Cyndi Zarbano – PESI – Mastering Lab Interpretation & The Implications for Patient Care

Description

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Cyndi Zarbano – PESI – Mastering Lab Interpretation & The Implications for Patient Care

• Understanding the Differential: Including “Shift to the Left”
• Identify Types of Acute Kidney Failure from the Labs
• Life-Threatening Electrolyte Imbalances and Interventions
• Master ABG Interpretation Using a Simple Tool
• Systemic Inflammation of Sepsis: Lactate/Procalcitonin Levels
• Reading Cultures and Sensitivities
• The Clues to Liver Failure: Understanding LFTs
• Lab and EKG Clues to Differentiate ACS and MI

Attend this interactive seminar and leave with true integrative understanding of lab results and patient outcomes. Be a CLINICIAN, not a TECHNICIAN . . . be PROactive, not REactive! Learn the hidden clinical clues of labs and empower yourself to change lives as a situationally aware patient advocate powerhouse!

Join Cyndi Zarbano, MSN, BSN, CCRN, CMSRN, CLNC, NLCP, as she demystifies both the common and less frequently seen lab values. You will explore a large variety of labs, why they are ordered, and what the results tell us about your patients. By understanding the clues that these values give you, you can utilize critical thinking to proactively plan the course of care and optimize patient outcomes.

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.

Outline

Basic Metabolic Profile (BMP)

• Glucose
• Acid Base
• Renal Function
• Electrolytes
• Life-threatening Electrolytes

• Potassium
• Magnesium
• Sodium
• Calcium

Comprehensive Metabolic Panel: Indications and Implications

• LFTs: Exploring the Liver
• AST/ALT/ALP/Total Bilirubin/Proteins
• Health Issues in Liver Failure

• Jaundice
• Ascites
• Hepatic
• Encephelopathy

CBC with Differential: Interpreting the Components

• What Can Impact WBC and Neutrophil Findings
• Anemias/Polycythemias
• Understanding the Differential
• The Left Shift Explained
• Guidelines on Transfusing have Changed

Acute Renal Failure: Identify the Cause

• Creatinine
• BUN
• BUN/CR ratios
• Glomerular Filtration Rate
• Urine Osmolality
• FENA

Cardiac Labs: Ischemia vs. Myocardial Infarction

• Cardiac Panels
• EKG Clues Supporting the Findings
• Distinguishing STEMI vs. NSTEMI
• BNP
• Pro-BNP

Coagulation/Thrombotic Risk Panels: Clues to Clotting

• The Clotting Cascade
• The Right Lab Test for the Medication
• aPTT
• PT
• INR
• D-dimer
• Disseminated Intravascular Coagulopathy

Urinalysis: Does Your Patient Have a UTI?

• Latest Guidelines
• Culture

Blood Gases: Identifying the Underlying Abnormality

• Three Types of Gases
• Interpreting Arterial Blood Gases: It’s Easier Than You Think!
• Venous Blood Gases
• Mixed Venous Blood Gases

Labs and Sepsis: Taking a Team Approach

• Cultures, Gram Stains and Sensitivities
• Systematic Inflammation
• Labs of Sepsis

• Lactate Levels
• Procalcitonin Levels
• WBCs
• Neutrophils

Lumbar Punctures / Cerebral Spinal Fluid

• Bacterial Meningitis
• Viral Meningitis
• Viral Encephalitis

Understanding Thyroid Dysfunction

• TSH
• T4 Levels
• T3 Uptake

Differentiating Hyperglycemic States

• DKA
• HHS (HHNK)
• Treatment for Each

Objectives

1. Evaluate the results of Coagulation Studies (PT/INT and PTT).
2. Analyze a Complete Blood Count with Differential and discuss clinical applications (Anemias, Left Shifts, Infections, etc.).
3. Recognize the clinical implications of metabolic panels.
4. Distinguish between life-threatening electrolyte imbalances, as well as potential causes and remedies.
5. Predict renal function based on BUN, Creatinine, BUN/CR ratio, and GFR.
6. Interpret cardiac panel results in a suspected acute myocardial infarction.
7. Analyze blood gases and pertinent clinical implications.
8. Differentiate between bacterial meningitis and viral meningitis based on lumbar puncture findings.
9. Recognize the key clinical indicators and implications for infection on a urinalysis.

Target Audience

Nurses and Physician Assistants

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