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Diabetes Management

Diabetes Management

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Included In This Lesson

Study Tools
Outline
Transcript
Additional Lessons

Study Tools For Diabetes Management

Hypoglycemia symptoms (Mnemonic)
Diabetes Pathochart (Cheatsheet)
Endocrine System Study Chart (Cheatsheet)
Insulin Cheat Sheet (Cheatsheet)
Insulin Peak And Onset Times (Cheatsheet)
Symptoms of Diabetes Mellitus (Image)
Insulin Pens for Diabetes Mellitus (Image)
Diabetic Foot Ulcer (Image)
Insulin Pump (Image)
Insulin Syringe (Image)
140 Must Know Meds (Book)
Diabetes Education (Picmonic)
Diabetes Interventions (Picmonic)
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Outline

Overview

  1. Pancreatic disorder resulting in insufficient or lack of insulin production leading to elevated blood sugar
  2. Insulin is the key to allow glucose to be used by the cells for energy

Nursing Points

General

  1. Type I – make NO insulin
  2. Type II – insufficient insulin or insulin resistance

Assessment

  1. Hyperglycemia
    1. Dry mouth, hot, flushed, thirsty
    2. Fasting Blood Sugar (FBS) > 126 mg/dL
    3. FBS 100 – 125 mg/dL = Prediabetes
    4. Glucose Tolerance Test >200 mg/dL
      1. Drink sugary liquid, then test
  2. Hyperosmolarity
    1. Caused by increased blood sugar levels
    2. Leads to ↑ osmotic pressure in vessels → cellular dehydration
  3. The Three P’s
    1. Polyuria
    2. Polydipsia
    3. Polyphagia
  4. Elevated HgbA1c
    1. > 7.0
    2. Measures average blood sugar over last 3 months
  5. Blurry vision (related to retinopathy)
  6. Numbness and tingling (neuropathy)
  7. Non-healing wounds, especially prone to ulcers on feet or toes

Therapeutic Management

  1. Oral Antidiabetic Agents
    1. For Type II Diabetics
    2. Glucophage (Metformin) = most common
    3. Glipizide (Glucotrol)
  2. Insulin
    1. Required by Type I
    2. Type II may require if diet, exercise, and oral antidiabetic agents aren’t enough
    3. Must know Onset and Peak times for types of insulins
      1. Most at risk for hypoglycemia during peak
    4. ONLY Regular insulin can be given IV
    5. Do not use expired insulin or if the solution is cloudy (except NPH)
    6. Mixing Regular and NPH
      1. Clear before Cloudy
      2. Air into cloudy → Air into clear → Draw up clear → draw up cloudy
      3. Avoids cross contamination or errors in drawing up
    7. “Insulin Reaction” → hypoglycemia
      1. Cool, clammy, diaphoretic
      2. 15-15 Rule:
        1. Give 15 g sugar (4 oz. juice or soda)
        2. Recheck in 15 minutes
  3. There is no cure for Diabetes Mellitus, nor is there any surgical management
  4. Diet and Exercise can improve insulin response for Type II Diabetics AND can help stabilize blood sugars in Type I Diabetics.

Nursing Concepts

  1. Glucose Metabolism
    1. Monitor blood sugars as ordered
    2. Administer SubQ insulin as ordered
    3. Monitor for s/s hypoglycemia or hyperglycemia
    4. Ensure meal is ready before administering prandial insulin
  2. Acid-Base Balance
    1. Monitor for s/s DKA (See DKA Lesson)
  3. Skin Integrity
    1. Inspect foot CLOSELY for any wounds or at-risk spots (in between the toes)
    2. Infections and wounds should receive meticulous care
    3. Do NOT clip patient’s toenails
  4. Patient Education
    1. See below

Patient Education

  1. Onset and peak times of insulin
  2. Insulin Administration technique and precautions
  3. Blood sugar monitoring
    1. Monitor before, during, and after exercise
  4. Medication instructions for oral antidiabetics
  5. May require evening insulin if Dawn Phenomenon
  6. May require bedtime snack if Somogyi Phenomenon
  7. Foot care
    1. Feet should be kept warm and dry
    2. Closed footwear should always be worn
    3. Do not wear tight-fitting socks
  8. Sick Day
    1. Continue to check blood sugars
    2. Do NOT withhold insulin
    3. Monitor for ketones in urine (dipstick)
  9. Hyperglycemia/DKA/HHNS Symptoms
  10. Hypoglycemia Symptoms and Management
    1. 15-15 Rule
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Transcript

In this lesson we’re going to talk about the priorities for management and nursing care for a patient with Diabetes Mellitus. If you haven’t watched the first video in this module about the pathophysiology of Diabetes, make sure you do that – it will help all of this to make so much more sense.

I cannot stress enough how important it is for us to know how to manage a patient with Diabetes. These days our population is sicker than ever and MANY of our patients come with a set of comorbidities that I lovingly refer to as “The Usual”. I’m getting report and I almost always hear this. “The patient has a past medical history of CAD, Hypertension, Diabetes, Hyperlipidemia, CKD, COPD. Oh, and they’re a smoker, and morbidly obese.” All of these conditions exacerbate each other and severely shorten the patients’ lifespan. It’s up to us to educate and encourage them to make the necessary changes.

So let’s quickly review patho. Remember that Type 1 Diabetes Mellitus is when the immune system attacks and destroys all the beta cells in the pancreas, so the patient has absolutely NO insulin production and is dependent on supplemental insulin. In Type 2 Diabetes Mellitus, they either don’t make enough insulin to meet their body’s needs OR they have become resistant to the insulin they do have…or both. Most of these patients can be managed with medication and lifestyle changes, but they may require insulin in severe cases.

So what does our assessment look like? Well, we’re going to see hyperglycemia – that’s usually considered a BGL (or blood glucose) of 126 mg/dL or greater times 2 episodes for an official diagnosis. We’ll also see hyperosmolarity because of the excessive glucose – remember that’s when you have way more particles than water in a solution. Both of these things are going to cause what’s known as the Three P’s, which are the classic signs of diabetes. That’s Polyuria or excessive urination, Polydipsia, or excessive thirst, and Polyphagia, or excessive hunger. Basically as this osmolarity builds up, fluids will start to shift into the bloodstream to try to balance out this concentrated solution – that causes dehydration in the cells – hence the thirst, but it also causes a lot of water to be filtered out through the kidneys, hence the urination. All the while, this blood glucose isn’t actually making it into the cells, so the cells are hungry – which sends a signal to the brean saying EAT! We’ll also see an elevated Hemoglobin A1c, or you might hear “glycosylated hemoglobin” – this is a blood test that tells us the average blood sugar over the last 3 months. In diabetics, it’s usually above 6.5. Our goal is less than 6. Check out the Labs course to learn more about blood sugar levels, hemoglobin A1c, and osmolarity.

Now we may also see signs related to those vascular complications we talked about – blurry vision because of the retinopathy, numbness and tingling because of the neuropathy, and non-healing wounds because of the inflammation and poor circulation. They are especially prone to ulcers on their feet or toes because they tend to not be able to feel when a wound starts. Then they keep walking around on it and it gets worse and worse. This ulcer you see here is actually quite minor compared to some that I’ve seen. But this probably started the size of a pinhead and has grown significantly. So we teach patients to inspect their feet EVERY day and to do really good foot care, which we’ll talk about in a second.

When it comes to medications, Type 1 Diabetics are insulin-dependent, so we will give them SubQ insulin and teach them how to self-administer. Most of the time, by the time you encounter a diabetic patient in the hospital, they may already know how to self-administer. Usually, we use these insulin pens in the hospitals. Now, for Type 2 Diabetics, they don’t usually require insulin except in severe cases, so they will get oral antidiabetic agents. The two most common classes are sulfonylureas like Glipizide and biguanides like metformin. Check out the Pharmacology course to learn more about those two. The biggest thing that will help the patient keep their blood sugars managed is diet and exercise. They should avoid simple sugars like desserts and candy, and focus on high quality protein, non-starchy vegetables, and whole grains. In some cases, Type 2 Diabetes can actually be WHOLLY managed with diet and exercise if the patients are willing to commit.

Now, we want to point out some of the most important AND most commonly tested things when it comes to insulin administration. First – you MUST know onset and peak times. We’ve attached a cheatsheet to this lesson that has those timings on it. I know, I remember this from nursing school, it’s a pain in the butt – but it’s SO important. You may get a question in nursing school or on the NCLEX like “You administer Regular Insulin at 8am, during which time frame should you monitor for hypoglycemia” – so you need to know that the patient is at risk for hypoglycemia during the PEAK times, and that Regular insulin peaks between 2-4 hours. Also remember to rotate sites like we talked about before. Know that the ONLY type of insulin that you can give a patient IV is going to be Regular insulin – everything else is SubQ. If you see “Insulin Reaction” that typically means hypoglycemia. What are the signs of hypoglycemia? Cool, clammy, tired. Remember “Cool and clammy, give ‘em candy”. And for hyperglycemia it’s “dry and hot, insulin shot” – so they’ll be hot, have dry mouth, and probably be thirsty.

In terms of using insulin from a vial – remember that these syringes are in Units, NOT mL. We don’t want to use expired or cloudy insulin unless it’s meant to be cloudy like NPH. The vials expire 90 days after opening. If you’re mixing insulins, remember to always draw up clear before cloudy. This is a common drag and drop ordering question on the NCLEX. Check out the Insulin lesson in the Pharmacology course, it has a great explanation of how to do this mixing process and you NEED to know it.

So what are our top nursing priorities for a patient with Diabetes – well the first is skin assessment and wound care. Like I’ve said before, we need to do a thorough skin assessment, especially on their feet. I mean, look between the toes, under the toes, the heels, etc. Guys, you MUST take off the patient’s socks and LOOK at their feet – it is SO important. We also want to do meticulous wound care and keep those wounds clean and dry. You can consult your Wound Care specialist nurse if you need guidance on wound care and check for wound care orders in the chart. We also want to be prepared for hypoglycemia management – sometimes patients respond much quicker to insulin than expected and they can drop their sugars. Remember – cool and clammy, give ‘em candy. So we’re gonna use the 15-15 rule. We want to give them 15g of sugar, then re-check in 15 minutes. If they can take things PO, this is 5 or 6 pieces of candy, or 4 ounces of juice or soda. We even have glucose tablets or gel in some facilities. But, remember that hypoglycemia can cause decreased LOC, so if they aren’t alert enough to take PO, we give them a ½ amp of D50 IV. Either way, we do that, then re-check in 15 minutes and intervene again if necessary. Make sure your patient who is receiving insulin has some sort of hypoglycemia protocol ordered. Again, we want to prioritize really good foot care – that means keeping their feet warm and dry, wearing foot protection at all times, especially if they’re up and walking around, and not wearing socks that are too tight. And finally, patient education is a huge priority. Check out the outline attached to this lesson to see a detailed list of important patient education topics.

So, as you probably could have already guessed, our top nursing concepts for a patient with diabetes mellitus are glucose metabolism, tissue/skin integrity, and patient education. Check out the care plan attached to this lesson to see more detailed nursing interventions and rationales.

So, let’s recap – diabetes causes hyperglycemia which can cause damage to vessels and nerves. The classic symptoms are the three P’s – polyuria, polydipsia, and polyphagia. Type 1 Diabetics require insulin, while Type 2 Diabetics can take oral antidiabetic agents or use diet and lifestyle changes to manage their sugars. You have to know the insulin precautions we talked about. This is the TOP medication error I see in students and new grads, I even made an insulin error myself when I was on orientation. Stick to the basics of med administration and follow the safety things we talked about, and you’ll be fine. And then remember that meticulous skin and wound care is imperative – we want to prevent those wounds from spreading or becoming so infected that the only option is amputation. And, of course, educate, educate, educate.

Check out the DKA and HHNS lessons to know how to manage acute exacerbations of diabetes. And don’t miss all the resources attached to these lessons to help you see the big picture for these patients. Now, go out and be your best selves today. And, as always, happy nursing!

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Yaaaaaah Med Surg

Concepts Covered:

  • Musculoskeletal Trauma
  • Musculoskeletal Disorders
  • Emergency Care of the Trauma Patient
  • Shock
  • Acute & Chronic Renal Disorders
  • Vascular Disorders
  • Disorders of the Thyroid & Parathyroid Glands
  • Cardiac Disorders
  • Emergency Care of the Cardiac Patient
  • Disorders of the Posterior Pituitary Gland
  • Infectious Disease Disorders
  • Infectious Respiratory Disorder
  • Intraoperative Nursing
  • Medication Administration
  • Urinary Disorders
  • Upper GI Disorders
  • Lower GI Disorders
  • Hematologic Disorders
  • Male Reproductive Disorders
  • Neurological Trauma
  • Neurological Emergencies
  • Noninfectious Respiratory Disorder
  • Respiratory System
  • Respiratory Emergencies
  • Immunological Disorders
  • Central Nervous System Disorders – Brain
  • Renal Disorders
  • Emergency Care of the Neurological Patient
  • EENT Disorders
  • EENT Disorders
  • Liver & Gallbladder Disorders
  • Shock
  • Studying
  • Disorders of Pancreas
  • Respiratory
  • Emergency Care of the Respiratory Patient
  • Perioperative Nursing Roles
  • Oncology Disorders
  • Integumentary Disorders
  • Postoperative Nursing
  • Communication
  • Legal and Ethical Issues
  • Preoperative Nursing
  • Documentation and Communication
  • Fundamentals of Emergency Nursing
  • Sexually Transmitted Infections
  • Female Reproductive Disorders
  • Peripheral Nervous System Disorders
  • Central Nervous System Disorders – Spinal Cord
  • Integumentary Disorders
  • Disorders of Thermoregulation
  • Neurologic and Cognitive Disorders
  • Renal and Urinary Disorders
  • Disorders of the Adrenal Gland
  • Respiratory Disorders
  • Integumentary Important Points
  • Urinary System
  • Tissues and Glands
  • Microbiology
  • Factors Influencing Community Health
  • Multisystem
  • Delegation
  • Basics of NCLEX
  • Circulatory System
  • Cognitive Disorders
  • Neurological
  • Gastrointestinal
  • Endocrine
  • Cardiovascular

Study Plan Lessons

Wound Care – Assessment
Wound Care – Dressing Change
Wound Care – Selecting a Dressing
Wound Care – Wound Drains
Wound Bleeding (Uncontrolled External Hemorrhage) for Certified Emergency Nursing (CEN)
Who Needs Dialysis Nursing Mnemonic (AEIOU)
Warfarin (Coumadin) Nursing Considerations
Vitamin D Lab Values
Ventricular Tachycardia (V-tach)
Ventricular Fibrillation (V Fib)
Ventricular Dysrhythmias for Progressive Care Certified Nurse (PCCN)
Ventilator Settings
Vent Alarms
Venous Disorders (Chronic venous insufficiency, Deep venous thrombosis/DVT)
Vasopressin (Pitressin) Nursing Considerations
Vasopressin
Vancomycin (Vancocin) Nursing Considerations
Vaccine-Preventable Diseases (Measles, Mumps, Pertussis, Chicken Pox, Diphtheria) for Certified Emergency Nursing (CEN)
Using Aseptic Technique
Urine Culture and Sensitivity Lab Values
Upper Gastrointestinal (GI) Module Intro
Understanding Blood Pressure Meds! – Live Tutoring Archive
Ulcerative Colitis – Assessment Nursing Mnemonic (MADE 10)
Types of Anemia Nursing Mnemonic (Always Introduce Special Patients)
Tuberculosis for Certified Emergency Nursing (CEN)
Tuberculosis (TB) Case Study (60 min)
Urinary Tract Infection Case Study (45 min)
Varicocele
Trimethoprim-Sulfamethoxazole (Bactrim) Nursing Considerations
Triiodothyronine (T3) Lab Values
Trauma – Assessment (Emergency) Nursing Mnemonic (ABCDEFGHI)
Transient Ischemic Attack (TIA) for Certified Emergency Nursing (CEN)
Traction – Nursing Care Nursing Mnemonic (TRACTION)
Trach Suctioning
Trach Care
Toxicity Sepsis- Signs and Symptoms Nursing Mnemonic (The 6 T’s)
Total Iron Binding Capacity (TIBC) Lab Values
To Clot or Not To Clot – Anticoagulants! – Live Tutoring Archive
Thyroxine (T4) Lab Values
Thyroid Stimulating Hormone (TSH) Lab Values
Thrombolytics
Thromboembolic Disease- Deep Vein Thrombosis (DVT) for Certified Emergency Nursing (CEN)
Thrombocytopenia
Thrombin Inhibitors
Thoracentesis
The 5-Minute Assessment (Physical assessment)
Tetracycline (Panmycin) Nursing Considerations
TB Drugs Nursing Mnemonic (RIPE)
Systemic Lupus Erythematosus (SLE)
Symptoms of Wernicke’s Encephalopathy Nursing Mnemonic (COAT)
Symptoms of Nephrotic Syndrome Nursing Mnemonic (NAPHROTIC)
Symptoms of Hypothyroidism Nursing Mnemonic (MOM’S SO TIRED)
Symptoms of Hyperthyroidism Nursing Mnemonic (SWEATING)
Sympatholytics (Alpha & Beta Blockers)
Supraventricular Tachycardia (SVT)
Sucralfate (Carafate) Nursing Considerations
Stroke Therapeutic Management (CVA)
Stroke Nursing Care (CVA)
Stroke for Progressive Care Certified Nurse (PCCN)
Stroke for Certified Emergency Nursing (CEN)
Stroke Concept Map
Stroke Case Study (45 min)
Stroke Assessment (CVA)
Stroke (CVA) Module Intro
Streptokinase (Streptase) Nursing Considerations
Strabismus
Stoke Assessments Nursing Mnemonic (FAST)
Sterile Gloves
Sterile Field Maintenance (Aseptic Technique) for Certified Perioperative Nurse (CNOR)
Sterile Field
Stages of Hepatitis Nursing Mnemonic (PIP)
Sprains and Strains – Nursing Care Nursing Mnemonic (RICE)
Spinal Cord Injury Case Study (60 min)
Spinal Cord Injury
Specimen Prep, Tracking, and Transporting for Certified Perioperative Nurse (CNOR)
Specialty Diets (Nutrition)
Sinus Tachycardia
Sinus Bradycardia
Signs of Osteoarthritis Nursing Mnemonic (OSTEO)
Shock Module Intro
Shock States (Anaphylactic, Hypovolemic) For PCCN for Progressive Care Certified Nurse (PCCN)
Shock – Signs and symptoms Nursing Mnemonic (TV SPARC CUBE)
Shock
Septic Shock (Sepsis) Case Study (45 min)
Sepsis Labs
Sepsis for Progressive Care Certified Nurse (PCCN)
Sepsis for Certified Emergency Nursing (CEN)
Sepsis Concept Map
Seizures Module Intro
Sedatives-Hypnotics
Sedatives-Hypnotics
Science of Nutrition
Routine Neuro Assessments
Rheumatoid Arthritis Assessment Nursing Mnemonic (RHEUMATOID)
Restrictive Lung Diseases (Pulmonary Fibrosis, Neuromuscular Disorders)
Restrictive Lung Disease Causes Nursing Mnemonic (PAINT)
Respiratory Trauma Module Intro
Respiratory Trauma for Certified Emergency Nursing (CEN)
Respiratory Procedures Module Intro
Respiratory Infections Module Intro
Respiratory Infections (Pneumonia) for Progressive Care Certified Nurse (PCCN)
Respiratory Failure (Acute, Chronic, Failure to Wean) for Progressive Care Certified Nurse (PCCN)
Respiratory Distress Syndrome for Certified Emergency Nursing (CEN)
Respiratory Course Introduction
Respiratory Alkalosis
Respiratory A&P Module Intro
Renal (Kidney) Failure Labs
Renal Failure for Certified Emergency Nursing (CEN)
Red Cell Distribution Width (RDW) Lab Values
Reasons for Chest Tube Nursing Mnemonic (Don’t Ever Fail)
Ranitidine (Zantac) Nursing Considerations
Quality Improvement Participation for Certified Perioperative Nurse (CNOR)
Pupil Reactions Nursing Mnemonic (PERRLA)
Pulmonary Hypertension for Progressive Care Certified Nurse (PCCN)
Pulmonary Hypertension for Certified Emergency Nursing (CEN)
Pulmonary Embolus for Certified Emergency Nursing (CEN)
Pulmonary Embolism for Progressive Care Certified Nurse (PCCN)
Pulmonary edema treatment Nursing Mnemonic (MAD DOG)
Proton Pump Inhibitors
Protein in Urine Lab Values
Prostate Specific Antigen (PSA) Lab Values
Prostate Nursing Mnemonic (FUN)
Prostate Cancer
Propylthiouracil (PTU) Nursing Considerations
Propofol (Diprivan) Nursing Considerations
Propranolol (Inderal) Nursing Considerations
Procalcitonin (PCT) Lab Values
Pressure Ulcers/Pressure injuries (Braden scale)
Pressure Line Management
Pressure Injuries (Ulcers) for Progressive Care Certified Nurse (PCCN)
Premature Ventricular Contraction (PVC)
Premature Atrial Contraction (PAC)
PPE Donning & Doffing
PPE Precautions (Personal Protective Equipment) for Certified Perioperative Nurse (CNOR)
Postoperative Follow-up for Certified Perioperative Nurse (CNOR)
Postoperative (Postop) Complications
Post-Anesthesia Recovery
Positioning (Pressure Injury Prevention and Tourniquet Safety) for Certified Perioperative Nurse (CNOR)
Positioning
Pneumothorax Signs and Symptoms Nursing Mnemonic (P-THORAX)
Pneumothorax for Certified Emergency Nursing (CEN)
Pneumonia Risk Factors Nursing Mnemonic (VENTS)
Pneumonia Labs
Pneumonia Concept Map
Pleural Space Complications (Pneumothorax, Hemothorax, Pleural Effusion, Empyema, Chylothorax) for Progressive Care Certified Nurse (PCCN)
Pleural Effusion for Certified Emergency Nursing (CEN)
Plant Alkaloids Topoisomerase and Mitotic Inhibitors
Phosphorus (PO4) Blood Test Lab Values
Phenobarbital (Luminal) Nursing Considerations
Phenazopyridine (Pyridium) Nursing Considerations
Pharmacological Patient Response Evaluation for Certified Perioperative Nurse (CNOR)
Peritonitis for Certified Emergency Nursing (CEN)
Peritoneal Dialysis (PD)
Peripheral Vascular Assessment
Pericardial Tamponade for Certified Emergency Nursing (CEN)
Performing Cardiac (Heart) Monitoring
Pentobarbital (Nembutal) Nursing Considerations
Patients with Communication Difficulties
Patient Status Evaluation (Transfer of Care) for Certified Perioperative Nurse (CNOR)
Patient Rights Advocacy for Certified Perioperative Nurse (CNOR)
Patient Records and Care Documentation for Certified Perioperative Nurse (CNOR)
Patient Positioning (Performance) for Certified Perioperative Nurse (CNOR)
Patient Positioning
Patient and Personal Safety (Environmental Hazard Monitoring) for Certified Perioperative Nurse (CNOR)
Patient and Healthcare Team Safety (Disasters, Environmental Hazards) for Certified Perioperative Nurse (CNOR)
Patient and Family Teaching (Per Procedure) for Certified Perioperative Nurse (CNOR)
Parasympatholytics (Anticholinergics) Nursing Considerations
Pantoprazole (Protonix) Nursing Considerations
Pancreatitis for Certified Emergency Nursing (CEN)
Pancreatitis For PCCN for Progressive Care Certified Nurse (PCCN)
Pain Management and Procedural Sedation for Certified Emergency Nursing (CEN)
Pain Assessments for Certified Perioperative Nurse (CNOR)
Pain Assessment Questions Nursing Mnemonic (OPQRST)
Pain and Nonpharmacological Comfort Measures
Pain (Acute, Chronic) for Progressive Care Certified Nurse (PCCN)
Pacemakers
Oxygen Delivery Module Intro
Opioids
Ondansetron (Zofran) Nursing Considerations
Omeprazole (Prilosec) Nursing Considerations
Obstruction for Certified Emergency Nursing (CEN)
Obstructions for Certified Emergency Nursing (CEN)
Nutrition-related Diseases
Nutrition (Diet) in Disease
Nursing Skills Course Introduction
Nursing Case Study for Rheumatoid Arthritis
Nursing Case Study for Type 1 Diabetes
Nursing Case Study for Rheumatic Heart Disease
Nursing Case Study for Pneumonia
Nursing Case Study for Hepatitis
Nursing Case Study for Cardiogenic Shock
Nursing Case Study for Acute Kidney Injury
Nursing Care Plan for Syphilis (STI)
Nursing Care Plan for Restrictive Lung Diseases (Pulmonary Fibrosis, Neuromuscular Disorders)
Nursing Care Plan for Pulmonary Edema
Nursing Care Plan for Pelvic Inflammatory Disease (PID)
Nursing Care Plan for Macular Degeneration
Nursing Care Plan for Gastritis
Nursing Care Plan for Fractures
Nursing Care Plan for Fibromyalgia
Nursing Care Plan for Distributive Shock
Nursing Care Plan for Coronary Artery Disease (CAD)
Nursing Care Plan for Compartment Syndrome
Nursing Care Plan for Cirrhosis (Liver)
Nursing Care Plan for (NCP) Trigeminal Neuralgia
Nursing Care Plan (NCP) for Urinary Tract Infection (UTI)
Nursing Care Plan (NCP) for Tuberculosis
Nursing Care Plan (NCP) for Thrombophlebitis / Deep Vein Thrombosis (DVT)
Nursing Care Plan (NCP) for Thrombocytopenia
Nursing Care Plan (NCP) for Thoracentesis (Procedure)
Nursing Care Plan (NCP) for Syndrome of Inappropriate Antidiuretic Hormone (SIADH)
Nursing Care Plan (NCP) for Syncope (Fainting)
Nursing Care Plan (NCP) for Stroke (CVA)
Nursing Care Plan (NCP) for Spinal Cord Injury
Nursing Care Plan (NCP) for Sepsis
Nursing Care Plan (NCP) for Risk for Fall
Nursing Care Plan (NCP) for Rheumatoid Arthritis (RA)
Nursing Care Plan (NCP) for Restrictive Lung Diseases
Nursing Care Plan (NCP) for Respiratory Failure
Nursing Care Plan (NCP) for Pulmonary Embolism
Nursing Care Plan (NCP) for Psoriasis
Nursing Care Plan (NCP) for Pressure Ulcer / Decubitus Ulcer (Pressure Injury)
Nursing Care Plan (NCP) for Pneumothorax/Hemothorax
Nursing Care Plan (NCP) for Pneumonia
Nursing Care Plan (NCP) for Pericarditis
Nursing Care Plan (NCP) for Parkinson’s Disease
Nursing Care Plan (NCP) for Pancreatitis
Nursing Care Plan (NCP) for Osteoporosis
Nursing Care Plan (NCP) for Osteoarthritis (OA), Degenerative Joint Disease
Nursing Care Plan (NCP) for Nutrition Imbalance
Nursing Care Plan (NCP) for Neutropenia
Nursing Care Plan (NCP) for Myocardial Infarction (MI)
Nursing Care Plan (NCP) for Myasthenia Gravis (MG)
Nursing Care Plan (NCP) for Multiple Sclerosis (MS)
Nursing Care Plan (NCP) for Meniere’s Disease
Nursing Care Plan (NCP) for Lymphoma (Hodgkin’s, Non-Hodgkin’s)
Nursing Care Plan (NCP) for Inflammatory Bowel Disease (Ulcerative Colitis / Crohn’s Disease)
Nursing Care Plan (NCP) for Impetigo
Nursing Care Plan (NCP) for Hypovolemic Shock
Nursing Care Plan (NCP) for Hypothyroidism
Nursing Care Plan (NCP) for Hypoparathyroidism
Nursing Care Plan (NCP) for Hypoglycemia
Nursing Care Plan (NCP) for Hyperthyroidism
Nursing Care Plan (NCP) for Hyperthermia (Thermoregulation)
Nursing Care Plan (NCP) for Hyperparathyroidism
Nursing Care Plan (NCP) for Hydrocephalus
Nursing Care Plan (NCP) for Herpes Zoster – Shingles
Nursing Care Plan (NCP) for Hepatitis
Nursing Care Plan (NCP) for Heart Valve Disorders
Nursing Care Plan (NCP) for Hashimoto’s Thyroiditis
Nursing Care Plan (NCP) for Guillain-Barre
Nursing Care Plan (NCP) for Glomerulonephritis
Nursing Care Plan (NCP) for Glaucoma
Nursing Care Plan (NCP) for GI (Gastrointestinal) Bleed
Nursing Care Plan (NCP) for Gastroesophageal Reflux Disease (GERD)
Nursing Care Plan (NCP) for Enuresis / Bedwetting
Nursing Care Plan (NCP) for Encephalopathy
Nursing Care Plan (NCP) for Emphysema
Nursing Care Plan (NCP) for Diverticulosis / Diverticulitis
Nursing Care Plan (NCP) for Disseminated Intravascular Coagulation (DIC)
Nursing Care Plan (NCP) for Diabetic Ketoacidosis (DKA)
Nursing Care Plan (NCP) for Diabetes Insipidus
Nursing Care Plan (NCP) for Diabetes
Nursing Care Plan (NCP) for Dementia
Nursing Care Plan (NCP) for Cushing’s Disease
Nursing Care Plan (NCP) for Congestive Heart Failure (CHF)
Nursing Care Plan (NCP) for Chronic Obstructive Pulmonary Disease (COPD)
Nursing Care Plan (NCP) for Chronic Kidney Disease
Nursing Care Plan (NCP) for Cellulitis
Nursing Care Plan (NCP) for Cardiomyopathy
Nursing Care Plan (NCP) for Cardiogenic Shock
Nursing Care Plan (NCP) for Bowel Obstruction
Nursing Care Plan (NCP) for Blunt Chest Trauma
Nursing Care Plan (NCP) for Benign Prostatic Hyperplasia (BPH)
Nursing Care Plan (NCP) for Bell’s Palsy
Nursing Care Plan (NCP) for Atrial Fibrillation (AFib)
Nursing Care Plan (NCP) for Asthma / Childhood Asthma
Nursing Care Plan (NCP) for Aspiration
Nursing Care Plan (NCP) for Angina
Nursing Care Plan (NCP) for Anemia
Nursing Care Plan (NCP) for Anaphylaxis
Nursing Care Plan (NCP) for Addison’s Disease (Primary Adrenal Insufficiency)
Nursing Care Plan (NCP) for Acute Respiratory Distress Syndrome
Nursing Care Plan (NCP) for Acute Pain
Nursing Care Plan (NCP) for Acute Kidney Injury
Nursing Care Plan (NCP) for Acute Bronchitis
Nursing Care Plan (NCP) for Activity Intolerance
Nursing Care Plan (NCP) for Acquired Immune Deficiency Syndrome (AIDS)
Nursing Care Plan (NCP) for Abdominal Pain
Nursing Care Plan (NCP) & Interventions for Increased Intracranial Pressure (ICP)
Nursing Care and Pathophysiology of Urinary Tract Infection (UTI)
Nursing Care and Pathophysiology of Pneumonia
Nursing Care and Pathophysiology of Osteoporosis
Nursing Care and Pathophysiology of Osteoarthritis (OA)
Nursing Care and Pathophysiology of Nephrotic Syndrome
Nursing Care and Pathophysiology of Myocarditis
Nursing Care and Pathophysiology of Myocardial Infarction (MI)
Nursing Care and Pathophysiology of Hypertension (HTN)
Nursing Care and Pathophysiology of Glomerulonephritis
Nursing Care and Pathophysiology of Diabetic Ketoacidosis (DKA)
Nursing Care and Pathophysiology of Diabetes Mellitus (DM)
Nursing Care and Pathophysiology of Coronary Artery Disease (CAD)
Nursing Care and Pathophysiology of COPD (Chronic Obstructive Pulmonary Disease)
Nursing Care and Pathophysiology of Chronic Kidney (Renal) Disease (CKD)
Nursing Care and Pathophysiology of BPH (Benign Prostatic Hyperplasia)
Nursing Care and Pathophysiology of Angina
Nursing Care and Pathophysiology of Acute Respiratory Distress Syndrome (ARDS)
Nursing Care and Pathophysiology of Acute Kidney (Renal) Injury (AKI)
Nursing Care and Pathophysiology for Valve Disorders
Nursing Care and Pathophysiology for Ulcerative Colitis(UC)
Nursing Care and Pathophysiology for Tuberculosis (TB)
Nursing Care and Pathophysiology for Thrombophlebitis (clot)
Nursing Care and Pathophysiology for Syphilis (STI)
Nursing Care and Pathophysiology for SIRS & MODS
Nursing Care and Pathophysiology for Sickle Cell Anemia
Nursing Care and Pathophysiology for SIADH (Syndrome of Inappropriate antidiuretic Hormone Secretion)
Nursing Care and Pathophysiology for Sepsis
Nursing Care and Pathophysiology for Rheumatoid Arthritis (RA)
Nursing Care and Pathophysiology for Pulmonary Embolism
Nursing Care and Pathophysiology for Pulmonary Edema
Nursing Care and Pathophysiology for Psoriasis
Nursing Care and Pathophysiology for Polycystic Ovarian Syndrome (PCOS)
Nursing Care and Pathophysiology for Pneumothorax & Hemothorax
Nursing Care and Pathophysiology for Parkinsons
Nursing Care and Pathophysiology for Pancreatitis
Nursing Care and Pathophysiology for Myasthenia Gravis
Nursing Care and Pathophysiology for Multiple Sclerosis (MS)
Nursing Care and Pathophysiology for Meningitis
Nursing Care and Pathophysiology for Ischemic Stroke (CVA)
Nursing Care and Pathophysiology for Influenza (Flu)
Nursing Care and Pathophysiology for Inflammatory Bowel Disease (IBD)
Nursing Care and Pathophysiology for Hypovolemic Shock
Nursing Care and Pathophysiology for Hypothyroidism
Nursing Care and Pathophysiology for Hyperparathyroidism
Nursing Care and Pathophysiology for Human Papilloma Virus (HPV STI)
Nursing Care and Pathophysiology for Herpes Zoster – Shingles
Nursing Care and Pathophysiology for Hepatitis (Liver Disease)
Nursing Care and Pathophysiology for Hemorrhagic Stroke (CVA)
Nursing Care and Pathophysiology for Heart Failure (CHF)
Nursing Care and Pathophysiology for Hashimoto’s Thyroiditis
Nursing Care and Pathophysiology for Diverticulosis – Diverticulitis
Nursing Care and Pathophysiology for Distributive Shock
Nursing Care and Pathophysiology for Disseminated Intravascular Coagulation (DIC)
Nursing Care and Pathophysiology for Diabetes Insipidus (DI)
Nursing Care and Pathophysiology for Cushings Syndrome
Nursing Care and Pathophysiology for Crohn’s Disease
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 Cardiogenic Shock
Nursing Care and Pathophysiology for Asthma
Nursing Care and Pathophysiology for Arterial Disorders
Nursing Care and Pathophysiology for Aortic Aneurysm
Nursing Care and Pathophysiology for Anemia
Nursing Care and Pathophysiology for Anaphylaxis
Nursing Care and Pathophysiology for Acquired Immune Deficiency Syndrome (AIDS)
Nuclear Medicine
Norepinephrine (Levophed) Nursing Considerations
Noncardiac Pulmonary Edema for Certified Emergency Nursing (CEN)
Nitroprusside (Nitropress) Nursing Considerations
Nitroglycerin (Nitrostat) Nursing Considerations
Nitro Compounds
NG (Nasogastric)Tube Management
Neurological Fractures
Neurological Disorders (Multiple Sclerosis, Myasthenia Gravis, Guillain-Barré Syndrome) for Certified Emergency Nursing (CEN)
Neurogenic Shock for Certified Emergency Nursing (CEN)
Neostigmine (Prostigmin) Nursing Considerations
Naproxen (Aleve) Nursing Considerations
Myocardial Infarction Nursing Mnemonic (MONATAS)
Myocardial Infarction (MI) Case Study (45 min)
Musculoskeletal Course Introduction
Musculoskeletal Assessment
Murmur locations Nursing Mnemonic (hARD ASS MRS. MSD)
Multiple Sclerosis Symptoms Nursing Mnemonic (DEMYELINATION)
Morphine (MS Contin) Nursing Considerations
Moderate Sedation
Mobility & Assistive Devices
Miscellaneous Nerve Disorders
Minimally-Invasive Thoracic Surgery (VATS) for Progressive Care Certified Nurse (PCCN)
Migraines
MI Surgical Intervention
Metronidazole (Flagyl) Nursing Considerations
Metoprolol (Toprol XL) Nursing Considerations
Metoclopramide (Reglan) Nursing Considerations
Methylprednisolone (Solu-Medrol) Nursing Considerations
Metformin (Glucophage) Nursing Considerations
Metabolic/Endocrine Course Introduction
Metabolic Acidosis (interpretation and nursing diagnosis)
Metabolic & Endocrine Module Intro
Meropenem (Merrem) Nursing Considerations
Meperidine (Demerol) Nursing Considerations
Meningitis for Certified Emergency Nursing (CEN)
Meniere’s Disease
Medication Classess for IBD Nursing Mnemonic (Sometimes I Can’t Answer)
Mechanical Aids
Management of Pressure Ulcers (Pressure Injuries) Nursing Mnemonic (SKIN)
Malignant Hyperthermia (MH) Nursing Interventions for Certified Perioperative Nurse (CNOR)
Malignant Hyperthermia
Magnetic Resonance Imaging (MRI)
Macular Degeneration
Lymphoma – Signs and Symptoms Nursing Mnemonic (NURSE For Pete’s Sake)
Lymphoma
Lymphatic Assessment
Lung Diseases Module Intro
Lower Gastrointestinal (GI) Module Intro
Low Pressure Vent Alarms Nursing Mnemonic (Cake Everyday)
Losartan (Cozaar) Nursing Considerations
Loperamide (Imodium) Nursing Considerations
Local Anesthetic Systemic Toxicity (LAST) Nursing Interventions for Certified Perioperative Nurse (CNOR)
Local Anesthesia
Liver/Gallbladder Module Intro
Live Bedside Report Medsurg (Medical surgical)
Lisinopril (Prinivil) Nursing Considerations
Lipase Lab Values
Linen Change
Lidocaine Toxicity – Signs and Symptoms Nursing Mnemonic (SAMS)
Lidocaine (Xylocaine) Nursing Considerations
Levothyroxine (Synthroid)
Levofloxacin (Levaquin) Nursing Considerations
Levels of consciousness Nursing Mnemonic (Never Carry Dirty Socks Or Smelly Clothes)
Lactic Acid
Lactate Dehydrogenase (LDH) Lab Values
Lacerations for Certified Emergency Nursing (CEN)
IV Complications (infiltration, phlebitis, hematoma, extravasation, air embolism)
Isoniazid (Niazid) Nursing Considerations
Ischemic Bowel for Progressive Care Certified Nurse (PCCN)
Ischemic (CVA) Stroke Labs
Iron (Fe) Lab Values
Ionized Calcium Lab Values
Iodine Nursing Considerations
Intubation in the OR
Introduction to Health Assessment
Intro to Health Assessment
Intrarenal Causes of Acute Kidney Injury Nursing Mnemonic (TONIC)
Intraoperative Positioning
Intraoperative Nursing Priorities
Intraoperative (Intraop) Complications
Intracranial Pressure ICP
Interventions for Aphasia Nursing Mnemonic (PROP)
Interdisciplinary Team Participation for Certified Perioperative Nurse (CNOR)
Interdisciplinary Team Member Functions for Certified Perioperative Nurse (CNOR)
Interdisciplinary Healthcare Team Collaboration for Certified Perioperative Nurse (CNOR)
Integumentary (Skin) Important Points
Integumentary (Skin) Module Intro
Integumentary (Skin) Course Introduction
Intake and Output (I&O)
Insulin Mnemonic (Ready, Set, Inject, Love)
Insulin – Short Acting (Regular) Nursing Considerations
Insulin – Rapid Acting (Novolog, Humalog) Nursing Considerations
Insulin – Mixtures (70/30)
Insulin – Long Acting (Lantus) Nursing Considerations
Insulin – Intermediate Acting (NPH) Nursing Considerations
Insulin
Inserting an NG (Nasogastric) Tube
Inserting a Foley (Urinary Catheter) – Male
Informed Consent
Influenza for Certified Emergency Nursing (CEN)
Inflammatory Bowel Disease Case Study (45 min)
Infectious Diseases: Influenza for Progressive Care Certified Nurse (PCCN)
Individualized Physical Assessments for Certified Perioperative Nurse (CNOR)
Increased Intraocular Pressure for Certified Emergency Nursing (CEN)
Impulse Transmission
Implant Verification and Availability for Certified Perioperative Nurse (CNOR)
Implant Records and Tracking for Certified Perioperative Nurse (CNOR)
Implant Preparation for Certified Perioperative Nurse (CNOR)
Impaired or Disruptive Behavior Reporting (Interdisciplinary Healthcare Team) for Certified Perioperative Nurse (CNOR)
Immunology Module Intro
Immunocompromise (HIV and AIDS, Oncology and Chemotherapy, Transplant Patient) for Certified Emergency Nursing (CEN)
Hypoxia – Signs and Symptoms Nursing Mnemonic (RAT BED)
Hypovolemic and Distributive Shock for Certified Emergency Nursing (CEN)
Hypotonic Solutions (IV solutions)
Hypothermia (Thermoregulation)
Hypoparathyroidism
Hyponatremia- Definition, Signs and Symptoms Nursing Mnemonic (SALT LOSS)
Hypokalemia – Signs and Symptoms Nursing Mnemonic (6 L’s)
Hypoglycemia symptoms Nursing Mnemonic (DIRE)
Hypoglycemia Management Nursing Mnemonic (Cool and Clammy – Give ‘Em Candy)
Hypoglycemia for Progressive Care Certified Nurse (PCCN)
Hypoglycemia – Signs and Symptoms Nursing Mnemonic (TIRED)
Hypoglycemia
Hypocalcemia – Definition, Signs and Symptoms Nursing Mnemonic (CATS)
Hypertonic Solutions (IV solutions)
Hyperthyroidism Case Study (75 min)
Hyperthermia (Thermoregulation)
Hypertensive Crisis Case Study (45 min)
Hypertension- Complications Nursing Mnemonic (The 4 C’s)
Hypertension (Uncontrolled) and Hypertensive Crisis for Progressive Care Certified Nurse (PCCN)
Hypertension (HTN) Concept Map
Hypertension – Nursing care Nursing Mnemonic (DIURETIC)
Hypernatremia – Signs and Symptoms 3 Nursing Mnemonic (SALT)
Hypernatremia – Signs and Symptoms 2 Nursing Mnemonic (SWINE)
Hypernatremia – Signs and Symptoms 2 Nursing Mnemonic (FRIED)
Hyperglycemia for Progressive Care Certified Nurse (PCCN)
Hyperglycaemic Hyperosmolar Non-ketotic syndrome (HHNS)
Hypercalcemia – Signs and Symptoms Nursing Mnemonic (GROANS, MOANS, BONES, STONES, OVERTONES)
Hygiene
Hydralazine
HMG-CoA Reductase Inhibitors (Statins)
Histamine 2 Receptor Blockers
Histamine 1 Receptor Blockers
High Pressure Vent Alarms Nursing Mnemonic (Kings Eat Big Cakes)
Hepatitis for Certified Emergency Nursing (CEN)
Hepatitis B Virus (HBV) Lab Values
Hepatic Disorders (Cirrhosis, Hepatitis, Portal Hypertension) for Progressive Care Certified Nurse (PCCN)
Heparin (Hep-Lock) Nursing Considerations
Hemorrhagic Stroke Risk Factors Nursing Mnemonic (HATS)
Hemorrhagic Fevers for Certified Emergency Nursing (CEN)
Hemorrhage Nursing Interventions for Certified Perioperative Nurse (CNOR)
Hemodialysis (Renal Dialysis)
Hematology/Oncology/Immunology Course Introduction
Hematology Module Intro
Hematologic Disorders for Certified Emergency Nursing (CEN)
Heart Failure-Left-Sided Nursing Mnemonic (CHOP)
Heart Failure-Origin Nursing Mnemonic (Left – Lung|Right – Rest)
Heat Temperature-related Emergencies for Certified Emergency Nursing (CEN)
Heart Failure for Certified Emergency Nursing (CEN)
Heart Failure Case Study (45 min)
Heart Failure 2 – Live Tutoring Archive
Heart Failure (Acute Exacerbations, Chronic) for Progressive Care Certified Nurse (PCCN)
Heart (Cardiac) Sound Locations and Auscultation
Heart (Cardiac) Failure Therapeutic Management
Heart (Cardiac) Failure Module Intro
Heart (Cardiac) and Great Vessels Assessment
Healthcare-Acquired Infections: Surgical Site Infections (SSI) for Progressive Care Certified Nurse (PCCN)
Hearing Loss
Healthcare-Acquired Infections: Catheter-Associated Bloodstream Infections (CAUTI) for Progressive Care Certified Nurse (PCCN)
Healthcare Team Member Supervision and Education for Certified Perioperative Nurse (CNOR)
Health Assessment Course Introduction
Head/Neck Assessment
Hb (Hepatitis) Vaccine
Hazardous Material Handling and Disposition (Chemo, Radioactive) for Certified Perioperative Nurse (CNOR)
Hand Hygiene Guideline Adherence for Certified Perioperative Nurse (CNOR)
Glucagon (GlucaGen) Nursing Considerations
Glipizide (Glucotrol) Nursing Considerations
Glaucoma
GI Infections (C. difficile) for Progressive Care Certified Nurse (PCCN)
GI Bleed (Upper, Lower) for Progressive Care Certified Nurse (PCCN)
GERD causes Nursing Mnemonic (Reflux Is Probably Mean)
GERD (Gastroesophageal Reflux Disease)
Genitourinary Infections for Certified Emergency Nursing (CEN)
Genitourinary Course Introduction
Genitourinary Trauma for Certified Emergency Nursing (CEN)
Genitourinary (GU) Assessment
General Assessment (Physical assessment)
General Anesthesia
Gastrointestinal (GI) Bleed Concept Map
Gastritis
Gabapentin (Neurontin) Nursing Considerations
Fundamentals Course Introduction
Functional Issues (Immobility, Falls, Gait Disorders) for Progressive Care Certified Nurse (PCCN)
Functional GI Disorders (Obstruction, Ileus, Diabetic Gastroparesis, Gastroesophageal Reflux, Irritable Bowel Syndrome) for Progressive Care Certified Nurse (PCCN)
Free T4 (Thyroxine) Lab Values
Fluid Volume Overload
Fibromyalgia
Fibrinogen Lab Values
Fibrin Degradation Products (FDP) Lab Values
Ferrous Sulfate (Iron) Nursing Considerations
Fentanyl (Duragesic) Nursing Considerations
Explant Preparation (Final Disposition) for Certified Perioperative Nurse (CNOR)
Ethical and Professional Standards for Certified Perioperative Nurse (CNOR)
Essential NCLEX Meds by Class
Esophageal Varices for Certified Emergency Nursing (CEN)
Erythromycin (Erythrocin) Nursing Considerations
Erythrocyte Sedimentation Rate (ESR) Lab Values
Equipment Utilization (Manufacturers Recommendations) for Certified Perioperative Nurse (CNOR)
Epoetin Alfa
Epoetin (Epogen) Nursing Considerations
Epinephrine (EpiPen) Nursing Considerations
Environmental Stewardship (Waste Minimization) for Certified Perioperative Nurse (CNOR)
Environmental Factor Control for Certified Perioperative Nurse (CNOR)
Environmental Cleaning (Spills, Room Turnover, Terminal Cleaning) for Certified Perioperative Nurse (CNOR)
Envenomation Emergencies for Certified Emergency Nursing (CEN)
Enteral & Parenteral Nutrition (Diet, TPN)
Enoxaparin (Lovenox) Nursing Considerations
Endoscopy & EGD
End-Stage Renal Disease (ESRD) for Progressive Care Certified Nurse (PCCN)
Encephalopathy (Hypoxic-ischemic, Metabolic, Infectious, Hepatic) for Progressive Care Certified Nurse (PCCN)
Encephalopathies
Enalapril (Vasotec) Nursing Considerations
Emergency Situation Identification for Certified Perioperative Nurse (CNOR)
EENT Medications
EENT Course Introduction
Echocardiogram (Cardiac Echo)
Dysrhythmias Labs
Dysrhythmias for Certified Emergency Nursing (CEN)
Drugs that Cause SJS Nursing Mnemonic (I C NASA)
Dopamine (Inotropin) Nursing Considerations
Dobutamine (Dobutrex) Nursing Considerations
DKA Treatment Nursing Mnemonic (KING UFC)
Diverticulitis for Certified Emergency Nursing (CEN)
Diverticulitis Complications Nursing Mnemonic (Please Fix His Abscess SOon)
Disseminated Intravascular Coagulation Case Study (60 min)
Disease Specific Medications
Discharge Planning for Certified Emergency Nursing (CEN)
Discharge (DC) Teaching After Surgery
Different Dressings
Diltiazem (Cardizem) Nursing Considerations
Dialysis & Other Renal Points
Diagnostic Criteria for Lupus Nursing Mnemonic (SOAP BRAIN MD)
Diabetic Ketoacidosis for Progressive Care Certified Nurse (PCCN)
Diabetic Ketoacidosis (DKA) Case Study (45 min)
Diabetes Mellitus Type 1- Signs & Symptoms Nursing Mnemonic (The 3 P’s)
Diabetes Mellitus for Progressive Care Certified Nurse (PCCN)
Diabetes Mellitus & Those Dang Blood Sugars! – Live Tutoring Archive
Diabetes Mellitus Case Study (45 min)
Diabetes Mellitus (DM) Module Intro
Diabetes Management
Diabetes Insipidus Nursing Mnemonic (DDD)
Diabetes Insipidus Case Study (60 min)
Dementia and Alzheimers
Delegation and Personnel Management for Certified Perioperative Nurse (CNOR)
Decrease ICP Nursing Mnemonic (Craniums Excite Me)
Day in the Life of a Med-surg Nurse
D-Dimer (DDI) Lab Values
Cyclosporine (Sandimmune) Nursing Considerations
Cyclic Citrullinated Peptide (CCP) Lab Values
Cushings Assessment Nursing Mnemonic (STRESSED)
Cushing’s Syndrome Case Study (60 min)
Cultures
CT & MR Angiography
Crohn’s Morphology and Symptoms Nursing Mnemonic (CHRISTMAS)
Critical Thinking to Facilitate Patient Care for Certified Perioperative Nurse (CNOR)
Creatinine Clearance Lab Values
Creatine Phosphokinase (CPK) Lab Values
Cranial Nerve Mnemonic 02 Nursing Mnemonic (Oh Oh Oh To Touch And Feel Very Good Velvet AH!)
Cortisone (Cortone) Nursing Considerations
Cortisol Lab Vales
Coronavirus (COVID-19) Nursing Care and General Information
Coronary Circulation
Coronary Artery Disease Concept Map
Coronary Arteries – Location Nursing Mnemonic (I have a RIGHT to CAMP if you LEFT off the AC)
Cor Pulmonale – Signs & Symptoms Nursing Mnemonic (Please Read His Text)
COPD management Nursing Mnemonic (COPD)
COPD Exacerbation for Progressive Care Certified Nurse (PCCN)
COPD Concept Map
COPD (Chronic Obstructive Pulmonary Disease) Labs
Congestive Heart Failure Concept Map
Confirming Patient Identity (Patient Identifiers) for Certified Perioperative Nurse (CNOR)
Confirmation of Correct Procedure (Operative Site, Side, Site Marking) for Certified Perioperative Nurse (CNOR)
Complications of Thoracentesis Nursing Mnemonic (Patients Sometimes Bleed Internally)
Complications of Immobility
Compartment Syndrome for Certified Emergency Nursing (CEN)
Communication of Patient Outcomes (Continuum of Care) for Certified Perioperative Nurse (CNOR)
Common Signs of Parkinson’s Nursing Mnemonic (SMART)
Comfort Provisions (Behavioral Response to Procedure) for Certified Perioperative Nurse (CNOR)
Colonoscopy
Cold Temperature-related Emergencies for Certified Emergency Nursing (CEN)
Coagulopathies, Medication-Induced (Coumadin, Platelet Inhibitors, Heparin, HIT) for Progressive Care Certified Nurse (PCCN)
Coagulation Studies (PT, PTT, INR)
Clopidogrel (Plavix) Nursing Considerations
Cirrhosis Complications Nursing Mnemonic (Please Bring Happy Energy)
Cirrhosis for Certified Emergency Nursing (CEN)
Cirrhosis Case Study (45 min)
Circulatory Checks (5 P’s) Nursing Mnemonic (The 5 P’s)
Chronic Obstructive Pulmonary Disease (COPD) for Certified Emergency Nursing (CEN)
Chronic Renal (Kidney) Module Intro
Chronic Kidney Disease (CKD) Case Study (45 min)
CHF Treatment Nursing Mnemonic (UNLOAD FAST)
Chest Tube Management Case Study (60 min)
Chest Tube Management
Chest Tube Management
Chest Tube Assessment Nursing Mnemonic (Two AA’s)
Cerebral Perfusion Pressure CPP
Cerebral Perfusion Pressure Case Study (60 min)
Cephalexin (Keflex) Nursing Considerations
Central Line Dressing Change
Celecoxib (Celebrex) Nursing Considerations
Causes of Dyspnea Nursing Mnemonic (The 6 P’s)
Causes of Pancreatitis Nursing Mnemonic (BAD HITS)
Causes of Anaphylaxis Nursing Mnemonic (Many Boys Love Food)
Cataracts
Cardiovascular Disorders (CVD) Module Intro
Cardiovascular Angiography
Cardiogenic Shock For PCCN for Progressive Care Certified Nurse (PCCN)
Cardiogenic Shock and Obstructive Shock for Certified Emergency Nursing (CEN)
Cardiac/Vascular Catheterization (Diagnostic, Interventional) for Progressive Care Certified Nurse (PCCN)
Cardiac Valves Blood Flow Nursing Mnemonic (Toilet Paper my Ass)
Cardiac Tamponade for Progressive Care Certified Nurse (PCCN)
Cardiac Surgery (Post-ICU Care) for Progressive Care Certified Nurse (PCCN)
Cardiac Stress Test
Cardiac Labs – What and When to Use Them 2 – Live Tutoring Archive
Cardiac Labs – What and When to Use Them – Live Tutoring Archive
Cardiac Course Introduction
Cardiac Arrest Nursing Interventions for Certified Perioperative Nurse (CNOR)
Cardiac Anatomy
Cardiac A&P Module Intro
Cardiac (Heart) Enzymes
Carbon Dioxide (Co2) Lab Values
Carbidopa-Levodopa (Sinemet) Nursing Considerations
Captopril (Capoten) Nursing Considerations
Canes Nursing Mnemonic (COAL)
Calcium Channel Blockers
Calcium Carbonate (Tums) Nursing Considerations
Calcium Acetate (PhosLo) Nursing Considerations
C. Difficile for Certified Emergency Nursing (CEN)
C-Reactive Protein (CRP) Lab Values
Burns for Certified Emergency Nursing (CEN)
Burn Injuries
Brain Natriuretic Peptide (BNP) Lab Values
Brain Death v. Comatose
BPH Symptoms Nursing Mnemonic (FUN WISE)
Bowel Perforation for Certified Emergency Nursing (CEN)
Bowel Obstruction Concept Map
Body Mechanics (Utilization) for Certified Perioperative Nurse (CNOR)
Blunt Chest Trauma
Blood Salvage Transfusion Anticipation for Certified Perioperative Nurse (CNOR)
Blood Flow Through The Heart
Bleeding Precautions Nursing Mnemonic (RANDI)
Bleeding for Certified Emergency Nursing (CEN)
Bleeding Complications (Minor) Nursing Mnemonic (BEEP)
Bismuth Subsalicylate (Pepto-Bismol) Nursing Considerations
Biopsy
Biohazard Material Handling and Disposition (Blood, Microbiology, Creutzfeldt-Jakob Disease) for Certified Perioperative Nurse (CNOR)
Beta Hydroxy (BHB) Lab Values
Benztropine (Cogentin) Nursing Considerations
Bed Bath
Barriers to Health Assessment
Barrier Material Selection (Procedure-Specific) for Certified Perioperative Nurse (CNOR)
Bariatric: IV Insertion
Bariatric Surgeries
Barbiturates
Bacterial Endocarditis – Symptoms Nursing Mnemonic (Be Joan Of Arc)
Azithromycin (Zithromax) Nursing Considerations
AV Blocks Dysrhythmias for Progressive Care Certified Nurse (PCCN)
Atrial Flutter
Atrial Fibrillation (A Fib)
Atrial Dysrhythmias for Progressive Care Certified Nurse (PCCN)
Atorvastatin (Lipitor) Nursing Considerations
Atenolol (Tenormin) Nursing Considerations
Asthma for Certified Emergency Nursing (CEN)
Asthma (Severe) for Progressive Care Certified Nurse (PCCN)
Assessment of Guillain-Barre Syndrome Nursing Mnemonic (GBS=PAID)
Assessment for Myasthenic Crisis Nursing Mnemonic (BRISH)
ASA (Aspirin) Nursing Considerations
Artificial Airways
ARDS causes Nursing Mnemonic (GUT PASS)
ARDS Case Study (60 min)
Aortic Stenosis Symptoms Nursing Mnemonic (SAD)
Aortic Aneurysm – Thoracic signs Nursing Mnemonic (PEE BADS)
Aortic Aneurysm – Management Nursing Mnemonic (CRAM)
Antinuclear Antibody Lab Values
Antineoplastics
Antimetabolites
Antidiabetic Agents
Anticonvulsants
Anti-Platelet Aggregate
Anti-Infective – Antitubercular
Anti-Infective – Tetracyclines
Anti-Infective – Sulfonamides
Anti-Infective – Glycopeptide
Anti-Infective – Carbapenems
Anti Tumor Antibiotics
Anion Gap Acidosis 1 Nursing Mnemonic (KULT)
Anion Gap Acidosis 2 Nursing Mnemonic (MUDPILES)
Anion Gap
Angiotensin Receptor Blockers
Aneurysm and Dissection for Certified Emergency Nursing (CEN)
Anesthetic Agents
Anesthetic Agents
Aneurysm (Dissecting, Repair) for Progressive Care Certified Nurse (PCCN)
Anesthesia Management Assistance for Certified Perioperative Nurse (CNOR)
Anemia for Progressive Care Certified Nurse (PCCN)
Amputation for Certified Emergency Nursing (CEN)
Anaphylaxis Nursing Interventions for Certified Perioperative Nurse (CNOR)
Amputation Concept Map
Amputation
Amlodipine (Norvasc) Nursing Considerations
Amitriptyline (Elavil) Nursing Considerations
Altered Mental Status Nursing Mnemonic (AEIOU TIPS)
Alteplase (tPA, Activase) Nursing Considerations
Altered Mental Status- Delirium and Dementia for Progressive Care Certified Nurse (PCCN)
Alkylating Agents
Alkaline Phosphatase (ALK PHOS) Lab Values
Alendronate (Fosamax) Nursing Considerations
Alanine Aminotransferase (ALT) Lab Values
Airway Suctioning
AIDS Case Study (45 min)
Age and Culturally Appropriate Health Assessment Techniques for Certified Perioperative Nurse (CNOR)
Advanced Directive and DNR Status Confirmation for Certified Perioperative Nurse (CNOR)
Advance Directives
Adrenal Gland Hormones Nursing Mnemonic (The 3 S’s)
Adrenal and Thyroid Disorder Emergencies for Certified Emergency Nursing (CEN)
Admissions, Discharges, and Transfers
Adjunct Neuro Assessments
Addisons Disease
Addisons Assessment Nursing Mnemonic (STEROID)
Acute Respiratory Distress Syndrome (ARDS) for Progressive Care Certified Nurse (PCCN)
Acute Renal (Kidney) Module Intro
Acute Kidney Injury Case Study (60 min)
Acute Inflammatory Disease (Myocarditis, Endocarditis, Pericarditis) for Progressive Care Certified Nurse (PCCN)
Acute Coronary Syndromes (MI-ST and Non ST, Unstable Angina) for Progressive Care Certified Nurse (PCCN)
Acute Abdomen for Certified Emergency Nursing (CEN)
ACE (angiotensin-converting enzyme) Inhibitors
Accountability and Assistance for Personal Limitations for Certified Perioperative Nurse (CNOR)
Absolute Reticulocyte Count (ARC) Lab Values
Absolute Neutrophil Count (ANC) Lab Values
3rd Degree AV Heart Block (Complete Heart Block)
2nd Degree AV Heart Block Type 2 (Mobitz II)
2nd Degree AV Heart Block Type 1 (Mobitz I, Wenckebach)
1st Degree AV Heart Block
10.04 Pulmonary Question Review for CCRN Review
07.10 Neurologic Review questions for CCRN Review
07.09 Meningitis for CCRN Review
06.05 Wide Complex Tachycardia for CCRN Review
06.04 Differentiating Ectopy and Aberrancy for CCRN Review
05.05 GI Practice Questions for CCRN Review
05.02 Liver Overview and Disease for CCRN Review
05.01 Pancreatitis and Large Bowel Obstruction for CCRN Review
03.04 DKA vs HHNK for CCRN Review
03.05 Endocrine Practice Questions for CCRN Review
03.03 Hypoglycemia for CCRN Review
03.02 Diabetes Insipidus for CCRN Review
03.01 Syndrome of Inappropriate Antidiuretic hormone (SIADH) for CCRN Review
02.18 Cardiovascular Practice Questions for CCRN Review
02.17 Septic Shock for CCRN Review
02.16 Cardiogenic Shock for CCRN Review
02.15 Hypovolemic Shock for CCRN Review
02.14 Shock Stages for CCRN Review
02.13 Myocardial Infarction – Anterior Septal Wall for CCRN Review
02.02 Cardiomyopathy for CCRN Review
02.06 Heart Murmurs for CCRN Review
02.08 Cardiac Catheterization & Acute Coronary Syndrome for CCRN Review
02.12 Myocardial Infarction- Inferior Wall for CCRN Review