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1. Consider critical anatomy, physiology, and pathophysiology of each system.
2. Categorize significant assessment and diagnostic findings relevant to the critical care environment.
3. Evaluate clinical presentation, as well as specific patient management, of commonly seen conditions in critical care.
4. Devise a nursing care plan for the patient with diabetic ketoacidosis and hyperosmolar hyperglycemic syndrome.
5. Perform nursing interventions for increased intracranial pressure.
6. Prioritize critical nursing actions for the patient with septic, hypovolemic and cardiogenic shock.
7. Characterize the process of coagulopathy in DIC.
8. Anticipate the clinical symptoms of electrolyte disturbances.
9. Analyze treatment options for respiratory failure.
10. Explore common endocrine dysfunctions in the critical care patient.
11. Apply interventions for frequent sources of poisoning.
12. Practice test-taking skills.
13. Select strategies for successful completion of the CCRN exam.
14. Specify professional and ethical nursing care using AACN definitions.

Cardiovascular

• Anatomy & Physiology Review
• Auscultating Extra Heart Sounds
• Cardiac Output
• Congestive Heart Failure
• Aortic Aneurysm, Dissection, Transection
• Angina & Myocardial Infarction
• Interventional Cardiology
• Cardiac Trauma
• Hypertensive Crisis
• Conduction System Defects
• Pacemakers

Endocrine

• Hyperosmolar Hyperglycemic State (HHS) & DKA
• Hypoglycemia
• Diabetes Insipidus (DI)
• SIADH

Renal

• Renal Failure
• Dialysis and CRRT
• Electrolyte Abnormalities and Interventions

Gastrointestinal

• GI Bleed
• Hepatic Failure
• Acute Pancreatitis
• Small Bowel Obstruction
• Bowel Infarction

Hematologic/Immunologic

• Altered Immune System Concerns
• Life-Threatening Coagulopathies
• Blood Product Administration

Neurologic

• Traumatic Brain Injury
• Ischemic and Hemorrhagic Stroke
• Increased Intracranial Pressure and ICP Monitoring
• Seizures
• Spinal Cord Injury

Pulmonary

• Respiration vs. Ventilation
• Acute Respiratory Failure
• Mechanical Ventilation
• CPAP/Bipap
• ARDS
• Pneumonia
• Pulmonary Embolus
• COPD
• Chest Trauma

Multisystem

• Shock
• SIRS, Sepsis, Septic Shock, MODS
• Poisoning
• Overdose

Behavioral/Psychosocial

• Depression
• Failure to Thrive
• Chemical Dependency

Cyndi Zarbano, MSN-Ed, CCRN, CMSRN, LNC, has been a nurse for nearly 30 years specializing in intensive care. She earned her legal nurse consultant training through the Vickie Milazzo Institute in 2008 and has worked on nearly 250 cases for various boards of nursing. She has worked with attorneys on pre-corrective action and with nurses to meet consultation requirements to fulfill corrective action guidelines.

Additionally, Cyndi has worked as a legal nurse consultant responsible to analyze medical records, determine merit, assist with client interviews, attend medical appointments, locate testing experts, complete chronologies, review billing for accuracy, provide deposition/jury question development, and assist in court strategy development. Cyndi is a renowned national seminar speaker having spoken for numerous companies since 2008, including her own, Clinical Review Consultants. She works for Mayo Clinic in Minnesota continuing her passion for bedside nursing in critical care. 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.

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Nurses/Nurse Practitioners/Clinical Nurse Specialists - Credit Expired: 11/27/2021
No CE available for this board.

California Nurses: PESI, Inc. is a provider approved by the California Board of Registered Nursing, Provider #:17118 for 13.5 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 13.5 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 13.9 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 13.75 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, Clinical Nurse Specialists, Advanced Practice Nurses, Licensed Practical Nurses