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Cardiology

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Advanced Cardiac Monitoring: Determining Electrical Axis

Product code: M095 Reviewed for accuracy: 2011

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 Reviewed for accuracy: 2011

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, trifascicular 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 Reviewed for accuracy: 2011

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: 2011

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: 2011

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: 2011

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: 2011

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

Overview:

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 Reviewed for accuracy: 2011

Overview:

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

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.

Code Cart

Product code: 78596

Overview:

This program will evaluate the equipment and supplies within and on the code cart. Both a laryngoscope and pre-loaded syringe will be assembled for use. Proper placement of the code cart at a resuscitation scene will be shown and the proper procedure for validating the contents and condition of equipment on the code cart will be demonstrated.

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.

Objectives:

After completing this course, the learner should be able to:

Describe two hallmarks of atrial dysrhythmias
Identify EKG characteristics of premature atrial contractions
Identify EKG characteristics of atrial fibrillation and atrial flutter
Identify EKG characteristics of junctional tachycardia
Identify EKG characteristics of four types of heart block

EKG Interpretation and Response: Reading an EKG

Series Overview:

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 provides a review of the heart's electrophysiologic properties and an introduction to interpreting the normal EKG waveform.

Objectives:

After completing this course, the learner should be able to:

Describe the heart's electrophysiologic properties
Identify the components of the heart's electrical conduction and mechanical response system
Interpret the components of a normal EKG waveform
Calculate heart rate on the EKG
Assess normal sinus rhythm using the 7-step method

EKG Interpretation and Response: Sinus Dysrhythmias

Series Overview:

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 sinus dysrhythmias that arise from sites above the ventricles. These sites include the sinus node, the atria and the AV node.

Objectives:

After completing this course, the learner should be able to:

Identify EKG characteristics of sinus arrhythmia
Identify EKG characteristics of sinus bradycardia
Identify EKG characteristics of sinus tachycardia
Identify EKG characteristics of sinus pause, sinus arrest and sinus block

EKG Interpretation and Response: Ventricular Dysrhythmias and Patient Care

Series Overview:

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.

Objectives:

After completing this course, the learner should be able to:

Identify EKG characteristics of premature ventricular contractions
Identify EKG characteristics of ventricular tachycardia
Identify EKG characteristics of ventricular fibrillation
Identify EKG characteristics of ventricular standstill (asystole)
Describe pulseless electrical activity (PEA)
Explain nursing responsibilities in caring for patients with dysrhythmias

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.

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.