Breast Cancer

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Outline

Overview

  1. Breast Anatomy- men and women
    1. Lobules- where milk is made
    2. Ducts- takes milk to nipple
  2. Cancer Anatomy
    1. Abnormal Cells
    2. Loss of Apoptosis= Overgrowth
  3. Breast Cancer
    1. An overgrowth of abnormal cells in, or from, the breast
    2. Second most common cancer in women behind skin cancer
      1. 1% of diagnoses are in men, survival rate similar to women, but usually later diagnosis

Nursing Points

General

  1. 3 Main Types of Breast Cancer
    1. Lobular Carcinoma- From the Lobules
    2. Ductal Carcinoma- From the Ducts
    3. Inflammatory
      1. rare, only 1-5%, aggressive
  2. Location
    1. Invasive
      1. Spread to surrounding tissues
    2. Noninvasive
      1. Only in duct or lobule
    3. In Situ
      1. Other name for Noninvasive meaning ‘in place’ (i.e. DCIS)
  3. Grading
    1. How differentiated (abnormal) the cells are
      1. GX (unknown) to G3 (very abnormal)
  4. Staging
    1. How far the cancer cells have spread
      1. 0- in situ or noninvasive to IV- distant metastasis
      2. Recurrent- cancer that has come back after treatment
  5. Cellular Testing
    1. Estrogen Receptors (ER)
    2. Progesterone Receptors (PR)
    3. HER2/NEU
      1. Protein involved in normal cell growth, may be overproduced in cancer cells

Assessment

  1. Breast exam (no evidence for self-breast exams, clinical with routine care)
    1. Lump in breast or armpit
    2. Asymmetry
    3. Breast or Skin that is inflamed (red/itchy), dimpled, scaly or puckered
    4. Nipple changes or discharge (inverted)
    5. Peau d’orange (orange peel skin)
      1. Trademark sign of Inflammatory BC
  2. Imaging
    1. Mammogram
    2. Ultrasound
    3. MRI
  3. Metastasis (most common sites)
    1. Bone Mets
      1. Bone pain
      2. Hypercalcemia
    2. Liver Mets
      1. Ascites
      2. Jaundice
      3. RUQ pain
    3. Brain Mets
      1. Altered Mental Status
      2. Headache
    4. Lung Mets
      1. Dyspnea
  4. Risk Factors
    1. Non-modifiable
      1. Older age
      2. Family History
      3. Genetic mutations
        1. BRCA 1/2
        2. Prophylactic mastectomy
      4. History of benign or malignant breast conditions
        1. XRT to breast can increase risk
      5. Dense Breasts
      6. Estrogen Exposure
        1. Early menarche / Late menopause
        2. Older at first birth or nulliparous
        3. Estrogen HRT
    2. Modifiable
      1. Obesity / Sedentary lifestyle
      2. Alcohol consumption
      3. Estrogen based HRT and OCP
    3. Protective Factors
      1. Early Pregnancy
      2. Breast Feeding
      3. Certain HRT and OCP- unclear cause

Therapeutic Management

  1. Treatment modalities
    1. Surgery
      1. Lumpectomy
      2. Mastectomy (unilateral or bilateral)
      3. Lymph node dissection
      4. Reconstruction
        1. Implants
        2. Autologous Tissue (Flaps)
        3. Prosthesis
    2. Radiation
    3. Chemotherapy
    4. Targeted Therapy
    5. Immunomodulating Therapy
    6. Hormone therapy
  2. Symptom Management
    1. Chemotherapy-related
      1. Peripheral neuropathy
      2. Pancytopenia
      3. Hair loss
      4. Nausea
      5. Weight Loss/Gain
    2. Surgery-related
      1. Lymphedema – lymph node dissection
      2. Body image disruption
      3. Pain control
    3. Radiation-related
      1. Skin rash, breakdown and infection
      2. Pain at site
    4. Targeted and Immunomodulating
      1. Depends on drugs- different side effects
    5. Hormone-related
      1. Hair loss
      2. Mood swings
      3. Hot flashes
      4. Pseudomenopause

Nursing Concepts

  1. Evidence-Based Practice
    1. Research is ongoing and we need to stay current on best practice
  2. Hormone Regulation
    1. Link to ERT
  3. Cellular Regulation
    1. Loss of cellular differentiation

Patient Education

  1. Know Your Risk Factors
    1. Genetics
    2. Modifiable
    3. Non-Modifiable
  2. Know your Cancer
    1. Location- ductal vs lobular
    2. Local Spread- invasive vs noninvasive/in situ
    3. Grade- how different are my cells
    4. Staging- how far has it spread in my body
    5. Testing- what tests were done and what are the results
  3. Know your Treatment and Side Effects
    1. What Treatments will I get and in what order
    2. What are the specific side effects to my treatments?

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Transcript

Hi guys, it’s Stephanie. And today we are talking about breast cancer. So there are different types of breast cancer, and this relates to where in the breast it’s formed. So if it’s in these, lobules here, that’s called lobular breast cancer over here in the ducts, it’s called ductal breast cancer. And then there’s also a third type called inflammatory that actually forms here too, but it presents much differently and it’s not commonly seen. Breast cancer is further defined as invasive or noninvasive. You’ll hear in situ also if it has spread at all, it’s called invasive. The stage of breast cancer is determined also by how different the cells are. And then there are different receptors on tumors. Those can be estrogen-progesterone or HER-2. You’ll hear it called. And this helps guide how we can treat cancer. If they don’t have any of those, you’ll hear it called triple-negative breast cancer.

And that’s more difficult to treat. So breast cancer is the second most common cancer in women behind skin cancer. It does occur in men. And I just want to point out if you have a man who has breast cancer, you might notice that they feel kind of ashamed. I’ve noticed that in the men that I’ve cared for, who have breast cancer. So it’s just important to let them know they’re not the only person. They’re not the only man to have had breast cancer. Survival, like many cancers, is so much better if it’s caught early, it’s up to 98%. If it’s caught in stage one and 16%, if caught in stage four. So obviously you want to catch it early. And that leads me into why screening is so important. So we teach our patients to be aware of their breast tissue. So this term breast self-awareness has replaced breast self-exams, and that’s just noticing your breast tissue and how it changes.

Mammograms are huge. So we want to encourage our patients to get their yearly mammograms. This is near and dear to my heart. I’ve seen many patients do well because breast cancer was caught early on their mammograms and even more near and dear to my heart because my mom had breast cancer that was caught in stage one because she got her annual mammogram and she’s doing fantastic. Some patients are at higher risk of breast cancer and their screening is more specific. So they might be getting MRIs or ultrasound screens. And we’ll talk about what those risk factors are. So some risk factors are non-modifiable meaning we cannot change them. Age, most breast cancers are diagnosed between the age of 55 and 64. So older age puts you at higher risk. Also, family history and genetics are huge for breast cancer.

One of the specific genes we’re talking about is the BRACA gene. That’s linked to several cancers, but breast cancers in one of the huge ones. If you have a positive BRACA one or two gene, and you have a family history of breast cancer, you might undergo prophylactic mastectomy. Our patients might have their breasts removed to prevent breast cancer from forming. Also, patients with dense breast tissue are at higher risk of breast cancer and prolonged estrogen exposure is related to breast cancer. So that would be patients who have their periods early in life and menopause late, or also if they haven’t had children or if they haven’t breastfed. Those are some things that have been linked to breast cancer. Okay. Some risk factors are modifiable. That would be obesity and sedentary, lifestyle, alcohol consumption, and then back to the estrogen. This is referring to people who consume hormone replacement therapy and oral contraceptives with estrogen in them.

So what to look for in someone who has breast cancer?  Breast changes are a big one. This diagram shows some of the changes. So as cancer grows around this area, you can feel a lump if there’s a tumor or skin dimpling,  as the vasculature changes and the blood supply and lymph supply changes, you’re going to notice changes in skin texture. You might have drainage from the nipple, or the nipple can kind of pull in. You’ll see that sometimes. So really changes to the nipples or the breasts are things we need to teach our patients to look out for. Okay. Metastasis would be, if cancer has spread, there are certain places it tends to spread to, the bone is one of them. And a big thing with this would be bone pain. Also, they might have high calcium as the bones break down, they release the calcium. If it’s spread to the liver, the patients might have ascites. We talk more about the pathophysiology of that in the liver cancer lesson. Also, maybe jaundice, if it’s spread to the brain, we might have altered mental status, vision changes, or headache. If spread to the lungs, we will see shortness of breath, maybe even fluid around the lungs would be something that you might see. Treatment for breast cancer varies of course, like many cancers, depending on this stage, surgery is something that is often done. They might have a lumpectomy for a localized tumor. In this case, they’ll just have a portion of the breast removed. They might also have a mastectomy if they have the whole breast removed and that might be bilateral or unilateral. So when breasts or two are removed, they might have their lymph nodes removed to test them for cancer. Or if we know there’s cancer, then they will be removed. And then they also might have reconstruction surgery. Not all patients decide to go through reconstructive surgery, but many patients do. So that’s something else that we’ll be treating recovery from. Patients also might undergo radiation or chemotherapy, and this can be before or after surgery, depending on their cancer. And then they also might undergo targeted and hormone replacement therapy to treat their cancer. And we’ll talk more about the side effects of those here. So let’s talk about symptom management related to treatment surgery. A lot of times when people have surgery, they have JP drains. We need to teach our patients how to manage that. Of course, there’s surgical incisions, pain, risk of infection, that sort of thing. And then specific to breast cancer surgery would be lymphedema if they’ve had a lymph node removed. So this would happen because the lymph that usually flows to the lymph node and is drained, can’t. But if we don’t have this lymph node, that fluid, that usually would be drained here, pools down here. So we get swelling in the extremities. So to prevent this, we have limb restrictions.

So that means no venipuncture, so no blood draws, no IV starts, no blood pressure on that affected extremity. We also teach our patients to wear compression sleeves, range of motion, keeping that extremity elevated. I do see this less and less because we’ve had more improvements with surgery. So this is something we see less often, but it can be debilitating. I have seen patients that have very severe lymphedema. Radiation is another treatment, the biggest thing I see with radiation is skin irritation or radiation burns. And we just need to teach our patients to keep that area dry and clean, and it will heal on its own. Unfortunately, there’s not much we can do for those radiation burns. Chemotherapy is going to have the side effects of killing fast-growing cells. So we’re going to have the hair loss, nausea, vomiting, diarrhea, and then, with chemotherapy, we’ll have the pancytopenia. And just a reminder, that’s all the blood cells are low, right? Because our bone marrow is affected by the chemo. So that’s decreased white blood cells, decreased platelets,, and decreased hemoglobin. Targeted and hormone therapy, targeted therapy is usually tolerated pretty well. Hormone therapy can cause patients to have pseudo menopause. So that is mood swings, hot flashes. And people are actually on this for five years. This hormone therapy is an estrogen blocker. So they’re on this for a long time. It can also cause changes to your bone growth so they can get osteoporosis from that. Patient education. We want to make sure our patients know what their risk factors are for cancer, what type of cancer they have, and then specifically what treatment they are going through. Concepts related to breast cancer. We want to make sure we are staying up to date on evidence-based practice.

Hormone regulation is another big one. Here we are talking about estrogen replacement therapy. These cancers are often related to hormones. And then cellular regulation with any cancer, right? Something went wrong in this cellular regulation. All right, guys, let’s talk about some key points. So we encourage our patients to get their mammograms, know their risk factors, know what treatment they are getting because their side effects will vary based on that. And then lymphedema is specific to breast cancer and we need to educate our patients about that. That’s all I have guys go out and be your best self today and as always happy nursing.

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Concepts Covered:

  • Cardiac Disorders
  • Emergency Care of the Cardiac Patient
  • Hematologic Disorders
  • Acute & Chronic Renal Disorders
  • Disorders of the Adrenal Gland
  • Central Nervous System Disorders – Brain
  • Documentation and Communication
  • Preoperative Nursing
  • Legal and Ethical Issues
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  • Oncology Disorders
  • Female Reproductive Disorders
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  • Medication Administration
  • Renal Disorders
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  • Male Reproductive Disorders
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  • Lower GI Disorders
  • Urinary Disorders
  • Liver & Gallbladder Disorders
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  • Postoperative Nursing
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  • Central Nervous System Disorders – Spinal Cord
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  • Respiratory System
  • Neurologic and Cognitive Disorders
  • Integumentary Disorders
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  • Perioperative Nursing Roles
  • Shock
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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)