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1. Explain the difference between systolic and diastolic heart failure using a simple hand gesture to recognize ventricular dysfunction for each.
2. Simulate heart failure using the American Heart Association/ American College of Cardiology tool and identify intervention goals for each stage.
3. Compare and contrast the use of the Impella device and intra-aortic balloon pumps in severe cardiac impairment.
4. Employ a simple monitoring technique to help differentiate if the patient is having an atrial dysrhythmia or not.
5. Identify EKG clues to patients having aberrant pathways.
6. Breakdown Takotsubo as a type of dilated cardiomyopathy and state interventions to bridge that diagnosis to a return of normal ventricular function.
7. Recognize changes in Hypothermia Protocol and lessons that have been learned through the years to achieve better outcomes.

The Failing Heart: HF Diagnosis & Current Management Priorities

• Systolic vs. Diastolic Heart Failure
• Classification Systems
• Medication Management
• Biventricular Pacing & Implantable Cardioverter Defibrillators
• Ventricular Assist Devices
• Intra-Aortic Balloon Pump & Impellas

Fast & Slow Dysrhythmias

• Choosing Your Monitor Leads Wisely
• Using the Lewis Lead
• Identifying AV Passive & Active Tachycardias
• Identifying Aberrant Pathways
• Atrial Fibrillation with WPW
• AV Node Re-entry Tachycardia
• Mono and Polymorphic V-Tachs
• Heart Blocks

Cardiomyopathies & Channelopathies

• Right Ventricular Cardiomyopathies
• Diluted
• Hypertrophic
• Arrhythmogenic
• Takotsubo Syndrome
• Brugada Syndrome
• LQTS & Other Channelopathies

MI Mimics

• Wolff-Parkinson-White Syndrome (WPW)
• LBBB & Ventricular Paced Rhythms
• Pericarditis
• Early Repoloarization
• Prinzmetal (Variant) Angina
• Hypo & Hyperkalemia
• Hypothermia Protocol
• Updates & New Changes

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.

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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Cardiovascular Technology Professionals
Cardiovascular Credentialing International (CCI) recognizes programs and providers approved by the American Nurses Credentialing Center’s Commission on Accreditation (ANCC). This self-study package will qualify for 6.0 contact hour.

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Nurses/Nurse Practitioners/Clinical Nurse Specialists - Credit Expired: 2/12/2022
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 6.0 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 6.0 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.

Cardiovascular Technology Professionals, Nurses and other Health Care Professionals