"How Do I Know I'm in Menopause?" Navigating the Transition from Perimenopause to Menopause

Learning Objectives: Describe the normal endocrinologic changes of perimenopause and menopause and their impact on general health of women. List hormonal and nonhormonal therapies available for each of the major menopausal symptom complexes. Estimate the efficacy and health risks associated with use of therapies to identify appropriate candidates.
Contemporary Forums

Hemodynamic Monitoring: The Continuum of Care from the ED to the ICU

Learning Objectives: Define indications and applications for hemodynamic monitoring in acute and critical care areas. Describe decision algorithms which outline levels of monitoring. Develop an evidence based plan for appropriate level of monitoring.
Contemporary Forums

Renal Biomarkers: What's New in Assessing Renal Function?

Learning Objectives: Discuss the best method to evaluate glomerular filtration rate. Describe the use of fractional excretion of sodium in assessing tubular function. Describe the use of newer renal biomarkers in determining acute kidney injury (AKI).
Contemporary Forums

Glucose Gone Wild in the Critically Ill Patient & How to Tame It

Learning Objectives: Discuss the increasing incidence of diabetes in the hospitalized patient. Identify research-supported glycemic goals for patients based on surgical/medical ailments and age. Describe methods of insulin delivery in the acute care arena as well as safe transition off insulin infusion or transfer out of ICU.
Contemporary Forums

Mother's Intuition: Critical for Caring for the Chronically Ill Child

Learning Objectives: Discuss examples of maternal intuition. List importance of giving credibility to parental concerns. Review strategies for involvement of parents in their child's healthcare.
Contemporary Forums

Cases in Toxicology

Learning Objectives: Discuss agents commonly encountered in pediatric toxicology. Review clinical presentation and management strategies for commonly encountered pediatric toxins. Apply evidence-based management strategies using a case-based approach.
Contemporary Forums

Highlights of the New 2015 AHA Guidelines for CPR and ECC

Learning Objectives: Describe at least one change in the 2015 AHA Guidelines update that will change their practice of resuscitation. List at least 3 ways to minimize interruptions in chest compressions during resuscitation. Describe two options for providing targeted temperature management during post-cardiac arrest care for the child following resuscitation.
Contemporary Forums

Hematology/Oncology PICU Issues: Case Studies

Learning Objectives: Review the importance of hemoglobin, coagulation, bone marrow, fibrinolytic and transfusion issues with the critically ill child. Describe the diagnostic laboratory data necessary to care for the child with anemia, platelet disorders, and oncologic emergencies. Prioritize the care for the child with an oncologic emergency.
Contemporary Forums

Immunology Applications in the PICU: Case Studies

Learning Objectives: Review the components of the immune system that protect the pediatric patient including B and T lymphocytes, natural killer cells as well and the interchange between antigens and antibodies. Describe the impact that diseases and infections such as DiGeorge and Wiskott -Aldrich have on the functioning of the immune system as well as immunglobulins such as IgG, and IgE. Appreciate the role of complements (and why these lab values are so important!) and their role in the c...
Contemporary Forums

A Skeptic's View of Neonatal Medicine: Balancing Science and Art

Learning Objectives: Describe the indications for the use of bicarbonate in the NICU. Discuss the risks and benefits of postnatal steroids for BPD. Describe the limitations of probiotics for the prevention of NEC.
Contemporary Forums

Delivery Room Emergencies: Case Studies

Learning Objectives: Apply clinical assessment skills to the care of complex neonatal cases in delivery room. Discuss etiology, pathophysiology and management of selected neonatal cases. Describe emerging technologies and new therapies for these cases.
Contemporary Forums

Don't Forget the Kidneys! Renal Failure in the NICU Patient

Learning Objectives: Review key alterations in renal function compared to the adult. Develop an initial management plan for the infant with acute renal failure. Discuss potential long-term complications related to acute renal failure.
Contemporary Forums

Challenging Cases in Neonatal Ethics

Learning Objective: List the four basic principles of pediatric ethics. Discuss how pediatric ethics principles apply to newborns. Identify the challenges that arise when caregivers and parents disagree on the provision of care for critically ill newborns.
Contemporary Forums

Neonatal Hypoglycemia: Solve These Cases

Learning Objectives: Discuss postnatal glucose homeostatis. Review differences between PES and AAP recommendations. Analyze AAP algorithm.
Contemporary Forums

Simulation in the Real World

Learning Objectives: List 5 major applications of healthcare simulation. Describe examples of improvements in outcomes from healthcare simulation. Review future directions & challenges in healthcare simulation
Contemporary Forums

Advances in Neonatal Medicine 2015

Learning Objectives: To know the limits of viability according to outcome data in 2015. To recognize the value of quality improvement in reducing mortality and morbidity. To be aware of the benefits of early nutrition and feeding human milk to preterm infants.
Contemporary Forums

Pharmacologic and Non-Pharmacologic Management of Neonatal Abstinence Syndrome

Learning Objectives: Describe the opioid epidemic in the United States Review the mechanisms of action of opiates and what causes withdrawal symptoms Describe current treatment strategies for NAS and outcomes
Contemporary Forums

Recognition and Management of Arrhythmias in the Fetus and Newborn

Learning Objectives: Recognize common fetal arrhythmias. Recognize common newborn arrhythmias. Recognize appropriate and inappropriate use of newborn EKGs.
Contemporary Forums

What's New for Antibiotics in the NICU?

Learning Objectives:​ Describe the goals of antimicrobial therapy. Describe how dosing is modified to achieve the goals of antimicrobial therapy. Describe dosing guidelines of medication used to treat infants with serious infections.
Contemporary Forums

When Medical Caring Turns into Criminal Killing

This webinar provides an overview of the role health professionals can play in preventing murder with medication committed by other health professionals. Pharmaceutical products are sometimes viewed as “the perfect weapon” by criminals who have access to pharmaceuticals and the opportunity to use them as murder weapons. This webinar uses a case-study approach to examine situations in which pharmaceuticals have been diverted from therapeutic use to homicidal purposes, as well as the legal c...
freeCE.com

The Legal Sufficiency of Documentation

Health professionals often wonder how much documentation is enough documentation, following the resolution of concerns with patient care. When and where to document are equally challenging issues for health professionals. This program discusses the legal requirements for documenting an event in patient care.
freeCE.com

PRS 103.1: New Drug Approval Process

Why does it seem that regulators focus solely on pharmacists when drug regulations are enforced? Why do so many nitpicky rules mandate or prohibit specific activities by pharmacists? How can regulators be shown that advances in pharmacy are impeded by outdated regulations? This introductory class will address these challenging questions. It will explain the foundation of legal requirements for pharmacists and pharmacies. It will describe how regulators think and work, and how pharmacists can a...
freeCE.com

Hearts on Fire: Cardiac Clinical Update - Honolulu

his conference is intended for all healthcare professionals caring for the adult cardiovascular patient. Assessment of the adult with cardiovascular dysfunction is the focus as well as the medical-surgical nursing interventions for common diagnoses. Lecture format will include multiple topics and practice sessions. Program Learning Outcomes This program prepares the learner to: 1. The participant will be able to discuss the current guidelines regarding several of the top issues in car...
MED-ED

Stopping the Flu Starts with You: Recommendations for the Current Flu Season

The influenza vaccine is one that is recommended for everyone over 6 months of age unless they have a contraindication to receiving the vaccine. Every year there are many people who remain unvaccinated despite the recommendation to receive the vaccine. This presentation will discuss the vaccination rates from the 2017-2018 influenza season as well as the new recommendations for the 2018-2019 influenza season. Due to many people choosing not to receive the influenza vaccine for a variety of rea...
freeCE.com

Another Broken Heart - Understanding and Treating Heart Failure

More than 10 million patients visit their physician every year for heart failure. More patients require hospitalization for heart failure than all types of cancer combined. Heart failure usually gets worse with time and approximately 50% of patients with heart failure die within 5 years. Pharmacist involvement in the management of chronic heart failure can improve quality of life and minimize hospitalization. This knowledge-based activity will review the recommendations and updated pharmacothe...
freeCE.com

Another Broken Heart - Understanding and Treating Heart Failure

More than 10 million patients visit their physician every year for heart failure. More patients require hospitalization for heart failure than all types of cancer combined. Heart failure usually gets worse with time and approximately 50% of patients with heart failure die within 5 years. Pharmacist involvement in the management of chronic heart failure can improve quality of life and minimize hospitalization. This knowledge-based activity will review the recommendations and updated pharmacothe...
freeCE.com

Another Broken Heart - Understanding and Treating Heart Failure

More than 10 million patients visit their physician every year for heart failure. More patients require hospitalization for heart failure than all types of cancer combined. Heart failure usually gets worse with time and approximately 50% of patients with heart failure die within 5 years. Pharmacist involvement in the management of chronic heart failure can improve quality of life and minimize hospitalization. This knowledge-based activity will review the recommendations and updated pharmacothe...
freeCE.com

Heart Failure

Heart Failure (HF) is a common disease affecting approximately 5 million adult Americans.The likelihood of developing HF increases with age and is greater in men. The 5-year mortality rate is remarkably high at 50%, and nearly 300,000 deaths annually are directly attributable to HF. HF creates a significant economic burden on the healthcare system; in 2012, direct medical costs were approximately $21 billion. Despite advances in therapy over the past few decades, the prevalence of HF is expect...
The Rx Consultant

Diabetes Update: A Focus on SGLT-2 Inhibitors

The number of people affected by diabetes worldwide is growing rapidly. A 2014 national report estimates that 21 million people in the United States have diabetes and another 8.1 million people remain undiagnosed. All together, that is 9.3% of the US population. Around the world, 387 million people have diabetes, - which accounts for 8.3% of the global population. This burden is expected to increase by 205 million people by 2035. Despite advances in technology and drug therapy, many patients d...
The Rx Consultant

Travel Health

The number of international travelers surpassed the 1 billion mark in 2014, an increase of 51 million over 2013. Many US residents who travel internationally do not seek pre-travel health advice, even when planning trips to developing countries. Yet as many as 64% of people who have traveled to developing countries report travel-related health problems. Today, pharmacists in both community and clinic settings are providing a full or partial range of high quality travel health services that ...
The Rx Consultant

Opioid Overdose & Naloxone Rescue Kits

Fatal drug overdoses, due to both illicit and prescription drug use, have become epidemic in the United States (US). The rate exceeds that of deaths from motor vehicle accidents, largely due to the increase in prescription opioid overdoses. In 2013, about 16,000 deaths occurred from prescription opioid overdoses, accounting for more than half of all prescription drug overdose deaths. Multiple substances (eg, alcohol, benzodiazepines, and other sedating drugs) often contribute to these overdose...
The Rx Consultant

Dementia: Managing Neuropsychiatric Symptoms

Although cognitive disturbances such as memory and language impairment are the most recognized symptoms of dementia, the neuropsychiatric symptoms of dementia (NPSD) are often more concerning and can cause considerable disability and caregiver distress. The total annual cost of treatment for a patient with Alzheimer's disease (AD) who is living at home is estimated at $14,500. The direct management of behavioral and psychological symptoms accounts for 30% of this total. The last drug approval ...
The Rx Consultant

Diabetes Update: The New Concentrated Insulin Products

In the US, approximately 22 million adults are living with diabetes; of these, 90–95% are classified as having type 2 diabetes (T2DM), a progressive disease in which beta cell function declines based on the duration of the disease and level of glycemic control. The American Diabetes Association (ADA) and the American Association of Clinical Endocrinologists (AACE) both recognize that achieving and maintaining the patient’s glycemic goals are essential for the prevention, or delay in progre...
The Rx Consultant

Emerging & Controversial Topics in Pain Emerging Treatment: The Horizons of Pain Management

This educational activity is intended for pain medicine specialists and other allied health care professionals interested in emerging and controversial topics in the practice of pain and pain management. At the conclusion of this program participants will be able to: Describe the role of regenerative medicine (platelet-rich plasma, stem cells, etc.) in chronic pain management Understand novel spinal cord stimulator therapies (high frequency, burst stimulation, dorsal root ganglia stimul...
Dannemiller

9th Annual Obesity Conference A Practical Look at Obesity, Diabetes, and Current Strategies

The conference will cover a wide range of topics on Obesity Treatment & Prevention. Some topics include (but are not limited to): The Dual Diagnosis of Eating Disorder & Diabetes Mellitus (ED-DMT1) Neurobiology of Pharmacotherapy Treatment of Diabetes in Obese Patients High-Intensity Interval Training: Exercise Considerations for Obesity Sex & Relationships After Extreme Weight-Loss New Devices & Role of Gastroenterologists Treatment of Obesity: Using a Very Low Calorie Diet (VLCD) Obe...
Dannemiller

Treating Low Back Pain without Opioids

Low-back pain is a common and disabling condition, with most individuals experiencing low-back pain at some point in their lives. In terms of overall worldwide burden, low-back pain ranked sixth out of the 291 conditions evaluated. The high disability linked to low-back pain is likely correlated with the increasing global prevalence, with 9.4% of the population experiencing back pain, translating to 83 million people in 2010. This proposed educational initiative will inform clinicians about th...
Dannemiller

CCRN/PCCN Exam Review - Branson

This three-day course is designed to provide critical care and progressive care nurses a review of AACN’s core curriculum. The course combines central knowledge-based lectures so that nurses working in the PCU and ICU arena will have a review of AACN’s Certification Blueprint. The first day will provide the critical care provider with an essential review of nursing care and interventions designed for the ICU setting. The second day of this lecture series will combine both the critical care...
MED-ED

Update on Medication Errors and Adverse Drug Events-Florida Board-Approved Edition

Interest in medication errors was heightened by publication of the Institute of Medicine (IOM) report “To Err is Human,” which revealed the burden of medical errors and the impact on patients in the US. Following publication of the report in 2000, health care organizations bolstered efforts to reduce medical errors and the illness and death that result. Despite these efforts, a recent analysis based on studies conducted since the IOM’s report highlighted medical errors (including medicat...
The Rx Consultant

Updates in General Internal Medicine for Specialists 2019

Advances, Updates, Guidelines, and Best Practices in General Internal Medicine—Expressly for Specialists In this special program, Harvard Medical School's leading clinical faculty, representing more than 30 fields of medicine, share updates and provide recommendations to ensure you are current with the recent advances in general internal medicine that impact the specialists—especially with clinical practice in relevant disciplines outside of your field of expertise. Whether you are a psy...
Harvard Medical School Global and Continuing Education

Hepatitis C Treatment: Gone Viral

Hepatitis C virus (HCV) remains a major public health concern. HCV, the most common blood borne infection in the US, is estimated to affect over 4 million Americans (about 1-2% of the population). Worldwide, over 170 million people are infected. Most Americans with HCV infection acquired it in the 1970s and 1980s, before the virus was identified. Although the rate of new infections declined between 1989-2011, there has been a recent increase in new infections since 2013. Unfortunately, there i...
The Rx Consultant

Inflammatory Bowel Disease: A Focus On Biologics

The 2 main types of inflammatory bowel disease (IBD), Crohn’s disease (CD) and ulcerative colitis (UC), affect approximately 1.17 million people in the United States. The estimated prevalence of CD in North America is 26-199 cases per 100,000 people; for UC, it is 37-246 cases per 100,000 people. During the past 25 years, the rates of newly diagnosed UC and CD cases have increased. Reasons for the increase may include wider exposure to environmental risk factors, greater awareness of IBD...
The Rx Consultant

Medical Marijuana

Marijuana has been used for thousands of years for medical conditions, as well as for recreational purposes. The terms “marijuana” and “cannabis” are used interchangeably; however, cannabis is the more contemporary clinical designation. The use of marijuana has increased recently among US adults (18 years and older), from 10% in 2002 to 13% in 2014. The rise in marijuana use coincides with a declining perception of risk linked with its use, and its use is more prevalent in states with ...
The Rx Consultant

Hormonal Contraceptives

There are 61 million women of childbearing age (15–44) in the US. About 43 million of these women are at risk of unintended pregnancy; they are sexually active and do not want to become pregnant. About two-thirds of them use a contraceptive method correctly and consistently. Oral contraceptives have been in use for over 50 years and are one of the most popular contraceptives; this method is used by 26% of contraceptive users. Most oral contraceptives contain 2 hormones, an estrogen and a pro...
The Rx Consultant

Chronic Insomnia

Insomnia is one of the most common medical complaints, generating over 5 million office visits per year in the US alone. Symptoms of insomnia occur in one-third to one-half of adults in the US, and are more prevalent among women and older adults. In patients with coexisting psychiatric illnesses, the incidence approaches 50% to 75%. About 1 in 10 adults has chronic insomnia – symptoms that occur at least 3 times per week for at least 3 months. Among patients with chronic insomnia, up to one-...
The Rx Consultant

Pharmacy Law: Determining the Legitimacy of Opioid Prescriptions

The pharmacists at XYZ Pharmacy are concerned. The pharmacy is in close proximity to a pain management clinic and patients from this clinic regularly present the pharmacists with prescriptions for MS Contin®, oxycodone, methadone, and other opioids in quantities as large as 1,000 tablets for a 1-month supply. Those prescriptions are usually accompanied with prescriptions for fentanyl oral lozenges. A few other physicians in the area also write prescriptions for large quantities of opioids and...
The Rx Consultant

Antibiotic Stewardship: Improving Use In The Community

Antibiotic stewardship is the effort to improve antibiotic prescribing so that antibiotics are used correctly - and only when needed. It includes monitoring antibiotic prescribing; avoiding unnecessary use; minimizing underuse due to missed or delayed diagnoses; and, when an antibiotic is needed, ensuring selection of the appropriate drug, dose, route of administration, and duration of therapy. The goal of antibiotic stewardship is to treat infections effectively, while minimizing unintended c...
The Rx Consultant

More Than Skin in the Game - The Pharmacists Role in Treating Psoriasis and Psoriatic Arthritis

Psoriasis is more than just a cosmetic skin disease. Psoriasis is a distressing and painful autoimmune disease associated with significant emotional and physical daily burden. Over time, psoriasis can lead to other serious conditions such as diabetes, heart disease, depression, and psoriatic arthritis(PsA). As many as 30% of psoriasis patients develop psoriatic arthritis. Even with a wide range of pharmacologic options available, evidence indicates that treatment remains inadequate and patient...
freeCE.com

More Than Skin in the Game - The Pharmacists Role in Treating Psoriasis and Psoriatic Arthritis

Psoriasis is more than just a cosmetic skin disease. Psoriasis is a distressing and painful autoimmune disease associated with significant emotional and physical daily burden. Over time, psoriasis can lead to other serious conditions such as diabetes, heart disease, depression, and psoriatic arthritis(PsA). As many as 30% of psoriasis patients develop psoriatic arthritis. Even with a wide range of pharmacologic options available, evidence indicates that treatment remains inadequate and patient...
freeCE.com

More Than Skin in the Game - The Pharmacists Role in Treating Psoriasis and Psoriatic Arthritis

Psoriasis is more than just a cosmetic skin disease. Psoriasis is a distressing and painful autoimmune disease associated with significant emotional and physical daily burden. Over time, psoriasis can lead to other serious conditions such as diabetes, heart disease, depression, and psoriatic arthritis(PsA). As many as 30% of psoriasis patients develop psoriatic arthritis. Even with a wide range of pharmacologic options available, evidence indicates that treatment remains inadequate and patient...
freeCE.com

An Antipsychotic Roundup: New Agents and Safety Updates

New antipsychotic agents were released in 2016 and 2017 (including one agent used specifically for patients with Parkinson's Disease) and also updated availability (long acting agents) since the last APS update in 2015.
freeCE.com

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