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1. Investigate current clinical guidelines and management strategies for heart failure.
2. Review important pharmacologic principles essential for safe and effective care.
3. Assess the most prevalent inotropic agents used in the management of heart failure.
4. Describe the mechanisms of action of mortality-reducing pharmacological agents used in the treatment of MI and HF.
5. Compare anticoagulants which are most beneficial to the patient with MI.
6. Compare physical assessment findings to hemodynamic parameters in a patient with decompensated heart failure.
7. Review potentially fatal arrhythmias found on the EKG.

Case Study: The patient with Heart Failure (HF)

• Preserved Ejection Fraction vs. Reduced Ejection Fraction
  • Physical Assessment Findings
  • How to Appropriately Classify HF
  • Labs to Aid in Diagnosis
• Medications for Heart Failure
  • Four Classes of Diuretics
  • Three Inotropic Agents
    • Minimizing HF Symptoms
  • Angiotensin Converting Enzyme Inhibitor
  • Aldosterone Receptor Antagonists
• Echocardiogram Interpretation
• Electronic Support of the Heart
  • AICD, Biventricular Pacing
  • Three Trouble Shooting Techniques
• Decompensating HF Treatment
  • Ventricular Assist Devices (VAD)
    • Five Indications & Contraindications
    • Six Trouble Shooting Techniques
  • Driveline Infections
    • Recognition & Treatment

Case Study: STEMI and NSTEMI

• Diagnosis: STEMI vs. NSTEMI
  • Lab Data: Troponins and CK-MB
  • Patient Signs & Symptoms
• 12-Lead Interpretation
  • Inferior, Lateral & Anterior Wall MI
  • How to Identify Axis Deviation
  • Differentiating Left from Right Bundle Branch Block
  • Recognizing Bifacicular Blocks after MI
• Medication Management
  • Beyond Aspirin, Oxygen, Nitroglycerine & Morphine
  • Indications for Using TPA
  • Three Factors to Consider when Dosing Heparinoids
  • Glycoprotein IIb/IIIa Medications for STEMI
  • Intravenous Direct Thrombin Inhibitors
    • Monitoring Parameters
• Thienopyridines
  • When to Administer
• Four Indications for:
  • Angiotension Converting Enzyme Inhibitors
  • Angiotension Receptor Blocking Agents
  • Indications for Statins
  • Three Indications for Vitamin K Receptor Antagonists
  • Stop the NSAIDS
• Percutaneous Interventions
  • Drug-eluting vs. Bare Metal Stents

  • Balloon Angioplasty

• Coronary Artery Bypass Surgery is NOT for Everyone
• Cardiogenic Shock after MI
  • Pulmonary Artery Catheter with Venous Waveform Analysis
  • Cardiac Output Determination by Pulse Contour Methods
  • Extracorporeal Membrane Oxygenation (ECMO)
    • Indications & Contraindications
    • What do the Numbers Mean?

Paul Langlois, APN, PhD, CCRN, CCNS, is a critical care clinical specialist in the surgical, medical, neurologic, burn, CCU and trauma ICUs of Cook County Hospital, Chicago. Drawing on over 40 years of experience assessing and managing patients with life-threatening diseases, Dr. Langlois provides advanced-level training to nurses, physician assistants, nurse practitioners, respiratory therapists and physicians.

Dr. Langlois is committed to providing the highest quality of care to patients through advanced education. His presentations are evidence-based, timely and provide participants with numerous case studies to facilitate critical thinking. As a bedside clinical nurse specialist, he has developed several institution-wide protocols for the multidisciplinary assessment and management of the infectious disease and multi-system organ failure patient.

His presentations are enthusiastically delivered and offer highly practical tips that help make the most challenging concepts easy to understand. Linking knowledge to clinical practice is the goal of every education program. Speaker Disclosures:
Financial: Paul Langlois has employment relationships with Cook County Hospital and Emergency Care Consultants. He receives a speaking honorarium and recording royalties from PESI, Inc. He has no relevant financial relationships with ineligible organizations.
Non-financial: Paul Langlois is a member of the American Nurses Association and the American Association of Critical Care Nurses.

For U.S. and Canadian customers, a CE test is available for $9.99 USD per participant. International CE rates may vary; 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 may be emailed, faxed or mailed to participants completing the post-test/evaluation and paying the CE fee.

**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: 11/2/2018
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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Pharmacology Nurse Practitioners
This self-study program offers 210 instructional minutes of pharmacology content which is designed to qualify for 3.5 contact hours toward your pharmacology requirement.

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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, and other Healthcare Professionals