All Things Pulmonar from Cyndi Zarbano

• Easy ABG’s — Cyndi’s step-by-step approach is easy to remember and will have you deciphering the findings at a glance
• Ventilation, perfusion and oxygenation — finally master the oxyhemoglobin dissociation curve and know what symptoms to anticipate
• Mechanical ventilation skills every nurse should know
• Pulmonary drug cabinet from A to Z
• Emergency management of common and not-so-common respiratory conditions

Oxygenation, Ventilation and Perfusion

• Physiology of Gas Exchange
• Math Made Easy!
  • V/Q Match vs Mis-Match
  • Calculating Shunting
  • Oxygen Delivery DO2
  • Oxygen Consumption VO2
  • Oxyhemoglobin Dissociation Curve
  • SVO2 Monitoring
  • StO2
• Putting it All Together

Blood Gas Interpretation (ABGs)

• Easy Steps to ABG Analysis
• Acid Base Imbalances
• The Big “4” Abnormal Results
• Rapid Interpretation Tools

Oxygen Delivery Devices

Pro’s and Con’s of:

• Nasal Cannulas
• Oxymizer/Oxymask
• Simple Face Mask
• Non-Rebreather Mask
• Venturi Mask

Physical Assessment

• Respiratory Assessment Clues You Should NEVER Miss!
• Common Adventitious Breath Sounds
• What are the Causes & When are They Heard?
  • Crackles/Rales – wet vs. dry
  • Wheezes – not always airway obstruction
  • Rhonchi – differentiating the differences
  • Stridor – emergency treatment
  • Pleural Friction Rub
• Advanced Assessment Skills
• Inspection & Percussion

Imagery (X-ray Interpretation)

• Changes on the Chest X-ray
• Tips & Reminders
• Types of X-rays
• Positioning
• Interpretation & Diagnosis

Airway Pharmacologic Agents

• The Pulmonary Drug Cabinet from A to Z
• Anti-Cholinergic Agents
• Anti-Inflammatory Drugs
• Bronchodilators
• Combo-Drugs
• Inhalers & Spacers
• And More!

Basic and Advanced Airway Management

• Managing Obstruction
• Airway Adjuncts
• Know Your Role in Intubation
• The “5-point Check”
• Rapid Sequence Intubation
• Managing Chest Tubes
• Avoiding Common Complications

Non-Invasive Ventilation (CPAP & BIPAP)

• Advantages & Disadvantages
• Contraindications
• Assessing the Fit
• Determining the Settings

Invasive Mechanical Ventilation (Ventilators)

• Responding to the Alarms
• Management Strategies that Improve Outcomes
  • Patient Comfort
  • Decreasing Workload
  • Frequent Assessment
  • Cardiac Output Clues
  • Suctioning

Modes on Ventilators

• Volume Control
• Pressure Controlled Ventilation
• PEEP
• ECMO

Other Ventilator Extremes

• Artificial Surfactant
• Inhaled Pulmonary Vasodilators
• Nitric Oxide
• Proning
• Partial Liquid Ventilation

Complications of Mechanical Ventilation

• BaroTrauma & VoluTrauma
• Oxygen Toxicity
• Ventilator Associated Pneumonia

Weaning and Extubation

• Why, When & How
• Causes of Weaning Failure
• Setting up for Success

ABCDE Bundle

• EBP Driving Practice
• Proven Outcomes
• Current Practice Guidelines

Ventilation and Oxygenation Issues

• Asthma, CHF, Pneumonia and ARDS (Asthma, Pneumonia, Heart Failure/Pulmonary Edema)
• Signs & Symptoms of Each
• Lab Findings
• Treatment Recommendations
• Emergency Management

Perfusion Issues: Putting It All Together

• ARDS, PE, Septic Shock, TRALI, TACO
• Identifying the Cause
• Prevention Measures
• Critical Assessment Clues
• Managing Complications

Cyndi Zarbano is an intensive care nurse with over 20 years of nursing experience who is currently practicing in the Twin Cities area of Minnesota. She is a nationally-recognized seminar speaker who has opened multiple national symposiums and speaks on several topics for PESI, as well as a variety of other companies in the US and Canada. In addition to her speaking engagements, Cyndi is a published author with a variety of books including Clinical Nursing Assessment Skills Pocket Guide and the Med-Surg Pocket Guide. Her products also include textbooks, webcasts and webinars.

Along with her MS and BSN in nursing, she has 3 other undergraduate degrees and multiple nursing certifications. She served as a US Naval Officer for 10 years, leaving service as an LCDR (Lieutenant Commander) in 2001. Prior to nursing, she worked as a counselor with the mentally ill and dangerous in a facility in southern Minnesota. She returned to that facility as a Lead Psychiatric Nurse for two years after leaving the military. Additionally, Cyndi has a legal nurse consulting business and continues to serve as a testifying expert in medical related cases. Cyndi’s teaching style is dynamic and high energy while informal and easy to understand. You will leave her program with a renewed commitment to achieving nursing excellence in critical care.

Speaker Disclosures:
Financial: Cyndi Zarbano has an employment relationship with Fairview South. She receives a speaking honorarium from PESI, Inc.
Nonfinancial: Cyndi Zarbano has no relevant nonfinancial relationships to disclose.