Mixed (Cardiac) Heart Defects
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Included In This Lesson
Study Tools For Mixed (Cardiac) Heart Defects
Patent Truncus Arteriosus (Image)
Arterial Switch Operation, Transposition Of The Great Vessels (Image)
Total Anomalous Pulmonary Venous Connection (Image)
Transposition of the Great Vessels (Image)
Congenital Heart Defects Cheatsheet (Cheatsheet)
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Outline
Overview
- Saturated blood mixes with desaturated blood causing desaturation of systemic blood flow.
Nursing Points
General
- Transposition of the Great Vessels
- Pulmonary artery and aorta switch (transpose) positions.
- No communication between systemic and pulmonary circulation
- Pulmonary artery leaves the left ventricle
- Oxygenated blood continuously circulates to heart
- Never reaching the body
- Aorta leaves the right ventricle
- Deoxygenated blood circulates throughout body continuously
- Never reaching the lung for oxygenation
- Pulmonary artery leaves the left ventricle
- Septal defects or PDA must be present to allow blood to mix or patient will become cyanotic
- Patent Truncus Arteriosus
- A rare defect
- Truncus arteriosus fails to divide into the pulmonary trunk and the aorta.
- Results in one “trunk” arising from the right and left ventricle
- Mixed blood goes to the heart, lungs, and systemic circulation
- Hypoplastic Left Heart
- Underdeveloped, small Lt side of the heart
- Blood flows back to Rt side through patent foramen ovale
- Oxygenated blood flows from pulmonary artery through PDA to artery
- Fatal if not treated in first months of life
Assessment
- Transposition of the Great Vessels
- No septal defect
- Severe cyanosis
- Depressed function at birth
- Eventual HF
- Septal defects present
- Mild cyanosis
- Heart Failure
- No septal defect
- Patent Truncus Arteriosus
- Cyanosis
- Systolic murmur over the left sternal border
- Heart failure
- Hypoplastic Left Heart
- Mild cyanosis and Heart Failure
- If PDA closes condition deteriorates quickly
Therapeutic Management
- Transposition of the Great Vessels
- Prostaglandins to keep PDA open
- Give with first 48 hours
- Arterial switch procedure
- Prostaglandins to keep PDA open
- Patent Truncus Arteriosus
- Surgical Repair
- Hypoplastic Left Heart
- Prostaglandins E1 to keep PDA open
- Multiple stages of surgical repair
- Heart transplant
- Nursing Post-Op Care
- Decrease cardiac workload
- Promote rest
- Monitor Feeding
- Manage pain
- Monitor I’s & O’s
- Monitor for complications
- Hemorrhage
- Stroke
- Pneumothorax
- Pleural effusions
- Decrease cardiac workload
Nursing Concepts
- Perfusion
- Oxygenation
- Gas Exchange
Patient Education
- s/s of hypoxia to report to provider
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ADPIE Related Lessons
Related Nursing Process (ADPIE) Lessons for Mixed (Cardiac) Heart Defects
Transcript
Hey guys in this lesson we are going to be talking about mixed congenital heart defects.
So mixed congenital heart defects are usually pretty complex and they can present in a lot of different ways depending on how large the openings are or how severe the defect actually is. They are called mixed defects because survival depends on the ability of deoxygenated and oxygenated blood to mix. If it doesn’t mix then the blood circulated throughout the body will be even hypoxemic. The way blood mixes in these defects is through a PDA, an open Foramen Ovale or and ASD. Remember, the pda and foramen ovale are part of the fetal heart circulation so check out the OB less on fetal circulation if you want a refresher on this!
The first lesson we are going to look at is Transposition of the Great Arteries or ToGA as it is usually referred to. In this defect the aorta and pulmonary artery have swapped places. So, the aorta is leaving the right ventricle carrying deoxygenated blood through the body and the pulmonary artery is leaving the left ventricle, where that same blood is circulating through the heart over and over. So you have two separate systems circulated and never mixing and this is why you need an opening like a PDA to allow blood to mix if the patient is going to survive.
Most babies will experience cyanosis within hours of birth. But if there is a large PDA or VSD, presentation may be delayed and it may show up as respiratory and feeding difficulties within a month or so of birth.
Heart failure is very common and symptoms will worsen until it can be treated.
Truncus Arteriosus is a pretty uncommon defect and with it, the heart is missing the two distinct vessels that usually leave the heart, the pulmonary artery and the aorta. Instead it has one vessel that connects both the right and left ventricle. Symptoms usually present pretty quickly after birth and usually look like, cyanosis, tachypnea, poor feeding and activity intolerance.
Hypoplastic Left Heart is a diagnosis that includes a variety of defects, but the most significant is the hypoplastic left ventricle. It is small and unable to do the work needed. Other defects that can occur are a patent foramen ovale, VSD, PDA and coarctation of the aorta. If untreated, it is fatal within the first month of life.
Symptoms are cyanosis, tachypnea, dyspnea, poor feeding and signs of heart failure. If the PDA is allowed to close the patient will deteriorate quickly!
For therapeutic management the most important thing is to keep the PDA open so that blood can continue to mix. This is done by administering Prostaglandin E1 via IV infusion within the first 48 hours of life. If this is given, the patient will continue to have symptoms but they will have some oxygenated blood circulating. If the PDA closes, the patient will deteriorate quickly.
These defects often require multiple surgeries. For ToGA, they need an arterial switch and a lot of children with hypoplastic left heart end up needing a heart transplant.
Nursing care is all about decreasing cardiac workload and this is done primarily by encouraging rest and managing the child’s feeding. For more more details on the nursing care check out the Congenital Heart Defects Lesson.
Complications to be on the lookout for after heart surgery are infection, hemorrhage, stroke and pneumothorax.
You’re priority nursing concepts for a peds patient with a mixed congenital heart defect are oxygenation, perfusion and gas exchange.
Okay, lets go over your key points for this lesson. Mixed Congenital Heart defects are varied and complex. We talked about ToGA, Truncus Arteriosus and Hypoplastic Left Heart. The common factor for all of these is that they need blood to mix in order to survive. Blood mixes through an ASD, VSD, PDA or open foramen ovale.
These defects all present pretty quickly with cyanosis and eventually heart failure. Symptoms will worsen quickly as the heart is overworked and the patient will deteriorate rapidly if the PDA or other openings close.
Prostaglandin E1 is given within the first 48 hours of birth to keep the PDA open.
And these defects usually require major surgery. These surgeries are not curative. Their goal is to optimize blood flow for the patient. They will need monitoring throughout life.
That’s it for our lesson on mixed cardiac 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