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Cardiology

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Advanced Cardiac Monitoring: Determining Electrical Axis

Product code: M095

Overview:

Describes how to determine the electrical axis of the heart using the 12-lead ECG. Illustrates six frontal plane lead positions and charges using original graphics. Identifies vector direction, based on QRS deflection, and presents a method to calculate its net deflection. Demonstrates the step-by-step process to determine electrical axis using actual ECGs and discusses causes of axis deviation. Emphasizes patient assessment, accurate documentation and comparison of ECG findings in the evaluation of axis deviation.

Advanced Cardiac Monitoring: Intraventricular Conduction Disturbances

Product code: M096

Overview:

Identifies ECG changes associated with intraventricular conduction disturbances. Discusses the normal process of synchronous ventricular activation and anatomic differences of bundle branches. Emphasizes the clinical significance of right and left bundle branch blocks. Differentiates between bifascicular, trifasicular and bilateral bundle branch blocks. Demonstrates detection of the onset of intraventricular conduction disturbances and determining the area involved through the use of actual ECGs.

Advanced Cardiac Monitoring: Ventricular Ectopy vs. Aberrancy

Product code: M097

Overview:

Assesses the cardiac waveform to distinguish clinically insignificant changes from those warranting immediate intervention.Focuses on differentiation between ventricular ectopy and aberrancy through authentic examples of rhythm strips and 12-lead ECGs. Describes action potential phases of the cardiac ventricular cells and explains the difference between normal cardiac impulse conduction and ventricular ectopic impulse conduction.

Compares right bundle branch block aberration to left ventricular ectopy and left bundle branch block aberration to right ventricular ectopy. Defines Torsades de Pointes, its causes and management.

Basic Cardiac Monitoring: Dysrhythmias of the AV Node and Ventricles

Product code: M112 Reviewed for accuracy: 2009

Overview:

Presents four dysrhythmias originating in the AV node, and four originating in the ventricles. For each dysrhythmia, the program illustrates characteristic waveforms, and presents nursing actions and medical interventions.

Basic Cardiac Monitoring: Dysrhythmias of the SA Node and Atria

Product code: M111 Reviewed for accuracy: 2009

Overview:

Discusses cardiac dysrhythmias of the sinoatrial node and the atria. Presents the importance of dysrhythmias, and the nursing responsibilities, including evaluation of the patient and the dysrhythmia.

Basic Cardiac Monitoring: Setting Up Cardiac Monitors

Product code: M110 Reviewed for accuracy: 2009

Overview:

Demonstrates the operation of the bedside cardiac monitor, the central station monitor and telemetry. Explains programming the central station monitor, and shows preparation of the patient and the equipment for telemetry.

Basic Cardiac Monitoring: Understanding Fundamentals

Product code: M109 Reviewed for accuracy: 2009

Overview:

Introduces cardiac monitoring and the ECG, relating the cardiac cycle to the specific features of the ECG waveforms. Shows the 12-lead ECG; explains the Lead I and Modified Lead I configurations. Demonstrates the proper procedure for applying electrodes to the patient.

Call to Action: What to Do When a Patient Codes

Nurses are required to regularly participate in mock code exercises for respiratory and cardiac arrest (code blue), and respiratory arrest alone (code purple) in different settings. This program demonstrates code situations and describes in detail the appropriate responses required. While it is not a substitute for participation in a mock code, it is a valuable tool to help nurses respond to codes confidently and successfully.

Cardiac Catheterization

Product code: M007

Discusses treatment modalities, and highlights key aspects of the various procedures and results.

Cardiovascular Anatomy and Physiology

Product code: 50159

Overview:

This CD-ROM presents general information, tutorials, and critical thinking questions about cardiovascular anatomy and physiology. Understanding of cardiovascular anatomy and physiology is requisite knowledge to the performance of cardiovascular assessment and interpretation of electrocardiogram tracings. The software was designed using the Jeffries' Hyperlearning Model that allows participants to control their learning in a non-linear, self-paced, interactive format. Three dimensions of the hyperlearning Model were utilized: general principles, process, and critical thinking to organize the knowledge into categories allowing participants to learn content in a order that makes the most sense to them. A pre/post test is included in the CD-ROM for learners to take as a self-evalutation or for instructors to use as a means of measuring cognitive gains. Additionally, the program allows learners to take and print notes while experiencing the program. The instructional material is designed for different health professionals including RN's, physicians, medical/nursing students, emergency medical technicians (EMTs), and paramedics.

Caring for the Patient with a Permanent Pacemaker

Product code: A2055

Overview:

This program explains how a pacemaker operates and when it is needed. Demand pacing and fixed-rate pacing are introduced, and the international pacemaker code is described. Viewers will learn how to assist patients with pacemakers.

CPR: New Guidelines for Healthcare

Product code: M211R Reviewed for accuracy: 2007

CPR: New Guidelines for HealthcareThis program has been updated to reflect changes found in the 2005 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. The changes described and demonstrated include: A universal compression-to-ventilation ratio of 30:2 for lone rescuers (except newborns), when to "phone first" vs. "CPR first", checking for "adequate" breathing, use of 1 or 2 hands to give chest compressions for a child, use of 15:2 compression-to-ventilation ratio for 2-rescuer CPR of infants and children, rotation every 2 minutes of rescuers giving compressions in 2 or more rescuer CPR, and simplified foreign body airway obstruction (FBAO) relief instuctions.

EKG Basic Rhythm Analysis

Product code: 50160

Overview:

The CD is a basic educational, instructional tool that presents information on basic cardiac arrhythmia interpretation. The instructional material is designed for different health professionals including RNs, physicians, medical/nursing students, emergency medical technicians (EMTs), and paramedics requiring a basic knowledge about basic cardiac rhythm interpretation. The software was designed using the Jeffries' Hyperlearning Model which allows the participant to learn in a non-linear, self-paced, interactive format. The three dimensions within the model include: general principles of basic arrhythmias analysis, process of interpreting cardiac arrhythmias, and critical-thinking where eight different vignettes are designed to apply the knowledge gained throughout the program. Included in the CD are testing components such as a pre/post test to measure knowledge gains in addition to self-study questions throughout every lesson. Other features include a comprehensive glossary and notebook for note-taking with capacity to print the notes.

EKG Interpretation and Response: Atrial and Junctional Dysrhythmias and Heart Block

SERIES OVERVIEW: Cardiac dysrhythmias are abnormalities of the heart rate or rhythm. These abnormalities are monitored using an electrocardiograph machine which produces an electrocardiogram (EKG, or ECG), a waveform tracing that represents electrical impulses in the heart. The nurse’s ability to recognize significant dysrhythmias quickly and accurately through interpretation of the EKG is an essential part of the management of patients with known or suspected cardiac conditions. This series is designed to provide nurses with an introduction to EKG interpretation and to the EKG analysis of specific common dysrhythmias. The programs in this series are: EKG Interpretation and Response: Reading an EKG EKG Interpretation and Response: Sinus Dysrhythmias EKG Interpretation and Response: Atrial and Junctional Dysrhythmias and Heart Block EKG Interpretation and Response: Ventricular Dysrhythmias and Patient Care OVERVIEW: This program describes specific characteristics displayed on an EKG used to identify atrial and junctional dysrhythmias, and heart block, and provides an overview of treatment for them. UPDATED INFO: EKG Interpretation and Response: Atrial and Junctional Dysrhythmias and Heart Block (Now78805CR) has been revised to reflect a change in the definition of junctional tachycardia.EKG Interpretation and Response: Ventricular Dysrhythmias and Patient Care (Now 78805DR)has been revised to reflect a change in the medications recommended to treat premature ventricular contractions (PVCs). OVERVIEW:This program describes specific characteristics displayed on an EKG used to identify atrial and junctional dysrhythmias, and heart block, and provides an overview of treatment for them.

EKG Interpretation and Response: Reading an EKG

EKG Interpretation and Response: Sinus Dysrhythmias

EKG Interpretation and Response: Ventricular Dysrhythmias and Patient Care

SERIES OVERVIEW: Cardiac dysrhythmias are abnormalities of the heart rate or rhythm. These abnormalities are monitored using an electrocardiograph machine which produces an electrocardiogram (EKG, or ECG), a waveform tracing that represents electrical impulses in the heart. The nurse’s ability to recognize significant dysrhythmias quickly and accurately through interpretation of the EKG is an essential part of the management of patients with known or suspected cardiac conditions. This series is designed to provide nurses with an introduction to EKG interpretation and to the EKG analysis of specific common dysrhythmias. The programs in this series are: EKG Interpretation and Response: Reading an EKG EKG Interpretation and Response: Sinus Dysrhythmias EKG Interpretation and Response: Atrial and Junctional Dysrhythmias and Heart Block EKG Interpretation and Response: Ventricular Dysrhythmias and Patient Care OVERVIEW: This program describes ventricular dysrhythmias and demonstrates appropriate care responses, such as initiating standardized emergency protocols (such as ACLS) and administering medications. OVERVIEW: This program describes ventricular dysrhythmias and demonstrates appropriate care responses, such as initiating standardized emergency protocols (such as ACLS) and administering medications.

Emergency Defibrillation Safety

Product code: A2039

Overview:

In clear, easy-to-follow explanations, this program describes defibrillation equipment indications for emergency defibrillation, and the steps for efficient, safe defibrillation. Beginning with an explanation of ventricular tachycardia and ventricular fibrillation, the program shows how to spot these rhythms and what to do when a patient needs emergency defibrillation. Troubleshooting situations, such as machine malfunction, are covered.

How to do a 15-Minute or less Family Interview

Product code: 50162

Overview:

This video defines and demonstrates the techniques for performing a 15-minute family interview. It also shows how to apply these skills in family nursing clinical practice, offers sample questions for the nurse to explore family concerns and solutions. It will demonstrate key interviewing skills for communicating with patients and their families.

Using a 12-Lead EKG to Document Acute Myocardial Infarction

Product code: A2056 Reviewed for accuracy: 2009

Overview:

This comprehensive, instructive program for nurses explains what happens during a heart attack. Use of the 12-lead EKG and the signs of acute myocardial infarction are presented. This program also reviews the pathophysiology of decrease myocardial blood flow, the causes of myocardial infarction, and how to document ischemia, and myocardial infarction.