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Nursing Care and Pathophysiology for Osteomyelitis

Nursing Care and Pathophysiology for Osteomyelitis

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Study Tools For Nursing Care and Pathophysiology for Osteomyelitis

Osteomyelitis (Picmonic)
Osteomyelitis Pathochart (Cheatsheet)
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Outline

Pathophysiology: Infection of the bone from some organism (usually staph). The infection can spread and abscesses may form draining through the skin.

Overview

Osteomyelitis occurs when a pathogenic organism invades bone tissue and causes infection.

Nursing Points

General

  1. Any pathogen can cause bone infection
    1. Bacteria
    2. Viruses
    3. Fungi
  2. Infection cycle of osteomyelitis
    1. Pathogen starts the  inflammatory response
    2. Inflammation leads to increased vascularity
      1. Edema formation
    3. Blood vessel thrombosis
      1. Exudate released into body tissue
    4. Decreased blood flow to bone
      1. Ischemia of bone tissue
    5. Leads to bone necrosis
    6. Necrotic bone separates from other bone tissue
      1. Called sequestrum
    7. Sequestrum prevents bone healing
      1. Causes superimposed infection
        1. Commonly bone abscess
    8. Cycle repeats itself
      1. New infection → further inflammation → vessel thrombosis → necrosis
  3. Types of osteomyelitis
    1. Exogenous
      1. Organisms enter from outside body
      2. Example: compound fracture
    2. Endogenous or hematogenous
      1. Organism carried by bloodstream from infection somewhere else in body
      2. Example: bacteremia
    3. Contiguous
      1. Infection results from skin infection of surrounding tissue
      2. Example: cellulitis
    4. Acute
      1. Penetrating trauma
      2. Direct inoculation
    5. Chronic
      1. Diabetics
      2. Recurrent infections
      3. Misdiagnosis or inadequate treatment

Assessment

  1. Bone pain
    1. Constant
    2. Localized
    3. Pulsating sensation
    4. Worse with movement
  2. Acute osteomyelitis
    1. Fever
    2. Edema
    3. Pain
    4. Erythema
    5. Warm to the touch
    6. Elevated WBC
  3. Chronic osteomyelitis
    1. Ulceration
    2. Pain
    3. Drainage
    4. WBC normal or just slight elevation
  4. Diagnostics
    1. Initial testing
      1. X-ray
      2. CBC
    2. If x-ray is unclear or osteomyelitis is suspected
      1. MRI
      2. Bone scan
    3. Once diagnosed with osteomyelitis, certain cases require additional testing
      1. If unresponsive to antibiotic therapy
        1. Needle aspiration
        2. Bone biopsy
        3. To determine infectious pathogen
      2. If patient is showing signs of sepsis
        1. Blood cultures

Therapeutic Management

  1. Treatment
    1. Antibiotics ASAP
      1. For several weeks up to several months
      2. Given at specific time intervals to maintain therapeutic levels
      3. May need several types of antibiotics
      4. Will usually have a long-term access placed
        1. PICC line
    2. Pain control
      1. NSAIDs
      2. Escalate as needed
    3. Wound care
      1. If patient has chronic osteomyelitis and has ulcerations
      2. Antibiotic irrigation
        1. Continuous or intermittent
      3. Dressing changes
    4. Hyperbaric oxygen therapy (HBO)
      1. Increases tissue perfusion for chronic osteomyelitis
      2. Affected area is exposed to a high oxygen concentration
        1. Diffuses into the tissues
        2. Helps with healing
    5. Sequestrectomy
      1. Bone can’t heal when necrotic tissue is present
      2. Debrides dead tissue and allows for revascularization
      3. Large bone defect or sizable cavity can be present after procedure
        1. Bone graft
        2. Microvascular bone transfers
        3. Muscle flap
    6. Amputation
      1. If no success with non surgical and surgical management
      2. Monitor
        1. Signs of bleeding
        2. Vital signs
        3. Pain assessment
        4. Phantom limb pain
  2. Monitoring
    1. Frequent neurovascular checks
      1. Pain
      2. Sensation
      3. Movement
      4. Temperature
      5. Distal pulses
      6. Color
      7. Capillary refill
    2. Assess for edema
      1. Elevate the affected extremity
        1. Increases venous return
    3. Vital signs and worsening infection
      1. Can lead to septic shock if bacteremia is present

Nursing Concepts

  1. Comfort
  2. Infection control
  3. Mobility

Patient Education

  1. Some patients require continued antibiotics once they are discharged home
    1. Home health
    2. Antibiotic administration
    3. PICC line care if applicable
    4. May be switched to PO administration after a certain amount of time
    5. Important to stick to regimen
      1. Don’t skip doses
      2. Don’t stop treatment until finished
  2. Patients should report changes in sensation or pain
  3. Educate about signs/symptoms of infection
    1. Recurrence of osteomyelitis
    2. Worsening of condition
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Transcript

Hi guys. Today we’re going to learn all about osteomyelitis. We’ll review what osteomyelitis is, how it occurs, how it’s diagnosed, and we’ll also go over the assessment findings and nursing considerations when you are caring for these patients.

Osteomyelitis really is just a bone infection. This happens when a pathogen gets into the bone tissue and causes infection – like bacteria, viruses, and fungi. There are a few different types of osteomyelitis. Exogenous is when the pathogen enters from outside the body like in a compound fracture. The bone pierces the skin and the pathogen has a direct entry point into the body. There is also endogenous or hematogenous, which is when the pathogen is carried from infection somewhere else in the body via the bloodstream like bacteremia. Contiguous is when the infection is caused from skin infection of the surrounding tissue, like in cellulitis. Acute osteomyelitis is exactly as it sounds – a new episode – so this could be a penetrating trauma that leads to direct inoculation with the pathogen – person steps on a dirty nail – boom – pathogen enters the body. Chronic osteomyelitis is commonly seen in diabetics. These are also patients with recurrent infections or if osteomyelitis is misdiagnosed, if there’s inadequate treatment, or if the patient is noncompliant with antibiotic therapy.

Now that we get the basics – osteomyelitis = bone infection, let’s take a look at EXACTLY what is going on in the body and how that infection happens. First, a pathogen starts the inflammatory response which leads to increased vascularity. All of that extra fluid leads to edema formation. Increased edema = blood vessel thrombosis. The vessels can’t handle the extra fluid. When the blood vessel bursts, exudate is released into body tissue which leads to decreased blood flow to the bone because the vessels aren’t working properly, which then leads to ischemia of bone tissue. Low blood flow leads to bone necrosis – the affected bone dies. Then, the necrotic bone separates from other bone tissue, which is called sequestrum. Sequestrum prevents bone healing and causes infection which is commonly seen as a bone abscess. The cycle repeats. New infection → further inflammation → vessel thrombosis → necrosis.So, ultimately the goal of treatment is going to be to break this cycle and prevent it from recurring.

Testing usually starts with an x-ray of the affected body part and a CBC. The x-ray will show if there are any abnormalities like in this picture. As you can see the red arrow is pointing to osteomyelitis of the first toe. The CBC will show us if the patient has some sort of infectious process – elevated WBC. If osteomyelitis is suspected or if the x-ray is unclear usually a MRI or bone scan are ordered for clearer imaging. Some cases require more testing. If a patient is diagnosed with osteomyelitis, is started on broad spectrum antibiotics, and is not responding well to treatment then a needle aspiration or bone biopsy is typically the next step to determine what the infectious pathogen is so we can treat it more directly. Patients with osteomyelitis can get pretty gnarly infections and can turn septic. In this case, blood cultures would be ordered to see if there is any bacteria in the blood.

The assessment findings can be different for acute and chronic osteomyelitis. With acute osteomyelitis you’ll see a fever – usually over 101 degrees fahrenheit, edema – from the increased vascularity, as well as pain. Pain in both acute and chronic osteomyelitis is described as constant, localized to the affected area, a pulsing sensation, and worse with movement. Acute osteomyelitis also presents with erythema, warmth to the area upon palpation, and elevated WBC as it is an ACUTE infection. Chronic osteomyelitis presents a little differently. These patients still have the same pain, but they may also have ulceration and drainage from the affected area. Since it’s a chronic issue, the WBC could be normal or just slightly elevated.

Let’s look at treatment options. These patients need to be started on antibiotics ASAP. They’ll be on these for several weeks to several months. If long term antibiotics are anticipated, a PICC line is usually placed so they can go home and still get their IV antibiotics. Antibiotics are given at specific times to maintain therapeutic levels and sometimes several types of antibiotics are needed depending on the infection. Pain control is a priority and NSAIDS are usually the medication of choice. Of course, some cases will require stronger pain medication if their pain is uncontrolled with NSAID administration. With ulcerations seen in chronic osteomyelitis, there could be wound care such as dressing changes or antibiotic irrigations. These will both be doctors orders if indicated. Hyperbaric oxygen therapy, sometimes called HBO therapy is an excellent treatment modality and is used on my floor frequently for osteomyelitis treatment. It increases tissue perfusion in chronic osteomyelitis by exposing the affected area to high oxygen concentration. This diffuses into the tissues which helps with healing. This is a patient in a HBO chamber getting a treatment. Since bone can’t heal properly when necrotic tissue is present, sometimes a sequestrectomy is needed to get rid of the sequestrum (necrotic bone tissue that separates from other bone). A sequestrectomy debrides the dead tissue and allows for revascularization. If the procedure leaves a large bone defect or sizable cavity, sometimes a bone graft, microvascular bone transfer, or a muscle flap are indicated. Amputation is the next step if non surgical and surgical management fails. With an amputation you’ll monitor signs of bleeding, vital signs, frequent pain assessments, and will monitor for phantom limb pain.

You’ll be doing frequent neurovascular checks on these patients and will be monitoring for things like pain, sensation, movement, temperature, distal pulses, color, capillary refill, and edema. Let’s say you are doing your first neuro check on your patient and you discover that the affected leg has +1 pedal pulse and the good leg has a +2 pedal pulse. There’s a few things to consider with this assessment finding. 1- has the patient always had a +1 pedal pulse in the affected leg? If so, it is usually okay as long as it is not changing. 2- Let’s say the patient had a +2 pedal pulse in the affected leg for the previous shift but now has a +1 pedal pulse. This is a concerning finding and would be something that you should notify the provider about because it’s an acute change and different from their baseline. This consideration also applies to other things like sensation, temperature, and color of the extremity. The patient could have abnormal findings like numbness and tingling in the affected leg, but if it is not a new finding and is not getting worse you don’t have to call the provider to report this. New, acute neurovascular changes should always be reported to the provider as circulation or perfusion are usually impaired. If the patient has edema you can use elevation to increase venous return. It’s important that you also monitor the patient’s vital signs and monitor for signs of worsening infection. Like I mentioned before, these patients can get septic and can be very sick.

Some of the education topics you want to review include antibiotic therapy, reporting changes in sensation, and infection education. Depending on the severity of infection patients could be discharged with home health/antibiotic therapy at home. Educate about PICC line care if applicable. Patients may be switched to PO antibiotics after a certain amount of time. Patients should stick to the prescribed regimen and should not skip doses or stop treatment until it is finished. Patients should report changes in sensation and pain as these could indicate worsening infection. Infection education is so important. Make sure to educate not only about the antibiotic therapy but recurrence of osteomyelitis and signs and symptoms of worsening condition.

The priority nursing concepts for patients with osteomyelitis include comfort, infection control, and mobility. Their comfort is altered due to the bone infection and the pain that results. Infection control is huge. We want to control the infection and prevent it from getting worse or spreading. Mobility is a priority nursing concept as the bone is affected and can cause alterations in mobility.

Key points to remember include infection control, pain control, and patient education. With infection control antibiotics should be started ASAP, the regimen should be followed and completed, and you should monitor for worsening infection and for sepsis. Pain control is a priority. Usually these patients are started on NSAIDS and medication strength is escalated as needed. Patient education is key. Educate about antibiotic therapy, reporting changes in sensation, and infection education.

Alright guys, that’s it for our lesson on osteomyelitis. Make sure to check out the other resources attached to this lesson. Now, go out and be your best self today. And, as always, Happy Nursing!

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Study Plan Lessons

1st Degree AV Heart Block
2nd Degree AV Heart Block Type 1 (Mobitz I, Wenckebach)
2nd Degree AV Heart Block Type 2 (Mobitz II)
3rd Degree AV Heart Block (Complete Heart Block)
Absolute Neutrophil Count (ANC) Lab Values
Absolute Reticulocyte Count (ARC) Lab Values
ACE (angiotensin-converting enzyme) Inhibitors
Acute Kidney Injury Case Study (60 min)
Acute Renal (Kidney) Module Intro
Addisons Assessment Nursing Mnemonic (STEROID)
Addisons Disease
Adjunct Neuro Assessments
Admissions, Discharges, and Transfers
Adrenal Gland Hormones Nursing Mnemonic (The 3 S’s)
Advance Directives
AIDS Case Study (45 min)
Airway Suctioning
Alanine Aminotransferase (ALT) Lab Values
Alendronate (Fosamax) Nursing Considerations
Alkaline Phosphatase (ALK PHOS) Lab Values
Alkylating Agents
Alteplase (tPA, Activase) Nursing Considerations
Altered Mental Status Nursing Mnemonic (AEIOU TIPS)
Amitriptyline (Elavil) Nursing Considerations
Amlodipine (Norvasc) Nursing Considerations
Amputation
Amputation Concept Map
Anesthetic Agents
Anesthetic Agents
Angiotensin Receptor Blockers
Anion Gap
Anion Gap Acidosis 1 Nursing Mnemonic (KULT)
Anion Gap Acidosis 2 Nursing Mnemonic (MUDPILES)
Anti Tumor Antibiotics
Anti-Infective – Carbapenems
Anti-Infective – Glycopeptide
Anti-Infective – Sulfonamides
Anti-Infective – Tetracyclines
Anti-Infective – Antitubercular
Anti-Platelet Aggregate
Anticonvulsants
Antidiabetic Agents
Antimetabolites
Antineoplastics
Antinuclear Antibody Lab Values
Aortic Aneurysm – Management Nursing Mnemonic (CRAM)
Aortic Aneurysm – Thoracic signs Nursing Mnemonic (PEE BADS)
Aortic Stenosis Symptoms Nursing Mnemonic (SAD)
ARDS Case Study (60 min)
ARDS causes Nursing Mnemonic (GUT PASS)
Artificial Airways
ASA (Aspirin) Nursing Considerations
Assessment for Myasthenic Crisis Nursing Mnemonic (BRISH)
Assessment of Guillain-Barre Syndrome Nursing Mnemonic (GBS=PAID)
At Risk for Gout Nursing Mnemonic (MALE)
Atenolol (Tenormin) Nursing Considerations
Atorvastatin (Lipitor) Nursing Considerations
Atrial Fibrillation (A Fib)
Atrial Flutter
AVPU Mnemonic (The AVPU Scale)
Azithromycin (Zithromax) Nursing Considerations
Bacterial Endocarditis – Symptoms Nursing Mnemonic (Be Joan Of Arc)
Barbiturates
Bariatric Surgeries
Bariatric: IV Insertion
Barriers to Health Assessment
Bed Bath
Benztropine (Cogentin) Nursing Considerations
Beta Hydroxy (BHB) Lab Values
Biopsy
Bismuth Subsalicylate (Pepto-Bismol) Nursing Considerations
Bladder Cancer
Bleeding Complications (Minor) Nursing Mnemonic (BEEP)
Bleeding Precautions Nursing Mnemonic (RANDI)
Blood Flow Through The Heart
Blunt Chest Trauma
Bone Cancer (Osteosarcoma, Chondrosarcoma, and Ewing Sarcoma)
Bowel Obstruction Concept Map
BPH Symptoms Nursing Mnemonic (FUN WISE)
Brain Death v. Comatose
Brain Natriuretic Peptide (BNP) Lab Values
Brain Tumors
Brain Tumors
Breast Cancer
Breast Cancer Concept Map
Bronchoscopy
Burn Injuries
C-Reactive Protein (CRP) Lab Values
Calcium Acetate (PhosLo) Nursing Considerations
Calcium Carbonate (Tums) Nursing Considerations
Calcium Channel Blockers
Cancer – Early Warning Signs Nursing Mnemonic (CAUTION UP)
Cancer – Nursing Priorities Nursing Mnemonic (CANCER)
Canes Nursing Mnemonic (COAL)
Captopril (Capoten) Nursing Considerations
Carbidopa-Levodopa (Sinemet) Nursing Considerations
Carbon Dioxide (Co2) Lab Values
Cardiac (Heart) Enzymes
Cardiac A&P Module Intro
Cardiac Anatomy
Cardiac Course Introduction
Cardiac Labs – What and When to Use Them – Live Tutoring Archive
Cardiac Labs – What and When to Use Them 2 – Live Tutoring Archive
Cardiac Stress Test
Cardiac Valves Blood Flow Nursing Mnemonic (Toilet Paper my Ass)
Cardiovascular Angiography
Cardiovascular Disorders (CVD) Module Intro
Cataracts
Causes of Anaphylaxis Nursing Mnemonic (Many Boys Love Food)
Causes of Dyspnea Nursing Mnemonic (The 6 P’s)
Causes of Pancreatitis Nursing Mnemonic (BAD HITS)
Causes of Renal Calculi Nursing Mnemonic (Patients Complain of Pain and Difficulty Urinating)
Celecoxib (Celebrex) Nursing Considerations
Central Line Dressing Change
Cephalexin (Keflex) Nursing Considerations
Cerebral Angiography
Cerebral Metabolism
Cerebral Perfusion Pressure Case Study (60 min)
Cerebral Perfusion Pressure CPP
Cervical Cancer
Chemotherapy Patients
Chest Tube Assessment Nursing Mnemonic (Two AA’s)
Chest Tube Management
Chest Tube Management
Chest Tube Management Case Study (60 min)
CHF Treatment Nursing Mnemonic (UNLOAD FAST)
Chronic Kidney Disease (CKD) Case Study (45 min)
Chronic Obstructive Pulmonary Disease (COPD) Case Study (60 min)
Chronic Renal (Kidney) Module Intro
Circulatory Checks (5 P’s) Nursing Mnemonic (The 5 P’s)
Cirrhosis Case Study (45 min)
Cirrhosis Complications Nursing Mnemonic (Please Bring Happy Energy)
Clopidogrel (Plavix) Nursing Considerations
Coagulation Studies (PT, PTT, INR)
Colonoscopy
Colorectal Cancer (colon rectal cancer)
Common Pathogens for UTI Nursing Mnemonic (KEEPS)
Common Signs of Parkinson’s Nursing Mnemonic (SMART)
Complications of Immobility
Complications of Spinal Cord Injuries Nursing Mnemonic (ABCDEFG)
Complications of Thoracentesis Nursing Mnemonic (Patients Sometimes Bleed Internally)
Computed Tomography (CT)
Congestive Heart Failure Concept Map
Continuous Renal Replacement Therapy (CRRT, dialysis)
COPD (Chronic Obstructive Pulmonary Disease) Labs
COPD Concept Map
COPD management Nursing Mnemonic (COPD)
Cor Pulmonale – Signs & Symptoms Nursing Mnemonic (Please Read His Text)
Coronary Arteries – Location Nursing Mnemonic (I have a RIGHT to CAMP if you LEFT off the AC)
Coronary Artery Disease Concept Map
Coronary Circulation
Coronavirus (COVID-19) Nursing Care and General Information
Cortisol Lab Vales
Cortisone (Cortone) Nursing Considerations
Cranial Nerve Mnemonic 01 Nursing Mnemonic (Olympic Opium Occupies Troubled Triathletes After Finishing Vegas Gambling Vacations Still High)
Cranial Nerve Mnemonic 02 Nursing Mnemonic (Oh Oh Oh To Touch And Feel Very Good Velvet AH!)
Cranial Nerve Mnemonic 03 Nursing Mnemonic (On Old Obando Tower Top A Filipino Army Guards Villages And Huts)
Creatine Phosphokinase (CPK) Lab Values
Creatinine Clearance Lab Values
CRNA
Crohn’s Morphology and Symptoms Nursing Mnemonic (CHRISTMAS)
CT & MR Angiography
Cultures
Cushing’s Syndrome Case Study (60 min)
Cushings Assessment Nursing Mnemonic (STRESSED)
Cyclic Citrullinated Peptide (CCP) Lab Values
Cyclosporine (Sandimmune) Nursing Considerations
D-Dimer (DDI) Lab Values
Day in the Life of a Med-surg Nurse
Day in the Life of an Operating Room Nurse
Decrease ICP Nursing Mnemonic (Craniums Excite Me)
Dementia and Alzheimers
Diabetes Insipidus Case Study (60 min)
Diabetes Insipidus Nursing Mnemonic (DDD)
Diabetes Management
Diabetes Mellitus (DM) Module Intro
Diabetes Mellitus & Those Dang Blood Sugars! – Live Tutoring Archive
Diabetes Mellitus Case Study (45 min)
Diabetes Mellitus Type 1- Signs & Symptoms Nursing Mnemonic (The 3 P’s)
Diabetic Ketoacidosis (DKA) Case Study (45 min)
Diagnostic Criteria for Lupus Nursing Mnemonic (SOAP BRAIN MD)
Dialysis & Other Renal Points
Different Dressings
Diltiazem (Cardizem) Nursing Considerations
Discharge (DC) Teaching After Surgery
Disease Specific Medications
Disseminated Intravascular Coagulation Case Study (60 min)
Diverticulitis Complications Nursing Mnemonic (Please Fix His Abscess SOon)
DKA Treatment Nursing Mnemonic (KING UFC)
Dobutamine (Dobutrex) Nursing Considerations
Dopamine (Inotropin) Nursing Considerations
Drugs that Cause SJS Nursing Mnemonic (I C NASA)
Dysrhythmias Labs
Echocardiogram (Cardiac Echo)
EENT Course Introduction
EENT Medications
Enalapril (Vasotec) Nursing Considerations
Encephalopathies
Endocarditis Case Study (45 min)
Endoscopy & EGD
Enoxaparin (Lovenox) Nursing Considerations
Enteral & Parenteral Nutrition (Diet, TPN)
Epinephrine (EpiPen) Nursing Considerations
Epoetin (Epogen) Nursing Considerations
Epoetin Alfa
Erythrocyte Sedimentation Rate (ESR) Lab Values
Erythromycin (Erythrocin) Nursing Considerations
Essential NCLEX Meds by Class
Evaluation of Irregular Moles Nursing Mnemonic (ABCDE)
Fentanyl (Duragesic) Nursing Considerations
Ferrous Sulfate (Iron) Nursing Considerations
Fibrin Degradation Products (FDP) Lab Values
Fibrinogen Lab Values
Fibromyalgia
Fluid Volume Overload
Fractures
Free T4 (Thyroxine) Lab Values
Fundamentals Course Introduction
Gabapentin (Neurontin) Nursing Considerations
Gastritis
Gastrointestinal (GI) Bleed Concept Map
General Anesthesia
General Assessment (Physical assessment)
Genitourinary (GU) Assessment
Genitourinary Course Introduction
GERD (Gastroesophageal Reflux Disease)
GERD causes Nursing Mnemonic (Reflux Is Probably Mean)
Glaucoma
Glipizide (Glucotrol) Nursing Considerations
Global Symptoms for Brain Tumors Nursing Mnemonic (HAS)
Glucagon (GlucaGen) Nursing Considerations
Gout Case Study (45 min)
Hb (Hepatitis) Vaccine
Head/Neck Assessment
Health Assessment Course Introduction
Hearing Loss
Heart (Cardiac) and Great Vessels Assessment
Heart (Cardiac) Failure Module Intro
Heart (Cardiac) Failure Therapeutic Management
Heart (Cardiac) Sound Locations and Auscultation
Heart Failure – Live Tutoring Archive
Heart Failure – Right Sided Nursing Mnemonic (HEAD)
Heart Failure 2 – Live Tutoring Archive
Heart Failure Case Study (45 min)
Heart Failure-Left-Sided Nursing Mnemonic (CHOP)
Heart Failure-Origin Nursing Mnemonic (Left – Lung|Right – Rest)
Hematology Module Intro
Hematology/Oncology/Immunology Course Introduction
Hemodialysis (Renal Dialysis)
Hemorrhagic Stroke Risk Factors Nursing Mnemonic (HATS)
Heparin (Hep-Lock) Nursing Considerations
Hepatitis B Virus (HBV) Lab Values
Hiatal Hernia
Hiatal Hernia Symptoms Nursing Mnemonic (Her Belly Really Hurts Following Dinner)
High Pressure Vent Alarms Nursing Mnemonic (Kings Eat Big Cakes)
Histamine 1 Receptor Blockers
Histamine 2 Receptor Blockers
HMG-CoA Reductase Inhibitors (Statins)
Hydralazine
Hygiene
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)
Hypertension (HTN) Concept Map
Hypertension- Complications Nursing Mnemonic (The 4 C’s)
Hypertensive Crisis Case Study (45 min)
Hyperthermia (Thermoregulation)
Hyperthyroidism Case Study (75 min)
Hypertonic Solutions (IV solutions)
Hypocalcemia – Definition, Signs and Symptoms Nursing Mnemonic (CATS)
Hypoglycemia
Hypoglycemia – Signs and Symptoms Nursing Mnemonic (TIRED)
Hypoglycemia Management Nursing Mnemonic (Cool and Clammy – Give ‘Em Candy)
Hypoglycemia symptoms Nursing Mnemonic (DIRE)
Hypokalemia – Signs and Symptoms Nursing Mnemonic (6 L’s)
Hyponatremia- Definition, Signs and Symptoms Nursing Mnemonic (SALT LOSS)
Hypoparathyroidism
Hypothermia (Thermoregulation)
Hypotonic Solutions (IV solutions)
Hypoxia – Signs and Symptoms Nursing Mnemonic (RAT BED)
ICU Nurse Report to OR (Operating)Team
Immunology Module Intro
Impulse Transmission
Inflammatory Bowel Disease Case Study (45 min)
Informed Consent
Inserting a Foley (Urinary Catheter) – Male
Inserting an NG (Nasogastric) Tube
Insulin
Insulin – Intermediate Acting (NPH) Nursing Considerations
Insulin – Long Acting (Lantus) Nursing Considerations
Insulin – Mixtures (70/30)
Insulin – Rapid Acting (Novolog, Humalog) Nursing Considerations
Insulin – Short Acting (Regular) Nursing Considerations
Insulin Mnemonic (Ready, Set, Inject, Love)
Intake and Output (I&O)
Integumentary (Skin) Course Introduction
Integumentary (Skin) Important Points
Integumentary (Skin) Module Intro
Interventional Radiology
Interventions for Aphasia Nursing Mnemonic (PROP)
Intracranial Pressure ICP
Intraoperative (Intraop) Complications
Intraoperative Nursing Priorities
Intraoperative Positioning
Intrarenal Causes of Acute Kidney Injury Nursing Mnemonic (TONIC)
Intro to Health Assessment
Introduction to Health Assessment
Intubation in the OR
Iodine Nursing Considerations
Ionized Calcium Lab Values
Iron (Fe) Lab Values
Ischemic (CVA) Stroke Labs
Isoniazid (Niazid) Nursing Considerations
IV Complications (infiltration, phlebitis, hematoma, extravasation, air embolism)
Kidney Cancer
Lactate Dehydrogenase (LDH) Lab Values
Lactic Acid
Leukemia
Leukemia – Signs and Symptoms Nursing Mnemonic (ANT)
Leukemia Case Study (60 min)
Levels of consciousness Nursing Mnemonic (Never Carry Dirty Socks Or Smelly Clothes)
Levofloxacin (Levaquin) Nursing Considerations
Levothyroxine (Synthroid)
Lidocaine (Xylocaine) Nursing Considerations
Lidocaine Toxicity – Signs and Symptoms Nursing Mnemonic (SAMS)
Linen Change
Lipase Lab Values
Lisinopril (Prinivil) Nursing Considerations
Live Bedside Report Medsurg (Medical surgical)
Liver Cancer
Liver/Gallbladder Module Intro
Local Anesthesia
Loperamide (Imodium) Nursing Considerations
Losartan (Cozaar) Nursing Considerations
Low Pressure Vent Alarms Nursing Mnemonic (Cake Everyday)
Lower Gastrointestinal (GI) Module Intro
Lung Cancer
Lung Diseases Module Intro
Lymphatic Assessment
Lymphoma
Lymphoma – Signs and Symptoms Nursing Mnemonic (NURSE For Pete’s Sake)
Macular Degeneration
Magnetic Resonance Imaging (MRI)
Malignant Hyperthermia
Mammogram
Management of Glomerulonephritis Nursing Mnemonic (Please Help Deliver Diuretics)
Management of Lyme Disease Nursing Mnemonic (BAR)
Management of Pressure Ulcers (Pressure Injuries) Nursing Mnemonic (SKIN)
Mechanical Aids
Medication Classess for IBD Nursing Mnemonic (Sometimes I Can’t Answer)
Medications for Pancreatitis Nursing Mnemonic (Please Make Tummy Better)
Medications to Prevent Seizures Nursing Mnemonic (Pretty Little Liars Forever)
Melanoma
Meniere’s Disease
Meperidine (Demerol) Nursing Considerations
Meropenem (Merrem) Nursing Considerations
Metabolic & Endocrine Module Intro
Metabolic Acidosis (interpretation and nursing diagnosis)
Metabolic/Endocrine Course Introduction
Metformin (Glucophage) Nursing Considerations
Methylprednisolone (Solu-Medrol) Nursing Considerations
Metoclopramide (Reglan) Nursing Considerations
Metoprolol (Toprol XL) Nursing Considerations
Metronidazole (Flagyl) Nursing Considerations
MI Surgical Intervention
Migraines
Miscellaneous Nerve Disorders
Mobility & Assistive Devices
Moderate Sedation
Montelukast (Singulair) Nursing Considerations
Morphine (MS Contin) Nursing Considerations
Multiple Myeloma
Multiple Sclerosis Symptoms Nursing Mnemonic (DEMYELINATION)
Murmur locations Nursing Mnemonic (hARD ASS MRS. MSD)
Musculoskeletal Assessment
Musculoskeletal Course Introduction
Musculoskeletal Module Intro
Myocardial Infarction (MI) Case Study (45 min)
Myocardial Infarction Nursing Mnemonic (MONATAS)
Naproxen (Aleve) Nursing Considerations
Nasal Disorders
Neostigmine (Prostigmin) Nursing Considerations
Nephrotic Syndrome Case Study (Peds) (45 min)
Neuro A&P Module Intro
Neuro Anatomy
Neuro Assessment Module Intro
Neuro Course Introduction
Neuro Disorders Module Intro
Neuro Trauma Module Intro
Neurological Fractures
NG (Nasogastric)Tube Management
Nitro Compounds
Nitroglycerin (Nitrostat) Nursing Considerations
Nitroprusside (Nitropress) Nursing Considerations
Norepinephrine (Levophed) Nursing Considerations
NRSNG Live | So You Want to be a Surgical Nurse?
Nuclear Medicine
Nursing Care and Pathophysiology for Acquired Immune Deficiency Syndrome (AIDS)
Nursing Care and Pathophysiology for Anaphylaxis
Nursing Care and Pathophysiology for Anemia
Nursing Care and Pathophysiology for Aortic Aneurysm
Nursing Care and Pathophysiology for Appendicitis
Nursing Care and Pathophysiology for Arterial Disorders
Nursing Care and Pathophysiology for Asthma
Nursing Care and Pathophysiology for Cardiogenic Shock
Nursing Care and Pathophysiology for Cardiomyopathy
Nursing Care and Pathophysiology for Chlamydia (STI)
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 Crohn’s Disease
Nursing Care and Pathophysiology for Cushings Syndrome
Nursing Care and Pathophysiology for Diabetes Insipidus (DI)
Nursing Care and Pathophysiology for Disseminated Intravascular Coagulation (DIC)
Nursing Care and Pathophysiology for Distributive Shock
Nursing Care and Pathophysiology for Diverticulosis – Diverticulitis
Nursing Care and Pathophysiology for Endometriosis
Nursing Care and Pathophysiology for Epididymitis
Nursing Care and Pathophysiology for Gonorrhea (STI)
Nursing Care and Pathophysiology for Gout
Nursing Care and Pathophysiology for Hashimoto’s Thyroiditis
Nursing Care and Pathophysiology for Heart Failure (CHF)
Nursing Care and Pathophysiology for Hemorrhagic Stroke (CVA)
Nursing Care and Pathophysiology for Hemorrhoids
Nursing Care and Pathophysiology for Hepatitis (Liver Disease)
Nursing Care and Pathophysiology for Herpes Simplex (HSV, STI)
Nursing Care and Pathophysiology for Herpes Zoster – Shingles
Nursing Care and Pathophysiology for Human Papilloma Virus (HPV STI)
Nursing Care and Pathophysiology for Hyperparathyroidism
Nursing Care and Pathophysiology for Hyperthyroidism
Nursing Care and Pathophysiology for Hypothyroidism
Nursing Care and Pathophysiology for Hypovolemic Shock
Nursing Care and Pathophysiology for Inflammatory Bowel Disease (IBD)
Nursing Care and Pathophysiology for Influenza (Flu)
Nursing Care and Pathophysiology for Ischemic Stroke (CVA)
Nursing Care and Pathophysiology for Lyme Disease
Nursing Care and Pathophysiology for Male Infertility
Nursing Care and Pathophysiology for Meningitis
Nursing Care and Pathophysiology for Menopause
Nursing Care and Pathophysiology for Multiple Sclerosis (MS)
Nursing Care and Pathophysiology for Myasthenia Gravis
Nursing Care and Pathophysiology for Osteomyelitis
Nursing Care and Pathophysiology for Pancreatitis
Nursing Care and Pathophysiology for Parkinsons
Nursing Care and Pathophysiology for Pelvic Inflammatory Disease (PID)
Nursing Care and Pathophysiology for Peptic Ulcer Disease (PUD)
Nursing Care and Pathophysiology for Pneumothorax & Hemothorax
Nursing Care and Pathophysiology for Polycystic Ovarian Syndrome (PCOS)
Nursing Care and Pathophysiology for Psoriasis
Nursing Care and Pathophysiology for Pulmonary Edema
Nursing Care and Pathophysiology for Pulmonary Embolism
Nursing Care and Pathophysiology for Rhabdomyolysis
Nursing Care and Pathophysiology for Rheumatoid Arthritis (RA)
Nursing Care and Pathophysiology for Scleroderma
Nursing Care and Pathophysiology for Seizure
Nursing Care and Pathophysiology for Sepsis
Nursing Care and Pathophysiology for SIADH (Syndrome of Inappropriate antidiuretic Hormone Secretion)
Nursing Care and Pathophysiology for Sickle Cell Anemia
Nursing Care and Pathophysiology for SIRS & MODS
Nursing Care and Pathophysiology for Syphilis (STI)
Nursing Care and Pathophysiology for Testicular Torsion
Nursing Care and Pathophysiology for Thrombophlebitis (clot)
Nursing Care and Pathophysiology for Tuberculosis (TB)
Nursing Care and Pathophysiology for Ulcerative Colitis(UC)
Nursing Care and Pathophysiology for Valve Disorders
Nursing Care and Pathophysiology of Acute Kidney (Renal) Injury (AKI)
Nursing Care and Pathophysiology of Acute Respiratory Distress Syndrome (ARDS)
Nursing Care and Pathophysiology of Angina
Nursing Care and Pathophysiology of BPH (Benign Prostatic Hyperplasia)
Nursing Care and Pathophysiology of Chronic Kidney (Renal) Disease (CKD)
Nursing Care and Pathophysiology of COPD (Chronic Obstructive Pulmonary Disease)
Nursing Care and Pathophysiology of Coronary Artery Disease (CAD)
Nursing Care and Pathophysiology of Diabetes Mellitus (DM)
Nursing Care and Pathophysiology of Diabetic Ketoacidosis (DKA)
Nursing Care and Pathophysiology of Endocarditis and Pericarditis
Nursing Care and Pathophysiology of Glomerulonephritis
Nursing Care and Pathophysiology of Hypertension (HTN)
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 and Pathophysiology of Osteoporosis
Nursing Care and Pathophysiology of Pneumonia
Nursing Care and Pathophysiology of Renal Calculi (Kidney Stones)
Nursing Care and Pathophysiology of Urinary Tract Infection (UTI)
Nursing Care Plan (NCP) & Interventions for Increased Intracranial Pressure (ICP)
Nursing Care Plan (NCP) for Abdominal Pain
Nursing Care Plan (NCP) for Acquired Immune Deficiency Syndrome (AIDS)
Nursing Care Plan (NCP) for Activity Intolerance
Nursing Care Plan (NCP) for Acute Bronchitis
Nursing Care Plan (NCP) for Acute Kidney Injury
Nursing Care Plan (NCP) for Acute Pain
Nursing Care Plan (NCP) for Acute Respiratory Distress Syndrome
Nursing Care Plan (NCP) for Addison’s Disease (Primary Adrenal Insufficiency)
Nursing Care Plan (NCP) for Anaphylaxis
Nursing Care Plan (NCP) for Anemia
Nursing Care Plan (NCP) for Angina
Nursing Care Plan (NCP) for Aortic Aneurysm
Nursing Care Plan (NCP) for Arterial Disorders
Nursing Care Plan (NCP) for Aspiration
Nursing Care Plan (NCP) for Asthma / Childhood Asthma
Nursing Care Plan (NCP) for Atrial Fibrillation (AFib)
Nursing Care Plan (NCP) for Bell’s Palsy
Nursing Care Plan (NCP) for Benign Prostatic Hyperplasia (BPH)
Nursing Care Plan (NCP) for Bladder Cancer
Nursing Care Plan (NCP) for Blunt Chest Trauma
Nursing Care Plan (NCP) for Bone Cancer (Osteosarcoma, Chondrosarcoma, and Ewing Sarcoma)
Nursing Care Plan (NCP) for Bowel Obstruction
Nursing Care Plan (NCP) for Brain Tumors
Nursing Care Plan (NCP) for Breast Cancer
Nursing Care Plan (NCP) for Bronchoscopy (Procedure)
Nursing Care Plan (NCP) for Cardiogenic Shock
Nursing Care Plan (NCP) for Cardiomyopathy
Nursing Care Plan (NCP) for Cellulitis
Nursing Care Plan (NCP) for Cervical Cancer
Nursing Care Plan (NCP) for Cholecystitis
Nursing Care Plan (NCP) for Chronic Kidney Disease
Nursing Care Plan (NCP) for Chronic Obstructive Pulmonary Disease (COPD)
Nursing Care Plan (NCP) for Colorectal Cancer (Colon Cancer)
Nursing Care Plan (NCP) for Congestive Heart Failure (CHF)
Nursing Care Plan (NCP) for Cushing’s Disease
Nursing Care Plan (NCP) for Dementia
Nursing Care Plan (NCP) for Diabetes
Nursing Care Plan (NCP) for Diabetes Insipidus
Nursing Care Plan (NCP) for Diabetic Ketoacidosis (DKA)
Nursing Care Plan (NCP) for Disseminated Intravascular Coagulation (DIC)
Nursing Care Plan (NCP) for Diverticulosis / Diverticulitis
Nursing Care Plan (NCP) for Emphysema
Nursing Care Plan (NCP) for Encephalopathy
Nursing Care Plan (NCP) for Endocarditis
Nursing Care Plan (NCP) for Enuresis / Bedwetting
Nursing Care Plan (NCP) for Epididymitis
Nursing Care Plan (NCP) for Gastroesophageal Reflux Disease (GERD)
Nursing Care Plan (NCP) for GI (Gastrointestinal) Bleed
Nursing Care Plan (NCP) for Glaucoma
Nursing Care Plan (NCP) for Glomerulonephritis
Nursing Care Plan (NCP) for Gout / Gouty Arthritis
Nursing Care Plan (NCP) for Guillain-Barre
Nursing Care Plan (NCP) for Hashimoto’s Thyroiditis
Nursing Care Plan (NCP) for Heart Valve Disorders
Nursing Care Plan (NCP) for Hepatitis
Nursing Care Plan (NCP) for Herpes Zoster – Shingles
Nursing Care Plan (NCP) for Hydrocephalus
Nursing Care Plan (NCP) for Hyperosmolar Hyperglycemic Nonketotic Syndrome (HHNS)
Nursing Care Plan (NCP) for Hyperparathyroidism
Nursing Care Plan (NCP) for Hyperthermia (Thermoregulation)
Nursing Care Plan (NCP) for Hyperthyroidism
Nursing Care Plan (NCP) for Hypoglycemia
Nursing Care Plan (NCP) for Hypoparathyroidism
Nursing Care Plan (NCP) for Hypothyroidism
Nursing Care Plan (NCP) for Hypovolemic Shock
Nursing Care Plan (NCP) for Impetigo
Nursing Care Plan (NCP) for Inflammatory Bowel Disease (Ulcerative Colitis / Crohn’s Disease)
Nursing Care Plan (NCP) for Kidney Cancer
Nursing Care Plan (NCP) for Leukemia
Nursing Care Plan (NCP) for Lung Cancer
Nursing Care Plan (NCP) for Lyme Disease
Nursing Care Plan (NCP) for Lymphoma (Hodgkin’s, Non-Hodgkin’s)
Nursing Care Plan (NCP) for Meniere’s Disease
Nursing Care Plan (NCP) for Multiple Sclerosis (MS)
Nursing Care Plan (NCP) for Mumps
Nursing Care Plan (NCP) for Myasthenia Gravis (MG)
Nursing Care Plan (NCP) for Myocardial Infarction (MI)
Nursing Care Plan (NCP) for Nephrotic Syndrome
Nursing Care Plan (NCP) for Neutropenia
Nursing Care Plan (NCP) for Nutrition Imbalance
Nursing Care Plan (NCP) for Osteoarthritis (OA), Degenerative Joint Disease
Nursing Care Plan (NCP) for Osteoporosis
Nursing Care Plan (NCP) for Ovarian Cancer
Nursing Care Plan (NCP) for Pancreatitis
Nursing Care Plan (NCP) for Parkinson’s Disease
Nursing Care Plan (NCP) for Peptic Ulcer Disease (PUD)
Nursing Care Plan (NCP) for Pericarditis
Nursing Care Plan (NCP) for Pneumonia
Nursing Care Plan (NCP) for Pneumothorax/Hemothorax
Nursing Care Plan (NCP) for Polycystic Ovarian Syndrome (PCOS)
Nursing Care Plan (NCP) for Pressure Ulcer / Decubitus Ulcer (Pressure Injury)
Nursing Care Plan (NCP) for Prostate Cancer
Nursing Care Plan (NCP) for Psoriasis
Nursing Care Plan (NCP) for Pulmonary Embolism
Nursing Care Plan (NCP) for Renal Calculi
Nursing Care Plan (NCP) for Respiratory Failure
Nursing Care Plan (NCP) for Restrictive Lung Diseases
Nursing Care Plan (NCP) for Rhabdomyolysis
Nursing Care Plan (NCP) for Rheumatoid Arthritis (RA)
Nursing Care Plan (NCP) for Risk for Fall
Nursing Care Plan (NCP) for Rubeola – Measles
Nursing Care Plan (NCP) for Seizures
Nursing Care Plan (NCP) for Sepsis
Nursing Care Plan (NCP) for Skin cancer – Melanoma, Basal Cell Carcinoma, Squamous Cell Carcinoma
Nursing Care Plan (NCP) for Skull Fractures
Nursing Care Plan (NCP) for Spinal Cord Injury
Nursing Care Plan (NCP) for Stomach Cancer (Gastric Cancer)
Nursing Care Plan (NCP) for Stroke (CVA)
Nursing Care Plan (NCP) for Syncope (Fainting)
Nursing Care Plan (NCP) for Syndrome of Inappropriate Antidiuretic Hormone (SIADH)
Nursing Care Plan (NCP) for Systemic Lupus Erythematosus (SLE)
Nursing Care Plan (NCP) for Testicular Cancer
Nursing Care Plan (NCP) for Thoracentesis (Procedure)
Nursing Care Plan (NCP) for Thrombocytopenia
Nursing Care Plan (NCP) for Thrombophlebitis / Deep Vein Thrombosis (DVT)
Nursing Care Plan (NCP) for Thyroid Cancer
Nursing Care Plan (NCP) for Tuberculosis
Nursing Care Plan (NCP) for Urinary Tract Infection (UTI)
Nursing Care Plan (NCP) for West Nile Virus
Nursing Care Plan for (NCP) Trigeminal Neuralgia
Nursing Care Plan for Amputation
Nursing Care Plan for Chlamydia (STI)
Nursing Care Plan for Cirrhosis (Liver)
Nursing Care Plan for Compartment Syndrome
Nursing Care Plan for Coronary Artery Disease (CAD)
Nursing Care Plan for Distributive Shock
Nursing Care Plan for Endometriosis
Nursing Care Plan for Fibromyalgia
Nursing Care Plan for Fractures
Nursing Care Plan for Gastritis
Nursing Care Plan for Gonorrhea (STI)
Nursing Care Plan for Hemorrhoids
Nursing Care Plan for Herpes Simplex (HSV, STI)
Nursing Care Plan for Hiatal Hernia
Nursing Care Plan for Liver Cancer
Nursing Care Plan for Macular Degeneration
Nursing Care Plan for Myocarditis
Nursing Care Plan for Nasal Disorders
Nursing Care Plan for Osteomyelitis
Nursing Care Plan for Pelvic Inflammatory Disease (PID)
Nursing Care Plan for Pulmonary Edema
Nursing Care Plan for Restrictive Lung Diseases (Pulmonary Fibrosis, Neuromuscular Disorders)
Nursing Care Plan for Scleroderma
Nursing Care Plan for Syphilis (STI)
Nursing Care Plan for Testicular Torsion
Nursing Case Study for Acute Kidney Injury
Nursing Case Study for Breast Cancer
Nursing Case Study for Cardiogenic Shock
Nursing Case Study for Colon Cancer
Nursing Case Study for Diabetic Foot Ulcer
Nursing Case Study for Hepatitis
Nursing Case Study for Pneumonia
Nursing Case Study for Rheumatic Heart Disease
Nursing Case Study for Rheumatoid Arthritis
Nursing Case Study for Type 1 Diabetes
Nursing Skills Course Introduction
Nutrition (Diet) in Disease
Nutrition-related Diseases
Omeprazole (Prilosec) Nursing Considerations
Oncology Important Points
Oncology Module Intro
Oncology nurse
Ondansetron (Zofran) Nursing Considerations
Opioids
Osteosarcoma
Ovarian Cancer
Oxygen Delivery Module Intro
Pacemakers
Pain and Nonpharmacological Comfort Measures
Pain Assessment Questions Nursing Mnemonic (OPQRST)
Pain Assessments for Certified Perioperative Nurse (CNOR)
Pantoprazole (Protonix) Nursing Considerations
Parasympatholytics (Anticholinergics) Nursing Considerations
Patient Positioning
Patients with Communication Difficulties
Pentobarbital (Nembutal) Nursing Considerations
Peptic Ulcer Disease Case Study (60 min)
Performing Cardiac (Heart) Monitoring
Perioperative Nursing Course Introduction
Perioperative Nursing Roles
Peripheral Vascular Assessment
Peritoneal Dialysis (PD)
Phenazopyridine (Pyridium) Nursing Considerations
Phenobarbital (Luminal) Nursing Considerations
Phosphorus (PO4) Blood Test Lab Values
Pituitary Adenoma
Plant Alkaloids Topoisomerase and Mitotic Inhibitors
Pneumonia Concept Map
Pneumonia Labs
Pneumonia Risk Factors Nursing Mnemonic (VENTS)
Pneumothorax Signs and Symptoms Nursing Mnemonic (P-THORAX)
Positioning
Post-Anesthesia Recovery
Postoperative (Postop) Complications
PPE Donning & Doffing
Premature Atrial Contraction (PAC)
Premature Ventricular Contraction (PVC)
Preoperative (Preop) Education
Preoperative (Preop) Nursing Priorities
Preoperative (Preop)Assessment
Pressure Line Management
Pressure Ulcers/Pressure injuries (Braden scale)
Procalcitonin (PCT) Lab Values
Propofol (Diprivan) Nursing Considerations
Propranolol (Inderal) Nursing Considerations
Propylthiouracil (PTU) Nursing Considerations
Prostate Cancer
Prostate Nursing Mnemonic (FUN)
Prostate Specific Antigen (PSA) Lab Values
Protein in Urine Lab Values
Proton Pump Inhibitors
Pulmonary edema treatment Nursing Mnemonic (MAD DOG)
Pupil Reactions Nursing Mnemonic (PERRLA)
Radiation Cancer Treatment
Ranitidine (Zantac) Nursing Considerations
Reactivation of Herpes Zoster Nursing Mnemonic (FICA)
Reasons for a Bronchoscopy Nursing Mnemonic (Please Assess His Weird Bronchoscopy Results)
Reasons for Chest Tube Nursing Mnemonic (Don’t Ever Fail)
Red Cell Distribution Width (RDW) Lab Values
Renal (Kidney) Failure Labs
Respiratory A&P Module Intro
Respiratory Alkalosis
Respiratory Course Introduction
Respiratory Infections Module Intro
Respiratory Procedures Module Intro
Respiratory Trauma Module Intro
Restrictive Lung Disease Causes Nursing Mnemonic (PAINT)
Restrictive Lung Diseases (Pulmonary Fibrosis, Neuromuscular Disorders)
Rheumatoid Arthritis Assessment Nursing Mnemonic (RHEUMATOID)
Rifampin (Rifadin) Nursing Considerations
Risk Factors for Cholelithiasis Nursing Mnemonic (5-F’s)
Risk Factors for Osteoporosis Nursing Mnemonic (ACCESS)
Routine Neuro Assessments
Science of Nutrition
Scleroderma Symptoms Nursing Mnemonic (CREST)
Sedatives-Hypnotics
Sedatives-Hypnotics
Seizure Assessment
Seizure Causes (Epilepsy, Generalized)
Seizure Causes Nursing Mnemonic (VITAMIN)
Seizure Therapeutic Management
Seizures Case Study (45 min)
Seizures Module Intro
Sepsis Concept Map
Sepsis Labs
Septic Shock (Sepsis) Case Study (45 min)
Shock
Shock – Signs and symptoms Nursing Mnemonic (TV SPARC CUBE)
Shock Module Intro
Signs of Osteoarthritis Nursing Mnemonic (OSTEO)
Sinus Bradycardia
Sinus Tachycardia
Skin Cancer
Specialty Diets (Nutrition)
Spinal Cord Injury
Spinal Cord Injury Case Study (60 min)
Spinal Precautions & Log Rolling
Sprains and Strains – Nursing Care Nursing Mnemonic (RICE)
Stages of Hepatitis Nursing Mnemonic (PIP)
Sterile Field
Sterile Gloves
Stoke Assessments Nursing Mnemonic (FAST)
Stomach Cancer (Gastric Cancer)
Strabismus
Streptokinase (Streptase) Nursing Considerations
Stroke (CVA) Module Intro
Stroke Assessment (CVA)
Stroke Case Study (45 min)
Stroke Concept Map
Stroke Nursing Care (CVA)
Stroke Therapeutic Management (CVA)
Sucralfate (Carafate) Nursing Considerations
Supraventricular Tachycardia (SVT)
Surgical Incisions & Drain Sites
Surgical Prep
Sympatholytics (Alpha & Beta Blockers)
Symptoms of Hyperthyroidism Nursing Mnemonic (SWEATING)
Symptoms of Hypothyroidism Nursing Mnemonic (MOM’S SO TIRED)
Symptoms of Nephrotic Syndrome Nursing Mnemonic (NAPHROTIC)
Symptoms of Wernicke’s Encephalopathy Nursing Mnemonic (COAT)
Systemic Lupus Erythematosus (SLE)
TB Drugs Nursing Mnemonic (RIPE)
Tension and Cluster Headaches
Testicular Cancer
Tetracycline (Panmycin) Nursing Considerations
The 5-Minute Assessment (Physical assessment)
The Medical Team
Thoracentesis
Thrombin Inhibitors
Thrombocytopenia
Thrombolytics
Thyroid Cancer
Thyroid Stimulating Hormone (TSH) Lab Values
Thyroxine (T4) Lab Values
To Clot or Not To Clot – Anticoagulants! – Live Tutoring Archive
Total Iron Binding Capacity (TIBC) Lab Values
Toxicity Sepsis- Signs and Symptoms Nursing Mnemonic (The 6 T’s)
Trach Care
Trach Suctioning
Traction – Nursing Care Nursing Mnemonic (TRACTION)
Trauma – Assessment (Emergency) Nursing Mnemonic (ABCDEFGHI)
Triiodothyronine (T3) Lab Values
Trimethoprim-Sulfamethoxazole (Bactrim) Nursing Considerations
Troponin I (cTNL) Lab Values
Tuberculosis (TB) Case Study (60 min)
Types of Anemia Nursing Mnemonic (Always Introduce Special Patients)
Types of Hemorrhoids Nursing Mnemonic (Pie)
Ulcerative Colitis – Assessment Nursing Mnemonic (MADE 10)
Ultrasound
Understanding Blood Pressure Meds! – Live Tutoring Archive
Upper Gastrointestinal (GI) Module Intro
Urinary Elimination
Urinary Tract Infection Case Study (45 min)
Urine Culture and Sensitivity Lab Values
Using Aseptic Technique
Vancomycin (Vancocin) Nursing Considerations
Varicocele
Vascular Disease – Deep Vein Thrombosis Nursing Mnemonic (HIS Leg Might Fall off)
Vascular disease – Raynaud’s symptoms Nursing Mnemonic (COLD HAND)
Vasopressin
Vasopressin (Pitressin) Nursing Considerations
Venous Disorders (Chronic venous insufficiency, Deep venous thrombosis/DVT)
Vent Alarms
Ventilator Settings
Ventricular Fibrillation (V Fib)
Ventricular Tachycardia (V-tach)
Vessels & Fluid
Vitamin D Lab Values
Warfarin (Coumadin) Nursing Considerations
Who Needs Dialysis Nursing Mnemonic (AEIOU)
Wound Care – Assessment
Wound Care – Dressing Change
Wound Care – Selecting a Dressing
Wound Care – Wound Drains
Seizure Documentation Nursing Mnemonic (TDOC)