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Acheiving Qulaity of Life on a Mechanical Ventilator

NPWT Achieving Quality of Life on a Mechanical Ventilator- With recent changes in healthcare, patients requiring long-term mechanical ventilation are being discharged to their homes sooner than in past years.1 A patient's quality of life may change a little or in many cases immensely. Patients must learn how to adapt to their home environment, as well as their health condition. One useful tool for assessing and helping improve patient quality of life is known as health-related quality of life (HRQoL). It is a multi-dimensional measure that includes the quality of life domains of financial well-being, living environment, and safety, as well as domains related to physical, mental, emotional, and social functioning. Course highlights: Effects of HRQoL on patients on Home Mechanical Ventilation (HMV). Treatment goals to improve quality of life (QOL). The unique challenges facing the HMV patient. Considerations for assessing invasive vs. noninvasive ventilation in terms of QOL measures. Advantages of portable vs. non-portable ventilation devices for the long term mechanical ventilation patient.

1.0 Free CEUs fopr Respiratory Therapists

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Sedation and Asynchrony

NPWTThe Link Between Sedation & Asynchrony- While ventilation may be a life-saving tool for critically ill patients, it can also be an uncomfortable experience due to the invasiveness of the tubing, and mismatches (or “asynchronies”) between the patient’s demand for breath and the ventilator-delivered breathing pattern. In the past, clinicians addressed ventilator-patient asynchrony through heavy sedation. However, recent studies have highlighted the negative consequences of over-sedation for ventilatory patients, which include muscle atrophy from prolonged disuse and lengthened ventilation times. By evaluating for asynchrony, clinicians may be able to reduce the risk of oversedation. By using sedation more effectively, we can work together to potentially reduce ICU ventilation time.
Describe asynchrony and the effect of sedation on muscle atrophy. Discuss how conventional ventilation modes work — benefits and limitations of each considering the patient’s natural breathing pattern. Identify asynchrony and assess the causes.

1.5 Free CEUs for Respiratory Therapists

Managing Critically Ill Neonatal Patients- Ventilation of ELBW Infants

ELBW Challenges in Ventilation of Extremely Low Birth Weight (ELBW) Infants: Managing critically ill neonatal patients using various ventilation practices- The World Health Organization and the March of Dimes estimate that 15 million infants are born premature each year, accounting for 1 in 10 babies born worldwide. Many of these infants will develop Respiratory Distress Syndrome (RDS) and other complications that require increased respiratory support. Studies have evaluated early antenatal corticosteroids and surfactant replacement therapy, individualized intubation strategies and lung protective strategies. To reduce the risk of chronic lung disease from repetitive atelectrauma, volutrauma and oxygen toxicity, clinicians have developed lung-protective strategies. These include noninvasive continuous airway pressure (CPAP), advanced modes of conventional mechanical ventilation—both volume targeting and optimizing positive end expiratory pressure (PEEP)—and an open lung concept with high frequency ventilation. Reviews ventilation challenges with extremely low birth weight (ELBW) infants. Current ventilation practices, devices and review of the literature. Clinical cases and management of ELBW infants.

1.0 Free CEUs for Respiratory Therapists

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Exercise-Induced Asthma

EIAExercise-Induced Asthma: Treatment and Management- Exercise-induced asthma (EIA), also known as exercise induced bronchoconstriction, is a disorder in which respiratory distress is associated with histamine release. The disorder is often triggered by some form of aerobic exercise and may last anywhere from two to 10 minutes. Symptoms of EIA may resemble those of an allergic asthmatic attack or the symptoms may be vague and go unnoticed. The ideal treatment for EIA is prevention. The primary treatment is with the use of a short- or rapid-acting inhaled beta2-agonist administered 15 to 30 minutes prior to the exercise. With proper treatment and awareness, the prognosis is good for most people who exercise. If adequate treatment is undertaken, there should be no reason why performance on the field should be limited.
Identify the risk factors for EIA and its clinical presentation.
Discuss medications, types of exercise and environmental factors associated with EIA.
List the different classes of drugs and their characteristicsused to treat patients with EIA

1.0  Free CEUs for Respiratory Therapists

Free until 4/18/16
Gannett Education 
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Capnographic Monitoring

NPWTRationales and Applications for Capnography Monitoring During Conscious Sedation Explore drivers of change for basic anesthetic monitoring. Discuss capnography as a strategy for promotion of patient safety. Evaluate barriers to implementation of capnographic monitoring.

2.0  Free CEUs for Respiratory Therapists
Saxe Healthcare 
This program is sponsored by Teleflex

7 Free CEUs- Asthma Management Program

asthmaAsthma Management Program- Facts about Asthma. Myths about Asthma. Assessment and Monitoring. Diagnosis and Severity of Asthma. Measurement of Lung Function Control of Environmental Factors. Environmental Allergens. Irritants and other factors. Pharmacologic Management, Pathophysiology. Bronchodialator medication. Anti-inflammatory medication. Patient Education. Partnership with the patient. Inhaler and Peak Flow Meter technique.


7.0 Free CEUs for Respiratory Therapists

The Asthma and Allergy Foundation of America (AAFA)


Evidence-based Practices: A Roadmap to Preventing HAP & VAP

NPWTRoadmap to HAP & VAP: Neglecting Oral Care- Discuss prevalence and consequences of Hospital Acquired Pneumonia & Ventilator Associated Pneumonia (HAP & VAP). Describe how the mouths of critically ill patients undergo radical changes to become reservoirs of pathogens. Identify the means by which poor oral care in the ICU can result in complications including pneumonia. List recommended oral care interventions and associated evidence-based rationales.

1.0 Free CEUs for Respiratory Therapists

Expires 9/2017
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Support by Halyard Knowledge Network

New CDC Recommendations for Prevention of VAP

ventCDC Recommendations on Preventing Ventilator-Associated Pneumonia (VAP)- Mechanical ventilation is required in up to 50% of all critically ill patients during their hospital course. Ventilator-associated pneumonia (VAP) is not uncommon and is known to be associated with increased morbidity, mortality and length of stay. Currently, there is a renewed focus on VAP due to the financial reimbursement with a pay for performance fee structure. The pathogenesis of VAP is hypothesized to be due to the introduction of bacteria into the sterile lower respiratory tract. This article addresses the CDC recommendations for the known modifiable risk factors for VAP, back rest elevation, maintaining endotracheal tube cuff pressure, selection of endotracheal tube and placement, ventilator circuit care, de-contamination of oral flora, and minimizing sedation in the mechanically ventilated patient. Discuss the pathogenesis of VAP (Ventilator-associated Pneumonia). Describe the economic impact of diagnosing VAP in a patient. Identify the CDC recommended methods of VAP prevention.

2.0 Free CEUs for Respiratory Therapists
Saxe Healthcare 
Teleflex

Capnography: Principles & Applications

NPWT Capnography: Principles and Application - Capnography, the monitoring of ETCO2 and the capnographic waveform is currently used in many areas of the hospital. Understanding the clinical application of CO2 monitoring is important when utilizing this technology. This presentation will describe the various methods of CO2 monitoring and the physiology of ventilation-perfusion relationships. Describe the aspects of the normal capnogram, clinical interpretation of ETCO2 values, analyzing the capnogram and appropriate clinical interventions. Describe the advantages of mainstream vs. sidestream CO2 technology. Discuss normal and abnormal ventilation/perfusion relationships. Identify and discuss the phases of a normal capnogram. Discuss the ETCO2/PaCO2 gradient and its clinical application. Interpret abnormal capnograms and clinical interventions.

1.0 Free CEUs for Respiratory Therapists

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Efficient & Effective New Patient Setups

NPWTAchieving Compliance with First Class Setups- Save time and reduce costs associated with new patient setups. This course will provide an overview of how to make new patient setups more efficient and effective.

This course is approved by the AARC, the BRPT  for 1 credit hour.

1.0  Free CEUs for Respiratory Therapists

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Early Detection of Respiratory Depression

rdEarly Detection of Respiratory Depression - Respiratory depression (RD) is a feared complication in patients undergoing intravenous or epidural patient-controlled analgesia for the treatment of postoperative pain. Adequate monitoring provides a unique opportunity to clinicians to detect early signs of respiratory depression and significantly reduce the incidence of sentinel events. Define sedation and opioid-induced respiratory depression (RD). Discuss the current status of monitoring for RD. Discuss the impact of procedural sedation and analgesia in the incidence of respiratory depression. Describe the role of pulse oximetry, capnography, and pulmonary indices in detecting alveolar hypoventilation.

1.0 Free CEUs for Respiratory Therapists

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Pain Management Module II of II- Pain Management Program

chronic painPain Management Module II of II- Pain Management Program Name a strong opioid that has no active metabolites. Identify two adverse effects from PCA analgesia. Define PCA by proxy. List three benefits of Programmed Intermittent Bolus medication administration. Identify a way to prevent misconnections with Epidural medication administration.

1.0 Free CEUs for Respiratory Therapists


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