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Sinus Bradycardia

Sinus Bradycardia

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Brad Bass
ASN,RN
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Outline
Transcript
Additional Lessons

Study Tools For Sinus Bradycardia

Sinus Bradycardia (Image)
EKG Chart (Cheatsheet)
EKG Electrical Activity Worksheet (Cheatsheet)
10 Common EKG Heart Rhythms (Cheatsheet)
Heart Rhythm Identification (Cheatsheet)
Heart Rhythms Signs and Symptoms (Cheatsheet)
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Outline

Overview of Sinus Bradycardia

  1. Characteristics of sinus bradycardia
    1. SA node  initiates electrical conduction
      1. Same as normal sinus rhythm but HR <60
    2. Rhythm
      1. Regular
    3. Heart rate
      1. <60
    4. P:QRS ratio
      1. 1:1
    5. PR Interval
      1. 0.12-.20 seconds
    6. QRS complex
      1. 0.06-0.12 seconds

Nursing Points for Sinus Bradycardia

General

  1. Patient Presentation
    1. Asymptomatic
    2. Symptomatic
      1. Syncope
        1. Lightheaded
        2. Vertigo
      2. Decreased cardiac output
        1. Fatigue
        2. Short of breath
        3. Chest pain
        4. Hypotensive
  2. Causes
    1. Medications
      1. Digoxin Toxicity
      2. Beta Blockers
      3. Calcium Channel Blockers
    2. Athletes
    3. Vagus nerve stimulation
    4. SA node malfunction
    5. Hyperkalemia
  3. Nursing Interventions
    1. Determine if  symptomatic or asymptomatic
    2. Determine the cause of bradycardia

Assessment of Sinus Bradycardia

  1. Apical heart rate
    1. Stable
    2. Unstable
  2. Vertigo/syncope
  3. Hypotension
  4. Chest pain/SOB
  5. Electrolytes

Therapeutic Management for Sinus Bradycardia

  1. Find and treat the cause
  2. Asymptomatic
    1. Continue to monitor
  3. Symptomatic
    1. Atropine
      1. Follow ACLS Guidelines
    2. Pacemaker
      1. Temporary
        1. Transcutaneous
        2. Transvenous
      2. Permanent

Nursing Concepts

  1. EKG Rhythms
  2. Perfusion

Patient Education

  1. Check and count own radial pulse
    1. Report if abnormally low
  2. If hypotensive and dizzy
    1. Prevent falls
      1. Lay down and elevate feet
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Transcript

 

Hey guys, my name is Brad, and welcome to nursing.com. And in today’s video, what we’re going to be doing is we’re going to discuss sinus bradycardia. I’d like to discuss the physiology behind sinus bradycardia, as well as some signs and symptoms that you may see in a patient, how we may treat a patient with bradycardia, as well as how to identify this on an EKG strip? Let’s dive in. 

So whenever we’re taking a look at sinus bradycardia, sinus bradycardia is simply normal sinus rhythm, but with a slower heart rate. And typically what we’re looking at is a heart rate, less than 60 beats per minute. This is how we define bradycardia. Now it’s important to know that sinus bradycardia, just like normal sinus rhythm, is indeed a sinus rhythm because the impulse, the electrical impulse, actually begins in that SA node, in that sinoatrial node. So, therefore, we have a sinus rhythm, but again, the main differentiator between normal sinus rhythm and sinus bradycardia is that we have this slower heart rate. 

Now, what are some of the common causes of bradycardia? So some of the common causes of bradycardia include hypoglycemia. Hypoglycemia is actually associated with hypokalemia right, lower blood potassium levels, which results in bradycardia. Hypothyroidism is also something that can cause bradycardia, as well as hypothermia. I’d like for you to imagine that you are climbing Mount Everest and you are in an extremely cold environment. As you’re moving through an extremely cold environment, you’re going to slow down physically. Everything is going to slow down. Your metabolism is going to slow down, all of the cellular processes of your body, everything is going to slow down in an attempt to conserve energy. And as a result, one of the other things that will drop is heart rate. 

So what are some of the common assessment findings that we may see in patients experiencing bradycardia? Well, it’s important to remember that cardiac output equals stroke volume times heart rate (CO = SV X HR). Now, if that sounds a little bit fuzzy to you, make sure you check out our course on hemodynamics to bring further clarity. But, what we have here in a patient with bradycardia is we have a decreased heart rate, right? Again, remember less than 60 beats per minute. And if our heart rate is decreased, then it stands to reason, that’s going to decrease our cardiac output. If your cardiac output is decreased, the amount of blood that your left ventricle can eject per minute, then it stands to reason that’s going to cause a drop in your blood pressure. So what you’re going to see as a result, all of this, as a result of decreased heart rate, you’re going to see a drop in your blood pressure, dizziness, syncope, shortness of breath, cool and clammy skin, all a result of the bradycardia that the patient is experiencing. 

So what are some of the therapeutic managements that we may see for a patient experiencing bradycardia? Well, we could see a pharmacological option, something such as atropine, which is essentially a positive chronotrope. You may hear that terminology thrown around, but positive chronotrope basically just means it increases their heart rate. So if a patient’s bradycardic, you may see something like that you use.  You could also see something like transcutaneous pacing, which is essentially where you take a patient and you hook them up to the pads, right? The defibrillator pads that we would normally use during codes connected to the defibrillator, but instead of shocking the patient to try and correct an electrical abnormality in a code situation, for instance, instead, we’re actually going to use the defibrillator machine to pace them. We would set the defibrillator machine to a particular heart rate, something greater than 60 beats per minute, and this would actually deliver mechanical shock to the patient to mechanically increase their heart rate. Again, the overall idea of these treatment modalities is we need to increase the heart rate and, as usual with everything, is patient dependent. 

And so now we get to the point where we need to try and learn how to identify sinus bradycardia on a rhythm exam. Again, I highly encourage you, go check out how to solve a basic EKG strip here on nursing.com. If you’re not familiar with what these different types of waves are, as well as what a normal PR interval length or a normal QRS length is, for instance. 

So what are we going to see when we use the six step method to solve for sinus bradycardia? Well, we know that what we’re going to be looking at a heart rate, less than 60 beats per minute. Regularity, that R to R regularity. We will indeed see a normal R to R interval. One P for every QRS complex. Again, yes, we will see that. This is essentially normal sinus rhythm, but with a slower heart rate. Let’s remember, that’s what sinus bradycardia is. PR interval length, we will recall that the normal is 0.12 to 0.20 seconds. And that is indeed what we will see with sinus bradycardia. And then a normal QRS length is 0.06 to 0.12 seconds. And this is also what we will see in sinus bradycardia. Now let’s actually take a look at a practice, a practice exam question, and go from there. 

And so looking at sinus bradycardia, or should I say looking at an actual little strip here again, we’re going to implement this six step method to solve. Knowing that that six step is to solve. And the first thing that we’re going to do is we’re going to look at a heart rate, remembering that this here is a six second strip. So all we do is take our number of QRS complexes and multiply by 10. In this instance, we have 1, 2, 3, 4, 5 QRS complexes, times 10 equals a heart rate of 50 beats per minute (5 X 10 = 50). If we were going through an exam question that we had this, and this is the first thing on our six step method, and we see a heart rate less than 60 beats per minute, that should be queuing you off. Maybe what we’re dealing with is some kind of bradycardia. 

The second step is looking at the R to R interval. Again, you’re actually measuring the distance between each individual R wave looking to make sure that the distance is the same. And in sinus bradycardia, indeed it is.

 P to QRS ratio. Do we have one P wave for every QRS complex, P QRS, P QRS, P QRS all the way down. And indeed we do have one P wave for every QRS complex. 

Now that PR interval that we’re taking a look at, let’s go down here and we’ll take a look at this one, right? Let’s measure the number of little squares. We have 1, 2, 3, 4. Four squares of our PR interval. Remember one little individual square here is 0.04 seconds. And one larger square is 0.20 seconds. So we have 1, 2, 3, 4 little squares. 0.04 times four is going to equal 0.16 seconds (0.04 X 4 = 0.16), which is normal between 0.12 and 0.20. 

And then we’re gonna take a look at our QRS complex length in this example. We have, we’re going to count little squares. 1. 2.  Let’s try this one. 1, 2.  So 0.04 times two is 0.08 (0.04 X 2 = 0.08), which again is between 0.06 and 0.12. So we have a normal QRS complex length and using this information that we have, this six step method, while looking at the strip that we have, we know, without a doubt, that what we’re dealing with is sinus bradycardia. 

And so to summarize some of our key points surrounding sinus bradycardia, remember sinus bradycardia is essentially normal sinus rhythm, but with a slower heart rate, specifically a heart rate, less than 60 beats per minute. Recalling also, it’s a sinus rhythm because it originates in that sinoatrial node. This is going to be regular with a normal R to R interval, as well as being consistent with one P wave for every QRS complex. Our PR interval length in sinus bradycardia will indeed be normal 0.12 to 0.20 seconds. And our QRS complex lengths will also be normal in sinus bradycardia. 

Guys, I hope this video really helped you understand sinus bradycardia well. A lot of the things that we would see in the patient as well as treatment options, as well as how to identify it on an exam, as far as an EKG goes. Guys, go out there and be your best selves today. And as always, happy nursing.

 

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Bloom’s Taxonomy
C – Content
Can You Draw It
Care Plan Review (Addresses Patient Considerations) for Certified Perioperative Nurse (CNOR)
Caring Licensed Practical Nurse Nursing Mnemonic (CLPN)
Caring Practices for Progressive Care Certified Nurse (PCCN)
Causes of Poor Gas Exchange Nursing Mnemonic (All People Can Value Lungs)
Chance’s Story on His Personal Journey
Cheatsheets
Child Abuse/Neglect – Warning Signs Nursing Mnemonic (CHILD ABUSE)
CHO, CHO, CHON Nursing Mnemonic (CHO, CHO, CHON)
Cholinergic Crisis – Signs and Symptoms Nursing Mnemonic (SLUDGE)
Clinical Inquiry for Progressive Care Certified Nurse (PCCN)
Community Health Tool Nursing Mnemonic (MAP-IT)
Concept Map Course Introduction
Connections
Course Introduction to Nursing School Preparation
Critical Thinking
Critical Thinking
Degree Restrictions in Career Growth
Denying Feelings
Dig for the Why
Diploma vs ADN vs BSN vs Bridge
Drawing Pictures
Drug Interactions Nursing Mnemonic (These Drugs Can Interact)
Drugs for Bradycardia & Low Blood Pressure Nursing Mnemonic (IDEA)
Duplicate Facts
E – Engagement
Electrolytes – Location in Body Nursing Mnemonic (PISO)
Emergency Drugs Nursing Mnemonic (LEAN)
Environmental Health Assessment Nursing Mnemonic (I PREPARE)
Evaluating Patient Response to Plan of Care for Certified Perioperative Nurse (CNOR)
Exercise Guidelines Nursing Mnemonic (FIT)
Explaining the “Why”
Exporting and Uploading to Frame.io
Fetal Distress Interventions Nursing Mnemonic (Stop MOAN)
Fetal Wellbeing Assessment Tests Nursing Mnemonic (ALONE)
Fire Safety 1 Nursing Mnemonic (PASS)
Fire Safety 2 Nursing Mnemonic (RACE)
Getting Access to frame.io
Getting Started with Tech
Gluten Free Diet Nursing Mnemonic (BROW)
Goal Setting
HESI® Prep Course Introduction
High Risk Behavior Nursing Mnemonic (HEADSS)
How to Write a Nursing Care Plan
Hyperkalemia – Causes Nursing Mnemonic (MACHINE)
Hyperkalemia – Management Nursing Mnemonic (AIRED)
Hyperkalemia – Signs and Symptoms Nursing Mnemonic (Murder)
Hypernatremia – Causes Nursing Mnemonic (MODEL)
IADLS (Instrumental Activities of Daily Living) Nursing Mnemonic (SCUM)
Identifying Interventions per Nursing Diagnoses for Certified Perioperative Nurse (CNOR)
Identifying Measurable Patient Outcomes for Certified Perioperative Nurse (CNOR)
Increase MAP Nursing Mnemonic (VAK)
Inflammation- Signs and Symptoms Nursing Mnemonic (HIPER)
Interviewing for Nursing School
Introduction to CCMM
Jon’s Story on His Personal Journey
Keep it Short
Lesson Elements
MAO Inhibitors Nursing Mnemonic (TIPS)
Marie’s Story on Her Personal Nursing Journey
Miriam’s Story on Her Personal Journey
Mnemonic for Organ Systems (MR DICE RUNS)
MSN (Masters) vs. DNP (Doctorate)
NCLEX Question Traps! – Live Tutoring Archive
NCLEX® Question Traps
Need Help Making A Study Plan? – Live Tutoring Archive
NRSNG | Closing Thoughts
NRSNG Live | 5 Things You Never Knew About NCLEX Questions
NRSNG Live | AMA (Ask Me Anything) Nursing Success Roundtable
NRSNG Live | AMA Student Panel – How I Survive (Barely) Nursing School
NRSNG Live | How I Went From Nursing School Dropout to Passing NCLEX in 75 and Teaching 18 Million Nurses
NRSNG Live | How to Get the Most out of NRSNG
NRSNG Live | How to Pass Any Nursing School Test
NRSNG Live | My Super Secret Note Taking Method
NRSNG Live | The Core Content Mastery Method and How to Use it Throughout Your Nursing Journey
NRSNG Live | The Successful State of Mind
NRSNG Live | What Your Nursing Professors Want to Tell You But Can’t
Nursing Care Plans Course Introduction
Nursing Case Study Introduction
Nursing Process
Nursing Process – Assess
Nursing Process – Diagnose
Nursing Process – Evaluate
Nursing Process – Implement
Nursing Process – Plan
Nursing School Application Essay
NURSING.com Assessment & Skills Checks
NURSING.com Introduction
O – Origins
OLD CARTS Mnemonic (OLD CARTS)
Online vs Brick-and-Mortar
Opposite or the Same – Live Tutoring Archive
Opposites
Our Goals for Teaching
Our Mission
Outline Question Method (Note taking)
Overview of the Nursing Process
Paying for Nursing School
Pharmacokinetics Nursing Mnemonic (ADME)
Pictures
Plan of Care Updates for Certified Perioperative Nurse (CNOR)
Planning Community Health Interventions Nursing Mnemonic (PRECEDE-PROCEED)
Post-Partum Assessment Nursing Mnemonic (BUBBLE)
Prioritization
Prioritizing Assessments
Priority
Purpose of Nursing Care Plans
Questions To Ask Before Applying To A Nursing Program
R – Real-Life
Real Life
Real-Life Experiences
Recording
Repeating Words
Resources for Lesson Creation
RN to MSN
Safety Check Nursing Mnemonic (MADLE)
Same
SATA
SATA like a BOSS – Live Tutoring Archive
SATA like a BOSS 2 – Live Tutoring Archive
SBAR Communication Nursing Mnemonic (SBAR)
Screencastify Setup
Share the Wealth
SSRI’s Nursing Mnemonic (Effective For Sadness, Panic, and Compulsions)
Start and End with the Linchpin
Steps in the Nursing Process 1 Nursing Mnemonic (ADPIE)
Steps in the Nursing Process 2 Nursing Mnemonic (AAPIE)
Steps In The Nursing Process 3 Nursing Mnemonic (SOAPIE)
Study Setting
Study Tips for Success
Systems Thinking for Progressive Care Certified Nurse (PCCN)
TEAS® Prep Course Introduction
Tenet 1 Filet Mignon
Tenet 2 Linchpins & Connections
Tenet 3 Why Behind the What
Tenet 4 Learner-Centered Talkabouts
Test Taking Course Introduction
The Academy
The CARPET Methods of Teaching
The Nurse Routine
The Nursing Process Pro Tips for Test Taking – Live Tutoring Archive
The Outline is the Foundation
Thinking Like a Nurse
Time Management
Time Management
To The Point
Tracheal Esophageal Fistula – Sign and Symptoms Nursing Mnemonic (The 3 C’s)
Trauma – Complications Nursing Mnemonic (TRAUMATIC)
Trauma Surgery – Medical History Nursing Mnemonic (AMPLE)
Triage Nursing Mnemonic (START)
Trusting your Gut
Two pathways of the peripheral nervous system Nursing Mnemonic (SAME)
Using Nursing Care Plans in Clinicals
Vasospasm Therapy Nursing Mnemonic (Triple H Therapy)
VEAL CHOP Nursing Mnemonic (Fetal Accelerations and Decelerations) (VEAL CHOP)
Vitamins – Fat Soluble Nursing Mnemonic (All Dogs Eat Kibble)
Vitamins – Water Soluble Nursing Mnemonic (Birth Control)
Walkers Nursing Mnemonic (Wandering Wilma Always Late)
Welcome to NURSING.com
Welcome to NURSING.com
What Are the Absolutes
What are the NCLEX Categories? – Live Tutoring Archive
What do you want me to know?
What is CCMM?
What is Pedagogy
What is the NCLEX?
What Should They Learn
What to Expect In Clinical
Where To Start
Why NURSING.com?
Working night shift
Your Role
Citations
Evidence Based Research
Nurse Educator
Page Sections, Footnotes & Headers
Page Set-Up
Research Nurse
Title Page
Why CEs (Continuing education) matter
Aging and Socialization
Crime in Society
Dark Skin: IV Insertion
Gender Equity (Inclusion, Gender Transition) for Certified Emergency Nursing (CEN)
Gender Inequality
Global Inequalities
High-Risk Behaviors
Human Trafficking for Certified Emergency Nursing (CEN)
Introduction to Sociology
Lab Panels
Lab Panels – The Basics and What YOU Need to Know – Live Tutoring Archive
Lab Panels – The Basics and What YOU Need to Know 2 – Live Tutoring Archive
Lab Panels – The Basics and What YOU Need to Know 3 – Live Tutoring Archive
Lab Values Course Introduction
Race, Ethnicity, and Migration in Society
Shorthand Lab Values
Social Effects on Health, Illness, and Disability
Social Groups
Social Interactions in Life
Sociological Perspectives
Sociology and Culture
Sociology and Education
Sociology Course Introduction
Sociology Research
Citations
Evidence Based Research
Nurse Educator
Page Sections, Footnotes & Headers
Page Set-Up
Research Nurse
Title Page
Why CEs (Continuing education) matter
01.01 CCRN Test Overview for CCRN Review
12 Points to Answering Pharmacology Questions
5 Rules for Powerpoint
5 Things You Never Knew About The NCLEX – Live Tutoring Archive
9 Easy Steps to Passing Every Nursing School Test | With Jon Haws, BSN, RN, Founder of NURSING.com
Absolute Words
Acute vs Chronic
Addiction – Behavioral Problems Nursing Mnemonic (The 5 D’s)
ADLs (Activity of Daily Living) Nursing Mnemonic (BATTED)
Advanced Critical Thinking
Alcoholism – Outcomes Nursing Mnemonic (BAD)
Alkalosis and Acidosis Nursing Mnemonic (Kick Up, Drop Down)
Anatomy of an NCLEX Question
Anticholinergics – Side Effects Nursing Mnemonic (4 Can’ts)
Arterial Blood Gases Nursing Mnemonic (ROME)
Ask Questions
Avoiding Alarm Fatigue
Backwards and Forwards
Be a Mix Tape (Rewind and Fast-Forward)
Beta 1 and Beta 2 Nursing Mnemonic (1 Heart, 2 Lungs)
Bloom’s Taxonomy
C – Content
Can You Draw It
Care Plan Review (Addresses Patient Considerations) for Certified Perioperative Nurse (CNOR)
Caring Licensed Practical Nurse Nursing Mnemonic (CLPN)
Caring Practices for Progressive Care Certified Nurse (PCCN)
Causes of Poor Gas Exchange Nursing Mnemonic (All People Can Value Lungs)
Chance’s Story on His Personal Journey
Cheatsheets
Child Abuse/Neglect – Warning Signs Nursing Mnemonic (CHILD ABUSE)
CHO, CHO, CHON Nursing Mnemonic (CHO, CHO, CHON)
Cholinergic Crisis – Signs and Symptoms Nursing Mnemonic (SLUDGE)
Clinical Inquiry for Progressive Care Certified Nurse (PCCN)
Community Health Tool Nursing Mnemonic (MAP-IT)
Concept Map Course Introduction
Connections
Course Introduction to Nursing School Preparation
Critical Thinking
Critical Thinking
Degree Restrictions in Career Growth
Denying Feelings
Dig for the Why
Diploma vs ADN vs BSN vs Bridge
Drawing Pictures
Drug Interactions Nursing Mnemonic (These Drugs Can Interact)
Drugs for Bradycardia & Low Blood Pressure Nursing Mnemonic (IDEA)
Duplicate Facts
E – Engagement
Electrolytes – Location in Body Nursing Mnemonic (PISO)
Emergency Drugs Nursing Mnemonic (LEAN)
Environmental Health Assessment Nursing Mnemonic (I PREPARE)
Evaluating Patient Response to Plan of Care for Certified Perioperative Nurse (CNOR)
Exercise Guidelines Nursing Mnemonic (FIT)
Explaining the “Why”
Exporting and Uploading to Frame.io
Fetal Distress Interventions Nursing Mnemonic (Stop MOAN)
Fetal Wellbeing Assessment Tests Nursing Mnemonic (ALONE)
Fire Safety 1 Nursing Mnemonic (PASS)
Fire Safety 2 Nursing Mnemonic (RACE)
Getting Access to frame.io
Getting Started with Tech
Gluten Free Diet Nursing Mnemonic (BROW)
Goal Setting
HESI® Prep Course Introduction
High Risk Behavior Nursing Mnemonic (HEADSS)
How to Write a Nursing Care Plan
Hyperkalemia – Causes Nursing Mnemonic (MACHINE)
Hyperkalemia – Management Nursing Mnemonic (AIRED)
Hyperkalemia – Signs and Symptoms Nursing Mnemonic (Murder)
Hypernatremia – Causes Nursing Mnemonic (MODEL)
IADLS (Instrumental Activities of Daily Living) Nursing Mnemonic (SCUM)
Identifying Interventions per Nursing Diagnoses for Certified Perioperative Nurse (CNOR)
Identifying Measurable Patient Outcomes for Certified Perioperative Nurse (CNOR)
Increase MAP Nursing Mnemonic (VAK)
Inflammation- Signs and Symptoms Nursing Mnemonic (HIPER)
Interviewing for Nursing School
Introduction to CCMM
Jon’s Story on His Personal Journey
Keep it Short
Lesson Elements
MAO Inhibitors Nursing Mnemonic (TIPS)
Marie’s Story on Her Personal Nursing Journey
Miriam’s Story on Her Personal Journey
Mnemonic for Organ Systems (MR DICE RUNS)
MSN (Masters) vs. DNP (Doctorate)
NCLEX Question Traps! – Live Tutoring Archive
NCLEX® Question Traps
Need Help Making A Study Plan? – Live Tutoring Archive
NRSNG | Closing Thoughts
NRSNG Live | 5 Things You Never Knew About NCLEX Questions
NRSNG Live | AMA (Ask Me Anything) Nursing Success Roundtable
NRSNG Live | AMA Student Panel – How I Survive (Barely) Nursing School
NRSNG Live | How I Went From Nursing School Dropout to Passing NCLEX in 75 and Teaching 18 Million Nurses
NRSNG Live | How to Get the Most out of NRSNG
NRSNG Live | How to Pass Any Nursing School Test
NRSNG Live | My Super Secret Note Taking Method
NRSNG Live | The Core Content Mastery Method and How to Use it Throughout Your Nursing Journey
NRSNG Live | The Successful State of Mind
NRSNG Live | What Your Nursing Professors Want to Tell You But Can’t
Nursing Care Plans Course Introduction
Nursing Case Study Introduction
Nursing Process
Nursing Process – Assess
Nursing Process – Diagnose
Nursing Process – Evaluate
Nursing Process – Implement
Nursing Process – Plan
Nursing School Application Essay
NURSING.com Assessment & Skills Checks
NURSING.com Introduction
O – Origins
OLD CARTS Mnemonic (OLD CARTS)
Online vs Brick-and-Mortar
Opposite or the Same – Live Tutoring Archive
Opposites
Our Goals for Teaching
Our Mission
Outline Question Method (Note taking)
Overview of the Nursing Process
Paying for Nursing School
Pharmacokinetics Nursing Mnemonic (ADME)
Pictures
Plan of Care Updates for Certified Perioperative Nurse (CNOR)
Planning Community Health Interventions Nursing Mnemonic (PRECEDE-PROCEED)
Post-Partum Assessment Nursing Mnemonic (BUBBLE)
Prioritization
Prioritizing Assessments
Priority
Purpose of Nursing Care Plans
Questions To Ask Before Applying To A Nursing Program
R – Real-Life
Real Life
Real-Life Experiences
Recording
Repeating Words
Resources for Lesson Creation
RN to MSN
Safety Check Nursing Mnemonic (MADLE)
Same
SATA
SATA like a BOSS – Live Tutoring Archive
SATA like a BOSS 2 – Live Tutoring Archive
SBAR Communication Nursing Mnemonic (SBAR)
Screencastify Setup
Share the Wealth
SSRI’s Nursing Mnemonic (Effective For Sadness, Panic, and Compulsions)
Start and End with the Linchpin
Steps in the Nursing Process 1 Nursing Mnemonic (ADPIE)
Steps in the Nursing Process 2 Nursing Mnemonic (AAPIE)
Steps In The Nursing Process 3 Nursing Mnemonic (SOAPIE)
Study Setting
Study Tips for Success
Systems Thinking for Progressive Care Certified Nurse (PCCN)
TEAS® Prep Course Introduction
Tenet 1 Filet Mignon
Tenet 2 Linchpins & Connections
Tenet 3 Why Behind the What
Tenet 4 Learner-Centered Talkabouts
Test Taking Course Introduction
The Academy
The CARPET Methods of Teaching
The Nurse Routine
The Nursing Process Pro Tips for Test Taking – Live Tutoring Archive
The Outline is the Foundation
Thinking Like a Nurse
Time Management
Time Management
To The Point
Tracheal Esophageal Fistula – Sign and Symptoms Nursing Mnemonic (The 3 C’s)
Trauma – Complications Nursing Mnemonic (TRAUMATIC)
Trauma Surgery – Medical History Nursing Mnemonic (AMPLE)
Triage Nursing Mnemonic (START)
Trusting your Gut
Two pathways of the peripheral nervous system Nursing Mnemonic (SAME)
Using Nursing Care Plans in Clinicals
Vasospasm Therapy Nursing Mnemonic (Triple H Therapy)
VEAL CHOP Nursing Mnemonic (Fetal Accelerations and Decelerations) (VEAL CHOP)
Vitamins – Fat Soluble Nursing Mnemonic (All Dogs Eat Kibble)
Vitamins – Water Soluble Nursing Mnemonic (Birth Control)
Walkers Nursing Mnemonic (Wandering Wilma Always Late)
Welcome to NURSING.com
Welcome to NURSING.com
What Are the Absolutes
What are the NCLEX Categories? – Live Tutoring Archive
What do you want me to know?
What is CCMM?
What is Pedagogy
What is the NCLEX?
What Should They Learn
What to Expect In Clinical
Where To Start
Why NURSING.com?
Working night shift
Your Role
08.01 Psychological Review for CCRN Review
Addiction – Behavioral Problems Nursing Mnemonic (The 5 D’s)
Albumin Lab Values
Alcohol Withdrawal (Addiction)
Alcohol Withdrawal Case Study (45 min)
Alcoholism – Outcomes Nursing Mnemonic (BAD)
Alprazolam (Xanax) Nursing Considerations
Alzheimer – Diagnosis Nursing Mnemonic (The 5 A’s)
Ammonia (NH3) Lab Values
Anorexia – Signs and Symptoms Nursing Mnemonic (ANOREXIA)
Antianxiety Meds
Antianxiety Meds
Antidepressants
Antidepressants
Antipsychotics
Antipsychotics
Anxiety
Anxiety Disorders (PTSD, Anxiety, Panic Attack) for Certified Emergency Nursing (CEN)
Atypical Antipsychotics
Benzodiazepines
Benzodiazepines Nursing Mnemonic (Donuts and TLC)
Blood Urea Nitrogen (BUN) Lab Values
Bulimia – Signs and Symptoms 1 Nursing Mnemonic (BULIMIA)
Bulimia – Signs and Symptoms 2 Nursing Mnemonic (WASHED)
Buspirone (Buspar) Nursing Considerations
Calcium-Ca (Hypercalcemia, Hypocalcemia)
Carbamazepine (Tegretol) Nursing Considerations
Chloride-Cl (Hyperchloremia, Hypochloremia)
Chlorpromazine (Thorazine) Nursing Considerations
Cholesterol (Chol) Lab Values
Cognitive Impairment Disorders
Creatinine (Cr) Lab Values
Day in the Life of a Hospice, Palliative Care Nurse
Day in the Life of a Mental Health Nurse
Defense Mechanisms
Defense Mechanisms
Dementia Nursing Mnemonic (DEMENTIA)
Depression
Depression Assessment Nursing Mnemonic (SIGNS)
Depression Concept Map
Diazepam (Valium) Nursing Considerations
Disruptive Behaviors, Aggression, Violence for Progressive Care Certified Nurse (PCCN)
Dissociative Disorders
Divalproex (Depakote) Nursing Considerations
Eating Disorders (Anorexia Nervosa, Bulimia Nervosa)
Encephalopathy Case Study (45 min)
End of Life for Progressive Care Certified Nurse (PCCN)
End-of-Life and Palliative Care (Organ and Tissue Donation, Advance Directives, Care Withholding, Family Presence) for Certified Emergency Nursing (CEN)
Escitalopram (Lexapro) Nursing Considerations
Fluoxetine (Prozac) Nursing Considerations
Generalized Anxiety Disorder
Glomerular Filtration Rate (GFR)
Grief and Loss
Grief and Loss
Haloperidol (Haldol) Nursing Considerations
Handling Death and Dying
Head to Toe Nursing Assessment (Physical Exam)
Homicidal and Suicidal Ideation for Certified Emergency Nursing (CEN)
Hypochondriasis (Hypochondriac)
Lamotrigine (Lamictal) Nursing Considerations
Lithium (Lithonate) Nursing Considerations
Lithium Lab Values
Liver Function Tests
Lorazepam (Ativan) Nursing Considerations
Magnesium-Mg (Hypomagnesemia, Hypermagnesemia)
Manic Attack – Signs and Symptoms Nursing Mnemonic (DIG FAST)
MAO Inhibitors Nursing Mnemonic (TIPS)
MAOIs
Meds for Alzheimers
Mental Health Course Introduction
Metabolic Alkalosis
Methadone (Methadose) Nursing Considerations
Midazolam (Versed) Nursing Considerations
Mood Disorders (Bipolar, Depression) for Certified Emergency Nursing (CEN)
Mood Disorders (Bipolar)
Mood Stabilizers
Mood Stabilizers
Nurse-Patient Relationship
Nursing Care Plan (NCP) for Alcohol Withdrawal Syndrome / Delirium Tremens
Nursing Care Plan (NCP) for Alzheimer’s Disease
Nursing Care Plan (NCP) for Anxiety
Nursing Care Plan (NCP) for Depression
Nursing Care Plan (NCP) for Dissociative Disorders
Nursing Care Plan (NCP) for Eating Disorders (Anorexia Nervosa, Bulimia Nervosa, Binge-Eating Disorder)
Nursing Care Plan (NCP) for Mood Disorders (Major Depressive Disorder, Bipolar Disorder)
Nursing Care Plan (NCP) for Paranoid Disorders
Nursing Care Plan (NCP) for Personality Disorders
Nursing Care Plan (NCP) for Post-Traumatic Stress Disorder (PTSD)
Nursing Care Plan (NCP) for Schizophrenia
Nursing Care Plan (NCP) for Somatic Symptom Disorder (SSD)
Nursing Care Plan (NCP) for Suicidal Behavior Disorder
Nursing Case Study for (PTSD) Post Traumatic Stress Disorder
Nursing Case Study for Bipolar Disorder
Nursing Case Study for Mania (Manic Syndrome)
Olanzapine (Zyprexa) Nursing Considerations
Oxycodone (OxyContin) Nursing Considerations
Palliative Care for Progressive Care Certified Nurse (PCCN)
Paranoid Disorders
Paroxetine (Paxil) Nursing Considerations
Personality Disorders
Phases of Nurse-Client Relationship
Phosphorus-Phos
Post-Traumatic Stress Disorder (PTSD)
Postmortem Care
Potassium-K (Hyperkalemia, Hypokalemia)
Psychological Disorders (Anxiety, Depression) for Progressive Care Certified Nurse (PCCN)
Quetiapine (Seroquel) Nursing Considerations
Schizophrenia
Schizophrenia Case Study (45 min)
Self Concept
Senile Dementia – Assess for Changes Nursing Mnemonic (JAMCO)
Sertraline (Zoloft) Nursing Considerations
Sodium-Na (Hypernatremia, Hyponatremia)
Somatoform
Somatoform Disorder Case Study (30 min)
SSRI’s Nursing Mnemonic (Effective For Sadness, Panic, and Compulsions)
SSRIs
Substance Abuse (Alcohol, Drug Withdrawal) for Progressive Care Certified Nurse (PCCN)
Substance Abuse (Chronic Alcohol Abuse, Chronic Drug Abuse) for Progressive Care Certified Nurse (PCCN)
Substance Abuse (Drug-Seeking Behavior) for Progressive Care Certified Nurse (PCCN)
Suicidal Behavior
TCAs
Therapeutic Communication
Therapeutic Drug Levels (Digoxin, Lithium, Theophylline, Phenytoin)
Thought Disorders (Psychosis, Schizophrenia) for Certified Emergency Nursing (CEN)
Total Bilirubin (T. Billi) Lab Values
Types of Schizophrenia
Urinalysis (UA)
Vitamin B12 Lab Values
Assessment for Myasthenic Crisis Nursing Mnemonic (BRISH)
Bacterial Endocarditis – Symptoms Nursing Mnemonic (Be Joan Of Arc)
Canes Nursing Mnemonic (COAL)
Causes of Dyspnea Nursing Mnemonic (The 6 P’s)
CHF Treatment Nursing Mnemonic (UNLOAD FAST)
Common Signs of Parkinson’s Nursing Mnemonic (SMART)
Complications of Thoracentesis Nursing Mnemonic (Patients Sometimes Bleed Internally)
Cor Pulmonale – Signs & Symptoms Nursing Mnemonic (Please Read His Text)
Critical Thinking to Facilitate Patient Care for Certified Perioperative Nurse (CNOR)
Evaluation of Irregular Moles Nursing Mnemonic (ABCDE)
Formulating Nursing Diagnoses for Certified Perioperative Nurse (CNOR)
Hypoglycemia – Signs and Symptoms Nursing Mnemonic (TIRED)
Interventions for Aphasia Nursing Mnemonic (PROP)
Lidocaine Toxicity – Signs and Symptoms Nursing Mnemonic (SAMS)
Management of Pressure Ulcers (Pressure Injuries) Nursing Mnemonic (SKIN)
Medications to Prevent Seizures Nursing Mnemonic (Pretty Little Liars Forever)
Multiple Sclerosis Symptoms Nursing Mnemonic (DEMYELINATION)
Personal Growth Resources for Certified Perioperative Nurse (CNOR)
Seizure Causes Nursing Mnemonic (VITAMIN)
Seizure Documentation Nursing Mnemonic (TDOC)
Shock – Signs and symptoms Nursing Mnemonic (TV SPARC CUBE)
02.08 Cardiac Catheterization & Acute Coronary Syndrome for CCRN Review
06.04 Differentiating Ectopy and Aberrancy for CCRN Review
06.05 Wide Complex Tachycardia for CCRN Review
Age and Culturally Appropriate Health Assessment Techniques for Certified Perioperative Nurse (CNOR)
Altered Mental Status- Delirium and Dementia for Progressive Care Certified Nurse (PCCN)
Aneurysm and Dissection for Certified Emergency Nursing (CEN)
Aspiration for Certified Emergency Nursing (CEN)
Assessment for Myasthenic Crisis Nursing Mnemonic (BRISH)
Atrial Dysrhythmias for Progressive Care Certified Nurse (PCCN)
Atrial Fibrillation (A Fib)
Atrial Flutter
AV Blocks Dysrhythmias for Progressive Care Certified Nurse (PCCN)
Bacterial Endocarditis – Symptoms Nursing Mnemonic (Be Joan Of Arc)
Bleeding for Certified Emergency Nursing (CEN)
Canes Nursing Mnemonic (COAL)
Cardiac Arrest Nursing Interventions for Certified Perioperative Nurse (CNOR)
Causes of Dyspnea Nursing Mnemonic (The 6 P’s)
CHF Treatment Nursing Mnemonic (UNLOAD FAST)
Common Signs of Parkinson’s Nursing Mnemonic (SMART)
Complications of Thoracentesis Nursing Mnemonic (Patients Sometimes Bleed Internally)
Cor Pulmonale – Signs & Symptoms Nursing Mnemonic (Please Read His Text)
Critical Thinking to Facilitate Patient Care for Certified Perioperative Nurse (CNOR)
Discharge Planning for Certified Emergency Nursing (CEN)
Dysrhythmias for Certified Emergency Nursing (CEN)
Environmental Cleaning (Spills, Room Turnover, Terminal Cleaning) for Certified Perioperative Nurse (CNOR)
Environmental Stewardship (Waste Minimization) for Certified Perioperative Nurse (CNOR)
Evaluation of Irregular Moles Nursing Mnemonic (ABCDE)
Formulating Nursing Diagnoses for Certified Perioperative Nurse (CNOR)
Fundamentals Course Introduction
Head and Spinal Cord Trauma for Certified Emergency Nursing (CEN)
Hypertension (HTN) Concept Map
Hypertension (Uncontrolled) and Hypertensive Crisis for Progressive Care Certified Nurse (PCCN)
Hypertension for Certified Emergency Nursing (CEN)
Hypoglycemia – Signs and Symptoms Nursing Mnemonic (TIRED)
Interventions for Aphasia Nursing Mnemonic (PROP)
Ischemic (CVA) Stroke Labs
Lacerations for Certified Emergency Nursing (CEN)
Lidocaine Toxicity – Signs and Symptoms Nursing Mnemonic (SAMS)
Management of Pressure Ulcers (Pressure Injuries) Nursing Mnemonic (SKIN)
Maxillofacial Trauma for Certified Emergency Nursing (CEN)
Medications to Prevent Seizures Nursing Mnemonic (Pretty Little Liars Forever)
Multiple Sclerosis Symptoms Nursing Mnemonic (DEMYELINATION)
Nursing Care and Pathophysiology of Osteoporosis
Nursing Care Plan (NCP) for Atrial Fibrillation (AFib)
Nursing Care Plan (NCP) for Seizures
Patient and Healthcare Team Safety (Disasters, Environmental Hazards) for Certified Perioperative Nurse (CNOR)
Personal Growth Resources for Certified Perioperative Nurse (CNOR)
Premature Atrial Contraction (PAC)
Premature Ventricular Contraction (PVC)
Pulmonary Embolus for Certified Emergency Nursing (CEN)
Respiratory Distress Syndrome for Certified Emergency Nursing (CEN)
Respiratory Trauma for Certified Emergency Nursing (CEN)
Seizure Assessment
Seizure Causes (Epilepsy, Generalized)
Seizure Causes Nursing Mnemonic (VITAMIN)
Seizure Documentation Nursing Mnemonic (TDOC)
Seizure Therapeutic Management
Seizures Case Study (45 min)
Seizures Module Intro
Shock – Signs and symptoms Nursing Mnemonic (TV SPARC CUBE)
Sinus Bradycardia
Sinus Tachycardia
Stroke (CVA) Module Intro
Stroke Case Study (45 min)
Supraventricular Tachycardia (SVT)
Trauma Nursing Interventions for Certified Perioperative Nurse (CNOR)
Ventricular Dysrhythmias for Progressive Care Certified Nurse (PCCN)
Ventricular Fibrillation (V Fib)
Ventricular Tachycardia (V-tach)
Wound Bleeding (Uncontrolled External Hemorrhage) for Certified Emergency Nursing (CEN)
54 Common Medication Prefixes and Suffixes
Alpha-fetoprotein (AFP) Lab Values
Carboxyhemoglobin Lab Values
Cardiac Terminology
Diagnostic Testing Course Introduction
Diagnostics Terminology
Digestive Terminology
Gamma Glutamyl Transferase (GGT) Lab Values
Growth Hormone (GH) Lab Values
Hematology Oncology & Immunology Terminology
Integumentary (Skin) Terminology
Mean Corpuscular Volume (MCV) Lab Values
Mean Platelet Volume (MPV) Lab Values
Medical Terminology Course Introduction
MedTerm Basic Word Structure
MedTerm Body as a Whole
MedTerm Prefixes
MedTerm Suffixes
Metabolic & Endocrine Terminology
Methemoglobin (MHGB) Lab Values
Musculoskeletal Terminology
Myoglobin (MB) Lab Values
Neuro Terminology
Pharmacology Terminology
Prealbumin (PAB) Lab Values
Procedural Terminology
Psychiatry Terminology
Reproductive Terminology
Respiratory Terminology
Sensory Terminology
Urinary Terminology
Basic Algebra
Basic Geometry
Basic Operations
Basic Statistics
Common Stat tests
Covariance and Causality
Decimals & Percentages
Distributions
Gamma Glutamyl Transferase (GGT) Lab Values
Graphing Equations
Growth Hormone (GH) Lab Values
Interpreting Trends
Lab Panels
Lab Panels – The Basics and What YOU Need to Know – Live Tutoring Archive
Lab Panels – The Basics and What YOU Need to Know 2 – Live Tutoring Archive
Lab Panels – The Basics and What YOU Need to Know 3 – Live Tutoring Archive
Lab Values Course Introduction
Mathematics Course Introduction
Mean Corpuscular Volume (MCV) Lab Values
Mean Platelet Volume (MPV) Lab Values
Measure of Spread
Normal distribution curve
Prealbumin (PAB) Lab Values
Ratios & Proportions
Response Variable vs. Explanatory variable
Shorthand Lab Values
Working with Fractions
ACLS (Advanced cardiac life support) Drugs
Advanced Cardiovascular Life Support (ACLS)
Brief CPR (Cardiopulmonary Resuscitation) Overview
CPR-BLS (Basic Life Support)
Life Support Review Course Introduction
Neonatal Resuscitation Program (NRP)
Pediatric Advanced Life Support (PALS)
ABG Course (Arterial Blood Gas) Introduction
ABGs Nursing Normal Lab Values