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PSAP 2023 Book 2 Critical Care and Emergency Medicine


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The latest release in ACCP’s popular Pharmacotherapy Self-Assessment Program (PSAP) provides important and comprehensive updates on topics in critical care and emergency medicine. The target audience for PSAP 2023 Book 2 (Critical Care and Emergency Medicine) is pharmacotherapy specialists and advanced level clinical pharmacists whose practice involves the direct care and management of critically ill patients in the ICU and emergency department.

Gabrielle Gibson, Pharm.D., BCPS, BCCCP
Gibson

Critical Care and Emergency Medicine contains four learning modules with a total available 17.5 continuing pharmacy education (CPE) credits. The book content was developed under the leadership of Faculty Panel Chair Gabrielle Gibson, Pharm.D., BCPS, BCCCP.

The first learning module focuses on evidence-based updates in the management of patients experiencing prescription and non-prescription overdoses and management of alcohol withdrawal. The second module discusses updates on management of fluid and electrolyte disorders including sodium, potassium, and calcium disorders, as well as updates in nutrition support in critically ill patients. The third module is focused on acute agitation, delirium, and sleep, acute dysrhythmias, and perioperative management of critically ill patients. The book concludes with two interactive cases covering current topics including the approach to patients with life-threatening bleeding caused by antithrombotics and rapid-sequence intubation.

Continuing education activities in PSAP cover the most recent published data (past 3–5 years) on a specific therapeutic area or patient-care problem. This content is provided as an electronic book (interactive PDF) with high-level updates designed, as appropriate to the topic, in three formats:

  • Traditional review-style chapters
  • Interactive cases (a series of webpages, each introduced by a sample case-based question)
  • Recorded webcast (PowerPoint presentation; includes PDF of the transcribed narrative)

Every PSAP release comes in two full-color online formats: (1) interactive PDFs you can save to your desktop or print; and (2) an e-media version you can view on an e-reader, tablet, iOS or Android smart phone. Chapters in each release are also provided in audio form (MP3 files) as the popular PSAP Audio Companion. For an additional fee, a one-color softbound print book can be added to these formats and shipped to your address.

All PSAP chapters are fully referenced, with clickable hyperlinks to literature compilers such as PubMed. Other links provide ready access to clinical practice guidelines, official recommendations, and patient assessment tools. Graphic features focus on pivotal studies, patient care scenarios, and take-home points that can be readily integrated into clinical practice.

Release Date: May 15, 2023
BCPS Deadline: November 15, 2023
ACPE Deadline: May 15, 2026

Contents

PSAP 2023 Book 2 (Critical Care and Emergency Medicine) - Critical Care and Emergency Medicine I

Chapter: Acute Management of Prescription and Non-Prescription Drug Overdoses
Chapter: Management of Alcohol Withdrawal

PSAP 2023 Book 2 (Critical Care and Emergency Medicine) - Critical Care and Emergency Medicine II

Chapter: Acute Management of Fluid and Electrolyte Disorders
Chapter: Perioperative Management of Patients in the ICU

PSAP 2023 Book 2 (Critical Care and Emergency Medicine) - Critical Care and Emergency Medicine III

Chapter: Acute Arrhythmias
Chapter: Acute Agitation, Delirium, and Sleep Management

PSAP 2023 Book 2 (Critical Care and Emergency Medicine) - Critical Care and Emergency Medicine IV

Interactive Case: Life-threatening Bleeding Caused by Anticoagulants
Interactive Case: Rapid Sequence Intubation

CPE Credit

The American College of Clinical Pharmacy is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education.

The American College of Clinical Pharmacy is approved by BPS as a provider for the recertification of BCPS.

BPS is an autonomous division of the American Pharmacists Association. To maintain its strict, independent standards for certification, BPS does NOT endorse or provide review information, preparatory courses, or study guides for board certification examinations. BPS, through its specialty councils, is responsible for specialty examination content, administration, scoring, and all other aspects of its certification programs. BPS is totally separate and distinct from ACCP. For information about BPS specialty recertification the BPS recertification process, go to: www.bpsweb.org/

To receive recertification credit, posttests must be submitted prior to the recertification posttest deadline (see above). Only completed tests are eligible for credit; no partial or incomplete tests will be processed. You may complete one or all available posttests for credit.

The passing point to earn recertification credit is based on an expert analysis of the assessment items in each posttest. Any posttest submitted before the recertification test deadline that meets this passing point will earn recertification credits. These credits will be assigned as of the date of test submission and reported within 48 hours to BPS. For statements of recertification credit, visit www.bpsweb.org.

In accordance with BPS guidelines concerning remediation for products launched in 2024 and after, posttests that do not reach the passing point for recertification credit will generate a second-chance test option. This test will automatically appear in the learner’s My Account page and will have assessment items presented in a different order. To qualify for recertification credit, the second-chance test must be submitted before the recertification deadline stated above.

The ACCP Recertification Dashboard is a free online tool that can track recertification credits as they are earned through ACCP and schedule new opportunities for credits from upcoming ACCP professional development programs. Questions regarding the number of hours required for recertification should be directed to BPS at www.bpsweb.org.

Target Audience: The target audience for PSAP 2023 Book 2 (Critical Care and Emergency Medicine) is pharmacotherapy specialists and advanced level clinical pharmacists whose practice involves the direct care and management of critically ill patients in the ICU and emergency department.

Contents

PSAP 2023 Book 2 (Critical Care and Emergency Medicine) - Critical Care and Emergency Medicine I

Activity Number: 0217-0000-23-038-H01-P
Contact Hour(s): 4.50
Activity Type: Application Based
Learning Objectives

Chapter: Acute Management of Prescription and Non-Prescription Drug Overdoses

  1. Classify prescription drug overdose by patient presentations.
  2. Evaluate the causative agents of a drug overdose based on history and clinical findings of presentation.
  3. Develop a treatment paradigm that may be applied in all prescription drug overdoses.
  4. Assess the relevance of each therapeutic target in drug overdose in a specific drug overdose scenario.
  5. Devise a plan for treatment of anticholinergic, sodium channel blocker, tricyclic antidepressant, bupropion, digoxin, sulfonylurea, alpha-2 agonist, iron, valproic acid, clonidine, and salicylate overdose.
  6. Justify the use of specific antidotes in overdose. 

Chapter: Management of Alcohol Withdrawal

  1. Assess factors contributing to alcohol withdrawal in patients.
  2. Evaluate the risk of alcohol withdrawal and severity of symptoms.
  3. Design an appropriate benzodiazepine or phenobarbital therapy plan for patients with alcohol withdrawal syndrome.
  4. Justify the role of adjunctive therapies in patients with alcohol withdrawal based on patientspecific criteria.
  5. Develop a plan for the management of patients with complicated alcohol withdrawal symptoms (seizures, delirium, and resistant alcohol withdrawal). 

PSAP 2023 Book 2 (Critical Care and Emergency Medicine) - Critical Care and Emergency Medicine II

Activity Number: 0217-0000-23-039-H01-P
Contact Hour(s): 5.00
Activity Type: Application Based
Learning Objectives

Chapter: Acute Management of Fluid and Electrolyte Disorders

  1. Evaluate the efficacy and safety of different fluid types in critically ill patient populations.
  2. Develop recommendations for fluid resuscitation for patients with sepsis and liver failure.
  3. Analyze characteristics of patients with electrolyte disorders to determine the most likely etiology.
  4. Assess patients for common drug-related causes of electrolyte disorders.
  5. Design medication therapy plans for the treatment of hypernatremia, hyponatremia, hyperkalemia, and hypercalcemia based on the underlying etiology. 

Chapter: Perioperative Management of Patients in the ICU

  1. Design a pain management plan for a patient in the surgical ICU (SICU).
  2. Apply knowledge of shock types and markers of resuscitation to develop a postoperative resuscitation and hemodynamic management plan.
  3. Develop a plan for the prevention of common SICU complications.
  4. Develop a plan for the management of hematologic disorders of bleeding and prevention of thromboembolism for a SICU patient.
  5. Evaluate the anti-microbial regimen of a SICU patient for appropriateness with regard to site of infection, common pathogens, and duration of therapy.
  6. Justify appropriate blood glucose goals and convert a continuous insulin infusion for the management of stress hyperglycemia to an appropriate basal-bolus regimen in a SICU patient. 

PSAP 2023 Book 2 (Critical Care and Emergency Medicine) - Critical Care and Emergency Medicine III

Activity Number: 0217-0000-23-040-H01-P
Contact Hour(s): 5.00
Activity Type: Application Based
Learning Objectives

Chapter: Acute Arrhythmias

  1. Assess patients for risk factors for ventricular arrhythmias.
  2. Develop a pharmacologic plan to restore spontaneous circulation and maintain end-organ perfusion during cardiac arrest.
  3. Design an antiarrhythmic medication regimen to suppress ventricular arrhythmias and implantable cardioverter-defibrillator shocks.
  4. Modify pharmacologic therapy to mitigate the risk of QT interval prolongation and torsades de pointes.
  5. Develop appropriate therapy for a patient with supraventricular tachycardia and bradyarrhythmias. 

Chapter: Acute Agitation, Delirium, and Sleep Management

  1. Apply bedside clinical assessment tools to detect pain, agitation, and delirium in the critically ill patient.
  2. Design an evidence-based pharmacotherapy regimen for agitation in the critically ill patient.
  3. Evaluate pharmacologic approaches for prevention and management of ICU delirium.
  4. Assess therapeutic approaches to improve sleep quality in critically ill patients.
  5. Develop a population-based approach for agitation, delirium, and sleep disturbance management in the ICU.  

PSAP 2023 Book 2 (Critical Care and Emergency Medicine) - Critical Care and Emergency Medicine IV

Activity Number: 0217-0000-23-041-H01-P
Contact Hour(s): 3.00
Activity Type: Application Based
Learning Objectives

Interactive Case: Life-threatening Bleeding Caused by Anticoagulants

  1. Classify antithrombotic agents according to labeled indication, mechanism of action, and pharmacokinetic properties.
  2. Assess life-threatening bleeding events caused by antithrombotic agents for reversal.
  3. Evaluate the risk-benefit of treatments for life-threatening bleeding in the setting of an antithrombotic agent.
  4. Develop an appropriate drug-dose regimen for a patient with life-threatening bleeding caused by an antithrombotic agent. 

Interactive Case: Rapid Sequence Intubation

  1. Assess the pharmacologic properties and indication or pretreatment agents used in rapid sequence intubation (RSI).
  2. Evaluate the pharmacologic properties of induction agents used in RSI.
  3. Distinguish the pharmacologic properties of neuromuscular blocking agents used in RSI.
  4. Design appropriate patient-specific RSI regimens, and incorporate patient disease state interactions into them. 

Disclosures


Commercial Support

The American College of Clinical Pharmacy does not solicit or accept external commercial/financial support for its continuing pharmacy education activities. No commercial/financial support has been solicited or accepted for this activity.