Cardiac Dysfunction: When Things Go Wrong
- : West Lakes SA 5021
2-Day Seminar: Heart Failure; Basic & Complex Arrhythmias; ICD’s & Pacing; Cardiomyopathy; Valvular Disease; Endocarditis; Pericarditis...Overview
Cardiac disease is a major killer of humans. It is linked to a range of genetic disorders, medical conditions and also lifestyle triggers. Our understanding of the causes of cardiac disease has improved significantly in the past few decades, largely due to technology and associated research. As well, treatment and management of complex cardiac disorders are now reasonably well understood. People who previously may have died from cardiac disease often live long and quality lives. The keys to this success are prevention, identification and early intervention of the disease.
Because so much new evidence relating to cardiac health is coming to the fore, it is essential that nurses, who are often on the frontline of care, have access to up-to-date information about best practices, appropriate skills and treatment goals.
This seminar is designed for nurses working in all areas of health care as patients may present with cardiac disease as their main complaint, or as an unknown or underlying co-morbid condition.
All nurses working in a wide variety of settings, particularly in acute care, will encounter patients who have cardiac disease. There is a need to stay up-to-date on the assessment, pathophysiology and evidence-based nursing actions relating to cardiac disease so as to improve patient outcomes.Purpose of Program
Improve patient outcomes for people who present with cardiac disease through assessment, understanding of relevant pathophysiology and appropriate evidence-based nursing actions.Learning Outcomes
At the conclusion of this program it is expected that the participants will be able to:
8:30am - Registration and Refreshments
The morning sessions will be presented by Kerrie Davies.
9:00amCardiac Anatomy and Physiology
This revision session provides the foundation for understanding cardiac disorders. You will have an opportunity to reflect on your current level of knowledge. Includes:
- Revision of cardiac anatomy and physiology
- How do vital signs relate to physiological processes?
- What are the determinants of cardiac output?
- What are clinical non invasive techniques for assessment of cardiac output?
9:55am'The Way You Look Tonight...' Cardiovascular Physical Assessment
Using case scenarios to illustrate a range of different presentations of ACS, you will gain an opportunity to understand theory in action. Includes:
- Relating clinical presentation to pathophysiological changes occurring in ACS
- What are some atypical presentations?
- Differentiating chest pain presentations
10:40am - Morning Tea and Coffee
11:00am'I Got Rhythm...' Introduction to Simple Cardiac Rhythm Interpretation and Sinus Rhythm
- What do the waveforms represent?
- What does it mean if there are changes in these waveforms or intervals?
- What are the criteria for sinus rhythm?
11:45pm'Good Vibrations...' Basic ECG Interpretation
ECG is an essential tool used for understanding cardiac disease. This session will review the changes that can be identified on the ECG indicating ACS, with particular focus on the ST segments and T-waves.
- Revision of the normal ECG
- What does ECG with ST elevation look like?
- How to identify ECG with ST depression and T inversion
- What is the significance of changes in ST segments and T-waves?
12:30pm - Lunch Break and Networking
The afternoon sessions will be presented by Sharon Meagher.
1:15pm'Sh-Boom...' Heart Failure – What Does it Mean?
In this session you will review the difference between systolic and diastolic dysfunction (HFPSDF).
- What is the emergency management of acute pulmonary oedema (APO)?
- This session could be a general overview of heart failure, including definitions, patient goals and education strategies
2:00pm'Another Brick in the Wall'?
A look at implantable cardiac defibrillator (ICD) and biventricular pacing – re-synchronisation therapy. Includes:
- What are the indications for an ICD?
- What happens if the ICD is firing inappropriately?
- How is biventricular pacing beneficial to someone in heart failure?
2:45pm - Afternoon Tea and Coffee
3:00pm'Night Fever?' Infective Endocarditis
Despite advances, diagnosing Infective Endocarditis remains a challenge. This session includes useful case scenarios.
- Why is it necessary to make an early diagnosis?
- What are the risks and potential complications?
- Any session here on infective endocarditis, tailored to you
3:45pm'Beat It...' Pericarditis – What Type of Chest Pain?
Another pervasive cardiac disease is pericarditis. Are you confident you could identify this condition during your cardiac assessment? This session will walk you through the signs and symptoms of pericarditis and provide assessment tips. Includes:
- Differentiation from ischaemic origin
- Is it a good sign when the friction rub disappears?
- Any session here on pericarditis, tailored to you
4:30pm - Close of Day One of ProgramDay Two
9:00am - Commencement of Day Two
The morning sessions will be presented by Jo Reading.
9:00am'Open, Close, Open...' Valvular Heart Disease
Valvular heart disease is a common condition amongst Australians and is characterised by the malfunctioning of one or more of the heart's valves. This session will introduce valvular heart disease and includes:
- Occurrence of valvular heart disease
- Risk factors for valvular heart disease
- Understanding the pathophysiology of valvular heart disease
- Patient symptoms that differentiate between different valvular diseases
10:00am“Murmurs in the Night”…Understanding Heart Murmurs and Extra Heart Sounds
Continuing on from the last session, this interactive session focuses on a practical approach to valvular heart disease recognition and includes:
- Auscultating normal heart sounds to recognise when there are abnormal heart sounds present
- Differentiating between valvular stenosis and regurgitation
- Case scenarios to link your theoretical understanding with practical application
11:00am - Morning Tea and Coffee
11:15am“A Shock to the System”…Understanding Cardiogenic Shock
The cardiovascular system is a closed circuit that maintains a perfect equilibrium; blood comes into the heart, blood goes through heart and blood then leaves the heart. This session will look at what happens when a spanner is thrown into the works of this perfectly functioning system and includes:
- The relationship between preload, afterload and contractility
- Causes of cardiogenic shock
- Clinical symptoms of cardiogenic shock
- Management of cardiogenic shock
12:15pm - Lunch Break and Networking
The afternoon sessions will be presented by Jo Reading.
1:00pm“Staying Calm, Staying Alive”…Hypertrophic Obstructive Cardiomyopathy (HOCM)
HOCM is one of the most common inherited cardiac disorders and is the leading cause of sudden cardiac death in young athletes. This is due to the effect this disorder exerts primarily on the left ventricle and it’s predisposition to cardiac arrhythmias. This session will look at the:
- Pathophysiology of HOCM including systolic anterior motion (SAM) and left ventricular outflow obstruction (LVOT)
- Clinical symptoms and diagnostic criteria of HOCM
- Management of patients with HOCM and reducing the risk of sudden cardiac death
2:00pm“Take My Breath Away”…Arrythmogenic Right Ventricular Cardiomyopathy (ARVC)
ARVC is also one of the most common inherited cardiac disorders and is the second leading cause of sudden cardiac death in young athletes. This is due to the effect this disorder exerts primarily on the right ventricle and it’s predisposition to cardiac arrhythmias. This session will look at the following:
- Pathophysiology of ARVC including the initiation of ventricular arrhythmias
- Clinical symptoms and diagnostic criteria of ARVC
- Management of patients with ARVC and reducing the risk of sudden cardiac death
3:00pm - Afternoon Tea and Coffee
3:15pm“The Lady in Red”…Acute Coronary Syndrome (ACS) with Normal Coronary Arteries
There are certain cardiomyopathies that present like an ACS, however the patient will have normal coronary arteries on the angiogram. This session will look at two baffling cardiac syndromes that predominantly affect women and includes:
- Cardiac Syndrome X also known as Microvascular Angina
- Broken Heart Syndrome also known as Takotsubo Cardiomyopathy
- The management of patients presenting with these syndromes
4:15pm - Close of Seminar and Evaluations
Joanne Reading is a Critical Care Registered Nurse with extensive experience clinically managing a wide array of critically ill patients. Joanne holds a Master’s of Health Science (Critical Care) and is passionate about ensuring that education not only fosters critical thinking, but is entertaining in the process! With a special interest in all things cardiac and respiratory, Joanne currently works as an Intensive Care Clinical Educator within a dynamic and expanding 10-bed unit, as well as an undergraduate teacher at a large reputable university in Melbourne. Joanne has recently joined the revolution of Free Open Access Nursing Education (#FOANed) by starting her own nursing education blog called "Blogging for your Noggin", having her work referred to by popular education sites such as The Nurse Path and Life in the Fast Lane.