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DVD

FINALLY Unlock the Power of Lab Interpretation: Go Beyond the Numbers to Transform Patient Care


Speaker:
Cyndi Zarbano, MSN-Ed, CCRN, CMSRN, LNC
Duration:
6 Hours 06 Minutes
Copyright:
Nov 05, 2025
Product Code:
RNV073075
Media Type:
DVD - Also available: Digital Seminar


Description

Ever had a gut feeling that something wasn’t right – even when lab results came back “normal”? Learn how to decode those silent signals and make swift, informed decisions.

As you step into the role of a true clinician, you’ll discover strategies to become more proactive, not reactive. This high-energy, interactive seminar will equip you with the confidence and critical thinking skills to interpret lab results with precision, uncover subtle clinical clues, and elevate your impact as a patient advocate powerhouse.

Join internally recognized speaker and critical care expert Cyndi Zarbano, MSN-Ed, CCRN, PCCN, CMSRN, LNC, as she demystifies both the common and the often-overlooked lab values that can make or break patient outcomes. With over 30 years of experience as an ICU nurse, rapid response, clinician, and mentor to new nurses, Cyndi brings unmatched clinical depth, real-world insight, and a dynamic teaching style that makes complex topics practical and memorable.

In this seminar, you’ll explore a wide range of laboratory tests – why they’re ordered, what they reveal, and how to interpret them with confidence. Learn to identify early warning signs hidden within “normal” labs, anticipate complications before they occur, and confidently guide clinical decisions that change lives.

This isn’t just a review of lab values – this is a masterclass in clinical interpretation that will:

  • Deepen your understanding of lab pathophysiology
  • Enhance your clinical foresight
  • Build your confidence in interpreting both common and complex results
  • Help anticipate  symptoms – before crises arise

Stop waiting for the numbers to tell the whole story – learn to read between the lines. Purchase now and become the clinician your patients count on when it matters most.

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: Save time and money off other submission methods – purchase & take the CE test online for $29.99. Additional processing fees apply for other submission methods (i.e. mail, fax, etc.). CE certificate may be earned after passing the post-test (80% passing score) and completing the evaluation. Please contact our Customer Service at 1-800-844-8260 for more details. 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 6.0 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 6.0 contact hours. Expires: 08/26/2028.


Nurses - 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.


Nurses - 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.

CE Broker


Occupational Therapists - Occupational Therapists & Occupational Therapy Assistants

This course is for informational purposes only. No continuing education credit is available. 


Physical Therapists - Alaska Physical Therapists & Physical Therapist Assistants

CE credit is available. This self-study course consists of 6.0 continuing education credit hours for Alaska Physical Therapists. The Board Rule 12 AAC 54.420 confirms acceptance of continuing education programs that are recognized by other state physical therapy licensing boards. PESI, Inc. is recognized by the Physical Therapy Board of California as an approval agency to approve providers.


Physical Therapists - Arizona Physical Therapists & Physical Therapist Assistants

CE credit is available. The Arizona State Board of Physical Therapy recognizes continuing competence activities that have been approved by any state PT association or national medical/health care association (e.g., AOTA, ASHA). This self-study activity consists of 6.0 clock hours of instruction applicable for physical therapists.


Physical Therapists - California Physical Therapists & Physical Therapist Assistants

PESI, Inc. is recognized by the Physical Therapy Board of California as an approval agency to approve providers. This self-study lecture qualifies for 6.0 continuing competency hours.


Physical Therapists - Physical Therapists & Physical Therapist Assistants

This self-study course consists of 6.0 clock hours of instruction that is applicable for physical therapists. CE requirements for physical therapists vary by state/jurisdiction. Please retain the certificate of completion that you receive and use as proof of completion when required.


Physical Therapists - Illinois Physical Therapists & Physical Therapist Assistants

PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270. This self-study course qualifies for 6.0 CE credit hours.


Physical Therapists - Kentucky Physical Therapists & Physical Therapist Assistants

CE credit is available. This self-study course consists of 6.0 continuing education credit hours for Kentucky Physical Therapists. The rule under 201 KAR 22:045, Section 2, (2)(a) states that category 1 continued competency credits can be earned from providers approved by another physical therapy licensing agency. PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270.

 


Physical Therapists - New York Physical Therapists & Physical Therapist Assistants

PESI, Inc. is recognized by the New York State Education Department, State Board for Physical Therapy as an approved provider for physical therapy and physical therapy assistant continuing education. This self-study course qualifies for 7.3 contact hours.


Physical Therapists - North Carolina Physical Therapists & Physical Therapist Assistants

PESI, Inc. is an approved provider with the Illinois Division of Professional Regulation, Provider Number: 216.000270. This intermediate course is approved by the North Carolina Board of Physical Therapy Examiners by virtue of PESI Inc. approved provider status with the Illinois Division of Professional Regulation. This course qualifies for 6.0 continuing education hours.


Physical Therapists - Oklahoma Physical Therapists, Physical Therapist Assistants

CE credit is available. This asynchronous activity consists of 6.0 continuing education credit hours for Oklahoma Physical Therapists. Oklahoma Administrative Code 435:20-9-3.1 confirms acceptance of continuing education programs offered by providers approved by other state physical therapy licensing boards. PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270.


Physical Therapists - Pennsylvania Physical Therapists and Assistants

The Pennsylvania State Board of Physical Therapy recognizes approval by all other state boards. This self-study activity consists of 6.0 clock hours of instruction that is applicable for physical therapists.


Physical Therapists - Texas Physical Therapists & Physical Therapist Assistants

This self-study activity is provided by the Texas Board of Physical Therapy Examiners Accredited Provider #2706032TX and meets continuing competence requirements for physical therapist and physical therapist assistant licensure renewal in Texas. Instructional Level: Intermediate. This activity will provide 6.0 CCUs. The assignment of Texas PT CCUs does not imply endorsement of specific course content, products, or clinical procedures by TPTA or TBPTE. Full attendance is required; no partial credits will be offered for partial attendance.


Physical Therapists - Utah Physical Therapists And Physical Therapist Assistants

This course is designed to meet the Utah DOPL Rule R156-24b-303b.2.c.iv - A commercial continuing education provider providing a course related to the practice of physical therapy. Please retain a copy of the advertising brochure and your certificate of completion to provide to your board should this be requested of you. This self-study activity consists of 6.0 clock hours of continuing education instruction.


Physical Therapists - Vermont Physical Therapists & Physical Therapist Assistants

CE credit is available. This course consists of 6.0 continuing education credit hours for Vermont Physical Therapists. The Board confirms acceptance of continuing education programs that are recognized by other state physical therapy licensing boards. PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270.


Physical Therapists - Virginia Physical Therapists & Physical Therapy Assistants

CE credit is available. This self-study course consists of 6.0 hours of type 2 continued competency credit for Virginia Physical Therapists and Physical Therapy Assistants. Regulation 18VAC112-20-131, Section B, (2) states that up to ten type 2 continued competency credits can be earned by completing independent study activities related to the clinical practice of physical therapy. 


Physicians - Physicians

 

PESI, Inc. is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. This activity was originally recorded on 11/05/2025. It was last reviewed on 07/10/2025 and is valid until 07/10/2028. You are required to successfully complete and submit a post-test prior to receiving a certificate of completion.

PESI, Inc. designates this enduring material for a maximum of 6.0 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity. 


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 6.0 hours for completing this self-study program. This activity was originally recorded on 11/05/2025. It was last reviewed on 07/10/2025 and is valid until 07/10/2028

 

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 6.0 AMA PRA Category 1 Credit(s)™.


Other Professions

This self-study activity qualifies for 6.0 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, brings over 30 years of diverse nursing experience, with a strong clinical background in intensive care, emergency, and progressive care settings. Since 2008, she has also worked as a legal nurse consultant, contributing her expertise to more than 200 cases across plaintiff, defense, and Board of Nursing reviews.

Currently, Cyndi divides her professional time between serving as a legal consultant and working as an ICU and rapid response nurse at the Mayo Clinic in Minnesota. She holds master’s degrees in both counseling and nursing education and is completing a third graduate degree in nursing leadership.

A seasoned speaker on national and international stages, Cyndi is known for her dynamic and engaging presentations, combining up-to-date clinical insight, evidence-based practice, memorable stories, and humor to create impactful learning experiences. A proud veteran of the US Navy, she served for ten years, concluding her military career 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.

For a more detailed outline that includes times or durations of time, if needed, please contact cepepesi.com


Questions?

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


Objectives

  1. Evaluate the results of coagulation studies (PT/INT/ APTT, 10a levels, Fibrinogen, D-Dimer).
  2. Explore a deeper understanding of the clotting cascade and which labs correlate with which part of the cascade.
  3. Analyze a Complete Blood Count (CBC) with differential and associated clinical applications (anemias, “shift to the left”, clues to infections, platelet abnormalities, breaking down the differential, etc).
  4. Recognize the clinical implications of metabolic panels.
  5. Comprehend liver function tests and decipher the clues from the test results.
  6. Plan for reversal of anticoagulation agents, including factor 10a inhibitors.
  7. Distinguish between life-threatening electrolyte imbalances, as well as potential causes and interventions.
  8. Predict renal function based on BUN, Creatinine, BUN/CR ratio, and GFR.
  9. Interpret cardiac panel results in a suspected acute myocardial infarction.
  10. Evaluate gram stains and differentials.
  11. Analyze blood gases and pertinent clinical implications.
  12. Differentiate between bacterial, viral meningitis, and viral encephalitis based on lumbar puncture findings.
  13. Recognize the key clinical indicators and implications for infection on a urinalysis.

Outline

  • Basic Metabolic Profile (BMP) and More

  • Glucose
  • Acid base
  • Renal function
    • Acute and chronic renal failure labs and findings
    • How labs can help you differentiate cause of AKI
    • Creatinine
    • BUN
    • BUN/Creat ratios
    • Glomerular Filtration Rate (GFR)
    • Urine Na+ and Osmolality
    • FENA
    • Discover the difference between ATN and pre-renal causes based on the labs/other patient clues
  • Life-threatening electrolytes
    • Potassium
    • Magnesium
    • Sodium
    • Calcium
    • Phosphorous
  • Anion gap
  • Ionized calcium
  • Corrected calcium equation
  • Comprehensive Metabolic Panel: Adding the LFTs to the BMP

  • LFTs: Exploring the liver and changes related to liver failure
  • AST/ALT/ALP/Total bilirubin/proteins
  • Shall we add transaminase?
  • Health issues and symptom management in severe liver failure
    • Jaundice
    • Ascites
    • Hepatic encephalopathy
    • Coagulopathies
  • CBC with Differential: Interpreting the Components

  • What can impact WBC’s and neutrophil findings
  • Anemias/polycythemia
  • Understanding the differential
  • The “Shift to the Left” explained
  • Current Guidelines on transfusing
  • Exploring those blood products
  • Cardiac Labs: Ishemia vs. Myocardial Infarction

  • Troponin I and Troponin Delta’s
  • EKG Signals: What am I seeing?
  • Distinguishing a STEMI vx. NSTEMI
  • Another cardiac lab: BNP vs Pro-BNP
  • Coagulation/Thrombotic Risk Panels: Clues to Clotting

  • The Clotting Cascade
  • Selecting the correct lab test for different medications
  • aPTT
  • PT
  • INR
  • 10a
  • Fibrinogen
  • D-dimer
  • Anticoagulants and reversal agents
  • Disseminated Intravascular Coagulopathy (DIC) and DIC panels
  • Urinalysis: Does Your Patient Have a UTI?

  • Current guidelines
  • UA’s
  • Clues to a UA typically depend on the patient population
  • Blood Gases: Identifying the Underlying Abnormality

  • Three types of blood gases: Choosing the right test for the right result
    • Arterial, venous, mixed Venous
  • Interpreting arterial blood gases: It’s easier than you think using a simple tool!
  • Blood Cultures

  • Culture reminders!
  • Cultures from central lines or dialysis ports …
  • Gram stains
  • Sensitivities
  • Labs and Sepsis: Taking a Team Approach

  • Systematic inflammation and the progression from SIRS to MODS
  • Labs of sepsis
    • Lactate levels
    • Procalcitonin levels
    • WBCs
    • Neutrophils – Shift to the Left
    • So many other clues – Current surviving sepsis campaign guidelines
  • Lumbar Punctures/Cerebral Spinal Fluid

  • LP procedure
  • Bacterial meningitis
  • Viral meningitis
  • Viral encephalitis
  • Understanding Thyroid Dysfunction

  • TSH
  • T4 levels
  • T3 levels
  • Glycemic Abnormalities

  • Hypoglycemia
  • Hyperglycemic states – Differentiating and treatment clarification
    • Hypoglycemia
    • DKA
    • HHS (HHNK)
    • Treatment for each

Target Audience

  • Nurses
  • Nurse Practitioners
  • Clinical Nurse Specialists
  • Physician Assistants
  • Physical Therapists
  • Occupational Therapists

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