Cyndi Zarbano – Cardiac Output Manipulations for Hemodynamic Stability – PESI

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Exploring the Essential Features of “Cyndi Zarbano – Cardiac Output Manipulations for Hemodynamic Stability – PESI”

Speaker: Cyndi Zarbano, MSN-Ed, CCRN, CMSRN, LNC

Duration: 2 Hours 01 Minutes

Format: Audio and Video

Copyright: Nov 09, 2022  

Media Type: Digital Seminar

Description

A common reason for transfer to intensive care is that a patients’ status has become unstable. In this session, view Cyndi Zarbano as you learn the how’s and why’s of keeping our patients hemodynamically stable.  When training CCU/ICU nurses, Cyndi often shares “if you can learn to understand how and why we manipulate the cardiac output mathematical equation, you will improve your critical thinking skills – and patient care outcomes!” Cyndi has been a national seminar speaker for 15 years earning a reputation for being engaging using humor, stories, and nursing experiences to help attendee’s “get it”! Her career has included flight nursing, prior military background leaving service as a Lieutenant Commander, and nearly 30 years in various intensive care roles.

Speaker

Cyndi Zarbano, MSN-Ed, CCRN, CMSRN, LNC

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 over 200 cases for both plaintiff and defense. Her role has included analyzing medical records, determining merit, assisting with client interviews, attending medical appointments, locating testing experts, completing chronologies, reviewing billing for accuracy, deposition/jury question development, and assisting in court strategy development. She has served as a testifying expert for 16 cases. 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.

Objectives

1. Determine cardiac output manipulations for hemodynamic stability.
2. Analyze the three components of stroke volume and determine how we can manipulate it.
3. Differentiate the six vasopressors and how we select which is the right one for each patient situation.
4. Choose pharmacological agents to optimally stabilize patients in crisis.

Outline

• Cardiac Output (CO) = Heart Rate (HR) x Stroke Volume (SV)
• Normal and abnormal values for multiple cardiac findings
• Breaking down the equation to manipulate each component

• Heart Rate – too fast or too slow
• Stroke Volume

• Preload – “dry or over-tanked up”
• Afterload – manipulating the pressure the heart pushes against to move blood forward
• Contractility – too much or too little squeeze

• How the initiation of drugs and fluid options can manipulate the equation
• Swan Ganz catheters, FloTrak or Vigileo monitors can drive interventions
• The role of Intra-Aortic Balloon Pumps or Impella’s
• Understand the rationale behind medication selection

Target Audience

• Nurses
• Nurse Practitioners
• Clinical Nurse Specialists
• Physician Assistants

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