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Obstructive Heart (Cardiac) Defects

Obstructive Heart (Cardiac) Defects

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Included In This Lesson

Study Tools
Outline
ADPIE Related Lessons
Transcript
Additional Lessons

Study Tools For Obstructive Heart (Cardiac) Defects

Coarctation Of The Aorta (Image)
Pulmonic Valve Stenosis (Image)
Aortic Stenosis (Image)
Congenital Heart Defects Cheatsheet (Cheatsheet)
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Outline

Overview

  1. Blood leaving the heart is obstructed due to stenosis (narrowing)
  2. Pressure in the area of the heart just before the stenosis is increased
  3. Pressure in the area of the heart after the stenosis is decreased

Nursing Points

General

  1. Coarctation of the Aorta
    1. Narrowing in the descending aorta after subclavian artery
      1. Increased  blood flow to upper extremities
      2. Decreased blood flow to lower extremities
    2. Common with Turner’s Syndrome
    3. Life threatening if uncorrected
  2. Aortic Stenosis
    1. Stenosis of the aortic valve resulting in:
    2. Decreased cardiac output
    3. Pulmonary vascular congestion
    4. Left ventricular hypertrophy
  3. Pulmonic Stenosis
    1. Stenosis of the pulmonic valve resulting in:
    2. Decreased pulmonary blood flow
    3. Right ventricular Hypertrophy

Assessment

  1. Coarctation of the Aorta
    1. Upper extremities
      1. High BP
      2. Bounding pulses
    2. Lower extremities
      1. Low BP
      2. Weak or absent femoral pulses
      3. Cool extremities
    3. Older children
      1. Dizziness
      2. Heachaches
      3. Fainting
      4. Epistaxis
  2. Aortic Stenosis
    1. Murmur
      1. Systolic ejection murmur
    2. Signs of decreased CO
      1. Faint pulses
      2. Hypotension
      3. Tachycardia
      4. Poor feeding
      5. Older children
        1. Chest pain
        2. Activity intolerance
        3. Dizziness when standing
  3. Pulmonic Stenosis
    1. Murmur
      1. Murmur
      2. Cardiomegaly
      3. Right sided hypertrophy
      4. Cyanosis with severe
      5. Signs of Heart failure

Therapeutic Management

  1. Coarctation of the Aorta
    1. Prostaglandin E1 to keep Ductus Arteriosus open
    2. Balloon angioplasty
    3. Restenosis may occur
    4. Surgical resection
      1. For patients with hypertension and heart failure
  2. Aortic and/or Pulmonic Stenosis
    1. Cardiac catheterization – Balloon valvuloplasty
      1. Dilate narrow valve
    2. Valve replacement
  3. Nursing Post-Op Care
    1. Decrease cardiac workload
      1. Promote rest
      2. Monitor Feeding
    2. Manage pain
    3. Monitor I’s & O’s
    4. Monitor for complications
      1. Hemorrhage
      2. Stroke
      3. Pneumothorax
      4. Pleural effusions

Nursing Concepts

  1. Perfusion
  2. Oxygenation
  3. Gas Exchange

Patient Education

  1. Frequent rest periods to relieve SOB
  2. Surgical options and post-op care
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ADPIE Related Lessons

Transcript

Hey guys, in this lesson we are going to talk about obstructive heart defects.

Obstruction usually happens because the blood vessel is narrow or stenosed. In the area before the stenosis there will increased pressure and in the area after the stenosis the pressure is decreased. This is important because it will help you think through what signs and symptoms to expect.

The first obstructive heart defect that we’re going to talk about is coarctation of the aorta and this is when there is a narrowing in the descending aorta after the subclavian artery. Because the stenosis happens after the subclavian artery this means that there’s going to be increase blood flow to the upper body and decrease blood flow to the lower body. And this explains the classic symptoms that we see with coarctation of the aorta which are high blood pressure and bound impulses in the upper extremities and low blood pressure and weak or absent pulses in the lower extremities. In older kids this can actually present as dizziness or even nosebleeds from the high blood pressure.

This diagnosis one of the reasons why it’s so important to make sure you always check peripheral pulses and compare them.

The next obstructive defect we going to talk about is Aortic Stenosis and this is when there is a narrowing at the aortic valve that is where the left ventricle meets the aorta. This stenosis is really going to decrease cardiac output and make the left side of the heart work extremely hard to get blood out into systemic circulation. Because blood has a difficult time leaving the left side of the heart it will back up into the pulmonary system causing pulmonary congestion.

The symptoms you are going to see with this are a murmur and then patients are show signs of having poor cardiac output, like weak pulses, low blood pressure and tachycardia because the heart is working extra hard. And as we’ve seen with all of these cardiac defects kids are going to have a difficult time feeding which can lead to failure to thrive.

Pulmonic stenosis is when there is a narrowing of the pulmonary valve. So thinking about the anatomy of the heart, this means pressure is going to be increased on the right side and decrease on the left.

The right side of the heart is going to have to work extra hard and you can end up systemic congestion and signs like peripheral edema.

These patients will have a murmur and they can be cyanotic if the stenosis is severe.

For therapeutic management one of the first things that we can do is administer prostaglandin E1. WE usually give this via IV infusion and what it does is it helps to keep that Ductus Arteriosus open which can help improve oxygenated blood flow while waiting for catheterization or surgery. This is usually done for patients with Coarctation of the Aorta.

Treatment for these obstructions is usually cardiac catheterization and surgery. With catheterization they may try a balloon angioplasty or valvuloplasty. If surgery is required they can perform a valve replacement or resection to remove the stenosed area.

Nursing care for a paediatric patient after cardiac surgery is all about decreasing that cardiac workload the heart can heal. So we really want to encourage rest and make sure the patient is not overworking with their feeds.
We also have to manage their pain and watch out for complications like hemorrhage, stroke and pneumothorax.

Your priority nursing concepts for a pediatric patient with an obstructive congenital heart defect are perfusion, oxygenation, and gas exchange.

Okay so let’s go over your key points for this lesson. We went over the obstructive heart effects. Obstruction means that there is a stenosed area which is blocking blood flow. Most of the time this happens at a valve and what it causes pressure changes in the heart. The pressure before the narrowing is increased and the pressure after is narrowing is decreased.

Coarctation of the Aorta is where there is a narrowing in the aorta after the subclavian artery. This causes increased pressure on the upper extremities and decrease pressure in the lower extremities. Always make sure to check femoral pulses so you can identify this problem.

Aortic Stenosis causes decreased cardiac output and increased work for the left ventricle.

Pulmonic stenosis causes decreased pulmonary blood flow and increased work for the right side of the heart which causes systemic congestion.

These defects are all going to require surgery to open up the stenosed area and restore blood flow!

That’s it for our lesson on Obstructive Heart Defects. Make sure you check out all the resources attached to this lesson. Now, go out and be your best self today. 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