Fibromyalgia

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Included In This Lesson

Study Tools For Fibromyalgia

Pain Management (Cheatsheet)
Nerve Impulse Transmission (Cheatsheet)
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Outline

Overview

  1. Fibromyalgia
    1. Widespread pain
    2. Exact cause unknown

Nursing Points

General

  1. Stressors
    1. Trauma (physical or emotional)
    2. Autoimmune disorders
      1. Lupus
      2. Rheumatoid arthritis
  2. Affects autonomic nervous system
    1. Veins decreased ability to constrict -> low blood pressure and heart rate more common
  3. Affects neuroendocrine system
    1. Unable to suppress cortisol
    2. Nerve stimulation increased
    3. Brain pain receptors sensitive ->overreact to pain signals
  4. No test to confirm
  5. Genetic influences
  6. Mostly in women

Assessment

  1. Presentation (at least three months)
    1. Widespread pain
      1. Above and below waist
      2. Muscles
      3. Tendons
      4. Joints
    2. Restless sleep ->fatigue
    3. Memory issues
    4. Low blood pressure
    5. Low heart rate
    6. Depression and anxiety

Therapeutic Management

  1. Calm environment
  2. Therapeutic listening
  3.  Medication
    1. Pregabalin
      1. Long term
      2. Calm overactive nerves
    2. Pain relievers (short term)
    3. Antidepressants
    4. Anti-anxiety
    5. Sleep medications

Nursing Concepts

  1. Comfort
    1. Widespread pain
  2. Coping
    1. Widespread pain and fatigue cause psychological stress
  3. Functional Ability
    1. Pain, depression, anxiety affect ADLs

Patient Education

  1. Manage Stress
  2. See psychological therapist
  3. Prioritize sleep
  4. Exercise

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Transcript

Hey guys! Welcome to the lesson on fibromyalgia.

So fibromyalgia causes widespread pain in the patient. The exact cause of fibromyalgia is unknown, but it is thought to start from a stressor like physical or psychological  trauma, or autoimmune disorders like lupus or rheumatoid arthritis. Let’s explore how fibromyalgia affects the body.

So fibromyalgia affects the body in a few different ways. The autonomic nervous system is affected making it more difficult for veins to constrict causing  low blood pressure and low heart rates in these patients. The neuroendocrine system is affected making it more difficult for the body to suppress cortisol. Think of cortisol as a stress hormone that is released during stressful situations making the body overly sensitive. Nerve stimulation is increased and brain pain receptors are overly sensitive causing the body to overreact to pain signals.

Fibromyalgia affects mostly women for unknown reasons. There is no test to confirm this disease, so instead it is a matter of ruling out other disease processes. There is thought to be genetic influences on people that get fibromyalgia. Let’s move on the the patient presentation.

So people with fibromyalgia have widespread pain in the locations of these red dots in this picture in the muscles, tendons and joints. These patients have a difficult time sleeping because of the constant pain, causing them to be tired. The lack of sleep, constant pain, and neurological effects cause memory issues. The lack of vasoconstriction cause low blood pressure and low heart rate. Guys, having this pain all the time and the lack of sleep is really emotionally exhausting for these patients, so they often have depression and anxiety. I have noticed that these patients are so much more sensitive to painful stimuli, like putting in an IV is a lot more painful for them. It is helpful to acknowledge that they have pain, let them know you understand and are here for them. Now let’s talk about how to help them manage this disease.

Guys, these patients have overstimulated nerves, so it’s helpful to provide a calm relaxed environment for them to decrease the anxiety and stress. Just be there for them and listen to their concerns, validate the way they feel as it is a disease that they don’t have much control over. The doctor may order medications such as pain relievers, antidepressants, anti-anxiety, or sleep medications. You will often see pregabalin ordered long term for these patients as it helps to calm the overactive nerves. Let’s move on to patient education.

We should discuss stress management with this patient to help the explore ways to decrease stress in their life that may worsen the fibromyalgia symptoms. Psychological therapists may help with the depression and anxiety that these patients experience. Let these patients know how important it is to prioritize sleep and take the time to exercise to help manage the psychological distress from the overactive nerves.

Our priority nursing concepts for the patient with fibromyalgia are comfort, coping, and functional ability.

Alright guys, let’s go over the key points. So the patient with fibromyalgia has widespread pain, and it is unknown what the exact cause is. There aren’t any tests to confirm this disease, but it is often related to autoimmune diseases like lupus and rheumatoid arthritis. Fibromyalgia affects the autonomic nervous system causing impaired vasoconstriction, and the neuroendocrine system causing increased cortisol in the body increasing pain. The patient will present with widespread pain throughout the body. They might have low blood pressure and heart rate from the decreased vasoconstriction. Depression and anxiety are common in these patients along with fatigue and memory loss. We should help these patients manage the disease by reducing stressors, and administering medications ordered by the doctor. Pregabalin is prescribed long term to help decrease nerve stimulation. Other pain meds may be provided short term. Depression and anxiety medications may be needed along with sleep aids. Educate your patient on the importance of managing their stress,  keeping up with exercise, and prioritizing sleep to manage the depression and anxiety that go along with the widespread pain. They may need encouragement to follow up with a psychological therapist as well.

Well, I hope you have a good understanding on fibromyalgia! Now go out and be your best self today, and as always, happy nursing!

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Midterm

Concepts Covered:

  • Noninfectious Respiratory Disorder
  • Circulatory System
  • Respiratory Disorders
  • Cardiac Disorders
  • Respiratory System
  • Oncology Disorders
  • Urinary System
  • Musculoskeletal Trauma
  • Hematologic Disorders
  • Labor Complications
  • Respiratory Emergencies
  • EENT Disorders
  • Newborn Complications
  • Pregnancy Risks
  • Vascular Disorders
  • Emergency Care of the Cardiac Patient
  • Nervous System
  • Cardiovascular
  • Terminology
  • Central Nervous System Disorders – Brain
  • Trauma-Stress Disorders
  • Immunological Disorders
  • Infectious Respiratory Disorder
  • Hematologic Disorders
  • Cognitive Disorders
  • Substance Abuse Disorders
  • Oncologic Disorders
  • Emergency Care of the Respiratory Patient
  • Adult
  • Medication Administration
  • Endocrine and Metabolic Disorders
  • Emergency Care of the Neurological Patient
  • Hematologic System
  • EENT Disorders
  • Neurological
  • Cardiovascular Disorders
  • Respiratory
  • Liver & Gallbladder Disorders
  • Neurologic and Cognitive Disorders
  • Intraoperative Nursing
  • Disorders of Pancreas
  • Shock
  • Emergency Care of the Trauma Patient
  • Studying
  • Neurological Trauma
  • Neurological Emergencies
  • Integumentary Disorders
  • Peripheral Nervous System Disorders
  • Adulthood Growth and Development
  • Developmental Considerations

Study Plan Lessons

Nursing Care and Pathophysiology of COPD (Chronic Obstructive Pulmonary Disease)
EKG (ECG) Course Introduction
ABGs Nursing Normal Lab Values
Care of the Pediatric Patient
Coronary Artery Disease Concept Map
Electrical A&P of the Heart
Respiratory A&P Module Intro
ABG (Arterial Blood Gas) Interpretation-The Basics
Computed Tomography (CT)
COPD Concept Map
Electrolytes Involved in Cardiac (Heart) Conduction
Magnetic Resonance Imaging (MRI)
Magnetic Resonance Imaging (MRI)
Nursing Care and Pathophysiology for Sickle Cell Anemia
Adult Vital Signs (VS)
CT & MR Angiography
Nursing Care and Pathophysiology for Disseminated Intravascular Coagulation (DIC)
Nasal Disorders
Nursing Care and Pathophysiology for Disseminated Intravascular Coagulation (DIC)
Pediatric Vital Signs (VS)
Respiratory Acidosis (interpretation and nursing interventions)
Thrombocytopenia
Cardiovascular Angiography
Preload and Afterload
Respiratory Alkalosis
Congestive Heart Failure Concept Map
Echocardiogram (Cardiac Echo)
Performing Cardiac (Heart) Monitoring
Hypertension (HTN) Concept Map
Pulmonary Function Test
Electroencephalography (EEG)
Nursing Care and Pathophysiology of Angina
Nursing Care and Pathophysiology for Asthma
02.02 Cardiomyopathy for CCRN Review
Leukemia
Nursing Care and Pathophysiology of COPD (Chronic Obstructive Pulmonary Disease)
Lymphoma
Nursing Care and Pathophysiology of Myocardial Infarction (MI)
Nursing Care and Pathophysiology of COPD (Chronic Obstructive Pulmonary Disease)
Respiratory Terminology
Oncology Important Points
Restrictive Lung Diseases (Pulmonary Fibrosis, Neuromuscular Disorders)
Nursing Care and Pathophysiology of Coronary Artery Disease (CAD)
Lung Cancer
Nursing Care and Pathophysiology of Acute Respiratory Distress Syndrome (ARDS)
Heart (Cardiac) and Great Vessels Assessment
Intracranial Pressure ICP
Nursing Care and Pathophysiology for Pulmonary Edema
Cerebral Perfusion Pressure CPP
Cerebral Perfusion Pressure CPP
02.08 Cardiac Catheterization & Acute Coronary Syndrome for CCRN Review
02.12 Myocardial Infarction- Inferior Wall for CCRN Review
Grief and Loss
Dementia and Alzheimers
Acute Coronary Syndrome (ACS)
Immunology Module Intro
Respiratory Infections Module Intro
Sickle Cell Anemia
Nursing Care and Pathophysiology for Acquired Immune Deficiency Syndrome (AIDS)
Aneurysm & Dissection
Nursing Care and Pathophysiology for Heart Failure (CHF)
Hemoglobin (Hbg) Lab Values
Iron Deficiency Anemia
Nursing Care and Pathophysiology for Acquired Immune Deficiency Syndrome (AIDS)
Sinus Bradycardia
Nursing Care and Pathophysiology for Anaphylaxis
Cardiopulmonary Arrest
Hematocrit (Hct) Lab Values
Nursing Care and Pathophysiology for Anaphylaxis
Sinus Tachycardia
Meds for Alzheimers
Pacemakers
White Blood Cell (WBC) Lab Values
Heart (Heart) Failure Exacerbation
Platelets (PLT) Lab Values
Coagulation Studies (PT, PTT, INR)
Hypertensive Emergency
Supraventricular Tachycardia (SVT)
Fibromyalgia
Migraines
Tension and Cluster Headaches
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)
Cholesterol (Chol) Lab Values
Nursing Care and Pathophysiology of Hypertension (HTN)
Leukemia
Pulmonary Embolism
Acute Respiratory Distress
Cardiac (Heart) Disease in Pregnancy
Nursing Care and Pathophysiology for Cardiomyopathy
Respiratory Structure & Function
ACLS (Advanced cardiac life support) Drugs
Fever
Respiratory Trauma Module Intro
Seizure Causes (Epilepsy, Generalized)
Increased Intracranial Pressure
Nursing Care and Pathophysiology for Pulmonary Embolism
Anti-Platelet Aggregate
Respiratory Procedures Module Intro
Electrical Activity in the Heart
Nursing Care and Pathophysiology for Meningitis
Respiratory Terminology
Thrombin Inhibitors
Thrombolytics
Blood Plasma
Patient Positioning
Acute Otitis Media (AOM)
07.06 Increased Intracranial Pressure (ICP) for CCRN Review
Dystocia
Acute Bronchitis
Bronchiolitis and Respiratory Syncytial Virus (RSV)
Asthma
Asthma
Cystic Fibrosis (CF)
Congenital Heart Defects (CHD)
Congenital Heart Defects (CHD)
Respiratory Structure & Function
Defects of Increased Pulmonary Blood Flow
Defects of Decreased Pulmonary Blood Flow
Obstructive Heart (Cardiac) Defects
Obstructive Heart (Cardiac) Defects
Respiratory Functions of Blood
Mixed (Cardiac) Heart Defects
10.01 Arterial Blood Gas (ABG) Interpretation for CCRN Review
Hierarchy of O2 Delivery
Histamine 1 Receptor Blockers
10.03 Acute Respiratory Failure for CCRN Review
Airway Suctioning
Cerebral Palsy (CP)
Sympatholytics (Alpha & Beta Blockers)
ACE (angiotensin-converting enzyme) Inhibitors
Angiotensin Receptor Blockers
Calcium Channel Blockers
Calcium Channel Blockers
Cardiac Glycosides
Sympathomimetics (Alpha (Clonodine) & Beta (Albuterol) Agonists)
Parasympathomimetics (Cholinergics) Nursing Considerations
Bronchodilators
Diuretics (Loop, Potassium Sparing, Thiazide, Furosemide/Lasix)
Corticosteroids
Corticosteroids
Nitro Compounds
Anticonvulsants
Sympatholytics (Alpha & Beta Blockers)
Bronchodilators
ABG (Arterial Blood Gas) Interpretation-The Basics
ABG (Arterial Blood Gas) Oxygenation
ABG Course (Arterial Blood Gas) Introduction
ABGs Nursing Normal Lab Values
ABGs Tic-Tac-Toe interpretation Method
Acute Coronary Syndrome for Certified Emergency Nursing (CEN)
Acute Coronary Syndromes (MI-ST and Non ST, Unstable Angina) for Progressive Care Certified Nurse (PCCN)
Acute Inflammatory Disease (Myocarditis, Endocarditis, Pericarditis) for Progressive Care Certified Nurse (PCCN)
Acute Otitis Media (AOM)
Acute Respiratory Distress Syndrome (ARDS) for Progressive Care Certified Nurse (PCCN)
AIDS Case Study (45 min)
Allergic Reactions and Anaphylaxis for Certified Emergency Nursing (CEN)
Anaphylaxis Nursing Interventions for Certified Perioperative Nurse (CNOR)
Anemia for Progressive Care Certified Nurse (PCCN)
Nursing Care and Pathophysiology for Anemia
Aneurysm (Dissecting, Repair) for Progressive Care Certified Nurse (PCCN)
Aneurysm and Dissection for Certified Emergency Nursing (CEN)
Aortic Aneurysm – Management Nursing Mnemonic (CRAM)
Aortic Aneurysm – Thoracic signs Nursing Mnemonic (PEE BADS)
Asthma for Certified Emergency Nursing (CEN)
Asthma (Severe) for Progressive Care Certified Nurse (PCCN)
Asthma Concept Map
AV Blocks Dysrhythmias for Progressive Care Certified Nurse (PCCN)
Bicarbonate (HCO3) Lab Values
Bronchiolitis and Respiratory Syncytial Virus (RSV)
Carbon Dioxide (Co2) Lab Values
Cardiac (Heart) Enzymes
Cardiac Anatomy
Cardiac Labs – What and When to Use Them 2 – Live Tutoring Archive
Cardiac Surgery (Post-ICU Care) for Progressive Care Certified Nurse (PCCN)
Cardiac/Vascular Catheterization (Diagnostic, Interventional) for Progressive Care Certified Nurse (PCCN)
Cardiogenic Shock and Obstructive Shock for Certified Emergency Nursing (CEN)
Cardiomyopathies (Dilated, Hypertrophic, Restrictive) for Progressive Care Certified Nurse (PCCN)
Cardiopulmonary Arrest for Certified Emergency Nursing (CEN)
Cardiovascular Trauma for Certified Emergency Nursing (CEN)
Cerebral Palsy (CP)
CHF Treatment Nursing Mnemonic (UNLOAD FAST)
Chronic Obstructive Pulmonary Disease (COPD) for Certified Emergency Nursing (CEN)
Chronic Obstructive Pulmonary Disease (COPD) Case Study (60 min)
Nursing Care and Pathophysiology for Heart Failure (CHF)
Congestive Heart Failure (CHF) Labs
Congestive Heart Failure Concept Map
COPD (Chronic Obstructive Pulmonary Disease) Labs
COPD Concept Map
COPD Exacerbation for Progressive Care Certified Nurse (PCCN)
COPD management Nursing Mnemonic (COPD)
Coronary Artery Disease Concept Map
Cystic Fibrosis (CF)
Dementia Nursing Mnemonic (DEMENTIA)
Diagnostic Criteria for Lupus Nursing Mnemonic (SOAP BRAIN MD)
EKG Basics – Live Tutoring Archive
Furosemide (Lasix) Nursing Considerations
Head and Spinal Cord Trauma for Certified Emergency Nursing (CEN)
Heart (Cardiac) Failure Module Intro
Heart (Cardiac) Failure Therapeutic Management
Heart Failure for Certified Emergency Nursing (CEN)
Heart Failure 2 – Live Tutoring Archive
Heart Failure (Acute Exacerbations, Chronic) for Progressive Care Certified Nurse (PCCN)
Heart Failure – Right Sided Nursing Mnemonic (HEAD)
Heart Failure Case Study (45 min)
Heart Failure-Left-Sided Nursing Mnemonic (CHOP)
Heart Failure-Origin Nursing Mnemonic (Left – Lung|Right – Rest)
Hematocrit (Hct) Lab Values
Hematologic Disorders for Certified Emergency Nursing (CEN)
Hemoglobin (Hbg) Lab Values
Hypertension for Certified Emergency Nursing (CEN)
Hypertension (HTN) Concept Map
Hypertension (Uncontrolled) and Hypertensive Crisis for Progressive Care Certified Nurse (PCCN)
Hypertension – Nursing care Nursing Mnemonic (DIURETIC)
Hypertension- Complications Nursing Mnemonic (The 4 C’s)
Hypertensive Crisis Case Study (45 min)
Increased Intracranial Pressure (ICP) for Certified Emergency Nursing (CEN)
Intracranial Pressure ICP
Leukemia
Leukemia – Signs and Symptoms Nursing Mnemonic (ANT)
Leukemia Case Study (60 min)
Lymphoma
Management of Lyme Disease Nursing Mnemonic (BAR)
MI Surgical Intervention
Nursing Care and Pathophysiology of Myocardial Infarction (MI)
Myocardial Infarction (MI) Case Study (45 min)
Noncardiac Pulmonary Edema for Certified Emergency Nursing (CEN)
Nursing Care and Pathophysiology for Anemia
Nursing Care and Pathophysiology for Aortic Aneurysm
Nursing Care and Pathophysiology for Arterial Disorders
Nursing Care and Pathophysiology for Asthma
Nursing Care and Pathophysiology for Cardiomyopathy
Nursing Care and Pathophysiology for Heart Failure (CHF)
Nursing Care and Pathophysiology for Lyme Disease
Nursing Care and Pathophysiology for Thrombophlebitis (clot)
Nursing Care and Pathophysiology for Valve Disorders
Nursing Care and Pathophysiology of Angina
Nursing Care and Pathophysiology of Coronary Artery Disease (CAD)
Nursing Care and Pathophysiology of Endocarditis and Pericarditis
Nursing Care and Pathophysiology of Hypertension (HTN)
Nursing Care and Pathophysiology of Myocardial Infarction (MI)
Nursing Care and Pathophysiology of Myocarditis
Nursing Care Plan (NCP) & Interventions for Increased Intracranial Pressure (ICP)
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 Pain
Nursing Care Plan (NCP) for Acute Respiratory Distress Syndrome
Nursing Care Plan (NCP) for Alzheimer’s Disease
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 Asthma
Nursing Care Plan (NCP) for Asthma / Childhood Asthma
Nursing Care Plan (NCP) for Bronchiolitis / Respiratory Syncytial Virus (RSV)
Nursing Care Plan (NCP) for Bronchoscopy (Procedure)
Nursing Care Plan (NCP) for Cardiomyopathy
Nursing Care Plan (NCP) for Cellulitis
Nursing Care Plan (NCP) for Cerebral Palsy (CP)
Nursing Care Plan (NCP) for Chronic Obstructive Pulmonary Disease (COPD)
Nursing Care Plan (NCP) for Congenital Heart Defects
Nursing Care Plan (NCP) for Congestive Heart Failure (CHF)
Nursing Care Plan (NCP) for Cystic Fibrosis
Nursing Care Plan (NCP) for Decreased Cardiac Output
Nursing Care Plan (NCP) for Dementia
Nursing Care Plan (NCP) for Disseminated Intravascular Coagulation (DIC)
Nursing Care Plan (NCP) for Emphysema
Nursing Care Plan (NCP) for Guillain-Barre
Nursing Care Plan (NCP) for Heart Valve Disorders
Nursing Care Plan (NCP) for Hypertension (HTN)
Nursing Care Plan (NCP) for Hypovolemic Shock
Nursing Care Plan (NCP) for Impaired Gas Exchange
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 Migraines
Nursing Care Plan (NCP) for Myocardial Infarction (MI)
Nursing Care Plan (NCP) for Neutropenia
Nursing Care Plan (NCP) for Otitis Media / Acute Otitis Media (AOM)
Nursing Care Plan (NCP) for Pericarditis
Nursing Care Plan (NCP) for Pulmonary Embolism
Nursing Care Plan (NCP) for Respiratory Failure
Nursing Care Plan (NCP) for Restrictive Lung Diseases
Nursing Care Plan (NCP) for Sickle Cell Anemia
Nursing Care Plan (NCP) for Skin cancer – Melanoma, Basal Cell Carcinoma, Squamous Cell Carcinoma
Nursing Care Plan (NCP) for Spinal Cord Injury
Nursing Care Plan (NCP) for Systemic Lupus Erythematosus (SLE)
Nursing Care Plan (NCP) for Thrombocytopenia
Nursing Care Plan (NCP) for Thrombophlebitis / Deep Vein Thrombosis (DVT)
Nursing Care Plan (NCP) for Acquired Immune Deficiency Syndrome (AIDS)
Nursing Care Plan (NCP) for Acute Respiratory Distress Syndrome
Nursing Care Plan (NCP) for Alzheimer’s Disease
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 Asthma
Nursing Care Plan (NCP) for Bronchiolitis / Respiratory Syncytial Virus (RSV)
Nursing Care Plan (NCP) for Cardiomyopathy
Nursing Care Plan (NCP) for Congenital Heart Defects
Nursing Care Plan (NCP) for Congestive Heart Failure (CHF)
Nursing Care Plan for Coronary Artery Disease (CAD)
Nursing Care Plan (NCP) for Disseminated Intravascular Coagulation (DIC)
Nursing Care Plan for Fibromyalgia
Nursing Care Plan (NCP) for Heart Valve Disorders
Nursing Care Plan (NCP) & Interventions for Increased Intracranial Pressure (ICP)
Nursing Care Plan (NCP) for Leukemia
Nursing Care Plan (NCP) for Lymphoma (Hodgkin’s, Non-Hodgkin’s)
Nursing Care Plan (NCP) for Myocardial Infarction (MI)
Nursing Care Plan for Myocarditis
Nursing Care Plan for Nasal Disorders
Nursing Care Plan (NCP) for Neutropenia
Nursing Care Plan for Pulmonary Edema
Nursing Care Plan for Restrictive Lung Diseases (Pulmonary Fibrosis, Neuromuscular Disorders)
Nursing Care Plan (NCP) for Sickle Cell Anemia
Nursing Care Plan (NCP) for Systemic Lupus Erythematosus (SLE)
Nursing Case Study for Head Injury
Nursing Case Study for Pediatric Asthma
Obstruction for Certified Emergency Nursing (CEN)
Obstructive Sleep Apnea for Progressive Care Certified Nurse (PCCN)
Pacemakers
Pain Management and Procedural Sedation for Certified Emergency Nursing (CEN)
Pain Management for the Older Adult – Live Tutoring Archive
Pain Management Meds – Live Tutoring Archive
Pain (Acute, Chronic) for Progressive Care Certified Nurse (PCCN)
Palliative Care for Progressive Care Certified Nurse (PCCN)
Parasympathomimetics (Cholinergics) Nursing Considerations
Asthma
Pediatric Bronchiolitis Labs
Platelets (PLT) Lab Values
Pleural Effusion for Certified Emergency Nursing (CEN)
Preload and Afterload
Pulmonary Embolism for Progressive Care Certified Nurse (PCCN)
Pulmonary Embolus for Certified Emergency Nursing (CEN)
Pulmonary Hypertension for Progressive Care Certified Nurse (PCCN)
Pulmonary Hypertension for Certified Emergency Nursing (CEN)
Red Blood Cell (RBC) Lab Values
Red Cell Distribution Width (RDW) Lab Values
Respiratory Acidosis (interpretation and nursing interventions)
Respiratory Distress Syndrome for Certified Emergency Nursing (CEN)
Respiratory Failure (Acute, Chronic, Failure to Wean) for Progressive Care Certified Nurse (PCCN)
Respiratory Infections (Pneumonia) for Progressive Care Certified Nurse (PCCN)
Sodium and Potassium Imbalance for Certified Emergency Nursing (CEN)
Spinal Cord Injury
Spinal Cord Injury Case Study (60 min)
Steroids – Side Effects Nursing Mnemonic (6 S’s)
Systemic Lupus Erythematosus (SLE)
Thrombocytopenia
Thromboembolic Disease- Deep Vein Thrombosis (DVT) for Certified Emergency Nursing (CEN)
Treatment of Sickle Cell Nursing Mnemonic (HOP to the hospital)
Troponin I (cTNL) Lab Values
Valvular Heart Disease for Progressive Care Certified Nurse (PCCN)
Vascular Disease for Progressive Care Certified Nurse (PCCN)
Vascular Disease – Deep Vein Thrombosis Nursing Mnemonic (HIS Leg Might Fall off)
Venous Disorders (Chronic venous insufficiency, Deep venous thrombosis/DVT)
Warfarin (Coumadin) Nursing Considerations