TCAs
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Outline
Note: In the video drawing of the neuron, the axon is not the body. It is the cell body, the axon, and then the dandrites in the drawing. The process of how the medication works within this system is correct.
Overview
- Types of antidepressants
- Trycyclic antidepressants
- Monoamine oxidase inhibitors
- Selective serotonin reuptake inhibitors
- Atypical
- Mechanism of action
- Prevents pre-synaptic reuptake of norepinephrine and serotonin
- This increases the effect of norpinephrine and serotonin
Nursing Care
Overview
- Examples
- Amitriptyline
- Amoxapine
- Desipramine
- Doxepin
- Nortriptyline
- Protriptyline
- Trimipraine
- Clomipramine
Assessment
- Assess for side effects
- Sedation
- Orthostatic hypotension
- Cardiac arrhythmia
- Dry mouth
- Constipation
- Urinary retension
- Blurred vision
- Tachycardia
Therapeutic Management
- Administration
- Note that it takes 2-3 weeks to produce an effect
- If changing medications wait 2-3 weeks to start another medication
- Risk of Serotonin Syndrome
- Contraindicated with the following medications
- Monoamine oxidase inhibitors
- Benzodiazepine
- Barbiturates
- Sympathomimetic medications
- Anticholinergic medications
Nursing Concepts
- Mood Affect
- TCA’s are prescribed to treat depression.
- Pharmacology
Patient Education
- Educate patients that they need to wait 2-3 weeks before starting a new antidepressant if they are changing medications.
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Transcript
Okay. So, we gonna talk about antidepression drugs. There are four main classes, actually there are three main classes: Trycyclic antidepressants, monoamine oxidase inhibitors, selective serotonin reuptake inhibitors and atypical antidepression. And atypical antidepressant are the class of drugs, there are only 2 drugs in that, and they do not fall in any other categories, that why they put atypical antidepressant. So, in this video, we gonna talk about tricyclic antidepressant, how their mechanism of action and side effects. And there are a couple of things to remember about all the anti-depression medication and we’ll cover that one shortly as well.
So, mechanism of action, this medication prevents presynaptic reuptake of norepinephrine and serotonin. It’s kinda complicated in sentence but let’s take a look. And we all know like what’s the structure of the neurons is, like this is axons right there, this is its body, and this is dendrites. And there’s another neuron right here, and dendrites. Sorry, my drawing is not really good. But, these neurons are not attached to each other. They do not have any kind of connection in between them. These dendrites of these neurons of the first neurons and the axons of the second neurons, they’re not attached. The way they transmit to, transmit their message to each other is through the neurotransmitter such as norepinephrine, serotonin, dopamine, etc. So, whenever these neurons wants to give a message to, this first neuron wants to give a message to the second neuron, what it will do, it will, its dendrites will release some neurotransmitters. Like, right here, in this space. And these neurotransmitters will go and attach to the axon of this second neuron and will deliver the message. Now, what happens, once the message is delivered, some of these neurotransmitters will get break down by the enzymes and some of the neurotransmitters will be taken back to the first dendrites. And that’s how they transmit their message. Now, in depression, they thought the theory is there is a deficit or these neurotransmitter do not transfer their message properly. That’s the theory is. There is no definitive diagnosis or reason why there is, it will causes the depression. So, here, what these drugs do, when these first neurons delivers this neurotransmitters into this space, they prevent the reuptake by these dendrites. So, this is dendrites. These medication will prevent the reuptake of norepinephrine and serotonin and will make them available for more period of time. So, there will be more effect from norepinephrine and serotonin. And that thought to be relieve depression. So, that’s the basic mechanism of action. You don’t really have to know in much detail, but remember, it prevents the presynaptic reuptake or noreinephrine and serotonin. What it means, is like this mechanism of action prevents the reuptake and make them available for more time so they can deliver their message to another neuron very efficiently.
Alright, so, let’s take a look at into the side effects and contraindication. Now, this medication will increase basically, will increase the level of norepinephrine and serotonin in the brain. However, this medication will also increase the effect of norepinephrine and serotonin in the rest of the body as well. I mean, it’s not specifically, it’s not gonna just go into the brain and work over there. Because when you give a medication, it’s gonna go all over the body and it gonna produce its effect in the rest of the body organs as well. So, the side effects is gonna be based on this and we know the norepinephrine is a neurotransmitter for sympathetic nervous system. So, there maybe, there will be side effects like sympathetic nervous system’s effect. So, let’s take a look, sedation, it causes the orthostatic hypotension because it blocks the alpha 1 receptors on the vessels. And we know, like alpha 1 receptor blockage will cause dilation of vessels. It can cause the cardiac arrhythmia. It will cause the anticholinergic side effects such as dry mouth, constipation, urinary retention, blurred vision, and tachycardia. It’s anticholinergic, it’s the same as the sympathetic nervous system effects as well. So, whenever you excite sympathetic or block parasympathetic or cholinergic nervous system, it will cause dry mouth, constipation, urinary retention, blurred vision and tachycardia. This medication interacts with MAOIs which is monoamine oxidase inhibitors. (This is MAOIs, not MAIOs) Monoamine oxidase inhibitors. CNS depressants such as benzodiazepine and barbiturates because it will produce even more sedation and it will impair patient functionality, their activity, their daily activities as well. So, you do not want to give this one with benzodiazepine and barbiturates. This one will be interacting with sympathomimetic because sympathomimetic will cause the same side effects like dry mouth, constipation, urinary retention, blurred vision, tachycardia and so forth. So, if you give a patient a sympathomimetic medication, it will even worsen the side effects. And, anticholinergic medications as well because they have the same side effects.
Now, the important thing to remember, let me set the example, but important thing to remember for any kind of antidepression, like whenever you give a patient antidepression medication, it will take about 2-3 weeks to produce its effects. So, you have to wait for at least 2-3 weeks in order to see the improvements in the symptoms of depression. However, let’s say, if you put a patient, if a patient is on tricyclic antidepressant and it’s not relieving their depression, then we definitely need to change the medications. We need to either put them on the monoamine oxidase inhibitors or selective serotonin reuptake inhibitors. Now, here’s the important thing to remember. You do not, you cannot stop one medication, for example, tricyclic antidrepression today and start them on monoamine oxidase inhibitors or selective serotonin reuptake inhibitor tomorrow. You have to at least wait 2-3 weeks in between in order to stop one class of drugs and start another one. This is really really important for NCLEX. So, make sure you remember that. You do not want to start, like stop one today and start another one tomorrow. You wait at least 2-3 weeks in between. Otherwise, they will have really, really really bad side effects because it will take 2-3 weeks to wear these medications off and once they wear off, we can start another one. So, that’s the reason.
So, the examples for tricyclic antidepression is Amitriptyline, Amoxapine, Desipramine, Doxepin, Nortriptyline, Protriptyline, Trimipraine, and Clomipramine.
This is about the tricylclic antidepressions. If you have any questions or concerns, just feel free to ask us anytime. Thank you.
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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
Vocabulary
Proper Punctuation Use
Postoperative (Postop) Complications
Prioritization
Handoff Report
Sterile Field
Cataracts
Intraoperative (Intraop) Complications
Cleft Lip and Palate
Nursing Care Plan (NCP) for Chronic Kidney Disease
Surgical Prep
Delegation
Healthcare-Acquired Infections: Surgical Site Infections (SSI) for Progressive Care Certified Nurse (PCCN)
Communicating with Patients
Documentation Course Introduction
Urinary Elimination
The Medical Team
Delegation and Personnel Management for Certified Perioperative Nurse (CNOR)
Septic Shock (Sepsis) Case Study (45 min)
Chest Tube Management
Nursing Care and Pathophysiology for Anemia
Fluid Volume Overload
Shock Module Intro
SBAR Communication
Legal Considerations
Communicating With Providers
Pituitary Gland
Order of Lab Draws
Cranial Nerves
Intro to Circulatory System
Multiple Myeloma
How to Take Nursing Report
Precepting a Student
Provider Phone Calls
1st Degree AV Heart Block
Admissions, Discharges, and Transfers
Remaining Calm
Communicating with UAPs
Growth & Development – Middle Adulthood
Growth & Development – Neonate
Growth & Development -Transitioning to Adult Care
Overview of Developmental Theories
Lidocaine (Xylocaine) Nursing Considerations
Chronic Obstructive Pulmonary Disease (COPD) Case Study (60 min)
Adrenal and Thyroid Disorder Emergencies for Certified Emergency Nursing (CEN)
Nursing Case Study for Cardiogenic Shock
Nursing Care Plan (NCP) for Hypovolemic Shock
Disease Specific Medications
Stroke Therapeutic Management (CVA)
Confidence in Communication – Live Tutoring Archive
Legalities of Charting
Pain Management for the Older Adult – Live Tutoring Archive
Growth & Development – Toddlers
Kohlberg’s Theory of Moral Development
Wound Infections for Certified Emergency Nursing (CEN)
Using Aseptic Technique
Impaired or Disruptive Behavior Reporting (Interdisciplinary Healthcare Team) for Certified Perioperative Nurse (CNOR)
Shift change and Patient handoff
Barriers to Health Assessment
Nursing Care Plan for Gastritis
Hypernatremia – Signs and Symptoms 2 Nursing Mnemonic (SWINE)
Growth & Development – Late Adulthood
Erikson’s Theory of Psychosocial Development
Body Image Changes Throughout Development
Meperidine (Demerol) Nursing Considerations
Angiotensin Receptor Blockers
Nursing Care Plan (NCP) for Skin cancer – Melanoma, Basal Cell Carcinoma, Squamous Cell Carcinoma
ARDS Case Study (60 min)
COPD (Chronic Obstructive Pulmonary Disease) Labs
Lung Cancer
Vessels & Fluid
Heart Failure (Acute Exacerbations, Chronic) for Progressive Care Certified Nurse (PCCN)
Nursing Care Plan for Endometriosis
Sterilization and Disinfection Documentation for Certified Perioperative Nurse (CNOR)
Anti-Platelet Aggregate
Nursing Care Plan (NCP) for Urinary Tract Infection (UTI)
Hypokalemia – Signs and Symptoms Nursing Mnemonic (6 L’s)
Pneumonia Labs
Pneumonia Risk Factors Nursing Mnemonic (VENTS)
Oral Medications
Ethical and Professional Standards for Certified Perioperative Nurse (CNOR)
Diltiazem (Cardizem) Nursing Considerations
Nitro Compounds
Minimally-Invasive Cardiac Surgery (Non-Sternal Approach) for Progressive Care Certified Nurse (PCCN)
Nursing Care Plan (NCP) for Congestive Heart Failure (CHF)
Rifampin (Rifadin) Nursing Considerations
Acute Coronary Syndromes (MI-ST and Non ST, Unstable Angina) for Progressive Care Certified Nurse (PCCN)
Nursing Care and Pathophysiology for Disseminated Intravascular Coagulation (DIC)
Phenazopyridine (Pyridium) Nursing Considerations
Thyroxine (T4) Lab Values
Coagulation Studies (PT, PTT, INR)
Nursing Care and Pathophysiology for Hyperthyroidism
Levothyroxine (Synthroid)
Hydralazine
The SOCK Method of Pharmacology 3 – Live Tutoring Archive
IV Catheter Selection (gauge, color)
Starting an IV
IV Insertion Angle
Accountability and Assistance for Personal Limitations for Certified Perioperative Nurse (CNOR)
Trach Suctioning
Renin Angiotensin Aldosterone System (RAAS)
Blood Vessels
Cardiac Cycle
Membranes
02.05 Calculating PAWP on PEEP for CCRN Review
Mannitol (Osmitrol) Nursing Considerations
10.02 Breath Sounds for CCRN Review
Liver & Gallbladder
Drawing Blood from the IV
Patient Controlled Analgesia (PCA)
Metformin (Glucophage) Nursing Considerations
Tuberculosis for Certified Emergency Nursing (CEN)
Pain Assessments for Certified Perioperative Nurse (CNOR)
Strabismus
Cerebral Perfusion Pressure CPP
Vitamin D Lab Values
Free T4 (Thyroxine) Lab Values