Patient Care in the Interventional Suite
|
|
|
- Sarah O’Neal’
- 5 years ago
- Views:
Transcription
1 Patient Care in the Interventional Suite October 3, 2015 Peter O. Simon, Jr MD Vascular and Interventional Specialists Charlotte Radiology
2 Outline 1. Pre-procedure Assessment 2. Basic Intraprocedure Management (medications) 3. Common Emergencies 4. Postprocedure care 5. Q&A
3 The storm is coming whether you re aware of it or not, and whether you re prepared for it or not. Jarod Kintz
4
5 Essential Elements: Physician / Practitioner Planned Procedure Expected Course Most Common Risks / Benefits / Alternatives Opportunity for questions Informed Consent
6 Personnel Roles and Responsibilities
7 Situational Awareness
8 Preoperative Patient Clinical Evaluation Airway Neurologic Cardiac Pulmonary Organ System Specific: Arterial, Venous, Hepatobiliary, Genitourinary, etc
9 ASA Physical Status Classifications
10 ASA levels of Sedation
11 Preoperative Lab Evaluation - Coagulation
12 Preoperative Lab Evaluation - Coagulation
13 Preoperative Lab Evaluation - Coagulation
14 Preoperative Lab Evaluation
15 Preoperative Lab Evaluation Renal Function
16 Premedication for previous contrast reaction
17 Prophylactic Antibiotics
18 ASA levels of Sedation
19 Basic Requirements of Sedation
20 LEMON Airway Assessment Look at anatomy Small mandible, large tongue, obese neck Evaluate Loose teeth Mallampati Obstruction Secretions, stridor, etc Neck Mobility RA, Ankylosing spondylitis, Cspine precautions
21 Local Anesthetic Agents
22 Common Sedative Agents - IV
23 Reversal Agents
24 CO2 Capnography
25 Special Medication Considerations Heparin UVA VIR Fellow s Manual 2011
26 Special Medication Considerations: Nitroglycerin UVA VIR Fellow s Manual 2011
27 TPA Tissue Plasminogen Activator Mechanism Activates plasminogen Typical dose rate: mg / h Many protocols minimizing dose to 24 mg / 24h UVA VIR Fellow s Manual 2011
28 TPA Tissue Plasminogen Activator Mechanism Activates plasminogen Typical dose rate: mg / h Many protocols minimizing dose to 24 mg / 24h
29 Special Medication Considerations Aspirin and Plavix Mechanism: irreversible cox-1 and txa2 blocker T ½ 6-12h New plts have to form to return function Bleeding time returns to normal approx. 5 days after stoppage Mechanism: adenosine diphosphate inhibitor on plt T ½ 6h Prolongs bleeding time Contraindications: Bleeding and sensitivity
30 Special Management of the Pediatric Consent Airway Metabolism of sedative agents Weight based medication dosages (abx / pain meds) Hypothermia Bronchospasm / Vasospasm Radiation precautions (ALARA) Patient
31 Specific Emergency Scenarios
32 Specific Emergency Scenarios
33 Get Help!
34 BLS
35 Diagnosis: Hypotension, bradycardia, nausea, diaphoresis Vasovagal Reactions Treatment: Leg elevation, fluids, atropine UVA VIR Fellow s Manual 2011 Nursingconsult.com
36 Over-Sedation Diagnosis: Hypoxia and Respiratory depression Treatment: Monitoring, airway support, reversal agents, help
37 Air Embolus Left lateral decubitus position (minimize RVOT path) Oxygen therapy Supportive care Aspiration? J. Cardiothorac Surg Sep 15;10
38 Anaphylaxis Recognition Prompt, aggressive Rx Supplemental Oxygen IV fluids Epinephrine (1:10,000 IV) Supportive care
39 Pneumothorax / Hemothorax
40 Oxygen Monitor IV Morphine ASA Nitrates Diuretic / Dialysis Definitive Care MI / CHF
41 Stroke OMI Source? CT! Definitive care Time is Brain Can I get it out?
42 Code Scenarios Bradycardia Vtach / Vfib Asystole PEA *If you have a wire in the heart, expect an arrhythmia*
43 Post Procedure Care Catheter Removal Patient Monitoring Management of Acute Complications Discharge and Follow up
44 Catheter Removal Catheter Removal / Closure / Loss of Access Suitable? Anatomy, ACT, size of access Reversal Agent? Protamine Tract embolization? Time to discharge? Ability to lie flat?
45 Patient Monitoring / Disposition Patient Monitoring Access site and pulses q 15 min Observation following sedative minutes Discharge times vary (arterial / venous, extend of intervention). Hand off of care / Communication Post procedure orders
46 Management of Acute Complications Rapid Assessment (Importance of pre-op exam) Puncture site bleeding (compression / reversal) Arterial Occlusion (back to angio) Distal embolization (heparin + / - back to angio) J Korean Neurosurg Soc Jul;48(1):88-90.
47 Discharge and Follow up Printed DC instructions Activity Diet Wound / Dressing Mgmt Medications Follow-up Contact Info
48 Summary Outline 1. Pre-procedure Assessment 2. Basic Intraprocedure Management (medications) 3. Common Emergencies 4. Postprocedure care 5. Q&A
49 References and In-Depth Reading
50 Head on a Swivel
51 Vascular and Interventional Specialists Peter O. Simon, Jr. MD CHS-NE: Concord V&V Clinic:
CARDIAC ARREST IN SPECIAL CIRCUMSTANCES 2
CARDIAC ARREST IN SPECIAL CIRCUMSTANCES 2 M1 Objectives To understand how resuscitation techniques should be modified in the special circumstances of: Hypothermia Immersion and submersion Poisoning Pregnancy
Thrombolysis Delivery, Care, and Monitoring. 5 Acute Trusts - 6 Primary Care Trusts Ambulance Trust 4 Local Authorities
Thrombolysis Delivery, Care, and Monitoring Documentation & Pathways Need to follow locally agreed policies and procedures Follow thrombolysis pathway? Need to complete Sits database Weight Dose matters!
ACLS Prep. Preparation is key to a successful ACLS experience. Please complete the ACLS Pretest and Please complete this ACLS Prep.
November, 2013 ACLS Prep Preparation is key to a successful ACLS experience. Please complete the ACLS Pretest and Please complete this ACLS Prep. ACLS Prep Preparation is key to a successful ACLS experience.
Michigan Pediatric Cardiac Protocols. Date: November 15, 2012 Page 1 of 1 TABLE OF CONTENTS
Date: November 15, 2012 Page 1 of 1 TABLE OF CONTENTS Pediatric Asystole Section 4-1 Pediatric Bradycardia Section 4-2 Pediatric Cardiac Arrest General Section 4-3 Pediatric Narrow Complex Tachycardia
Procedure-related office surgery adverse events in Alabama 12/03-10/12. hematoma evacuated in office, full recovery yes yes 3-3/19/04
1 - negative pressure 12/15/03 hypoplasia augmentation pulmonary edema plastic surgery general no to hospital, full 2-3/16/04 facial cutis laxa facelift with temporal lift and liposculputre hematoma, neck
Objectives: This presentation will help you to:
emergency Drugs Objectives: This presentation will help you to: Five rights for medication administration Recognize different cardiac arrhythmias and determine the common drugs used for each one List the
Transcatheter Aortic Valve Implantation Procedure (TAVI)
Page 1 of 5 Procedure (TAVI) Introduction Aortic stenosis (AS) is a common heart valve problem associated with heart failure and death. Surgical valve repair or replacement is recommended if AS patients
DEEP SEDATION TEST QUESTIONS
Mailing Address: Phone: Fax: The Study Guide is provided for those physicians eligible to apply for Deep Sedation privileges. The Study Guide is approximately 41 pages, so you may consider printing only
ADULT DRUG REFERENCE Drug Indication Adult Dosage Precautions / Comments
ADENOSINE Paroxysmal SVT 1 st Dose 6 mg rapid IV 2 nd & 3 rd Doses 12 mg rapid IV push Follow each dose with rapid bolus of 20 ml NS May cause transient heart block or asystole. Side effects include chest
Advanced Cardiac Life Support (ACLS) Science Update 2015
1 2 3 4 5 6 7 8 9 Advanced Cardiac Life Support (ACLS) Science Update 2015 What s New in ACLS for 2015? Adult CPR CPR remains (Compressions, Airway, Breathing Chest compressions has priority over all other
ASDIN 10th Annual Scientific Meeting Final. COI Disclosure Statement. Intravenous Contrast Media: Basics
COI Disclosure Statement There are no financial relationships or conflicts of interest to disclose with this presentation Melissa Hicks, BA, RT(R)(VI) Vascular Interventional Technologist University of
Unstable: Hypotension/Shock, Fever, Altered Mental Status, Chest discomfort, Acute Heart Failure Saturation <94%, Systolic BP < 90mmHg
Bradycardia Heart Rate less than 50/min Stable: Monitor Seek expert help Treat Reversible Causes Unstable Signs and Symptoms: chest pain, shortness of breath, altered mental status, weak, Hypotension,
Diagnosis and Management of Acute Myocardial Infarction
Diagnosis and Management of Acute Myocardial Infarction Acute Myocardial Infarction (AMI) occurs as a result of prolonged myocardial ischemia Atherosclerosis leads to endothelial rupture or erosion that
Drug Profiles Professional Responder
Entonox Classification Medical Gas Entonox (50% oxygen 50% nitrous oxide) Effects Potent analgesic, weak anesthetic Onset Rapid Peak Immediate Indications Relief of moderate to severe pain Cardiac-related
Michigan Pediatric Cardiac Protocols. Date: November 15, 2012 Page 1 of 1 TABLE OF CONTENTS
Date: November 15, 2012 Page 1 of 1 TABLE OF CONTENTS Pediatric Asystole Section 4-1 Pediatric Bradycardia Section 4-2 Pediatric Cardiac Arrest General Section 4-3 Pediatric Narrow Complex Tachycardia
ACLS Review. Pulse Oximetry to be between 94 99% to avoid hyperoxia (high oxygen tension can lead to tissue death
ACLS Review BLS CPR BLS CPR changed in 2010. The primary change is from the ABC format to CAB. After establishing unresponsiveness and calling for a code, check for a pulse less than 10 seconds then begin
MICHIGAN. State Protocols. Pediatric Cardiac Table of Contents 6.1 General Pediatric Cardiac Arrest 6.2 Bradycardia 6.
MICHIGAN State Protocols Protocol Number Protocol Name Pediatric Cardiac Table of Contents 6.1 General Pediatric Cardiac Arrest 6.2 Bradycardia 6.3 Tachycardia PEDIATRIC CARDIAC PEDIATRIC CARDIAC ARREST
PALS Case Scenario Testing Checklist Respiratory Case Scenario 1 Upper Airway Obstruction
Respiratory Case Scenario 1 Upper Airway Obstruction Directs administration of 100% oxygen or supplementary oxygen as needed to support oxygenation Identifies signs and symptoms of upper airway obstruction
Preparing for your upcoming PALS course
IU Health PALS Study Guide Preparing for your upcoming PALS course UPDATED November 2016 Course Curriculum: 2015 American Heart Association (AHA) Guidelines for Pediatric Advanced Life Support (PALS) AHA
STANDARDIZED PROCEDURE CARDIAC STRESS TESTING-EXERCISE TESTING (Adult, Peds)
I. Definition: During the exercise test, the patient exercises on a bike or treadmill while being monitored with a 12 lead ECG, blood pressure device, pulse oximetry and, if requested, oxygen consumption,
Catheter-directed Thrombolysis
Scan for mobile link. Catheter-directed Thrombolysis Catheter-directed thrombolysis treats vascular blockages and improves blood flow by dissolving abnormal blood clots. A blood clot, or thrombus, can
Cardiothoracic Fellow Expectations Division of Cardiac Anesthesia, Beth Israel Deaconess Medical Center
The fellowship in Cardiothoracic Anesthesia at the Beth Israel Deaconess Medical Center is intended to provide the foundation for a career as either an academic cardiothoracic anesthesiologist or clinical
STANDARDIZED PROCEDURE CARDIAC STRESS TESTING-DOBUTAMINE INFUSION (Adult)
I. Definition: This test is performed to evaluate for cardiac ischemia, arrhythmias, and/or response to exercise. II. Background Information A. Setting: The setting (inpatient vs outpatient) and population
IFT1 Interfacility Transfer of STEMI Patients. IFT2 Interfacility Transfer of Intubated Patients. IFT3 Interfacility Transfer of Stroke Patients
IFT1 Interfacility Transfer of STEMI Patients IFT2 Interfacility Transfer of Intubated Patients IFT3 Interfacility Transfer of Stroke Patients Interfacility Transfer Guidelines IFT 1 TRANSFER INTERFACILITY
DEPARTMENT OF HEALTH & HUMAN SERVICES Public Health Service
M AY. 6. 2011 10:37 A M F D A - C D R H - O D E - P M O N O. 4147 P. 1 DEPARTMENT OF HEALTH & HUMAN SERVICES Public Health Service Food and Drug Administration 10903 New Hampshire Avenue Document Control
Patient Management Code Blue in the CT Suite
Patient Management Code Blue in the CT Suite David Stultz, MD November 28, 2001 Case Presentation A 53-year-old woman experienced acute respiratory distress during an IV contrast enhanced CT scan of the
Post-Anesthesia Care In the ICU
Post-Anesthesia Care In the ICU The following is based on current research and regional standards of care. At completion you will be able to identify Basic equipment needed at the bedside. Aldrete scoring
SURGERY OR ANESTHESIA
Common Formats Aggregate Report Hospital SURGERY OR ANESTHESIA DEFINITION OF EVENT EVENTS INCLUSIONS Event type Incidents 823 174 257 225 167 Harm 735 154 228 205 148 No harm 88 20 29 20 19 Can t tell
Index. Note: Page numbers of article titles are in boldface type.
Note: Page numbers of article titles are in boldface type. A Adverse drug events, polypharmacy and perioperative considerations in elderly patients, 377 389 Age, and risk of postoperative urinary retention,
Subspecialty Rotation: Anesthesia
Subspecialty Rotation: Anesthesia Faculty: John Heaton, M.D. GOAL: Maintenance of Airway Patency and Oxygenation. Recognize and manage upper airway obstruction and desaturation. Recognize and manage upper
Management Of Medical Emergencies. Zakaria S. Messieha, DDS
Management Of Medical Emergencies Zakaria S. Messieha, DDS Z.S. Messieha Associate Professor, Anesthesiology University Of Illinois At Chicago Necessity Of Emergency Protocol Aging patient population.
Unit 4 Problems of Cardiac Output and Tissue Perfusion
Unit 4 Problems of Cardiac Output and Tissue Perfusion Lemone and Burke Ch 30-32 Objectives Review the anatomy and physiology of the cardiovascular system. Identify normal heart sounds and relate them
Adult Drug Reference. Dopamine Drip Chart. Pediatric Drug Reference. Pediatric Drug Dosage Charts DRUG REFERENCES
Adult Drug Reference Dopamine Drip Chart Pediatric Drug Reference Pediatric Drug Dosage Charts DRUG REFERENCES ADULT DRUG REFERENCE Drug Indication Adult Dosage Precautions / Comments ADENOSINE Paroxysmal
AV ACESS COMPLICATIONS. Ass. Prof. Dr. Habas
AV ACESS COMPLICATIONS Ass. Prof. Dr. Habas COMPLICATION AVF IS CONSIDERED A MINOR PROCEDURE INCIDENCE OF COMPLICATION- 20-27% MANY A COMPLICATION LEADS TO FAILURE OF FISTULA LOSS OF SITE AND VEIN FOR
Pediatric Code Blue. Goals of Resuscitation. Focus Conference November Ensure organ perfusion
Pediatric Code Blue Focus Conference November 2015 Duane C. Williams, MD Pediatric Critical Care Department of Pediatrics Children s Hospital of Richmond at VCU Goals of Resuscitation Ensure organ perfusion
Adenosine. poison/drug induced. flushing, chest pain, transient asystole. Precautions: tachycardia. fibrillation, atrial flutter. Indications: or VT
Adenosine Indications: 1. Narrow complex PSVT 2. Does not convert atrial fibrillation, atrial flutter or VT 1. Side effects include flushing, chest pain, transient asystole 2. May deteriorate widecomplex
Scene Safety First always first, your safety is above everything else, hands only CPR (use pocket
BLS BASICS: Scene Safety First always first, your safety is above everything else, hands only CPR (use pocket facemask or AMBU bag) Adults call it in, start CPR, get AED Child CPR First, Phone call second
Preoperative Assessment. Block Prof JLA Rantloane Department of Anaesthesiology
Preoperative Assessment Block 18 2013 Prof JLA Rantloane Department of Anaesthesiology!1 Principles All patients scheduled to undergo surgery should have a preoperative evaluation to assist in planning
TAVR : Caring for your patients before and after TAVR
TAVR : Caring for your patients before and after TAVR Zubair Ahmed MD FSCAI Interventional Cardiologist Washington Regional Medical Center / Walker Heart Institute What is Aortic Valve Stenosis? AVA ~4
ASA Closed Claims Project: Regional Anesthesia Claims 1990 or later Lorri A. Lee MD Department of Anesthesiology University of Washington, Seattle, WA
ASA Closed Claims Project: Regional Anesthesia Claims 1990 or later Lorri A. Lee MD Department of Anesthesiology, Seattle, WA OVERVIEW 1. Closed Claims Project 2. Peripheral Nerve Blocks 3. Neuraxial Claims
Capnography for Pediatric Procedural Sedation Learning Module Last revised: February 18, 2014
Capnography for Pediatric Procedural Sedation Learning Module Last revised: February 18, 2014 Capnography 40 Non-invasive device that continually monitors EtCO 2 While pulse oximetry measures oxygen saturation,
Images have been removed from the PowerPoint slides in this handout due to copyright restrictions.
Percutaneous Coronary Intervention https://www.youtube.com/watch?v=bssqnhylvma Types of PCI Procedures Balloon Angioplasty Rotational Atherectomy Coronary Stent Balloon Inflation Rotational Atherectomy
Resuscitation Patient Management Tool May 2015 MET Event
OPTIONAL: Local Event ID: Date/Time MET was activated: Time Not Documented MET 2.1 Pre-Event Pre-Event Tab Was patient discharged from an Intensive Care Unit (ICU) at any point during this admission and
The Roles and Responsibilities of Nurse Before and After Laparoscopic Urologic Surgery
+ The Roles and Responsibilities of Nurse Before and After Laparoscopic Urologic Surgery Elif GEZGINCI Gulhane Military Medical Academy School of Nursing Ankara 1 + 2 PREOPERATİVE + Preoperative (Patient
CENTRAL CALIFORNIA EMERGENCY MEDICAL SERVICES A Division of the Fresno County Department of Public Health
CENTRAL CALIFORNIA EMERGENCY MEDICAL SERVICES A Division of the Fresno County Department of Public Health Manual Subject Emergency Medical Services Administrative Policies and Procedures Table of Contents
PHYSICIAN COMPETENCY FOR ADULT DEEP SEDATION (Ages 14 and older)
Name Score PHYSICIAN COMPETENCY FOR ADULT DEEP SEDATION (Ages 14 and older) 1. Pre-procedure evaluation for moderate sedation should involve all of the following EXCEPT: a) Airway Exam b) Anesthetic history
DNH 120 Management of Emergencies
Revised: Spring 2016 DNH 120 of Emergencies COURSE OUTLINE Prerequisites: None Course Description: Studies the various medical emergencies and techniques for managing emergencies in the dental setting.
DESCRIPTIONS FOR MED 3 ROTATIONS Critical Care A2 ICU
Critical Care A2 ICU A. Neurological 1. Delirium Discuss the differential diagnosis and appropriate investigation for delirium. Provide non-pharmological and pharmological treatment options for delirium.
AORTIC GRAFT INFECTION
NURSING CARE Theresa O Keefe NUM Vascular Unit PAH Vascular infections are serious They are associated with high morbidity and mortality The primary cause of surgical wound infections is contamination
Index. Note: Page numbers of article titles are in boldface type.
Index Note: Page numbers of article titles are in boldface type. A Acute coronary syndrome(s), anticoagulant therapy in, 706, 707 antiplatelet therapy in, 702 ß-blockers in, 703 cardiac biomarkers in,
Name: Date: The Nurse Agency Medical/Surgical Skills Checklist
Name: Date: The Nurse Agency Medical/Surgical Skills Checklist Please use the following key: A=Done Frequently; well skilled C=Rarely done; skill limited B=Occasionally done; moderately skilled D=Observed
Prescribe appropriate immunizations for. Prescribe childhood immunization as per. Prescribe influenza vaccinations in high-risk
Supplemental Digital Appendix 1 46 Health Care Problems and the Corresponding 59 Practice Indicators Expected of All Physicians Entering or in Practice Infectious and parasitic diseases Avoidable complications/death
MASTER SYLLABUS
A. Academic Division: Health Sciences B. Discipline: Respiratory Care MASTER SYLLABUS 2018-2019 C. Course Number and Title: RESP 2330 Advanced Life Support Procedures D. Course Coordinator: Tricia Winters,
Management of the Endovascular Patient and Acute Emergencies in the Angio Suite
Management of the Endovascular Patient and Acute Emergencies in the Angio Suite June 9, 2015 Bridget Cantrell, APN, CNP Endovascular Neurosurgery Advocate Medical Group No Disclosures The human brain is
Information Often Given to the Nurse at the Time of Admission to the Postanesthesia Care Unit
Information Often Given to the Nurse at the Time of Admission to the Postanesthesia Care Unit * Patient s name and age * Surgical procedure and type of anesthetic including drugs used * Other intraoperative
2016 Physician Quality Reporting System Data Collection Form: Coronary Artery Bypass Graft (CABG) (for patients aged 18 years and older)
2016 Physician Quality Reporting System Data Collection Form: Coronary Artery Bypass Graft (CABG) (for patients aged 18 years and older) IMPORTANT: Any measure with a 0% performance rate (100% for inverse
CSI Skills Lab #5: Arrhythmia Interpretation and Treatment
CSI 202 - Skills Lab #5: Arrhythmia Interpretation and Treatment Origins of the ACLS Approach: CSI 202 - Skills Lab 5 Notes ACLS training originated in Nebraska in the early 1970 s. Its purpose was to
Maternal Collapse Guideline
Maternal Collapse Guideline Guideline Number: 664 Supersedes: Classification Clinical Version No: Date of EqIA: Approved by: Date Approved: Date made active: Review Date: 1 Obstetric Written Documentation
Learning Objectives for Rotations in Vascular Surgery Year 3 Basic Clerkship
Learning Objectives for Rotations in Vascular Surgery Year 3 Basic Clerkship CLINICAL PROBLEMS IN VASCULAR SURGERY 1. ABDOMINAL AORTIC ANEURYSM A 70 year old man presents in the emergency department with
CHEST PAIN CDU INCLUSION CRITERIA
CHEST PAIN CDU INCLUSION CRITERIA No clinical criteria for ACS Stable vital signs Initial ECG and cardiac biomarkers not consistent with ACS Low to intermediate ACS risk (HEART score 0-6) [Ref 1, 2] Plan
Post-Cardiac Surgery Evaluation
Post-Cardiac Surgery Evaluation 20th Annual Heart Conference October 15, 2016 Gary A Mayman PROFESSOR PEDIATRICS UNIVERSITY OF NEVADA Look Touch Listen Temperature, pulse, respiratory rate, & blood pressure
Admit date (YYYY/MM/DD): Cardiologist On-Call: Diagnosis: Lab Tests. CBC, Electrolytes, Urea, Creatinine, Glucose, INR, PTT, Urinalysis
of nurse 1. Admit under ward Attending Physician: Dr. Admit date (YYYY/MM/DD): Cardiologist On-Call: Diagnosis: Lab Tests 2. On admission (if not already performed in Emergency Department or in Coronary
Virginia Western Community College DNH 120 Management of Emergencies
DNH 120 Management of Emergencies Prerequisites None Course Description Studies the various medical emergencies and techniques for managing emergencies in the dental setting. Additional practical applications
Extracorporeal Life Support Organization (ELSO) Guidelines for Pediatric Respiratory Failure
Extracorporeal Life Support Organization (ELSO) Guidelines for Pediatric Respiratory Failure Introduction This pediatric respiratory failure guideline is a supplement to ELSO s General Guidelines for all
Dear patient and family,
The Johns Hopkins Hospital, Division of Interventional Neuroradiology Dear patient and family, Welcome to Johns Hopkins Medicine! Your doctor has referred you to Johns Hopkins Pediatric Interventional
Advanced Airway Management. University of Colorado Medical School Rural Track
Advanced Airway Management University of Colorado Medical School Rural Track Advanced Airway Management Basic Airway Management Airway Suctioning Oxygen Delivery Methods Laryngeal Mask Airway ET Intubation
NURSING DEPARTMENT CRITICAL CARE POLICY MANUAL CRITICAL CARE PROTOCOLS. ACUTE CEREBROVASCULAR ACCIDENT TPA (ACTIVASE /alteplase) FOR THROMBOLYSIS
NURSING DEPARTMENT CRITICAL CARE POLICY MANUAL CRITICAL CARE PROTOCOLS ACUTE CEREBROVASCULAR ACCIDENT TPA (ACTIVASE /alteplase) FOR THROMBOLYSIS I. Purpose : A. To reduce morbidity and mortality associated
ADULT TREATMENT GUIDELINES
A1 Adult Patient Care A2 Chest Pain / Suspected ACS A3 Cardiac Arrest Initial Care and CPR A4 Ventricular Fibrillation / Ventricular Tachycardia A5 PEA / Asystole A6 Symptomatic Bradycardia A7 Ventricular
LeMone & Burke Ch 30-32
LeMone & Burke Ch 30-32 2 Right side- Low oxygenation Low pressure Light workload Goes toward the lungs Left side High oxygenation Thick walled high pressure Heavier workload Carries oxygenation blood
Course Description Theory and Skills of immediate life saving care. Meets the requirements for certification as an Emergency Care Attendant (ECA).
Emergency Care Attendant (EMSP 1305) Credit: 3 semester credit hours (3 hours lecture, 0 hours lab) Prerequisite/Co-requisite: Must be at least 17 and be at least a senior in high school. Course Description
Competency Log Professional Responder Courses
Competency Log Professional Responder Courses Check off each competency once successfully demonstrated. This log may be used as a support tool when teaching a Professional Responder course. Refer to the
Advanced Cardiac Life Support ACLS
Essential Medical Training, LLC Providing Quality, Professional Training Advanced Cardiac Life Support ACLS Course Study Guide and Agenda 772-781-9249 office 772-382-0607 fax Email: treasurecoastcpr@gmail.com
National Vascular Registry
National Vascular Registry Angioplasty Patient Details Patient Consent* 2 Not Required If patient not consented: Date consent recorded / / (DD/MM/YYYY) Do not record NHS number, NHS number* name(s) or
Cardiovascular Disorders Lecture 3 Coronar Artery Diseases
Cardiovascular Disorders Lecture 3 Coronar Artery Diseases By Prof. El Sayed Abdel Fattah Eid Lecturer of Internal Medicine Delta University Coronary Heart Diseases It is the leading cause of death in
Venous Thromboembolism Prophylaxis
Approved by: Venous Thromboembolism Prophylaxis Vice President and Chief Medical Officer; and Vice President and Chief Operating Officer Corporate Policy & Procedures Manual Number: Date Approved January
CalvertHealth Medical Center s Moderate Sedation Competency Examination
Medical Staff Office Use Only: Congratulations! You passed the Moderate Sedation Competency Examination. Enclosed is the test for your follow-up review. Test Results: % ( of 35 correct) Your test result
OUTPATIENT ANTITHROMBOTIC MANAGEMENT POST NON-ST ELEVATION ACUTE CORONARY SYNDROME. TARGET AUDIENCE: All Canadian health care professionals.
OUTPATIENT ANTITHROMBOTIC MANAGEMENT POST NON-ST ELEVATION ACUTE CORONARY SYNDROME TARGET AUDIENCE: All Canadian health care professionals. OBJECTIVE: To review the use of antiplatelet agents and oral
Frederic J., Gerges MD. Ghassan E. Kanazi MD., Sama, I. Jabbour-Khoury MD. Review article from Journal of clinical anesthesia 2006.
Frederic J., Gerges MD. Ghassan E. Kanazi MD., Sama, I. Jabbour-Khoury MD. Review article from Journal of clinical anesthesia 2006 Introduction Laparoscopic surgery started in the mid 1950s. In recent
General surgery. Thyroid surgery. Physiological response to pneumoperitoneum. Bowel resection
General surgery Thyroid surgery Physiological response to pneumoperitoneum Bowel resection General surgery 3.D.9.1 James Mitchell (December 24, 2003) Thyroid surgery Preoperative Assessment Routine, plus
Post Cardiac Arrest Care 2015 American Heart Association Guideline Update for CPR and Emergency Cardiovascular Care
Post Cardiac Arrest Care 2015 American Heart Association Guideline Update for CPR and Emergency Cardiovascular Care รศ.ดร.พญ.ต นหยง พ พานเมฆาภรณ ภาคว ชาว ส ญญ ว ทยา คณะแพทยศาสตร มหาว ทยาล ยเช ยงใหม System
Sedation-Analgesia Patient Evaluation
Getting Started A health care provider with current privileges to administer sedation-analgesia must conduct a pre-procedure evaluation, and obtain informed consent for sedation-analgesia Only patients
Emergency Cardiovascular Care: EMT-Intermediate Treatment Algorithms. Introduction to the Algorithms
Emergency Cardiovascular Care: EMT-Intermediate Treatment Algorithms Introduction to the Algorithms Cardiac Arrest Algorithms Prehospital Medication Profiles Perspective regarding the EMT- Intermediate
Cleveland Clinic Regional Hospitals EMS Protocol DRAFT Release Notes. Global Changes
Cleveland Clinic Regional Hospitals EMS Protocol 2014 DRAFT Release Notes Global Changes Added cautions and stops with selected high risk medications / procedures on protocol tree page for safety Individual
Chapter 23 Outline. Chapter 23: Emergency Drugs. General Measures. Categories of Emergencies. Preparation for Treatment 12/12/2011.
Chapter 23 Outline Chapter 23: Emergency General measures Categories of emergencies Emergency kit for the dental office Emergency 2 Emergency General Measures Haveles (p. 290) Haveles (pp. 290-291) (Boxes
Interventional Radiology Skills Checklist
Interventional Radiology Skills Checklist This assessment is for determining your experience in the below outlined clinical areas. This checklist will not be used as a determining factor in accepting your
Steven Berkowitz, DVM Chief, Emergency and Critical Care Saint Francis Veterinary Center
Steven Berkowitz, DVM Chief, Emergency and Critical Care Saint Francis Veterinary Center Outline Anatomy Common Diseases Interventions Oxygen Therapy Medications Nebulization Coupage Respiratory Tract
AIRWAY & HEART ANOTOMY
Objectives I CAN T BREATH Respiratory Emergencies Review of anatomical structures related to heart & lungs Differentiate differences between adult and pediatric airways Identify the need for airway assistance
Evaluating the economic value of 5F systems for outpatients
Evaluating the economic value of 5F systems for outpatients Pr Yann Gouëffic, MD, PhD Department of vascular surgery - University Hospital of Nantes, France Disclosure Speaker's name: Yann Goueffic I have
ANESTHESIA EXAM (four week rotation)
SPARROW HEALTH SYSTEM ANESTHESIA SERVICES ANESTHESIA EXAM (four week rotation) Circle the best answer 1. During spontaneous breathing, volatile anesthetics A. Increase tidal volume and decrease respiratory
Addendum D. Procedural Sedation Test MERCY MEDICAL CENTER- SIOUX CITY. Procedural Sedation Questions
Addendum D. Procedural Sedation Test MERCY MEDICAL CENTER- SIOUX CITY Procedural Sedation Questions Individuals applying for moderate sedation privileges must achieve a score of 80%. PRACTITIONER NAME
ECMO CPR. Ravi R. Thiagarajan MBBS, MPH. Cardiac Intensive Care Unit
ECMO CPR Ravi R. Thiagarajan MBBS, MPH Staff Intensivist Cardiac Intensive Care Unit Children s Hospital Boston PCICS 2008, Miami, FL No disclosures Disclosures Outline Outcomes for Pediatric in-hospital
Complications of ECLS. Rajasekhar Malyala, MD Assistant Professor, Surgery University of Kentucky
Complications of ECLS Rajasekhar Malyala, MD Assistant Professor, Surgery University of Kentucky Faculty Disclosure No financial Disclosures Education Need/Practice Gap Recommendations and guidelines regarding
Pediatric CPR. Mustafa SERİNKEN MD Professor of Emergency Medicine, Pamukkale University, TURKEY
Pediatric CPR Mustafa SERİNKEN MD Professor of Emergency Medicine, Pamukkale University, TURKEY What are the differences? Normal limits ADULT CARDIOPULMONARY ARREST CAUSES INFANTS AND CHILDREN İschemic
RadRx Your Prescription for Accurate Coding & Reimbursement Copyright All Rights Reserved.
Interventional Radiology Coding Case Studies Prepared by Stacie L. Buck, RHIA, CCS-P, RCC, CIRCC, AAPC Fellow President & Senior Consultant Week of June 4, 2018 Thrombolysis, Thrombectomy & Angioplasty
EMS Subspecialty Certification Review Course
EMS Subspecialty Certification Review Course 1.3.1 1.3.1.1 Shortness of Breath 1.3.1.1.1 Use of portable non invasive ventilation devices 1.3.1.1.2 Field Identification of COPD 1.3.1.1.3 Assisted Ventilation
VACCINE-RELATED ALLERGIC REACTIONS
VACCINE-RELATED ALLERGIC REACTIONS Management of Anaphylaxis IERHA Immunization Program September 2016 VACCINE-RELATED ADVERSE EVENTS Local reactions pain, edema, erythema Systemic reactions fever, lymphadenopathy
Respiratory Anesthetic Emergencies in Oral and Maxillofacial Surgery. By: Lillian Han
Respiratory Anesthetic Emergencies in Oral and Maxillofacial Surgery By: Lillian Han Background: Respiratory anesthetic emergencies are the most common complications during the administration of anesthesia
STANDARDIZED PROCEDURE CARDIAC STRESS TESTING-EXERCISE TESTING (Adult)
1 I. Definition: During the exercise test, the patient exercises on a bike or treadmill while being monitored with a 12 lead ECG, blood pressure device, pulse oximetry oxygen consumption, and perhaps imaging
Heart disease remains the leading cause of morbidity and mortality in industrialized nations. It accounts for nearly 40% of all deaths in the United
Heart disease remains the leading cause of morbidity and mortality in industrialized nations. It accounts for nearly 40% of all deaths in the United States, totaling about 750,000 individuals annually
CURRICULUM FOR FELLOWSHIP IN CRITICAL CARE MEDICINE
CURRICULUM FOR FELLOWSHIP IN CRITICAL CARE MEDICINE AIM: The course has been designed to train candidates by the anesthesiologists in the principles and practice of intensive care & artificial ventilation