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Nursing Care and Pathophysiology for Hashimoto’s Thyroiditis

Nursing Care and Pathophysiology for Hashimoto’s Thyroiditis

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ADPIE Related Lessons
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Study Tools For Nursing Care and Pathophysiology for Hashimoto’s Thyroiditis

Hashimoto’s Thyroiditis (Picmonic)
Hyper vs. Hypothyroidism (Cheatsheet)
Symptoms of Hypothyroidism (Mnemonic)
Symptoms of Hypothyroidism (Image)
Facial Symptoms of Hypothyroidism (Image)
Hypothyroidism Pathochart (Cheatsheet)
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Outline

Overview

Pathophysiology: This is caused by an autoimmune disorder that results in a deficiency of the thyroid hormone and the gland is unable to make sufficient amounts of the thyroid hormone.

  1. Hashimoto’s thyroiditis
    1. Autoimmune
    2. Thyroid destruction –> hypothyroidism

Nursing Points

General

  1. Autoimmune disorder
    1. Antibodies attack thyroid –> injury
    2. Thyroid hormones decrease
    3. Result = hypothyroidism
    4. Purpose of thyroid hormones
      1. Energy
      2. Warmth
      3. Proper organ function
  2. Diagnosed by lab values
    1. Elevated anti-thyroid peroxidase (TPO)–> antibodies against thyroid
    2. Elevated thyroid stimulating hormone (TSH) –> high levels overcompensating
      1. Made in brain, tells thyroid to release hormones
      2. Normal usually 0.4-5.0 mU/L
    3. Thyroid hormones
      1. Low T3 (nomal 80-180 ng/dL)
      2. Low T4 (normal 4.6-12 ug/dL)
  3. Autoimmune response triggered by…
    1. Genes
    2. Virus/Infection
    3. Drugs

Assessment

  1. Presentation
    1. Enlarged thyroid (goiter)
    2. Fatigue
    3. Coarse, dry skin
    4. Weight gain
    5. Sensitive to cold
  2. May not have symptoms

Therapeutic Management

  1. Monitor
    1. TSH levels
    2. Thyroid ultrasound –> visualize thyroid
  2. Give levothyroxine –> increase thyroid hormone release

Nursing Concepts

  1. Hormone regulation –> Immune system attack on thyroid results in decreased thyroid hormones and TSH
  2. Lab values –> Diagnosed by levels of TSH, T3, T4, TPO
  3. Pharmacology –> Treated with daily levothyroxine (synthetic hormone)

Patient Education

  1. Follow up with labs
  2. Continue physical activity
  3. Take medication every day
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Transcript

Hey guys! Welcome to the lesson where we will explore what Hashimoto’s thyroiditis is and how we manage it.

So Hashimoto’s thyroiditis is an autoimmune disorder, which means the body is attacking itself. The autoimmune process can be triggered by genes, a virus or infection, or even drugs. What happens is that the antibodies attack the thyroid which causes injury. The injured thyroid cannot release the normal amount of thyroid hormones, and the result is hypothyroidism.

To know whether or not a patient has Hashimoto’s thyroiditis, the doctor may order lab work. Anti-thyroid peroxidase levels will be high, showing that there are antibodies against the thyroid in the body. The thyroid stimulating hormones will be high as well from trying to overcompensate for the lack of thyroid hormones. Remember that the TSH is what tells the thyroid to make the thyroid hormones, so if they are low, more will be made. The thyroid hormones include T3 and T4 and will both be low. Alright guys, next let’s move on to exploring what the hormones do.

Thyroid hormones play a huge role with the metabolism in our body. The thyroid hormones actually bind to cell receptors and increase the breakdown of nutrients creation of energy. This helps our body regulate temperature so that we don’t get too cold. The thyroid hormones are needed for proper organ function. They affect the heart rate, GI motility, and neurological development. So if we have LESS thyroid hormone, these processes will be SLOWER. So the heart rate will be slower, our GI system will move slower, and it might become harder to think or rememer things.
So our patient that has Hashimoto’s thyroiditis might have an enlarged thyroid or goiter like this from the thyroid being attacked by the antibodies. Remember, everything is slowed down, so the patient will be tired, they might gain weight and feel cold because of the slower metabolism. Constipation can occur from that slowed GI motility. Less thyroid hormone results in decreased excretion of the skin glands, causing dry, coarse skin. The patient could present with myxedema where the skin looks swollen and puffy, usually around the eyes, hands, and feet. It’s important to also realize that these patients might not show these symptoms right away.

If your patient is diagnosed with Hashimoto’s thyroiditis, they will need regular monitoring of their TSH levels. They may need a thyroid ultrasound to see the damage to the thyroid gland. Levothyroxine is a drug given to patients with hypothyroidism to help increase the thyroid hormone release in the body. This drug is given early in the morning because it shouldn’t be taken with food that can interfere with the absorption of the drug.

 

Our patients with Hashimoto’s thyroiditis should be educated to follow up with lab tests to check the thyroid hormone levels regularly. Moderate physical activity should be encouraged to help the patient manage their weight, joint pain, and give them energy. Let your patient know to take their levothyroxine every day early in the morning and not with food.

Our priority nursing concepts for Hashimoto’s thyroiditis are hormone regulation, lab values, and pharmacology.

Alright guys, let’s review the key points. Hashimoto’s thyroiditis is an autoimmune disorder where a trigger causes the antibodies to attack the thyroid causing damage, decreasing the thyroid hormones resulting in hypothyroidism. Lab values to diagnose the disease include increased thyroid stimulating hormone or TSH, decreased T3 and T4, and increased anti-thyroid peroxidase or TPO. Remember, TSH is high because it’s trying to get the thyroid to make more T3 and T4. TPO is high because there are many antibodies attacking the thyroid gland.

So remember that hypothyroidism causes everything to slow down. The patient will present with cold, dry skin, they may be tired alot and have memory issues. The might have gained weight and be experiencing constipation from the decreased GI motility. The heart rate might be slow. Remember, they may not show any symptoms yet. The doctor will want to check TSH levels regularly to monitor the disease. They may order a thyroid ultrasound to view the thyroid gland. Levothyroxine is given to the patient to increase the production of thyroid hormones. The patient with Hashimoto’s thyroiditis should be educated to take the levothyroxine early in the morning every day, not with food. They should stay active, and follow up with lab work. 

Thanks so much for listening! I hope you have a good grasp on what Hashimoto’s thyroiditis is and how to care for patients with this disease. Now go out and be your best self today, and as always, happy nursing!

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Study Plan Lessons

Alkalosis and Acidosis Nursing Mnemonic (Kick Up, Drop Down)
Blood Grouping
Blood Plasma
Blood Pressure (BP) Control
Breathing Control
Breathing Movements
Causes of Poor Gas Exchange Nursing Mnemonic (All People Can Value Lungs)
EKG (ECG) Waveforms
Electrolytes – Location in Body Nursing Mnemonic (PISO)
Electrolytes Involved in Cardiac (Heart) Conduction
Fluid & Electrolytes Course Introduction
Fluid Volume Deficit
Hyperkalemia – Causes Nursing Mnemonic (MACHINE)
Hyperkalemia – Management Nursing Mnemonic (AIRED)
Hyperkalemia – Signs and Symptoms Nursing Mnemonic (Murder)
Hypernatremia – Causes Nursing Mnemonic (MODEL)
Nursing Care Plan (NCP) for Fluid Volume Deficit
Renal (Kidney) Fluid & Electrolyte Balance
Renal (Kidney) Acid-Base Balance
Respiratory Functions of Blood
Tonicity of Solutions – Live Tutoring Archive
Trach Suctioning
12 Points to Answering Pharmacology Questions
ACLS (Advanced cardiac life support) Drugs
Anti-Infective – Antifungals
Anti-Platelet Aggregate
Antianxiety Meds
Antidepressants
Barbiturates
Buspirone (Buspar) Nursing Considerations
Cefdinir (Omnicef) Nursing Considerations
Carbidopa-Levodopa (Sinemet) Nursing Considerations
Cyclosporine (Sandimmune) Nursing Considerations
Drug Interactions Nursing Mnemonic (These Drugs Can Interact)
Hydralazine
IM Injections
Injectable Medications
Insulin
Insulin – Long Acting (Lantus) Nursing Considerations
Insulin Mixing
Interactive Pharmacology Practice
IV Infusions (Solutions)
IV Push Medications
Maintenance of the IV
Mannitol (Osmitrol) Nursing Considerations
Medication Errors
Meperidine (Demerol) Nursing Considerations
Metoclopramide (Reglan) Nursing Considerations
Montelukast (Singulair) Nursing Considerations
Mood Stabilizers
Olanzapine (Zyprexa) Nursing Considerations
Parasympathomimetics (Cholinergics) Nursing Considerations
Rh Immune Globulin in Pregnancy
SubQ Injections
The SOCK Method – Overview
Introduction to Metabolism
Anti-Infective – Antifungals
Antiviral Agents for Treatment
Hb (Hepatitis) Vaccine
Infection or Inflammation? The Quick & Dirty on CBCs – Live Tutoring Archive
Infection or Inflammation? The Quick & Dirty on CBCs 2 – Live Tutoring Archive
Infection Stages
Key Nutrients in the Prevention of Chronic Disease
Nursing Care Plan (NCP) for Infection
Tonicity of Solutions – Live Tutoring Archive
Viruses & Fungi
Scientific Notation & Measurement
Care for Asian-Indian Patient Populations
Care for Hispanic Patient Populations
Care for Native American Patient Populations
Care of Vulnerable Populations
Caring for African Patient Populations
Child Abuse/Neglect – Warning Signs Nursing Mnemonic (CHILD ABUSE)
Communicable Diseases
Community Health Course Introduction
Community Health Tool Nursing Mnemonic (MAP-IT)
Continuity of Care
Cultural Care
Environmental Health
Epidemiology
Fire and Electrical Safety
Health Promotion & Disease Prevention
High Risk Behavior Nursing Mnemonic (HEADSS)
Levels of Prevention
Planning Community Health Interventions Nursing Mnemonic (PRECEDE-PROCEED)
Technology & Informatics
Program Planning
1st Degree AV Heart Block
Acute Confusion
Acute Coronary Syndrome (ACS)
Acute Respiratory Distress
Aneurysm & Dissection
Atrial Fibrillation (A Fib)
Calling for RRT, Code Blue
Crush Injuries
Delegation of Tasks to Assistive Personnel for Certified Emergency Nursing (CEN)
Drugs for Bradycardia & Low Blood Pressure Nursing Mnemonic (IDEA)
Dysrhythmia Emergencies
EKG Basics – Live Tutoring Archive
Fall and Injury Prevention
Heart (Heart) Failure Exacerbation
Hypertension (HTN) Concept Map
Hypertensive Emergency
Increased Intracranial Pressure
Legal & Ethical Issues in ER
Nursing Care Plan (NCP) for Atrial Fibrillation (AFib)
Pulmonary Embolism
Rapid Sequence Intubation
Premature Ventricular Contraction (PVC)
Premature Atrial Contraction (PAC)
Safety Check Nursing Mnemonic (MADLE)
Stress and Crisis
Supraventricular Tachycardia (SVT)
Trauma – Complications Nursing Mnemonic (TRAUMATIC)
Ventricular Fibrillation (V Fib)
Ventricular Tachycardia (V-tach)
Aggressive & Violent Patients
Cultural Awareness and Influences on Development
Developmental Stages and Milestones
Erikson’s Theory of Psychosocial Development
Handling Death and Dying
Kohlberg’s Theory of Moral Development
Overview of Childhood Growth & Development
Overview of Developmental Theories
Growth and Development – Prenatal
Piaget’s Theory of Cognitive Development
Vocabulary
Brief CPR (Cardiopulmonary Resuscitation) Overview
Abortion in Nursing: Spontaneous, Induced, and Missed
Abruptio Placentae (Placental abruption)
Acyclovir (Zovirax) Nursing Considerations
Addicted Newborn
Antepartum Testing
Babies by Term
Betamethasone and Dexamethasone
Bicarbonate (HCO3) Lab Values
Blood Cultures
Blood Transfusions (Administration)
Cardiac (Heart) Disease in Pregnancy
Causes of Chorioamnionitis Nursing Mnemonic (Pregnancies Are Very Interesting)
Causes of Labor Dystocia Nursing Mnemonic (Having Extremely Frustrating Labor)
Causes of Postpartum Hemorrhage Nursing Mnemonic (4 T’s)
Day in the Life of a Labor Nurse
Congestive Heart Failure (CHF) Labs
Disseminated Intravascular Coagulation (DIC)
Diuretics (Loop, Potassium Sparing, Thiazide, Furosemide/Lasix)
Factors That Can Put a Pregnancy at Risk Nursing Mnemonic (RIBCAGE)
Fetal Alcohol Syndrome (FAS)
Fetal Circulation
Fetal Heart Monitoring (FHM)
Fundal Height Assessment for Nurses
Gestation & Nägele’s Rule: Estimating Due Dates
Gestational Diabetes (GDM)
Gestational HTN (Hypertension)
HELLP Syndrome
Hyperbilirubinemia (Jaundice)
Hydrochlorothiazide (Hydrodiuril) Nursing Considerations
Initial Care of the Newborn (APGAR)
Mastitis
Maternal Risk Factors
Newborn of HIV+ Mother
Nifedipine (Procardia) Nursing Considerations
Nursing Care Plan (NCP) for Dystocia
Nursing Care Plan (NCP) for Mastitis
Nursing Care Plan (NCP) for Premature Rupture of Membranes (PROM) / Preterm Premature Rupture of Membranes (PPROM)
OB Non-Stress Test Results Nursing Mnemonic (NNN)
Oxytocin (Pitocin) Nursing Considerations
Pediatric Vital Signs (VS)
Placenta Previa
Post-Partum Assessment Nursing Mnemonic (BUBBLE)
Possible Infections During Pregnancy Nursing Mnemonic (TORCH)
Preload and Afterload
Probable Signs of Pregnancy Nursing Mnemonic (CHOP BUGS)
Prolapsed Umbilical Cord
Spironolactone (Aldactone) Nursing Considerations
Stages of Fetal Development Nursing Mnemonic (Proficiently Expanding Fetus)
Terbutaline (Brethine) Nursing Considerations
Transient Tachypnea of Newborn
VEAL CHOP Nursing Mnemonic (Fetal Accelerations and Decelerations) (VEAL CHOP)
Cardiac Terminology
Hematology Oncology & Immunology Terminology
MedTerm Basic Word Structure
Psychiatry Terminology
ACE (angiotensin-converting enzyme) Inhibitors
Acute Renal (Kidney) Module Intro
Addisons Assessment Nursing Mnemonic (STEROID)
Addisons Disease
Altered Mental Status Nursing Mnemonic (AEIOU TIPS)
Angiotensin Receptor Blockers
Anticonvulsants
Antidiabetic Agents
ASA (Aspirin) Nursing Considerations
Atorvastatin (Lipitor) Nursing Considerations
Azithromycin (Zithromax) Nursing Considerations
Bleeding Precautions Nursing Mnemonic (RANDI)
Blood Flow Through The Heart
Breast Cancer Concept Map
Breast Cancer
Bronchoscopy
Burn Injuries
Calcium Channel Blockers
Canes Nursing Mnemonic (COAL)
Cardiac Stress Test
Cardiovascular Disorders (CVD) Module Intro
Cataracts
Causes of Dyspnea Nursing Mnemonic (The 6 P’s)
Causes of Pancreatitis Nursing Mnemonic (BAD HITS)
Central Line Dressing Change
Chest Tube Assessment Nursing Mnemonic (Two AA’s)
Chest Tube Management
CHF Treatment Nursing Mnemonic (UNLOAD FAST)
Circulatory Checks (5 P’s) Nursing Mnemonic (The 5 P’s)
Cirrhosis Complications Nursing Mnemonic (Please Bring Happy Energy)
Coagulation Studies (PT, PTT, INR)
Clopidogrel (Plavix) Nursing Considerations
Complications of Immobility
Continuous Renal Replacement Therapy (CRRT, dialysis)
COPD Concept Map
Cor Pulmonale – Signs & Symptoms Nursing Mnemonic (Please Read His Text)
Coronary Artery Disease Concept Map
Crohn’s Morphology and Symptoms Nursing Mnemonic (CHRISTMAS)
Cushings Assessment Nursing Mnemonic (STRESSED)
Dementia and Alzheimers
Diabetes Insipidus Nursing Mnemonic (DDD)
Diabetes Management
Diabetes Mellitus Type 1- Signs & Symptoms Nursing Mnemonic (The 3 P’s)
Diltiazem (Cardizem) Nursing Considerations
Discharge (DC) Teaching After Surgery
Diverticulitis Complications Nursing Mnemonic (Please Fix His Abscess SOon)
DKA Treatment Nursing Mnemonic (KING UFC)
Diabetic Ketoacidosis for Progressive Care Certified Nurse (PCCN)
Dopamine (Inotropin) Nursing Considerations
Encephalopathies
Enoxaparin (Lovenox) Nursing Considerations
Enteral & Parenteral Nutrition (Diet, TPN)
Essential NCLEX Meds by Class
Evaluation of Irregular Moles Nursing Mnemonic (ABCDE)
Fibromyalgia
Fluid Volume Overload
Gastrointestinal (GI) Bleed Concept Map
Genitourinary (GU) Assessment
Glaucoma
Glipizide (Glucotrol) Nursing Considerations
Hearing Loss
Heart (Cardiac) Failure Therapeutic Management
Heart (Cardiac) Sound Locations and Auscultation
Heart Failure – Right Sided Nursing Mnemonic (HEAD)
Heart Failure-Left-Sided Nursing Mnemonic (CHOP)
Heart Failure-Origin Nursing Mnemonic (Left – Lung|Right – Rest)
Hemodialysis (Renal Dialysis)
Heparin (Hep-Lock) Nursing Considerations
Hepatic Disorders (Cirrhosis, Hepatitis, Portal Hypertension) for Progressive Care Certified Nurse (PCCN)
HMG-CoA Reductase Inhibitors (Statins)
Hypercalcemia – Signs and Symptoms Nursing Mnemonic (GROANS, MOANS, BONES, STONES, OVERTONES)
Hyperglycaemic Hyperosmolar Non-ketotic syndrome (HHNS)
Hypernatremia – Signs and Symptoms 2 Nursing Mnemonic (FRIED)
Hypernatremia – Signs and Symptoms 2 Nursing Mnemonic (SWINE)
Hypernatremia – Signs and Symptoms 3 Nursing Mnemonic (SALT)
Hypertension – Nursing care Nursing Mnemonic (DIURETIC)
Hyperthermia (Thermoregulation)
Hypertonic Solutions (IV solutions)
Hypocalcemia – Definition, Signs and Symptoms Nursing Mnemonic (CATS)
Hypoglycemia
Hypoglycemia symptoms Nursing Mnemonic (DIRE)
Hypokalemia – Signs and Symptoms Nursing Mnemonic (6 L’s)
Hypoglycemia – Signs and Symptoms Nursing Mnemonic (TIRED)
Hypoglycemia Management Nursing Mnemonic (Cool and Clammy – Give ‘Em Candy)
Hyponatremia- Definition, Signs and Symptoms Nursing Mnemonic (SALT LOSS)
Hypoparathyroidism
Hypotonic Solutions (IV solutions)
Hypovolemic and Distributive Shock for Certified Emergency Nursing (CEN)
Hypoxia – Signs and Symptoms Nursing Mnemonic (RAT BED)
Individualized Physical Assessments for Certified Perioperative Nurse (CNOR)
Informed Consent
Insulin Mnemonic (Ready, Set, Inject, Love)
Intake and Output (I&O)
Integumentary (Skin) Important Points
Interventions for Aphasia Nursing Mnemonic (PROP)
Intrarenal Causes of Acute Kidney Injury Nursing Mnemonic (TONIC)
Isoniazid (Niazid) Nursing Considerations
Leukemia – Signs and Symptoms Nursing Mnemonic (ANT)
Levels of consciousness Nursing Mnemonic (Never Carry Dirty Socks Or Smelly Clothes)
Losartan (Cozaar) Nursing Considerations
Macular Degeneration
Malignant Hyperthermia
Management of Pressure Ulcers (Pressure Injuries) Nursing Mnemonic (SKIN)
Management of Glomerulonephritis Nursing Mnemonic (Please Help Deliver Diuretics)
Mechanical Aids
Medication Classess for IBD Nursing Mnemonic (Sometimes I Can’t Answer)
Medications to Prevent Seizures Nursing Mnemonic (Pretty Little Liars Forever)
Meniere’s Disease
Metabolic Acidosis (interpretation and nursing diagnosis)
Methylprednisolone (Solu-Medrol) Nursing Considerations
Mobility & Assistive Devices
Montelukast (Singulair) Nursing Considerations
Myocardial Infarction Nursing Mnemonic (MONATAS)
Naproxen (Aleve) Nursing Considerations
Neurogenic Shock for Certified Emergency Nursing (CEN)
Nursing Care and Pathophysiology for Acquired Immune Deficiency Syndrome (AIDS)
Nursing Care and Pathophysiology for Cardiogenic Shock
Nursing Care and Pathophysiology for Cardiomyopathy
Nursing Care and Pathophysiology for Cholecystitis
Nursing Care and Pathophysiology for Cirrhosis (Liver Disease, Hepatic encephalopathy, Portal Hypertension, Esophageal Varices)
Nursing Care and Pathophysiology for Compartment Syndrome
Nursing Care and Pathophysiology for Cushings Syndrome
Nursing Care and Pathophysiology for Distributive Shock
Nursing Care and Pathophysiology for Epididymitis
Nursing Care and Pathophysiology for Hashimoto’s Thyroiditis
Nursing Care and Pathophysiology for Hepatitis (Liver Disease)
Nursing Care and Pathophysiology for Herpes Simplex (HSV, STI)
Nursing Care and Pathophysiology for Human Papilloma Virus (HPV STI)
Nursing Care and Pathophysiology for Hyperthyroidism
Nursing Care and Pathophysiology for Hypothyroidism
Nursing Care and Pathophysiology for Hypovolemic Shock
Nursing Care and Pathophysiology for Meningitis
Nursing Care and Pathophysiology for Osteomyelitis
Nursing Care and Pathophysiology for Pulmonary Edema
Nursing Care and Pathophysiology for Rhabdomyolysis
Nursing Care and Pathophysiology for Rheumatoid Arthritis (RA)
Nursing Care and Pathophysiology for Sepsis
Nursing Care and Pathophysiology for SIADH (Syndrome of Inappropriate antidiuretic Hormone Secretion)
Nursing Care and Pathophysiology for SIRS & MODS
Nursing Care and Pathophysiology for Tuberculosis (TB)
Nursing Care and Pathophysiology of Acute Respiratory Distress Syndrome (ARDS)
Nursing Care and Pathophysiology of BPH (Benign Prostatic Hyperplasia)
Nursing Care and Pathophysiology of COPD (Chronic Obstructive Pulmonary Disease)
Nursing Care and Pathophysiology of Diabetic Ketoacidosis (DKA)
Nursing Care and Pathophysiology of Diabetes Mellitus (DM)
Nursing Care and Pathophysiology of Endocarditis and Pericarditis
Nursing Care and Pathophysiology of Myocardial Infarction (MI)
Nursing Care and Pathophysiology of Myocarditis
Nursing Care and Pathophysiology of Nephrotic Syndrome
Nursing Care and Pathophysiology of Osteoarthritis (OA)
Nursing Care Plan (NCP) for Addison’s Disease (Primary Adrenal Insufficiency)
Nursing Care Plan (NCP) for Aspiration
Nursing Care Plan (NCP) for Bronchoscopy (Procedure)
Nursing Care Plan (NCP) for Cardiogenic Shock
Nursing Care Plan (NCP) for Emphysema
Nursing Care Plan (NCP) for Enuresis / Bedwetting
Nursing Care Plan (NCP) for Hyperosmolar Hyperglycemic Nonketotic Syndrome (HHNS)
Nursing Care Plan (NCP) for Hypovolemic Shock
Nursing Care Plan (NCP) for Respiratory Failure
Nursing Care Plan (NCP) for Risk for Fall
Nursing Care Plan (NCP) for Skin cancer – Melanoma, Basal Cell Carcinoma, Squamous Cell Carcinoma
Nursing Care Plan (NCP) for Spinal Cord Injury
Nursing Care Plan (NCP) for Systemic Lupus Erythematosus (SLE)
Nursing Care Plan (NCP) for Thoracentesis (Procedure)
Nursing Care Plan (NCP) for Thrombophlebitis / Deep Vein Thrombosis (DVT)
Nursing Care Plan (NCP) for Thrombocytopenia
Nursing Care Plan for Amputation
Nursing Care Plan for Compartment Syndrome
Nursing Care Plan for Distributive Shock
Nursing Case Study for Pneumonia
Nursing Case Study for Diabetic Foot Ulcer
Oncology Important Points
Oxygen Delivery Module Intro
Pain and Nonpharmacological Comfort Measures
Pain Assessment Questions Nursing Mnemonic (OPQRST)
Patient Consent for Treatment for Certified Emergency Nursing (CEN)
Patient Communication Techniques for Certified Perioperative Nurse (CNOR)
Patients with Communication Difficulties
Perioperative Nursing Course Introduction
Peritoneal Dialysis (PD)
Pneumonia Concept Map
PPE Donning & Doffing
Pressure Ulcers/Pressure injuries (Braden scale)
Propylthiouracil (PTU) Nursing Considerations
Pulmonary edema treatment Nursing Mnemonic (MAD DOG)
Sepsis Concept Map
Sepsis Labs
Shock – Signs and symptoms Nursing Mnemonic (TV SPARC CUBE)
Specialty Diets (Nutrition)
Stages of Hepatitis Nursing Mnemonic (PIP)
Strabismus
Stroke Assessment (CVA)
TB Drugs Nursing Mnemonic (RIPE)
The Medical Team
Thrombolytics
Toxicity Sepsis- Signs and Symptoms Nursing Mnemonic (The 6 T’s)
Trach Care
Traction – Nursing Care Nursing Mnemonic (TRACTION)
Trauma – Assessment (Emergency) Nursing Mnemonic (ABCDEFGHI)
Types of Anemia Nursing Mnemonic (Always Introduce Special Patients)
Understanding Blood Pressure Meds! – Live Tutoring Archive
Vaccine-Preventable Diseases (Measles, Mumps, Pertussis, Chicken Pox, Diphtheria) for Certified Emergency Nursing (CEN)
Vascular disease – Raynaud’s symptoms Nursing Mnemonic (COLD HAND)
Vasopressin
Warfarin (Coumadin) Nursing Considerations
Who Needs Dialysis Nursing Mnemonic (AEIOU)
Wound Infections for Certified Emergency Nursing (CEN)