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12-Lead EKG & Chest X-Ray Interpretation: Enhancing Assessment Skills for Improved Outcomes

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The EKG and Chest X-Ray are the most commonly used procedures for diagnosing a wide variety of cardiac and respiratory conditions, yet even the most season...
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Information

Faculty:
Cheryl Herrmann
Duration:
6 Hours 3 Minutes
Format:
Audio and Video
Copyright:
Jan 14, 2021

Description

The EKG and Chest X-Ray are the most commonly used procedures for diagnosing a wide variety of cardiac and respiratory conditions, yet even the most seasoned nurses struggle to master interpretation. Watch this live webcast and finally learn to recognize borderline and abnormal findings. In this information-packed program expert, Cheryl Hermann, will teach you easy-to-understand techniques to identify coronary and pulmonary problems you would have previously missed. Don't miss this opportunity to learn how to:

  • Analyze QRS axis to determine diagnosis
  • Contrast left anterior and posterior hemiblocks
  • Recognize the location of acute coronary syndromes
  • Interpret chest x-rays for differential diagnosis
  • Perform more efficient and effective patient assessments
  • And most importantly, respond to the patient emergencies associated with each of these changes!

Handouts

Outline

Part I: The ABCs of 12-Lead EKG Interpretation

The 12-Lead EKG

  • Cardiac electrical conduction system
  • Electrical vectors
  • Normal polarity & P-QRS-T configuration of each lead

Ace the Axis

  • Left & right axis deviation
  • Causes & criteria
  • Methods of determining axis deviation
  • Clinical applications

Beat the Bundles

  • Right & left bundle branch blocks
  • Causes & complications
  • Left anterior & left posterior hemiblocks

Correlate the Coronary Anatomy

  • The coronary arteries
  • Left ventricular walls
  • Relationship to the 12-lead

Differential Diagnosis in Acute Coronary Syndrome

  • Ischemia, injury & infarction patterns
  • Reciprocal changes
  • STEMI vs. NSTEMI
  • Coronary spasm
  • Takotsubo cardiomyopathy

Putting it all Together

  • The 30-second diagnosis
  • Coronary angiographic correlation
  • Presentations, analysis & clinical applications

Advanced Interpretation

  • Atrial & ventricular hypertrophy
  • WPW - Wolff-Parkinson-White Syndrome
  • Prolonged QT intervals

Part II: Chest X-Ray Interpretation as Easy as Black & White

The Chest X-Ray

  • Technique
  • Black & white principles
  • Projections

Systematic Approach

  • Bone structures & Intercostal spaces
  • Soft tissues & vasculature
  • Pleural surfaces
  • Heart & great vessels
  • Invasive lines

As Easy as Black

  • Identifying pneumothorax & subcutaneous emphysema
  • Treatment priorities

As Easy as White

  • Identifying:
    • Pleural Effusion
    • Pulmonary Edema
    • Pneumonia
    • ARDS
    • Cardiomyopathy
    • Cardiac Tamponade
  • Clinical applications & interventions

Beyond the Basics

  • Identification & Initial Treatment of:
    • Aortic aneurysm
    • Post-op changes with pneumonectomy
    • Esophagogastrectomy
    • Dextrocardia

Faculty

12-Lead EKG & Chest X-Ray Interpretation: Enhancing Assessment Skills for Improved Outcomes

Cheryl Herrmann, RN, MS, APRN, CCRN, CCNS-CSC-CMC Related seminars and products: 6


CHERYL HERRMANN, RN, MS, APRN, CCRN, CCNS-CSC/CMC, has 31 years of nursing experience—15 years as a bedside nurse in SICU, Neuro ICU, and CVICU, and 16 years as a cardiac clinical nurse specialist. As a cardiac CNS, she cares for patients in cardiac prep and recovery, cardiac catheterization, surgery, ICU, telemetry/progressive units, and at discharge. In addition, Ms. Herrmann is a Prehospital RN for the local ambulance service. She has a passion for cardiac nursing and is an advocate for heart health, particularly in raising awareness of heart disease in women.

Ms. Herrmann is a reviewer for a critical care textbook as well as several nursing journals, one of which, Critical Care Clinics, recently published her article "A Woman's Heart is Different." She is a popular presenter for local nursing colleges, church and service groups, and EMS groups, as well as national conferences such as the American Association of Critical Care Nurses NTI. In 23 years of volunteer work, she has provided vital medical supplies, services, and training to the poor and disadvantaged in Mexico, Ethiopia, Haiti, and Indonesia. She has been team leader of 40 medical-dental teams to Mexico and participated in a Critical Care Nursing Ambassador program to China.

In 2005, Ms. Herrmann was honored with the American Association of Critical-Care Nurses Circle of Excellence—Excellent Clinical Nurse Specialist Award and the Twenty-Five Women in Leadership Award in central Illinois. She is the recipient of the 2009 University of Illinois Alumni Award. Her nursing career has been profiled in Advance for Nurses. Ms. Herrmann believes that learning should be fun and stimulating. She has created numerous educational puzzles and games for nurses, three of which have been published in AACN News. She presents material in a way that all health professionals caring for the cardiac patient, regardless of where they are in the continuum, take home valuable knowledge and new skills. For more information about Ms. Herrmann, please visit www.cherylherrmann.com.

Speaker Disclosures:

Financial: Cheryl D. Herrmann has an employment relationship with UnityPoint Health Cardiology. She receives a speaking honorarium from PESI, Inc.

Non-financial: Cheryl D. Herrmann is a member of the Illinois Society of Advanced Practice Nurses and National Association of Clinical Nurse Specialists.