemic States

• DKA
• HHS (HHNK)
• Treatment for Each

Sean G. Smith, MSc, FP-C, C-NPT, CEN, CFRN, CTRN, TCRN, CPEN, CCRN-CMC (Adult), CCRN-K (Neonatal), CCRN-K (Pediatric), is a humanitarian/flight nurse-paramedic who is triple board-certified in neonatal, pediatric, and adult critical care and emergency medicine. He brings 30+ years of education and team/leadership experience to his presentations from a career that includes global health, tropical medicine, research molecular neuroendocrinology, nuclear engineering technology, US Navy aviation/NASA manned space flight support, and high-performance teams/high yield pedagogy, dozens of national/international conference presentations and various awards and honors. Author/co-author/review credits include a best-selling laboratory medicine textbook, a chapter on shock in Nursing Core Curriculum a section in the newly released Resuscitation Crisis Manual, numerous other industry standard textbooks, and several professional association critical care/emergency medicine curriculums and board certification review courses (AACN, ANN, ENA, SCCM, etc.). Additionally, Sean routinely consults on clinical, legal, and certification matters for numerous high-profile hospital systems (Yale, Mayo, etc.). He holds a MSc in Pharmacy/Forensic Science, bachelor’s degrees in business administration, nursing, and molecular biology, and post graduate certificates in Forensic Death Investigation, Legal Consulting, and Tropical Medicine. In addition to being active in a number of professional associations (SCCM, AACN, WADEM, etc.), Sean is a life member of Mensa, The Emergency Nurses Association, and the Air Surface Transport Nurses Association. He has served on the executive committees and in various leadership roles of numerous charities and professional associations and has led/participated in 50+ medical missions (Dominican Republic, Honduras, Morocco, Liberia, Nepal, Iraq, Democratic Republic of Congo, and Haiti). Sean served as a clinician and educator during the largest Ebola and Cholera outbreaks in recent history and is currently active building sustainable neonatal-pediatric cardiac critical care capacity in Iraq, as well as serving as part of a national level multidisciplinary child sexual assault forensics team in Guyana, South America. Hobbies include Scuba diving and vintage science kits, tube amplifiers and motorcycles. Speaker Disclosures:
Financial: Sean Smith is an independent contractor. He receives a speaking honorarium and recording royalties from PESI, Inc. He has no relevant financial relationships with ineligible organizations.
Non-financial: Sean Smith is a member of the American Association of Critical Care Nurses.

Save time and $10 off the price of other submission methods – purchase & take the CE test online for $9.99 USD per participant. Additional processing fees apply for other submission methods (i.e. mail, fax, etc.). Please contact our Customer Service at 1-800-844-8260 for more details.

Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Please note, your state licensing board dictates whether self study is an acceptable form of continuing education. Please refer to your state rules and regulations.

Certificates of Successful Completion are available for email, download and/or printing from your online account immediately following the successful completion of the post-test/evaluation.

**Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals. 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 professions standards.

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.

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Nurses/Nurse Practitioners/Clinical Nurse Specialists - Credit Expired: 4/5/2020
No CE available for this board.

California Nurses: PESI, Inc. is a provider approved by the California Board of Registered Nursing, Provider #:17118 for 6.0 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.

Florida Nurses: PESI, Inc. is an approved provider by the Florida Board of Nursing. Provider #: FBN2858. These materials qualify for 6.0 self-study contact hours.

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 6.3 self-study contact hours.

Copies of the evaluation may be sent to the IBON. 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.

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Other Professions
This self-study activity qualifies for 6.25 clock hours of instructional content as required by many national, state and local licensing boards and professional organizations. Retain your certificate of completion and contact your board or organization for specific filing requirements.

Disclaimer: **Information obtained in this course should be used within your scope of practice.
**It is your ethical responsibility to report accurate hours to your licensing board.
**All self-study participants must complete and pass (80% or better) a post-test and evaluation prior to receiving a certificate of completion. If you require a copy of the test/evaluation for CE purposes, please print at the time you take the test. Or you may call our customer service department and a copy of your test/evaluation will be emailed to you. Please allow 30-45 days.

Nurses, Physician Assistants, and other Healthcare Professionals