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.
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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...
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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.
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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...
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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...
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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...
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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...
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Breast Cancer

With breast cancer so often in the news, it is easy to forget that the diagnosis is an emotional and life-changing event for an individual patient. In the United States (US), an estimated 231,840 women and 2,350 men1 were diagnosed with invasive breast cancer in 2015. One in every 8 women in the US will be diagnosed with breast cancer during her lifetime. In contrast, a man’s lifetime risk is about 1 in 1000. Following skin cancer, breast cancer is the most commonly diagnosed cancer among wo...
The Rx Consultant

Managing Colds, Cough, and Fever in Children

Pediatric patients often suffer from viral upper respiratory infections (“the common cold”)with symptoms including congestion, rhinorrhea (runny nose), cough and, occasionally, fever. Children experience approximately 3 to 8 colds each year, about twice as many as adults. The annual cost of colds and cold-like illnesses in the US is an estimated $40 billion – due to lost work days for parents, medical appointments, and the cost of medications. Cough, a common symptom of several childhood...
The Rx Consultant

Antibiotics in Pregnancy and Lactation

Antimicrobials are among the most commonly used drugs in pregnancy and lactation. They are prescribed for a variety of infections during or following pregnancy, including urinary tract infections, Group B streptococcal colonization, and mastitis. In a recent Centers for Disease Control survey, 30% of women reported taking antibiotics during pregnancy. Antimicrobials can present risks to the pregnant woman (some of which are unique to pregnancy), as well as risks to the unborn fetus or breastfe...
The Rx Consultant

Updates in Pediatric Asthma

Asthma is the most common chronic condition in children in the US, with an incidence of 9% (6.8 million individuals under the age of 18). It is more common in children from families living below the poverty threshold (13%) than families with higher incomes (8%). African-American children are more likely to have asthma (16%) than Hispanic (9%) or non-Hispanic white (8%) children. Asthma cannot be cured, but illness and deaths can be prevented with appropriate drug therapy. The National Asthm...
The Rx Consultant

New Drugs Approved in 2015

In 2015, the FDA’s Center for Drug Evaluation and Research (CDER) approved 45 new molecular entities – the highest annual number of new drugs to be approved in the past decade (up from 41 in 2014). The new approvals include 16 first-in-class drugs spanning 14 different medical conditions. Many of the new drugs were approved under one or more of the FDA’s 4 expedited pathways (fast track, breakthrough, priority review, and accelerated approval). Nearly half are for the treatment of rare d...
The Rx Consultant

Glaucoma Management

The American Optometric Association (AOA) Guidelines classify glaucoma as a group of eye disorders that lead to damage of the optic nerve with a defect in the retinal nerve fiber layer resulting in visual field loss. Glaucoma is a chronic, progressive disorder and if not diagnosed early and treated appropriately, it can lead to an irreversible decline in eyesight. Glaucoma is a leading cause of blindness in the US. The most common type of glaucoma, open-angle glaucoma, affects approximately...
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

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

Smoking Cessation For the Busy Clinician

More than 50 years after the landmark 1964 Surgeon General’s Report on the health consequences of smoking, an estimated 15% of adult Americans still smoke. Smoking remains the leading cause of preventable death in the United States – accounting for 480,000 deaths per year (1 of every 5). People who quit smoking greatly reduce their risk for tobacco-related diseases, including cancer, heart disease, and lung disease, while also increasing life expectancy and improving quality of life. Each ...
The Rx Consultant

Pharmacy Law: Regulatory Developments Affecting Pharmacy Practice

The past few years have seen a number of legislative and regulatory changes at the federal level; both with the Food and Drug Administration (FDA) and the Drug Enforcement Administration (DEA). This article will address key changes impacting pharmacy practice in the areas of compounding, drug supply chain security, biosimilars, and the regulation of controlled substances in order to prevent diversion and abuse. The passage of the Drug Quality and Security Act of 2013 (DQSA) updates the Fede...
The Rx Consultant

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.
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Osteoarthritis Management

Osteoarthritis (OA) – also called degenerative joint disease – is the most common chronic joint condition, affecting about 27 million Americans. The resulting pain, stiffness, and swelling can affect mobility, productivity, and quality of life. While no treatment has been shown to slow the progression of joint damage, a combination of non-drug interventions and drug therapy can be used to manage symptoms and improve mobility. Resistance exercise, weight loss, and psychosocial interventi...
The Rx Consultant

But I Don't Dispense Those! A Community Pharmacist's Guide to Immuno-Oncology Agents

The promise of the immune system in helping to treat cancer has finally become a reality in the past few years. The immune system is designed to differentiate between normal cells foreign cells. To do this, it uses “checkpoints” – molecules on certain immune cells that need to be activated (or inactivated) to start an immune response. Cancer cells often may look like normal cells and may evade the immune system recognition. An important molecule in this process is CTLA4 and thus a CT...
freeCE.com

But I Don't Dispense Those! A Community Pharmacist's Guide to Immuno-Oncology Agents

The promise of the immune system in helping to treat cancer has finally become a reality in the past few years. The immune system is designed to differentiate between normal cells foreign cells. To do this, it uses “checkpoints” – molecules on certain immune cells that need to be activated (or inactivated) to start an immune response. Cancer cells often may look like normal cells and may evade the immune system recognition. An important molecule in this process is CTLA4 and thus a CT...
freeCE.com

But I Don't Dispense Those! A Community Pharmacist's Guide to Immuno-Oncology Agents

The promise of the immune system in helping to treat cancer has finally become a reality in the past few years. The immune system is designed to differentiate between normal cells foreign cells. To do this, it uses “checkpoints” – molecules on certain immune cells that need to be activated (or inactivated) to start an immune response. Cancer cells often may look like normal cells and may evade the immune system recognition. An important molecule in this process is CTLA4 and thus a CT...
freeCE.com

But I Don't Dispense Those! A Community Pharmacist's Guide to Immuno-Oncology Agents

The promise of the immune system in helping to treat cancer has finally become a reality in the past few years. The immune system is designed to differentiate between normal cells foreign cells. To do this, it uses “checkpoints” – molecules on certain immune cells that need to be activated (or inactivated) to start an immune response. Cancer cells often may look like normal cells and may evade the immune system recognition. An important molecule in this process is CTLA4 and thus a CT...
freeCE.com

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