Managing the Patient with Acute Stroke: The A-Fib Connection

 

Atrial fibrillation (AFib) is the most common type of arrhythmia. It affects approximately 2.2 million people in the U.S. and is a leading risk factor for stroke. AFib is most commonly seen in patients who are over age 60 years. Many patients with AFib are asymptomatic, making it difficult to diagnose. However, even when AFib is not noticed, it can increase the risk of stroke. Approximately 15% of people who experience a stroke have AFib. Strokes resulting from AFib can be prevented with early screening, diagnosis, and intervention.

$15.00

Hours: 1.50
REL-AC-0-MANAGEPATIENT29

Certificates

Certificates provided by accrediting body (10 Match)

California Board of Registered Nursing

1.5 HOURS


Provider approved by the California Board of Registered Nursing, CEP# 13791

Nurses will receive 1.50 contact hours for participating in this course.

District of Columbia Board of Nursing

1.5 HOURS


DC-RN -- District of Columbia Board of Nursing Approved Continuing Education program (CE Provider #50-290).

Nurses will receive 1.50 contact hours for participating in this course.

Florida Board of Nursing

1.5 HOURS


Florida Board of Nursing CE Provider #: 50-290

Nurses will receive 1.50 contact hours for participating in this course.

American Nurses Credentialing Center

1.5 HOURS


Relias, LLC is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

Nurses will receive 1.50 contact hours for participating in this course.

Georgia Board of Nursing

1.5 HOURS


Georgia Board of Nursing CE Provider #: 50-290

Nurses will receive 1.50 contact hours for participating in this course.

Accreditation Council for Continuing Medical Education

1.5 HOURS


Relias LLC is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Relias LLC designates this enduring material activity for a maximum of 1.50 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

South Carolina Board of Nursing

1.5 HOURS


This program was approved by the South Carolina Board of Nursing Approved Continuing Education Program (CE provider #50-290) CE Broker Course # 20-[Custom_Code]

Florida Board of Medicine

1.5 HOURS


Florida Board of Medicine CE Provider #: 50-290

Florida Physician Assistants

1.5 HOURS


West Virginia Board of Registered Nursing

1.5 HOURS


Course Details

Course Code: REL-AC-0-MANAGEPATIENT29
Hours: 1.5
Type: Online Course
Content Expiration Date: 6/30/2021
Learning Objectives:
Describe patient risk factors that can lead to AFib and subsequent stroke.
Explain anatomical and physiological changes that occur with AFib that contribute to increased risks for stroke.
Discuss interventions for symptom control in patients with AFib.
Discuss interventions to manage risks for stroke associated with AFib.

Outline:

Section 1: Introduction

A. About This Course

B. Learning Objectives



Section 2: Anatomy, Physiology, and Conduction System of the Heart

A. How the Heart Works

B. Anatomy of the Heart

C. Cardiac Physiology

D. Cardiac Conduction System

E. Review

F. Summary



Section 3: AFib Physiology, Symptoms, and Risk Factors

A. What is AFib?

B. AFib Electrophysiological Conduction

C. AFib Symptoms

D. Clinical Risk Factors for AFib

E. Lifestyle and Patient-Related Risk Factors

F. Review

G. Summary



Section 4: AFib Diagnosis

A. Basic Electrocardiogram (ECG) Review

B. AFib ECG Features

C. Echocardiogram

D. Other Tests

E. Classifying AFib

F. AFib Complications

G. Review

H. Summary



Section 4: AFib Treatment

A. Types of Treatment for AFib

B. Rate versus Rhythm Control

C. Rate Control

D. Rhythm Control

E. Antiarrhythmic Medications

F. Cardioversion

G. When to Consider Cardioversion

H. Factors to Consider Before Cardioversion

I. Complications related to Cardioversion

J. Elective Cardioversion

K. Pharmacological Cardioversion

L. Ablation

M. Permanent Pacemaker

N. Review

O. Summary



Section 5: Preventing Thromboembolism

A. Thrombus Formation and Antithrombotic Therapy

B. Evaluating Bleeding Risk in AFib Patients

C. Estimating Stroke Risk

D. Antithrombotic Medications

E. Recommendations for Antithrombotic Therapy

F. Review

G. Summary



Section 7: Patient and Family Education

A. AFib Patient Education Basics

B. What AFib Is and How it Occurs

C. Potential Consequences of AFib

D. Treatment Options and Recommendations for AFib

E. Summary



Section 8: Conclusion

A. Summary

B. Course Contributors

C. Resources

D. References

E. Congratulations!


Expert Reviewer: Daniel Migliaccio, MD
Dr. Daniel Migliaccio is currently a Clinical Assistant Professor of Emergency Medicine at the University of North Carolina at Chapel Hill. He completed his residency in Emergency Medicine at Stanford University. During Residency,  Dr. Migliaccio was able to obtain an Honors Certificate in Medical Education from the Clinical Teaching Scholars Honors Program. He was also fortunate enough to be able to focus on his ultrasound skills, leading to an award for Outstanding Achievement in Ultrasound. Dr. Migliaccio is passionate about medical education, point of care ultrasound, and optimizing patient care using current literature. He is currently Vice President of the Young Physician Section of AAEM and is enthusiastic about promoting Emergency Medicine and patient care nationally. Disclosure: Daniel Migliaccio, MD has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
Instructor: Rebecca Smallwood, MBA, RN
Rebecca Smallwood, MBA, RN, has over 25 years of experience across a spectrum of healthcare settings including: rural and urban acute care hospitals, public health, ambulatory surgery center, higher education, and commercial organizations. Her roles have included: medical/surgical, ED, and OR staff nurse and charge nurse positions; director of health services / school nurse for PK-12th grades; public health epidemiology and bioterrorism preparedness professional; Infection control practitioner; quality management specialist; organizational development specialist; and educator. Prior to joining Relias Learning as a SME and Content Writer, she provided clinical and healthcare learning and development consultation to Swank Healthcare and was the Director of Education Services for Health.edu, a division of Texas Tech University Health Sciences Center. She has authored over 100 live and web-based educational presentations and articles on clinical, patient safety, regulatory, leadership, patient experience, and performance improvement topics. Rebecca earned a diploma in nursing from Methodist Hospital School of Nursing in Lubbock, Texas in 1989 and an MBA in Healthcare Administration from Wayland Baptist University in 2010. Disclosure: Rebecca Smallwood, MBA, RN has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
Target Audience:
The target audience for this course is: Nurses; Physicians; in the following settings: Acute Care Facility.
Relias will be transparent in disclosing if any commercial support, sponsorship or co-providership is present prior to the learner completing the course.
Course Delivery Method and Format
Asynchronous/Online Distance Learning; please see certificate details for specifics on delivery format.
Relias has a grievance policy in place to facilitate reports of dissatisfaction. Relias will make every effort to resolve each grievance in a mutually satisfactory manner. In order to report a complaint or grievance please contact Relias.
If you require special accommodations to complete this module, please contact Relias Support by completing the web form (https://www.relias.com/help) or by using the chat functionality.
All courses offered by Relias, LLC are developed from a foundation of diversity, inclusiveness, and a multicultural perspective. Knowledge, values and awareness related to cultural competency are infused throughout the course content.
Reference herein to any specific commercial product, process, or service by trade name, trademark, service mark, manufacturer or otherwise does not constitute or imply any endorsement, recommendation, or favoring of, or affiliation with, Relias, LLC.
All characteristics and organizations referenced in the following training are fictional. Any resemblance to any actual organizations or persons living or dead, is purely coincidental.
To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.
Accommodations
If you require special accommodations to complete this module, please contact Relias Customer Support here.