Optimizing Outcomes in ARDS & Septic Shock

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INTRODUCTION

ARDS and septic shock are devastating, potentially fatal, frequently encountered complications of critical illness. While each poses tremendous challenges to clinicians when presenting individually, ARDS and septic shock share common pathophysiologic pathways and often occur concurrently. New knowledge of the pathogenesis, such as the recently recognized likely role of the renin-angiotensin aldosetone system in the etiology of ARDS and the major role of microcirculatory disturbances in septic shock, are described. Specific considerations in mechanical ventilation in both syndromes are discussed, as are the critical nursing responsibilities of early recognition of ARDS risk factors and the avoidance of factors that may increase the likelihood of the critically ill patient developing ARDS.

Following the publication of the third edition of the Surviving Sepsis Campaign Guidelines in early 2013, several significant changes have been made in management of patients in septic shock. Among others, these include a change in the first line vasopressor and an early use of dobutamine based on a more significant and frequent degree of cardiac dysfunction in septic patients. Recommendations concerning glycemic control and the importance of PEEP, neuromuscular blockers, and lung-protective strategies were also included, and will be discussed in detail. Designed specifically for critical care nurses and including case studies and frequent question and answer sessions, this seminar provides state-of-the art information with an emphasis on clinical decision-making and clinical application.

TARGET AUDIENCE

This seminar is intended for critical care nurses and advanced practice nurses.






Presented by:
Barbara Clark Mims,
MSN, RN-BC, CCRN-K


CONTACT HOURS


This continuing nursing education activity was approved by the Texas Nurses Association, an accredited approver by the American Nurses Credentialing Center's Commission on accreditation.

6.5 contact hours




  Provider approved by the California Board of Registered Nursing,
  provider number 6910, for 6.5 contact hours.

 

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