"In this presentation, Barb covers various stages of growth and development from the six- to the 18-year-old. It includes a helpful discussion of the "teen-age" brain, which undergoes a major transformation between the ages of 13 and twenty-five. A conversation about mirror neurons helps explain why a kid who bullies becomes an adult who bullies and is most likely to have been raised by a person who bullied, why child abusers beget child abusers, and the theory that autistic children have "broken" mirrors. In addition, she covers the assessment of various clinical conditions that school nurses may encounter—sore throats, abdominal pain, head injuries, signs and symptoms of child abuse, kids with celiac disease, mono, respiratory conditions including the common causes of cough in kids, evaluating the child with asthma, pneumonia, allergic rhinitis, abdominal pain, hypo and hyperglycemia, allergic reactions, and recognizing partial complex seizures (the most common seizure disorder in the world, and the least diagnosed). Barb will also discuss normal vital signs—weight, BP, pulses and respirations and various conditions that change the normal parameters." -- Barb Bancroft website.
Barb Bancroft's approach to interpreting lab tests is a "must hear" for nurses in all areas and nurses at all levels. You will leave the seminar with a plethora of practical pearls that can be applied to your patients in the hospital, in the primary care facility, or in the ICU. The WBC and differential is discussed as it relates to viral infections, bacterial infections, and parasitic infections. Iron deficiency anemias will be differentiated from B12 and folic acid anemias—and, Barb will give you some helpful hints for patients with lead as a cause of anemia. The lipid profile will be discussed as will liver function tests and clinical correlations. Barb will also correlate various drugs with their effects on lab tests, including chemotherapy, antibiotics, statins, and other lipid-lowering agents.
"This one-day seminar provides an in-depth discussion of essential aspects of caring for the geriatric patient. Physiologic changes with aging are correlated with physical assessment findings as well as side effects of common drugs used in the aging population. An emphasis on neurologic function includes peripheral neuropathies, dementia and delirium, movement disorders and the special senses. Type 2 diabetes and thyroid dysfunction are covered in the Endocrine System. Reproductive changes are gender specific and include causes of erectile dysfunction in the male and menopausal changes in the female. Cardiovascular diseases include coronary artery disease and atherosclerosis as well as hypertension and CHF. Respiratory function briefly covers COPD and other age related changes in lung function. The effect of NSAIDS in the GI system is emphasized as are the common causes of constipation in the elderly population. The effect of a decreased glomerular filtration rate and drug excretion is correlated with side effects and drug toxicity. This lecture is presented in Barb's characteristically humorous fashion and is a must for anyone working with and caring for Geriatric patients. It truly is a "GEM" of a lecture." -- Barb Bancroft website.
This fascinating lecture explores the function of numerous neurotransmitters in both the peripheral and central nervous system. The transmitters include norepinephrine, dopamine, epinephrine, serotonin, acetylcholine, GABA, and glutamate. Who is "sara" and why does she make you so happy? Who put the dope in dopamine? What are the many functions of dopamine, besides the obvious "feel good, let's do it again" role in addictive behaviors? GABA is your "momma"...she's inhibitory and she helps to keep "the brake's on" your behavior. Drugs that mimic her function are called "Mother's Little Helpers" —the class of drugs known as the benzodiazepines. GABA is also a primary target for many anticonvulsants as well. Norepinephrine gives you energy and stimulates your appetite center. Prednisone is a primary culprit to stimulate the release of norepinephrine in the appetite center. Acetylcholine is the transmitter of cognition in the brain and has numerous functions in the peripheral nervous system as well as the enteric nervous system. Glutamate is excitatory and plays a role in head injury, strokes, and schizophrenia. This fascinating lecture correlates the function of each of these neurotransmitters with their roles in common clinical conditions as well as all of the drugs used to treat each of these conditions—antidepressants, antipsychotics, anticonvulsants, anticholinergics, and more. (website)
Barb provides an overview on how to approach the pediatric patient—from the newborn to a nineteen-year-old. What should you expect with vital signs? Why is a heart rate of 120 perfectly fine for a one-month-old and an ALARM sign in a 15-year-old with fever and dehydration? How do you assess a toddler with an average 300-word vocabulary consisting of one MAJOR word—"NO" ? Whatever you do, don't ask them if you can do something! How do you explain "the Teenage Brain"? The best neuro exam in a young child consists of observation—the majority of cranial nerves can be examined by watching facial expressions. What 3 individual clinical features are the most accurate for predicting 5% dehydration in kids? Barb explains the clinical findings in children that help to estimate the degree of dehydration—mild, moderate, and severe in kids. Why is weight such an important vital sign in kids? How do you determine fluid and drug doses? What are the new guidelines for determining tonsillectomies in children? What are the new guidelines for working up a child with febrile seizures? What is the current treatment for children with status epilepticus? What's so different about the respiratory system in children vs. adults? What are the causes of acidosis in kids? What are the treatment guidelines for diabetic ketoacidosis? What are some ALARM signs for child abuse? What are some early clues observed in young children with autism? What are the criteria for assessing the child with an acute asthma attack? (website)
This is a must have clinical DVD on the most common classes of drugs used in the world of medicine and nursing today. Learn about the "prils", the "sartans", the "triptans", the "cyclovirs", the "prazoles", the "conazoles", the "olols, alols, and ilols", and many more. Barb's way of learning Pharmacology is entertaining and enlightening and you're sure to learn about mechanisms of action, clinical indications, and adverse effects. Barb also throws in a plethora of practical pearls for everyday use. (website)
The most important part of any physical exam is taking the patient HISTORY. Learn how to characterize the chief complaint by asking the right questions—the PQRST + AAA way. Barb provides examples of how to use this mnemonic to get the most information in the least amount of time. Barb will then guide you through assessment basics—where to "listen" if you only have a minute, where to "look" if you only have a minute, where to "feel" if you only have a minute. Barb correlates anatomy, physiology and pathophysiology for each major system discussed—the heart, the lungs, the abdomen, and the nervous system. You will also be amazed at the information you can glean from basic vital sign evaluation. Last, but not least, Barb discusses various drug classes and the side effects that can confound a physical exam. (website)
How many types of receptors are there? Alpha receptors, beta receptors, kappa, mu, sigma receptors, muscarinic and nicotinic receptors, dopaminergic and serotonergic receptors, cannabis receptors, estrogen, progesterone and testosterone receptors—and other "sub" receptors that you didn't even know you had!! Whereas, manipulating receptors makes a pharmacologist squeal with delight it makes everyone else scream in frustration. Why does boosting one receptor block another receptor which in turn boosts another receptor only to block another receptor? Why does one type of receptor have 16 different subtypes? Why can't they all just get along? Barb will sort, resort, and sort again, the myriad of receptors involved with drug therapy today. Pain medications and blood pressure medications; medications for the prostate gland and the thyroid gland; appetite boosters and appetite suppressants; estrogen agonists and estrogen antagonists; anti-depressants for depression, anti-depressants for pain; dopamine boosters and dopamine blockers; mushrooms, LSD, nicotine and marijuana effects on various receptors—for pleasure and/or for pharmacy. (website)
White counts, liver function tests, TSH, electrolytes, platelets, serum creatinine...how do drugs change the interpretation of lab tests in a patient and how do we monitor specific drugs based on lab test changes? What drugs cause low sodium? Can prescription drugs as well as complementary therapies wreak havoc with potassium levels? What should the sed rate do when antibiotic treatment is initiated? What drugs "kill" the thyroid? A myriad of drugs induce direct liver injury—what are the most common prescription and non-prescription drugs that cause liver damage? What drugs and supplements affect lipid metabolism? What should the TSH do once a patient begins thyroid replacement? Why do ACE inhibitors increase the serum creatinine? Which lab test should be used tomonitor muscle aches and pains in patients on "statin" therapy? What drugs are notorious for reducing platelet counts? What drugs cause megaloblastic anemia? Heck, what IS megaloblastic anemia? Which drugs induce life threatening neutropenia? How does Neulasta work? You'll not only understand the effects of drugs on lab tests—you'll also finally understand LAB TESTS! (website)
Barb has taken a complex topic and simplified it to the point that IMMUNOLOGY can actually be FUN! She starts with the 3 major principles of the immune system—recognition of self vs. non-self, selectivity and specificity, and memory. She explains what can go right, and what can go wrong with each major principle—eg, autoimmune disease, monoclonal antibodies for numerous conditions, and how long vaccines actually last in our immune "memory bank."
A discussion about the immune system is never complete without explaining the role of acute and chronic inflammation. The neutrophils ("segs") and the macrophages will be discussed in all of their glory, with particular emphasis on the role of the macrophage as the "bridge" between the inflammatory response and the immune response.
The two arms of the immune system are described—1) the innate or nonspecific response and, 2) the acquired or adaptive response. The innate response includes barrier defenses, the pH of body fluids, and the inflammatory response, whereas the adaptive/acquired response is all about the B and T lymphocytes and their respective antibody and cytokine production. Learn about the IgAs, IgMs, IgGs, and IgEs, the interleukins, the interferons, and tumor necrosis factor alpha. Barb will correlate all of the above with hypersensitivity diseases that are classified as Types I through IV—allergies, anaphylaxis, asthma, MS, Hashimoto's thyroiditis, type 1 Diabetes, Systemic Lupus Erythematosus, Rheumatoid Arthritis, and contact dermatitis. She will also discuss the drugs that are used to treat immune system diseases. And last, but not least—Barb will discuss how sleep, food, sex, humor, and exercise influence the immune system.
Join Barb for a 4.5 hour journey through 33 feet of gastrointestinal tract. This DVD covers the anatomy, physiology and pathophysiology of the GI tract from top to bottom. Beginning with the mouth and oropharynx, this lecture discusses the teeth, the tongue, the mouth, the gums, the esophagus, the stomach, and the small and large bowel. Specific clinical entities include the relationship between periodontal disease and cardiovascular diseaese, tonsillitis and adenoiditis and growth disturbances, esophageal varices, and the many causes of cirrhosis of the liver, GERD and Barrett's esophagus, NSAID gastropathy, peptic ulcer disease and H. pylori, Celiac disease, Crohn's disease, ulcerative colitis, colon cancer and rectal foreign objects. The journey is entertaining, enlightening, and educational. (website)
Barb takes a "journey" through the brain—the Cerebral Cortex (all four lobes and their functions), and shows how to assess the 4 lobes as well as pathophysiology, including head injuries, brain tumors, and dementias; the basal ganglia and assessment, including the patient with a movement disorder—Parkinson's disease, Huntington's chorea, and athetosis; the brain stem—assessment and clinical correlations including cranial nerves; spinal cord and the reflex arc. It's a great lecture for neuro novices as well as seasoned neuro nurses—everyone learns some new tidbits as well as refreshing some old tidbits. (website)