Brain Tumors

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Sephanie Gasser
MSN,RN,BLS, ACLS, ONCC, ENA, ANCC
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Study Tools For Brain Tumors

Brain Tumor Symptoms by Location (Cheatsheet)
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Outline

Overview

  1. Tumors in the brain disrupt normal brain functioning
    1. Area of the brain
      1. Frontal
        1. Controls Motor movement, thought, reasoning, bowel and bladder
        2. Called the “silent area of the brain”
          1. Tumors growing here show less symptoms initially
      2. Temporal
        1. Controls memory, hearing, and speech
      3. Parietal
        1. Controls memory, reasoning, and spacial recognition
      4. Occipital
        1. Controls vision and reading
      5. Cerebellum
        1. Controls coordination and balance
      6. Brainstem/ Pons/ Medulla
        1. Controls breathing, heart rate, consciousness
      7. Ventricles
        1. Allows for movement of cerebral spinal fluid (CSF) which nourishes and protects the brain
      8. Meninges
        1. Membranes covering the brain and spinal cord
      9. Blood-brain barrier
        1. Restricts passage of substances to the brain
        2. Also limits what medications will reach the brain
  2. Tumors in the brain lead to an increase in intracranial pressure
    1. Normal ICP 5-15 mmHg, impacted by brain tissue, blood, and CSF
    2. The pressure inside the skull increases as a tumor grows and can also increase if a tumor blocks the flow of CSF
    3. An increase in ICP can cause brain tissue death
  3. Brain tumors grow from different cells of the brain tissue
    1. Neurons- Nerve cells
      1. A tumor from these cells is called neuronal
    2. Glial cells- supporting cells of the brain
      1. A tumor from glial cells is called a glioma and further classified by the type of supporting cell it comes from
        1. Astrocytes- transport nutrients
          1. A tumor from these cells is called astrocytoma
          2. A fast-growing, grade 4 astrocytoma is called glioblastoma
        2. Oligodendrocytes- insulates nerve fibers
          1. A tumor from these cells is called oligodendroglioma
        3. Ependymal cells- lines the ventricles and secrete CSF
          1. Cancer in these cells is called ependymoma
    3. Tumors in the meninges are called meningioma
    4. Lymphoma can also form in the brain called CNS lymphoma

Nursing Points

General

  1. Brain tumors are most commonly from metastasis or spread from cancers of another origin
  2. Tumors that originate in the brain are called primary brain tumors
    1. Primary brain tumors usually don’t spread to other parts of the body but can spread across the brain
    2. Benign- slow-growing, clear margins
    3. Malignant- fast-growing, grow into surrounding tissue
  3. Incidence
    1. Can occur at any age
    2. Commonage of onset depends on tumor type
  4. Risk Factors
    1. Radiation treatment to the head
    2. Weakened immune system
      1. HIV linked to CNS lymphoma
    3. Genetic disorders
      1. Neurofibromatosis
      2. Li-Fraumeni syndrome
      3. Turcot syndrome

Assessment

  1. General symptoms from ↑ ICP
    1. Headache
    2. Nausea
    3. Vomiting
    4. Altered level of consciousness
    5. Seizures
  2. Focal symptoms related to tumor location in the brain
    1. Sensory changes
      1. Hearing
      2. Vision
    2. Personality changes
    3. Weakness
    4. Ataxia = impaired balance and coordination

Therapeutic Management

  1. Decrease ICP
    1. Steroids work quickly
      1. Dexamethasone IVP drug of choice
    2. Ventricular Shunt
      1. A surgical procedure to drain CSF
    3. Rarely given Mannitol
      1. Risk of rebound increase ICP
  2. Remove or shrink the tumor
    1. Craniotomy- the goal is to remove the entire tumor
      1. Tumor excised in surgery
      2. Sometimes due to location, tumors cannot be surgically removed
    2. Radiation treatment
      1. External Beam radiation
      2. Radioactive implants
    3. Chemotherapy
      1. Must cross the blood-brain barrier or be delivered directly to CNS
        1. Ommaya reservoir is a port inserted in the ventricles to give chemo directly
        2. Intrathecal chemo is given by oncologists via lumbar puncture
        3. Chemotherapy wafers can be placed in OR after tumor removed- this delivers chemo directly to the area
    4. Targeted therapy
      1. Prevents angiogenesis so tumors cannot get blood supply

Nursing Concepts

  1. Cellular regulation
    1. Tumors formed from masses of abnormal cells that grow out of control
  2. Cognition
    1. AMS/ impaired memory from tumors
  3. Intracranial regulation
    1. Alterations in ICP
  4.  Coping
    1. Terrifying diagnosis because it can lead to severe disability or death

Patient Education

  1. Treatment specific
    1. Side effects of chemo and radiation
      1. Immunosuppression
      2. Risk of bleeding
      3. Hair loss
      4. Fatigue
      5. Nausea
    2. Post-op instructions
      1. In hospital for 5-6 days after craniotomy
  2. Recognize symptoms of recurrence
    1. Headaches
      1. Change in headache characteristics
      2. New persistent headache
    2. Vision changes

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Transcript

Hi guys, today we are talking about brain tumors. So let’s start off by reviewing some of the functions of the brain. Obviously the brain does so much for us, right? And it’s divided into these different lobes and these lobes specifically control different functions of the body, right? So the frontal lobe has a big piece in controlling our motor movement and also, also our thought among other things, right? But those are big ones. The parietal lobe has a lot to do with memory and also reasoning. The occipital lobe has a lot to do with vision and along with that reading, temporal lobe: hearing is a big one and the temporal lobe. And again, there are other functions of these lobes, but these are some of the big ones. And then we kind of group the brainstem pons and medulla oblongata. So right here, and this is sort of the life center, right? So this controls our heart rate breathing, And then the cerebellum is a big factor in coordination. And why is that important when we’re talking about brain tumors and that has a lot to do with what side effects we’re going to see in the patients with tumors in these different areas. So a simple example, if we have a big tumor in the temporal lobe, that person might have a lot of, deficits with their hearing or over here or in the middle lobe here, we might have a lot of changes in vision. So the location of the tumor is going to impact what symptoms we see. And then of course there’s other functions of the brain and other parts of the brain. This image shows kind of our ventricles. It’s a little bit hard to see, but if you remember, the ventricles are, these, the sections in the brain where CSF or so we roll spinal fluid can flow through and that’s important to nourish and protect the brain. And then we also have the meninges, the layers. The three layers that again, protect the brain and then between the brain and the, central nervous system and the rest of the body. A big thing we need to remember is the blood brain barrier. And if you recall that really limits or restricts the passage of different substances to the brain. So that’s important because, it makes it difficult to treat tumors in the brain, certain substances, Including meds and chemo. they sometimes cannot pass the blood brain barrier. So we’ll talk about that a little bit more in other sections. Brain tumor types, there are tons of different types of brain tumors based off of the cells that form them. So we’re going to review some of them here. If the tumor is formed in the nerve cells, it’s called a neuronal tumor. If it’s formed in the supporting cells, it’s called a glioma and there’s different types of gliomas. That’s what this picture is of the different types of cells supporting cells. And they’re going to all these tumors are going to act a little bit different. That’s why it’s important to distinguish between them. Okay. So types of gliomas, we have astrocytes and they deliver nutrients. So if those are impacted nutrients, won’t be delivered to the nerve cells. These are these green cells here. If we have tumors that arise from these cells, they’re called an astrocytoma. 

If it’s slow growing, and if it’s fast growing, it would be called a glioblastoma. You can check out the outline. Those words are written in there for you. Another glioma would be if it’s in the, oligodendrocytes, and those are these blue cells right here, and they insulate nerve fibers. If there’s a cancer in there, it’s called a oligodendroglioma. I know guys stick with me. These are tough words. I just want you to recognize them a little bit. If you hear him, you don’t need to know everything I say. And then we have the ependymal can’t even say him at then ependymoma. Those are these red cells here, and these produce CSF. So if those are impacted, we’re going to have a change to our CSF, whether it’s a huge release of it or decrease, right. Okay. So the important thing here is that the different cells, cancers, or tumors arising from the different cell types are going to basically act differently.  Another one would be a meningioma and that’s if a tumor forms in the meninges or we also have CNS lymphoma, and that’s obviously if a lymphoma spreads or forms in the central nervous system. And then metastasis is a big thing with brain tumors. Oftentimes the most common brain tumors are from metastasis, from another cancer. If it has not spread from another cancer, then it would be called a primary brain tumor. And that’s what I have right here. So that’s when that forms within the brain, right as the primary site. So are we talking about cancer or tumors here? I know I’ve been using those terms interchangeably, but it’s important to note that we usually talk about any tumors or cancer within the brain as tumors, because they perform a little bit different than other cancers.

They don’t usually spread beyond the brain tissues. So if we’re talking about a benign tumor, it’s just slow growing. If it’s a metastatic tumor, it’s fast-growing into the surrounding tissues within the brain. Cause they very, very rarely would spread outside of the brain. And we talk about them as tumors because it, whether they’re benign or metastatic, they’re both very dangerous and treated in mostly the same way. What are the risk factors for brain tumors?  Age really isn’t one. I’m just saying it could be any age, even children getting brain tumors. It’s actually the second, most common cancer in children, but there are risk factors: prior radiation treatment is one of them. So whether you were treated for cancer in the past, or if you had radiation to your brain for something else, they used to use radiation for a lot of different things that, we don’t really use it for anymore, but you might see that in the,  in different generations. 

And it has been linked to certain genetic disorders. These are also written in the outline, guys, check them out because I’m not going to write them out there. Other long words, neurofibromatosis, Li-Fraumeni and Turcot syndromes, and those are linked to several different cancers. And then a weakened immune system, especially HIV has been linked very heavily to the CNS lymphoma. Okay. Intracranial pressure is important to mention when we’re talking about brain cancer because we know, we have pretty limited space within our cranial volt, right? That’s what I drew here. That’s a big brain for this person. This is our brain, right? Okay. There’s not a whole lot of room. There is just not a whole lot of room in this area for any change in pressure. Normal intracranial pressure is between five and 15 and our body can change that a little bit. 

It’s impacted by CSF and blood flow and also brain tissue. If it increases, if it keeps going up that can equal brain tissue death. And as a tumor is growing within this very limited cavity, it can increase ICP. And that needs to be addressed immediately. That can cause brain tissue, death. So symptoms of intracranial pressure:  nausea, vomiting, altered level of consciousness and seizure activity. So those would be just general signs of increased ICP and brain tumors. Now we also have the focal symptoms related to the area of the brain that is impacted. I talked a little bit about this at the beginning of the lesson. So sensory changes if we’re impacting these lobes that have to do with hearing and vision, right? We’ll have sensory changes, personality changes, especially with that frontal lobe, possibly the parietal lobe weakness and ataxia that would have a lot to do here with the cerebellum. 

So ataxia, that’s kind of a fancy nurse word, right? Ataxia is impaired balance and coordination. And I mentioned before, the cerebellum is huge in this involvement. So these people slowly progressed to having a loss of their motor function or a change. I’ll never forget. I had a patient come into a clinic once I had been seeing him frequently and suddenly his gait, the way he walked, was just a little bit different. And the oncologist came over to see and the oncologist said, touch your finger to your nose. And he was able to do that. And then the oncologist said, touch your finger to this pencil I’m holding out. And he just couldn’t quite get it. He wasn’t coordinated enough to do that. And that was a sign oncologist right away knew that the patient had metastasis to the brain treatment.
We need to decrease that intracranial pressure. 
If that’s high immediately, that can be done with steroids. We give dexamethasone IV and it works quick guys. It’s surprising how much they improve with steroids cause that decreases inflammation or some patients will have a shunt. And that’s what this picture is of. So this is draining fluid from the ventricles down this shunt, to decrease the intracranial pressure. Surgeries- craniotomy,  to remove the tumor. Uh, sometimes it can not be removed and we have to use radiation and chemotherapy. Radiation is very effective against brain tumors. I’ve seen a lot of patients do really well with radiation treatment, even if the goal is not to cure, but just to improve symptoms, it does work pretty well. And then chemotherapy: Remember we have to cross that blood-brain barrier. So there are certain chemos that can cross it given in the vasculature. 

But oftentimes we give chemo directly to the CNS that can be done through a shunt. It’s called an Omar, or I’m sorry, a port it’s called an Ommaya reservoir. It’s actually, it stays in the head once it’s been surgically placed. And once it’s there, surgeons can, or oncologists can give chemotherapy directly into this reservoir. And then it goes to the ventricles. Also, the chemo can be given via a lumbar puncture directly to the CNS. Okay. So education for our patients: we need to talk about the side effects of the treatments that they’re going through. We need to talk about postop considerations and then the risk of recurrence. We need them to watch out for headaches, which is often a sign of recurrence or things like vision changes. Any of the symptoms of the cancer nursing concepts cellular regulation went out of whack, right? Cognition and intracranial regulation because our brain is impacted. We might have big changes to those key points here, takeaways, brain tumors, whether it’s benign or malignant, it can still be very dangerous, increased intracranial pressure needs to be treated immediately. Steroids are often the first line, the blood-brain makes treating with chemo difficult. And the location of the tumor is going to determine the symptoms that we see. All right, that’s all I have guys. We love you. Go out and be your best self today. And as always happy nursing.

 

 

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Study Plan Lessons

02.02 Cardiomyopathy for CCRN Review
02.06 Heart Murmurs for CCRN Review
02.08 Cardiac Catheterization & Acute Coronary Syndrome for CCRN Review
02.12 Myocardial Infarction- Inferior Wall for CCRN Review
02.13 Myocardial Infarction – Anterior Septal Wall for CCRN Review
02.14 Shock Stages for CCRN Review
02.15 Hypovolemic Shock for CCRN Review
02.16 Cardiogenic Shock for CCRN Review
02.17 Septic Shock for CCRN Review
02.18 Cardiovascular Practice Questions for CCRN Review
03.01 Syndrome of Inappropriate Antidiuretic hormone (SIADH) for CCRN Review
03.02 Diabetes Insipidus for CCRN Review
03.03 Hypoglycemia for CCRN Review
03.04 DKA vs HHNK for CCRN Review
03.05 Endocrine Practice Questions for CCRN Review
05.01 Pancreatitis and Large Bowel Obstruction for CCRN Review
05.02 Liver Overview and Disease for CCRN Review
05.05 GI Practice Questions for CCRN Review
06.04 Differentiating Ectopy and Aberrancy for CCRN Review
06.05 Wide Complex Tachycardia for CCRN Review
07.09 Meningitis for CCRN Review
07.10 Neurologic Review questions for CCRN Review
10.04 Pulmonary Question Review for CCRN Review
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)
Absolute Neutrophil Count (ANC) Lab Values
Absolute Reticulocyte Count (ARC) Lab Values
Accountability and Assistance for Personal Limitations for Certified Perioperative Nurse (CNOR)
ACE (angiotensin-converting enzyme) Inhibitors
Acute Abdomen 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 Kidney Injury Case Study (60 min)
Acute Renal (Kidney) Module Intro
Acute Respiratory Distress Syndrome (ARDS) for Progressive Care Certified Nurse (PCCN)
Addisons Assessment Nursing Mnemonic (STEROID)
Addisons Disease
Adjunct Neuro Assessments
Admissions, Discharges, and Transfers
Adrenal and Thyroid Disorder Emergencies for Certified Emergency Nursing (CEN)
Adrenal Gland Hormones Nursing Mnemonic (The 3 S’s)
Advance Directives
Advanced Directive and DNR Status Confirmation for Certified Perioperative Nurse (CNOR)
Age and Culturally Appropriate Health Assessment Techniques for Certified Perioperative Nurse (CNOR)
AIDS Case Study (45 min)
Airway Suctioning
Alanine Aminotransferase (ALT) Lab Values
Alendronate (Fosamax) Nursing Considerations
Alkaline Phosphatase (ALK PHOS) Lab Values
Alkylating Agents
Allergic Reactions and Anaphylaxis for Certified Emergency Nursing (CEN)
Alteplase (tPA, Activase) Nursing Considerations
Altered Mental Status Nursing Mnemonic (AEIOU TIPS)
Altered Mental Status- Delirium and Dementia for Progressive Care Certified Nurse (PCCN)
Amitriptyline (Elavil) Nursing Considerations
Amlodipine (Norvasc) Nursing Considerations
Amputation
Amputation Concept Map
Amputation for Certified Emergency Nursing (CEN)
Anaphylaxis Nursing Interventions for Certified Perioperative Nurse (CNOR)
Anemia for Progressive Care Certified Nurse (PCCN)
Anesthesia Management Assistance for Certified Perioperative Nurse (CNOR)
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Aneurysm (Dissecting, Repair) for Progressive Care Certified Nurse (PCCN)
Aneurysm and Dissection for Certified Emergency Nursing (CEN)
Angiotensin Receptor Blockers
Anion Gap
Anion Gap Acidosis 1 Nursing Mnemonic (KULT)
Anion Gap Acidosis 2 Nursing Mnemonic (MUDPILES)
Anti Tumor Antibiotics
Anti-Infective – Carbapenems
Anti-Infective – Glycopeptide
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Anti-Infective – Tetracyclines
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Antineoplastics
Antinuclear Antibody Lab Values
Aortic Aneurysm – Management Nursing Mnemonic (CRAM)
Aortic Aneurysm – Thoracic signs Nursing Mnemonic (PEE BADS)
Aortic Stenosis Symptoms Nursing Mnemonic (SAD)
Appendicitis for Certified Emergency Nursing (CEN)
ARDS Case Study (60 min)
ARDS causes Nursing Mnemonic (GUT PASS)
Artificial Airways
ASA (Aspirin) Nursing Considerations
Aspiration for Certified Emergency Nursing (CEN)
Assessment for Myasthenic Crisis Nursing Mnemonic (BRISH)
Assessment of Guillain-Barre Syndrome Nursing Mnemonic (GBS=PAID)
Asthma (Severe) for Progressive Care Certified Nurse (PCCN)
Asthma for Certified Emergency Nursing (CEN)
At Risk for Gout Nursing Mnemonic (MALE)
Atenolol (Tenormin) Nursing Considerations
Atorvastatin (Lipitor) Nursing Considerations
Atrial Dysrhythmias for Progressive Care Certified Nurse (PCCN)
Atrial Fibrillation (A Fib)
Atrial Flutter
AV Blocks Dysrhythmias for Progressive Care Certified Nurse (PCCN)
AVPU Mnemonic (The AVPU Scale)
Avulsions and Degloving Injuries for Certified Emergency Nursing (CEN)
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Bacterial Endocarditis – Symptoms Nursing Mnemonic (Be Joan Of Arc)
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Bariatric: IV Insertion
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Barriers to Health Assessment
Bed Bath
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Biopsy
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Bladder Cancer
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Bleeding Precautions Nursing Mnemonic (RANDI)
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Blunt Chest Trauma
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Bone Cancer (Osteosarcoma, Chondrosarcoma, and Ewing Sarcoma)
Bowel Obstruction Concept Map
Bowel Perforation for Certified Emergency Nursing (CEN)
BPH Symptoms Nursing Mnemonic (FUN WISE)
Brain Death v. Comatose
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Brain Tumors
Brain Tumors
Breast Cancer
Breast Cancer Concept Map
Bronchoscopy
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Burns for Certified Emergency Nursing (CEN)
C-Reactive Protein (CRP) Lab Values
C. Difficile for Certified Emergency Nursing (CEN)
Calcium Acetate (PhosLo) Nursing Considerations
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Cancer – Early Warning Signs Nursing Mnemonic (CAUTION UP)
Cancer – Nursing Priorities Nursing Mnemonic (CANCER)
Canes Nursing Mnemonic (COAL)
Captopril (Capoten) Nursing Considerations
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Cardiac A&P Module Intro
Cardiac Anatomy
Cardiac Arrest Nursing Interventions for Certified Perioperative Nurse (CNOR)
Cardiac Course Introduction
Cardiac Labs – What and When to Use Them – Live Tutoring Archive
Cardiac Labs – What and When to Use Them 2 – Live Tutoring Archive
Cardiac Stress Test
Cardiac Surgery (Post-ICU Care) for Progressive Care Certified Nurse (PCCN)
Cardiac Tamponade for Progressive Care Certified Nurse (PCCN)
Cardiac Valves Blood Flow Nursing Mnemonic (Toilet Paper my Ass)
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Cardiogenic Shock and Obstructive Shock for Certified Emergency Nursing (CEN)
Cardiogenic Shock For PCCN for Progressive Care Certified Nurse (PCCN)
Cardiomyopathies (Dilated, Hypertrophic, Restrictive) for Progressive Care Certified Nurse (PCCN)
Cardiovascular Angiography
Cardiovascular Disorders (CVD) Module Intro
Cataracts
Causes of Anaphylaxis Nursing Mnemonic (Many Boys Love Food)
Causes of Dyspnea Nursing Mnemonic (The 6 P’s)
Causes of Pancreatitis Nursing Mnemonic (BAD HITS)
Causes of Renal Calculi Nursing Mnemonic (Patients Complain of Pain and Difficulty Urinating)
Celecoxib (Celebrex) Nursing Considerations
Central Line Dressing Change
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Chest Tube Management Case Study (60 min)
CHF Treatment Nursing Mnemonic (UNLOAD FAST)
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Chronic Kidney Disease (CKD) Case Study (45 min)
Chronic Obstructive Pulmonary Disease (COPD) Case Study (60 min)
Chronic Obstructive Pulmonary Disease (COPD) for Certified Emergency Nursing (CEN)
Chronic Renal (Kidney) Module Intro
Circulatory Checks (5 P’s) Nursing Mnemonic (The 5 P’s)
Cirrhosis Case Study (45 min)
Cirrhosis Complications Nursing Mnemonic (Please Bring Happy Energy)
Cirrhosis for Certified Emergency Nursing (CEN)
Clopidogrel (Plavix) Nursing Considerations
Coagulation Studies (PT, PTT, INR)
Coagulopathies, Medication-Induced (Coumadin, Platelet Inhibitors, Heparin, HIT) for Progressive Care Certified Nurse (PCCN)
Cold Temperature-related Emergencies for Certified Emergency Nursing (CEN)
Colonoscopy
Colorectal Cancer (colon rectal cancer)
Comfort Provisions (Behavioral Response to Procedure) for Certified Perioperative Nurse (CNOR)
Common Pathogens for UTI Nursing Mnemonic (KEEPS)
Common Signs of Parkinson’s Nursing Mnemonic (SMART)
Communication of Patient Outcomes (Continuum of Care) for Certified Perioperative Nurse (CNOR)
Compartment Syndrome for Certified Emergency Nursing (CEN)
Complications of Immobility
Complications of Spinal Cord Injuries Nursing Mnemonic (ABCDEFG)
Complications of Thoracentesis Nursing Mnemonic (Patients Sometimes Bleed Internally)
Computed Tomography (CT)
Confirmation of Correct Procedure (Operative Site, Side, Site Marking) for Certified Perioperative Nurse (CNOR)
Confirming Patient Identity (Patient Identifiers) for Certified Perioperative Nurse (CNOR)
Congestive Heart Failure Concept Map
Continuous Renal Replacement Therapy (CRRT, dialysis)
COPD (Chronic Obstructive Pulmonary Disease) Labs
COPD Concept Map
COPD Exacerbation for Progressive Care Certified Nurse (PCCN)
COPD management Nursing Mnemonic (COPD)
Cor Pulmonale – Signs & Symptoms Nursing Mnemonic (Please Read His Text)
Coronary Arteries – Location Nursing Mnemonic (I have a RIGHT to CAMP if you LEFT off the AC)
Coronary Artery Disease Concept Map
Coronary Circulation
Coronavirus (COVID-19) Nursing Care and General Information
Cortisol Lab Vales
Cortisone (Cortone) Nursing Considerations
Cost Containment Measures for Certified Perioperative Nurse (CNOR)
Cranial Nerve Mnemonic 01 Nursing Mnemonic (Olympic Opium Occupies Troubled Triathletes After Finishing Vegas Gambling Vacations Still High)
Cranial Nerve Mnemonic 02 Nursing Mnemonic (Oh Oh Oh To Touch And Feel Very Good Velvet AH!)
Cranial Nerve Mnemonic 03 Nursing Mnemonic (On Old Obando Tower Top A Filipino Army Guards Villages And Huts)
Creatine Phosphokinase (CPK) Lab Values
Creatinine Clearance Lab Values
Critical Thinking to Facilitate Patient Care for Certified Perioperative Nurse (CNOR)
CRNA
Crohn’s Morphology and Symptoms Nursing Mnemonic (CHRISTMAS)
CT & MR Angiography
Cultures
Cushing’s Syndrome Case Study (60 min)
Cushings Assessment Nursing Mnemonic (STRESSED)
Cyclic Citrullinated Peptide (CCP) Lab Values
Cyclosporine (Sandimmune) Nursing Considerations
D-Dimer (DDI) Lab Values
Day in the Life of a Med-surg Nurse
Day in the Life of an Operating Room Nurse
Decrease ICP Nursing Mnemonic (Craniums Excite Me)
Delegation and Personnel Management for Certified Perioperative Nurse (CNOR)
Dementia and Alzheimers
Diabetes Insipidus Case Study (60 min)
Diabetes Insipidus Nursing Mnemonic (DDD)
Diabetes Management
Diabetes Mellitus (DM) Module Intro
Diabetes Mellitus & Those Dang Blood Sugars! – Live Tutoring Archive
Diabetes Mellitus Case Study (45 min)
Diabetes Mellitus for Progressive Care Certified Nurse (PCCN)
Diabetes Mellitus Type 1- Signs & Symptoms Nursing Mnemonic (The 3 P’s)
Diabetic Emergencies for Certified Emergency Nursing (CEN)
Diabetic Ketoacidosis (DKA) Case Study (45 min)
Diabetic Ketoacidosis for Progressive Care Certified Nurse (PCCN)
Diagnostic Criteria for Lupus Nursing Mnemonic (SOAP BRAIN MD)
Dialysis & Other Renal Points
Different Dressings
Diltiazem (Cardizem) Nursing Considerations
Discharge (DC) Teaching After Surgery
Discharge Planning for Certified Emergency Nursing (CEN)
Disease Specific Medications
Disseminated Intravascular Coagulation Case Study (60 min)
Diverticulitis Complications Nursing Mnemonic (Please Fix His Abscess SOon)
Diverticulitis for Certified Emergency Nursing (CEN)
DKA Treatment Nursing Mnemonic (KING UFC)
Dobutamine (Dobutrex) Nursing Considerations
Dopamine (Inotropin) Nursing Considerations
Drugs that Cause SJS Nursing Mnemonic (I C NASA)
Dysrhythmias for Certified Emergency Nursing (CEN)
Dysrhythmias Labs
Echocardiogram (Cardiac Echo)
EENT Course Introduction
EENT Medications
Emergency Situation Identification for Certified Perioperative Nurse (CNOR)
Enalapril (Vasotec) Nursing Considerations
Encephalopathies
Encephalopathy (Hypoxic-ischemic, Metabolic, Infectious, Hepatic) for Progressive Care Certified Nurse (PCCN)
End-Stage Renal Disease (ESRD) for Progressive Care Certified Nurse (PCCN)
Endocarditis Case Study (45 min)
Endocarditis for Certified Emergency Nursing (CEN)
Endoscopy & EGD
Enoxaparin (Lovenox) Nursing Considerations
Enteral & Parenteral Nutrition (Diet, TPN)
Envenomation Emergencies for Certified Emergency Nursing (CEN)
Environmental Cleaning (Spills, Room Turnover, Terminal Cleaning) for Certified Perioperative Nurse (CNOR)
Environmental Factor Control for Certified Perioperative Nurse (CNOR)
Environmental Stewardship (Waste Minimization) for Certified Perioperative Nurse (CNOR)
Epinephrine (EpiPen) Nursing Considerations
Epoetin (Epogen) Nursing Considerations
Epoetin Alfa
Equipment Utilization (Manufacturers Recommendations) for Certified Perioperative Nurse (CNOR)
Erythrocyte Sedimentation Rate (ESR) Lab Values
Erythromycin (Erythrocin) Nursing Considerations
Esophageal Varices for Certified Emergency Nursing (CEN)
Essential NCLEX Meds by Class
Ethical and Professional Standards for Certified Perioperative Nurse (CNOR)
Evaluation of Irregular Moles Nursing Mnemonic (ABCDE)
Explant Preparation (Final Disposition) for Certified Perioperative Nurse (CNOR)
Fentanyl (Duragesic) Nursing Considerations
Ferrous Sulfate (Iron) Nursing Considerations
Fibrin Degradation Products (FDP) Lab Values
Fibrinogen Lab Values
Fibromyalgia
Fluid Volume Overload
Formulating Nursing Diagnoses for Certified Perioperative Nurse (CNOR)
Fractures
Fractures (Open, Closed, Fat Embolus) for Certified Emergency Nursing (CEN)
Free T4 (Thyroxine) Lab Values
Function Within Scope of Practice for Certified Perioperative Nurse (CNOR)
Functional GI Disorders (Obstruction, Ileus, Diabetic Gastroparesis, Gastroesophageal Reflux, Irritable Bowel Syndrome) for Progressive Care Certified Nurse (PCCN)
Functional Issues (Immobility, Falls, Gait Disorders) for Progressive Care Certified Nurse (PCCN)
Fundamentals Course Introduction
Gabapentin (Neurontin) Nursing Considerations
Gastritis
Gastrointestinal (GI) Bleed Concept Map
General Anesthesia
General Assessment (Physical assessment)
Genitourinary (GU) Assessment
Genitourinary Course Introduction
Genitourinary Infections for Certified Emergency Nursing (CEN)
Genitourinary Trauma for Certified Emergency Nursing (CEN)
GERD (Gastroesophageal Reflux Disease)
GERD causes Nursing Mnemonic (Reflux Is Probably Mean)
GI Bleed (Upper, Lower) for Progressive Care Certified Nurse (PCCN)
GI Infections (C. difficile) for Progressive Care Certified Nurse (PCCN)
GI Surgeries (Resections, Esophagogastrectomy, Bariatric) for Progressive Care Certified Nurse (PCCN)
Glaucoma
Glipizide (Glucotrol) Nursing Considerations
Global Symptoms for Brain Tumors Nursing Mnemonic (HAS)
Glucagon (GlucaGen) Nursing Considerations
Gout Case Study (45 min)
Gynecological Infections for Certified Emergency Nursing (CEN)
Gynecological Trauma for Certified Emergency Nursing (CEN)
Hand Hygiene Guideline Adherence for Certified Perioperative Nurse (CNOR)
Hazardous Material Handling and Disposition (Chemo, Radioactive) for Certified Perioperative Nurse (CNOR)
Hb (Hepatitis) Vaccine
HCIR Management (Healthcare Industry Representative) for Certified Perioperative Nurse (CNOR)
Head and Spinal Cord Trauma for Certified Emergency Nursing (CEN)
Head/Neck Assessment
Health Assessment Course Introduction
Healthcare Team Member Supervision and Education for Certified Perioperative Nurse (CNOR)
Healthcare-Acquired Infections: Catheter-Associated Bloodstream Infections (CAUTI) for Progressive Care Certified Nurse (PCCN)
Healthcare-Acquired Infections: Surgical Site Infections (SSI) for Progressive Care Certified Nurse (PCCN)
Hearing Loss
Heart (Cardiac) and Great Vessels Assessment
Heart (Cardiac) Failure Module Intro
Heart (Cardiac) Failure Therapeutic Management
Heart (Cardiac) Sound Locations and Auscultation
Heart Failure – Live Tutoring Archive
Heart Failure – Right Sided Nursing Mnemonic (HEAD)
Heart Failure (Acute Exacerbations, Chronic) for Progressive Care Certified Nurse (PCCN)
Heart Failure 2 – Live Tutoring Archive
Heart Failure Case Study (45 min)
Heart Failure for Certified Emergency Nursing (CEN)
Heart Failure-Left-Sided Nursing Mnemonic (CHOP)
Heart Failure-Origin Nursing Mnemonic (Left – Lung|Right – Rest)
Heat Temperature-related Emergencies for Certified Emergency Nursing (CEN)
Hematologic Disorders for Certified Emergency Nursing (CEN)
Hematology Module Intro
Hematology/Oncology/Immunology Course Introduction
Hemodialysis (Renal Dialysis)
Hemorrhage Nursing Interventions for Certified Perioperative Nurse (CNOR)
Hemorrhagic Fevers for Certified Emergency Nursing (CEN)
Hemorrhagic Stroke Risk Factors Nursing Mnemonic (HATS)
Heparin (Hep-Lock) Nursing Considerations
Hepatic Disorders (Cirrhosis, Hepatitis, Portal Hypertension) for Progressive Care Certified Nurse (PCCN)
Hepatitis B Virus (HBV) Lab Values
Hepatitis for Certified Emergency Nursing (CEN)
Hiatal Hernia
Hiatal Hernia Symptoms Nursing Mnemonic (Her Belly Really Hurts Following Dinner)
High Pressure Vent Alarms Nursing Mnemonic (Kings Eat Big Cakes)
Histamine 1 Receptor Blockers
Histamine 2 Receptor Blockers
HMG-CoA Reductase Inhibitors (Statins)
Hydralazine
Hygiene
Hypercalcemia – Signs and Symptoms Nursing Mnemonic (GROANS, MOANS, BONES, STONES, OVERTONES)
Hyperglycaemic Hyperosmolar Non-ketotic syndrome (HHNS)
Hyperglycemia for Progressive Care Certified Nurse (PCCN)
Hypernatremia – Signs and Symptoms 2 Nursing Mnemonic (FRIED)
Hypernatremia – Signs and Symptoms 2 Nursing Mnemonic (SWINE)
Hypernatremia – Signs and Symptoms 3 Nursing Mnemonic (SALT)
Hypertension – Nursing care Nursing Mnemonic (DIURETIC)
Hypertension (HTN) Concept Map
Hypertension (Uncontrolled) and Hypertensive Crisis for Progressive Care Certified Nurse (PCCN)
Hypertension for Certified Emergency Nursing (CEN)
Hypertension- Complications Nursing Mnemonic (The 4 C’s)
Hypertensive Crisis Case Study (45 min)
Hyperthermia (Thermoregulation)
Hyperthyroidism Case Study (75 min)
Hypertonic Solutions (IV solutions)
Hypocalcemia – Definition, Signs and Symptoms Nursing Mnemonic (CATS)
Hypoglycemia
Hypoglycemia – Signs and Symptoms Nursing Mnemonic (TIRED)
Hypoglycemia for Progressive Care Certified Nurse (PCCN)
Hypoglycemia Management Nursing Mnemonic (Cool and Clammy – Give ‘Em Candy)
Hypoglycemia symptoms Nursing Mnemonic (DIRE)
Hypokalemia – Signs and Symptoms Nursing Mnemonic (6 L’s)
Hyponatremia- Definition, Signs and Symptoms Nursing Mnemonic (SALT LOSS)
Hypoparathyroidism
Hypothermia (Thermoregulation)
Hypotonic Solutions (IV solutions)
Hypovolemic and Distributive Shock for Certified Emergency Nursing (CEN)
Hypoxia – Signs and Symptoms Nursing Mnemonic (RAT BED)
ICU Nurse Report to OR (Operating)Team
Immunocompromise (HIV and AIDS, Oncology and Chemotherapy, Transplant Patient) for Certified Emergency Nursing (CEN)
Immunology Module Intro
Impaired or Disruptive Behavior Reporting (Interdisciplinary Healthcare Team) for Certified Perioperative Nurse (CNOR)
Implant Preparation for Certified Perioperative Nurse (CNOR)
Implant Records and Tracking for Certified Perioperative Nurse (CNOR)
Implant Verification and Availability for Certified Perioperative Nurse (CNOR)
Impulse Transmission
Increased Intraocular Pressure for Certified Emergency Nursing (CEN)
Individualized Physical Assessments for Certified Perioperative Nurse (CNOR)
Infectious Diseases: Influenza for Progressive Care Certified Nurse (PCCN)
Inflammatory Bowel Disease Case Study (45 min)
Influenza for Certified Emergency Nursing (CEN)
Informed Consent
Inserting a Foley (Urinary Catheter) – Male
Inserting an NG (Nasogastric) Tube
Insulin
Insulin – Intermediate Acting (NPH) Nursing Considerations
Insulin – Long Acting (Lantus) Nursing Considerations
Insulin – Mixtures (70/30)
Insulin – Rapid Acting (Novolog, Humalog) Nursing Considerations
Insulin – Short Acting (Regular) Nursing Considerations
Insulin Mnemonic (Ready, Set, Inject, Love)
Intake and Output (I&O)
Integumentary (Skin) Course Introduction
Integumentary (Skin) Important Points
Integumentary (Skin) Module Intro
Interdisciplinary Healthcare Team Collaboration for Certified Perioperative Nurse (CNOR)
Interdisciplinary Team Member Functions for Certified Perioperative Nurse (CNOR)
Interdisciplinary Team Participation for Certified Perioperative Nurse (CNOR)
Interventional Radiology
Interventions for Aphasia Nursing Mnemonic (PROP)
Intracranial Pressure ICP
Intraoperative (Intraop) Complications
Intraoperative Nursing Priorities
Intraoperative Positioning
Intrarenal Causes of Acute Kidney Injury Nursing Mnemonic (TONIC)
Intro to Health Assessment
Introduction to Health Assessment
Intubation in the OR
Iodine Nursing Considerations
Ionized Calcium Lab Values
Iron (Fe) Lab Values
Ischemic (CVA) Stroke Labs
Ischemic Bowel for Progressive Care Certified Nurse (PCCN)
Isoniazid (Niazid) Nursing Considerations
IV Complications (infiltration, phlebitis, hematoma, extravasation, air embolism)
Kidney Cancer
Lacerations for Certified Emergency Nursing (CEN)
Lactate Dehydrogenase (LDH) Lab Values
Lactic Acid
Leukemia
Leukemia – Signs and Symptoms Nursing Mnemonic (ANT)
Leukemia Case Study (60 min)
Levels of consciousness Nursing Mnemonic (Never Carry Dirty Socks Or Smelly Clothes)
Levofloxacin (Levaquin) Nursing Considerations
Levothyroxine (Synthroid)
Lidocaine (Xylocaine) Nursing Considerations
Lidocaine Toxicity – Signs and Symptoms Nursing Mnemonic (SAMS)
Linen Change
Lipase Lab Values
Lisinopril (Prinivil) Nursing Considerations
Live Bedside Report Medsurg (Medical surgical)
Liver Cancer
Liver/Gallbladder Module Intro
Local Anesthesia
Local Anesthetic Systemic Toxicity (LAST) Nursing Interventions for Certified Perioperative Nurse (CNOR)
Loperamide (Imodium) Nursing Considerations
Losartan (Cozaar) Nursing Considerations
Low Pressure Vent Alarms Nursing Mnemonic (Cake Everyday)
Lower Gastrointestinal (GI) Module Intro
Lung Cancer
Lung Diseases Module Intro
Lymphatic Assessment
Lymphoma
Lymphoma – Signs and Symptoms Nursing Mnemonic (NURSE For Pete’s Sake)
Macular Degeneration
Magnetic Resonance Imaging (MRI)
Malignant Hyperthermia
Malignant Hyperthermia (MH) Nursing Interventions for Certified Perioperative Nurse (CNOR)
Mammogram
Management of Glomerulonephritis Nursing Mnemonic (Please Help Deliver Diuretics)
Management of Lyme Disease Nursing Mnemonic (BAR)
Management of Pressure Ulcers (Pressure Injuries) Nursing Mnemonic (SKIN)
Maxillofacial Trauma for Certified Emergency Nursing (CEN)
Mechanical Aids
Medication Classess for IBD Nursing Mnemonic (Sometimes I Can’t Answer)
Medications for Pancreatitis Nursing Mnemonic (Please Make Tummy Better)
Medications to Prevent Seizures Nursing Mnemonic (Pretty Little Liars Forever)
Melanoma
Meniere’s Disease
Meningitis for Certified Emergency Nursing (CEN)
Meperidine (Demerol) Nursing Considerations
Meropenem (Merrem) Nursing Considerations
Metabolic & Endocrine Module Intro
Metabolic Acidosis (interpretation and nursing diagnosis)
Metabolic/Endocrine Course Introduction
Metformin (Glucophage) Nursing Considerations
Methylprednisolone (Solu-Medrol) Nursing Considerations
Metoclopramide (Reglan) Nursing Considerations
Metoprolol (Toprol XL) Nursing Considerations
Metronidazole (Flagyl) Nursing Considerations
MI Surgical Intervention
Migraines
Minimally-Invasive Cardiac Surgery (Non-Sternal Approach) for Progressive Care Certified Nurse (PCCN)
Minimally-Invasive Thoracic Surgery (VATS) for Progressive Care Certified Nurse (PCCN)
Miscellaneous Nerve Disorders
Mobility & Assistive Devices
Moderate Sedation
Montelukast (Singulair) Nursing Considerations
Morphine (MS Contin) Nursing Considerations
Multiple Myeloma
Multiple Sclerosis Symptoms Nursing Mnemonic (DEMYELINATION)
Murmur locations Nursing Mnemonic (hARD ASS MRS. MSD)
Musculoskeletal Assessment
Musculoskeletal Course Introduction
Musculoskeletal Module Intro
Myocardial Infarction (MI) Case Study (45 min)
Myocardial Infarction Nursing Mnemonic (MONATAS)
Naproxen (Aleve) Nursing Considerations
Nasal Disorders
Neostigmine (Prostigmin) Nursing Considerations
Nephrotic Syndrome Case Study (Peds) (45 min)
Neuro A&P Module Intro
Neuro Anatomy
Neuro Assessment Module Intro
Neuro Course Introduction
Neuro Disorders Module Intro
Neuro Trauma Module Intro
Neurogenic Shock for Certified Emergency Nursing (CEN)
Neurological Disorders (Multiple Sclerosis, Myasthenia Gravis, Guillain-Barré Syndrome) for Certified Emergency Nursing (CEN)
Neurological Fractures
NG (Nasogastric)Tube Management
Nitro Compounds
Nitroglycerin (Nitrostat) Nursing Considerations
Nitroprusside (Nitropress) Nursing Considerations
Noncardiac Pulmonary Edema for Certified Emergency Nursing (CEN)
Norepinephrine (Levophed) Nursing Considerations
NRSNG Live | So You Want to be a Surgical Nurse?
Nuclear Medicine
Nursing Care and Pathophysiology for Acquired Immune Deficiency Syndrome (AIDS)
Nursing Care and Pathophysiology for Anaphylaxis
Nursing Care and Pathophysiology for Anemia
Nursing Care and Pathophysiology for Aortic Aneurysm
Nursing Care and Pathophysiology for Appendicitis
Nursing Care and Pathophysiology for Arterial Disorders
Nursing Care and Pathophysiology for Asthma
Nursing Care and Pathophysiology for Cardiogenic Shock
Nursing Care and Pathophysiology for Cardiomyopathy
Nursing Care and Pathophysiology for Chlamydia (STI)
Nursing Care and Pathophysiology for Cholecystitis
Nursing Care and Pathophysiology for Cirrhosis (Liver Disease, Hepatic encephalopathy, Portal Hypertension, Esophageal Varices)
Nursing Care and Pathophysiology for Compartment Syndrome
Nursing Care and Pathophysiology for Crohn’s Disease
Nursing Care and Pathophysiology for Cushings Syndrome
Nursing Care and Pathophysiology for Diabetes Insipidus (DI)
Nursing Care and Pathophysiology for Disseminated Intravascular Coagulation (DIC)
Nursing Care and Pathophysiology for Distributive Shock
Nursing Care and Pathophysiology for Diverticulosis – Diverticulitis
Nursing Care and Pathophysiology for Endometriosis
Nursing Care and Pathophysiology for Epididymitis
Nursing Care and Pathophysiology for Gonorrhea (STI)
Nursing Care and Pathophysiology for Gout
Nursing Care and Pathophysiology for Hashimoto’s Thyroiditis
Nursing Care and Pathophysiology for Heart Failure (CHF)
Nursing Care and Pathophysiology for Hemorrhagic Stroke (CVA)
Nursing Care and Pathophysiology for Hemorrhoids
Nursing Care and Pathophysiology for Hepatitis (Liver Disease)
Nursing Care and Pathophysiology for Herpes Simplex (HSV, STI)
Nursing Care and Pathophysiology for Herpes Zoster – Shingles
Nursing Care and Pathophysiology for Human Papilloma Virus (HPV STI)
Nursing Care and Pathophysiology for Hyperparathyroidism
Nursing Care and Pathophysiology for Hyperthyroidism
Nursing Care and Pathophysiology for Hypothyroidism
Nursing Care and Pathophysiology for Hypovolemic Shock
Nursing Care and Pathophysiology for Inflammatory Bowel Disease (IBD)
Nursing Care and Pathophysiology for Influenza (Flu)
Nursing Care and Pathophysiology for Ischemic Stroke (CVA)
Nursing Care and Pathophysiology for Lyme Disease
Nursing Care and Pathophysiology for Male Infertility
Nursing Care and Pathophysiology for Meningitis
Nursing Care and Pathophysiology for Menopause
Nursing Care and Pathophysiology for Multiple Sclerosis (MS)
Nursing Care and Pathophysiology for Myasthenia Gravis
Nursing Care and Pathophysiology for Osteomyelitis
Nursing Care and Pathophysiology for Pancreatitis
Nursing Care and Pathophysiology for Parkinsons
Nursing Care and Pathophysiology for Pelvic Inflammatory Disease (PID)
Nursing Care and Pathophysiology for Peptic Ulcer Disease (PUD)
Nursing Care and Pathophysiology for Pneumothorax & Hemothorax
Nursing Care and Pathophysiology for Polycystic Ovarian Syndrome (PCOS)
Nursing Care and Pathophysiology for Psoriasis
Nursing Care and Pathophysiology for Pulmonary Edema
Nursing Care and Pathophysiology for Pulmonary Embolism
Nursing Care and Pathophysiology for Rhabdomyolysis
Nursing Care and Pathophysiology for Rheumatoid Arthritis (RA)
Nursing Care and Pathophysiology for Scleroderma
Nursing Care and Pathophysiology for Seizure
Nursing Care and Pathophysiology for Sepsis
Nursing Care and Pathophysiology for SIADH (Syndrome of Inappropriate antidiuretic Hormone Secretion)
Nursing Care and Pathophysiology for Sickle Cell Anemia
Nursing Care and Pathophysiology for SIRS & MODS
Nursing Care and Pathophysiology for Syphilis (STI)
Nursing Care and Pathophysiology for Testicular Torsion
Nursing Care and Pathophysiology for Thrombophlebitis (clot)
Nursing Care and Pathophysiology for Tuberculosis (TB)
Nursing Care and Pathophysiology for Ulcerative Colitis(UC)
Nursing Care and Pathophysiology for Valve Disorders
Nursing Care and Pathophysiology of Acute Kidney (Renal) Injury (AKI)
Nursing Care and Pathophysiology of Acute Respiratory Distress Syndrome (ARDS)
Nursing Care and Pathophysiology of Angina
Nursing Care and Pathophysiology of BPH (Benign Prostatic Hyperplasia)
Nursing Care and Pathophysiology of Chronic Kidney (Renal) Disease (CKD)
Nursing Care and Pathophysiology of COPD (Chronic Obstructive Pulmonary Disease)
Nursing Care and Pathophysiology of Coronary Artery Disease (CAD)
Nursing Care and Pathophysiology of Diabetes Mellitus (DM)
Nursing Care and Pathophysiology of Diabetic Ketoacidosis (DKA)
Nursing Care and Pathophysiology of Endocarditis and Pericarditis
Nursing Care and Pathophysiology of Glomerulonephritis
Nursing Care and Pathophysiology of Hypertension (HTN)
Nursing Care and Pathophysiology of Myocardial Infarction (MI)
Nursing Care and Pathophysiology of Myocarditis
Nursing Care and Pathophysiology of Nephrotic Syndrome
Nursing Care and Pathophysiology of Osteoarthritis (OA)
Nursing Care and Pathophysiology of Osteoporosis
Nursing Care and Pathophysiology of Pneumonia
Nursing Care and Pathophysiology of Renal Calculi (Kidney Stones)
Nursing Care and Pathophysiology of Urinary Tract Infection (UTI)
Nursing Care Plan (NCP) & Interventions for Increased Intracranial Pressure (ICP)
Nursing Care Plan (NCP) for Abdominal Pain
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 Kidney Injury
Nursing Care Plan (NCP) for Acute Pain
Nursing Care Plan (NCP) for Acute Respiratory Distress Syndrome
Nursing Care Plan (NCP) for Addison’s Disease (Primary Adrenal Insufficiency)
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 Aspiration
Nursing Care Plan (NCP) for Asthma / Childhood Asthma
Nursing Care Plan (NCP) for Atrial Fibrillation (AFib)
Nursing Care Plan (NCP) for Bell’s Palsy
Nursing Care Plan (NCP) for Benign Prostatic Hyperplasia (BPH)
Nursing Care Plan (NCP) for Bladder Cancer
Nursing Care Plan (NCP) for Blunt Chest Trauma
Nursing Care Plan (NCP) for Bone Cancer (Osteosarcoma, Chondrosarcoma, and Ewing Sarcoma)
Nursing Care Plan (NCP) for Bowel Obstruction
Nursing Care Plan (NCP) for Brain Tumors
Nursing Care Plan (NCP) for Breast Cancer
Nursing Care Plan (NCP) for Bronchoscopy (Procedure)
Nursing Care Plan (NCP) for Cardiogenic Shock
Nursing Care Plan (NCP) for Cardiomyopathy
Nursing Care Plan (NCP) for Cellulitis
Nursing Care Plan (NCP) for Cervical Cancer
Nursing Care Plan (NCP) for Cholecystitis
Nursing Care Plan (NCP) for Chronic Kidney Disease
Nursing Care Plan (NCP) for Chronic Obstructive Pulmonary Disease (COPD)
Nursing Care Plan (NCP) for Colorectal Cancer (Colon Cancer)
Nursing Care Plan (NCP) for Congestive Heart Failure (CHF)
Nursing Care Plan (NCP) for Cushing’s Disease
Nursing Care Plan (NCP) for Dementia
Nursing Care Plan (NCP) for Diabetes
Nursing Care Plan (NCP) for Diabetes Insipidus
Nursing Care Plan (NCP) for Diabetic Ketoacidosis (DKA)
Nursing Care Plan (NCP) for Disseminated Intravascular Coagulation (DIC)
Nursing Care Plan (NCP) for Diverticulosis / Diverticulitis
Nursing Care Plan (NCP) for Emphysema
Nursing Care Plan (NCP) for Encephalopathy
Nursing Care Plan (NCP) for Endocarditis
Nursing Care Plan (NCP) for Enuresis / Bedwetting
Nursing Care Plan (NCP) for Epididymitis
Nursing Care Plan (NCP) for Gastroesophageal Reflux Disease (GERD)
Nursing Care Plan (NCP) for GI (Gastrointestinal) Bleed
Nursing Care Plan (NCP) for Glaucoma
Nursing Care Plan (NCP) for Glomerulonephritis
Nursing Care Plan (NCP) for Gout / Gouty Arthritis
Nursing Care Plan (NCP) for Guillain-Barre
Nursing Care Plan (NCP) for Hashimoto’s Thyroiditis
Nursing Care Plan (NCP) for Heart Valve Disorders
Nursing Care Plan (NCP) for Hepatitis
Nursing Care Plan (NCP) for Herpes Zoster – Shingles
Nursing Care Plan (NCP) for Hydrocephalus
Nursing Care Plan (NCP) for Hyperosmolar Hyperglycemic Nonketotic Syndrome (HHNS)
Nursing Care Plan (NCP) for Hyperparathyroidism
Nursing Care Plan (NCP) for Hyperthermia (Thermoregulation)
Nursing Care Plan (NCP) for Hyperthyroidism
Nursing Care Plan (NCP) for Hypoglycemia
Nursing Care Plan (NCP) for Hypoparathyroidism
Nursing Care Plan (NCP) for Hypothyroidism
Nursing Care Plan (NCP) for Hypovolemic Shock
Nursing Care Plan (NCP) for Impetigo
Nursing Care Plan (NCP) for Inflammatory Bowel Disease (Ulcerative Colitis / Crohn’s Disease)
Nursing Care Plan (NCP) for Kidney Cancer
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 Meniere’s Disease
Nursing Care Plan (NCP) for Multiple Sclerosis (MS)
Nursing Care Plan (NCP) for Mumps
Nursing Care Plan (NCP) for Myasthenia Gravis (MG)
Nursing Care Plan (NCP) for Myocardial Infarction (MI)
Nursing Care Plan (NCP) for Nephrotic Syndrome
Nursing Care Plan (NCP) for Neutropenia
Nursing Care Plan (NCP) for Nutrition Imbalance
Nursing Care Plan (NCP) for Osteoarthritis (OA), Degenerative Joint Disease
Nursing Care Plan (NCP) for Osteoporosis
Nursing Care Plan (NCP) for Ovarian Cancer
Nursing Care Plan (NCP) for Pancreatitis
Nursing Care Plan (NCP) for Parkinson’s Disease
Nursing Care Plan (NCP) for Peptic Ulcer Disease (PUD)
Nursing Care Plan (NCP) for Pericarditis
Nursing Care Plan (NCP) for Pneumonia
Nursing Care Plan (NCP) for Pneumothorax/Hemothorax
Nursing Care Plan (NCP) for Polycystic Ovarian Syndrome (PCOS)
Nursing Care Plan (NCP) for Pressure Ulcer / Decubitus Ulcer (Pressure Injury)
Nursing Care Plan (NCP) for Prostate Cancer
Nursing Care Plan (NCP) for Psoriasis
Nursing Care Plan (NCP) for Pulmonary Embolism
Nursing Care Plan (NCP) for Renal Calculi
Nursing Care Plan (NCP) for Respiratory Failure
Nursing Care Plan (NCP) for Restrictive Lung Diseases
Nursing Care Plan (NCP) for Rhabdomyolysis
Nursing Care Plan (NCP) for Rheumatoid Arthritis (RA)
Nursing Care Plan (NCP) for Risk for Fall
Nursing Care Plan (NCP) for Rubeola – Measles
Nursing Care Plan (NCP) for Seizures
Nursing Care Plan (NCP) for Sepsis
Nursing Care Plan (NCP) for Skin cancer – Melanoma, Basal Cell Carcinoma, Squamous Cell Carcinoma
Nursing Care Plan (NCP) for Skull Fractures
Nursing Care Plan (NCP) for Spinal Cord Injury
Nursing Care Plan (NCP) for Stomach Cancer (Gastric Cancer)
Nursing Care Plan (NCP) for Stroke (CVA)
Nursing Care Plan (NCP) for Syncope (Fainting)
Nursing Care Plan (NCP) for Syndrome of Inappropriate Antidiuretic Hormone (SIADH)
Nursing Care Plan (NCP) for Systemic Lupus Erythematosus (SLE)
Nursing Care Plan (NCP) for Testicular Cancer
Nursing Care Plan (NCP) for Thoracentesis (Procedure)
Nursing Care Plan (NCP) for Thrombocytopenia
Nursing Care Plan (NCP) for Thrombophlebitis / Deep Vein Thrombosis (DVT)
Nursing Care Plan (NCP) for Thyroid Cancer
Nursing Care Plan (NCP) for Tuberculosis
Nursing Care Plan (NCP) for Urinary Tract Infection (UTI)
Nursing Care Plan (NCP) for West Nile Virus
Nursing Care Plan for (NCP) Trigeminal Neuralgia
Nursing Care Plan for Amputation
Nursing Care Plan for Chlamydia (STI)
Nursing Care Plan for Cirrhosis (Liver)
Nursing Care Plan for Compartment Syndrome
Nursing Care Plan for Coronary Artery Disease (CAD)
Nursing Care Plan for Distributive Shock
Nursing Care Plan for Endometriosis
Nursing Care Plan for Fibromyalgia
Nursing Care Plan for Fractures
Nursing Care Plan for Gastritis
Nursing Care Plan for Gonorrhea (STI)
Nursing Care Plan for Hemorrhoids
Nursing Care Plan for Herpes Simplex (HSV, STI)
Nursing Care Plan for Hiatal Hernia
Nursing Care Plan for Liver Cancer
Nursing Care Plan for Macular Degeneration
Nursing Care Plan for Myocarditis
Nursing Care Plan for Nasal Disorders
Nursing Care Plan for Osteomyelitis
Nursing Care Plan for Pelvic Inflammatory Disease (PID)
Nursing Care Plan for Pulmonary Edema
Nursing Care Plan for Restrictive Lung Diseases (Pulmonary Fibrosis, Neuromuscular Disorders)
Nursing Care Plan for Scleroderma
Nursing Care Plan for Syphilis (STI)
Nursing Care Plan for Testicular Torsion
Nursing Case Study for Acute Kidney Injury
Nursing Case Study for Breast Cancer
Nursing Case Study for Cardiogenic Shock
Nursing Case Study for Colon Cancer
Nursing Case Study for Diabetic Foot Ulcer
Nursing Case Study for Hepatitis
Nursing Case Study for Pneumonia
Nursing Case Study for Rheumatic Heart Disease
Nursing Case Study for Rheumatoid Arthritis
Nursing Case Study for Type 1 Diabetes
Nursing Skills Course Introduction
Nutrition (Diet) in Disease
Nutrition-related Diseases
Obstruction for Certified Emergency Nursing (CEN)
Obstructions for Certified Emergency Nursing (CEN)
Obstructive Sleep Apnea for Progressive Care Certified Nurse (PCCN)
Ocular Infections (Conjunctivitis, Iritis) for Certified Emergency Nursing (CEN)
Omeprazole (Prilosec) Nursing Considerations
Oncology Important Points
Oncology Module Intro
Oncology nurse
Ondansetron (Zofran) Nursing Considerations
Opioids
Osteosarcoma
Outside Instrument and Material Tracking (Regulatory Requirements) for Certified Perioperative Nurse (CNOR)
Ovarian Cancer
Ovarian Disorders (Cyst, Torsion, Rupture) for Certified Emergency Nursing (CEN)
Oxygen Delivery Module Intro
Pacemakers
Pain (Acute, Chronic) for Progressive Care Certified Nurse (PCCN)
Pain and Nonpharmacological Comfort Measures
Pain Assessment Questions Nursing Mnemonic (OPQRST)
Pain Assessments for Certified Perioperative Nurse (CNOR)
Pain Management and Procedural Sedation for Certified Emergency Nursing (CEN)
Pancreatitis for Certified Emergency Nursing (CEN)
Pancreatitis For PCCN for Progressive Care Certified Nurse (PCCN)
Pantoprazole (Protonix) Nursing Considerations
Parasympatholytics (Anticholinergics) Nursing Considerations
Patient and Family Teaching (Per Procedure) for Certified Perioperative Nurse (CNOR)
Patient and Healthcare Team Safety (Disasters, Environmental Hazards) for Certified Perioperative Nurse (CNOR)
Patient and Personal Safety (Environmental Hazard Monitoring) for Certified Perioperative Nurse (CNOR)
Patient Communication Techniques for Certified Perioperative Nurse (CNOR)
Patient Consent for Treatment for Certified Emergency Nursing (CEN)
Patient Positioning
Patient Positioning (Performance) for Certified Perioperative Nurse (CNOR)
Patient Records and Care Documentation for Certified Perioperative Nurse (CNOR)
Patient Rights Advocacy for Certified Perioperative Nurse (CNOR)
Patient Status Evaluation (Transfer of Care) for Certified Perioperative Nurse (CNOR)
Patients with Communication Difficulties
Pentobarbital (Nembutal) Nursing Considerations
Peptic Ulcer Disease Case Study (60 min)
Performing Cardiac (Heart) Monitoring
Pericardial Tamponade for Certified Emergency Nursing (CEN)
Perioperative Assessment Documentation for Certified Perioperative Nurse (CNOR)
Perioperative Education Documentation for Certified Perioperative Nurse (CNOR)
Perioperative Nursing Course Introduction
Perioperative Nursing Roles
Peripheral Vascular Assessment
Peritoneal Dialysis (PD)
Peritonitis for Certified Emergency Nursing (CEN)
Personal Growth Resources for Certified Perioperative Nurse (CNOR)
Pharmacological Patient Response Evaluation for Certified Perioperative Nurse (CNOR)
Phenazopyridine (Pyridium) Nursing Considerations
Phenobarbital (Luminal) Nursing Considerations
Phosphorus (PO4) Blood Test Lab Values
Pituitary Adenoma
Plant Alkaloids Topoisomerase and Mitotic Inhibitors
Pleural Effusion for Certified Emergency Nursing (CEN)
Pleural Space Complications (Pneumothorax, Hemothorax, Pleural Effusion, Empyema, Chylothorax) for Progressive Care Certified Nurse (PCCN)
Pneumonia Concept Map
Pneumonia Labs
Pneumonia Risk Factors Nursing Mnemonic (VENTS)
Pneumothorax for Certified Emergency Nursing (CEN)
Pneumothorax Signs and Symptoms Nursing Mnemonic (P-THORAX)
Positioning
Positioning (Pressure Injury Prevention and Tourniquet Safety) for Certified Perioperative Nurse (CNOR)
Post-Anesthesia Recovery
Postoperative (Postop) Complications
Postoperative Follow-up for Certified Perioperative Nurse (CNOR)
PPE Donning & Doffing
PPE Precautions (Personal Protective Equipment) for Certified Perioperative Nurse (CNOR)
Premature Atrial Contraction (PAC)
Premature Ventricular Contraction (PVC)
Preoperative (Preop) Education
Preoperative (Preop) Nursing Priorities
Preoperative (Preop)Assessment
Pressure Injuries (Ulcers) for Progressive Care Certified Nurse (PCCN)
Pressure Line Management
Pressure Ulcers/Pressure injuries (Braden scale)
Procalcitonin (PCT) Lab Values
Procedurally-Relevant Focused Assessments for Certified Perioperative Nurse (CNOR)
Product Assessment (Packaging, Sterilization) for Certified Perioperative Nurse (CNOR)
Product Evaluation and Selection for Certified Perioperative Nurse (CNOR)
Professional Organization Participation for Certified Perioperative Nurse (CNOR)
Propofol (Diprivan) Nursing Considerations
Propranolol (Inderal) Nursing Considerations
Propylthiouracil (PTU) Nursing Considerations
Prostate Cancer
Prostate Nursing Mnemonic (FUN)
Prostate Specific Antigen (PSA) Lab Values
Protein in Urine Lab Values
Proton Pump Inhibitors
Pulmonary edema treatment Nursing Mnemonic (MAD DOG)
Pulmonary Embolism for Progressive Care Certified Nurse (PCCN)
Pulmonary Embolus for Certified Emergency Nursing (CEN)
Pulmonary Hypertension for Certified Emergency Nursing (CEN)
Pulmonary Hypertension for Progressive Care Certified Nurse (PCCN)
Pupil Reactions Nursing Mnemonic (PERRLA)
Quality Improvement Participation for Certified Perioperative Nurse (CNOR)
Radiation Cancer Treatment
Ranitidine (Zantac) Nursing Considerations
Reactivation of Herpes Zoster Nursing Mnemonic (FICA)
Reasons for a Bronchoscopy Nursing Mnemonic (Please Assess His Weird Bronchoscopy Results)
Reasons for Chest Tube Nursing Mnemonic (Don’t Ever Fail)
Red Cell Distribution Width (RDW) Lab Values
Relevant Patient Data Review for Certified Perioperative Nurse (CNOR)
Renal (Kidney) Failure Labs
Renal Calculi for Certified Emergency Nursing (CEN)
Renal Failure for Certified Emergency Nursing (CEN)
Renal Failure- Acute Kidney Injury (AKI), Chronic Kidney Disease (CKD) for Progressive Care Certified Nurse (PCCN)
Respiratory A&P Module Intro
Respiratory Alkalosis
Respiratory Course Introduction
Respiratory Depression (Medication-Induced, Decreased-LOC-Induced) for Progressive Care Certified Nurse (PCCN)
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)
Respiratory Infections Module Intro
Respiratory Procedures Module Intro
Respiratory Trauma for Certified Emergency Nursing (CEN)
Respiratory Trauma Module Intro
Restrictive Lung Disease Causes Nursing Mnemonic (PAINT)
Restrictive Lung Diseases (Pulmonary Fibrosis, Neuromuscular Disorders)
Retained Surgical Items for Certified Perioperative Nurse (CNOR)
Retinal Artery Occlusion for Certified Emergency Nursing (CEN)
Retinal Detachment for Certified Emergency Nursing (CEN)
Rhabdomyolysis for Progressive Care Certified Nurse (PCCN)
Rheumatoid Arthritis Assessment Nursing Mnemonic (RHEUMATOID)
Rifampin (Rifadin) Nursing Considerations
Risk Factors for Cholelithiasis Nursing Mnemonic (5-F’s)
Risk Factors for Osteoporosis Nursing Mnemonic (ACCESS)
Room Preparation (Equipment, Supplies, Personnel) for Certified Perioperative Nurse (CNOR)
Routine Neuro Assessments
Science of Nutrition
Scleroderma Symptoms Nursing Mnemonic (CREST)
Sedatives-Hypnotics
Sedatives-Hypnotics
Seizure Assessment
Seizure Causes (Epilepsy, Generalized)
Seizure Causes Nursing Mnemonic (VITAMIN)
Seizure Disorder for Progressive Care Certified Nurse (PCCN)
Seizure Disorders for Certified Emergency Nursing (CEN)
Seizure Documentation Nursing Mnemonic (TDOC)
Seizure Therapeutic Management
Seizures Case Study (45 min)
Seizures Module Intro
Sepsis Concept Map
Sepsis for Certified Emergency Nursing (CEN)
Sepsis for Progressive Care Certified Nurse (PCCN)
Sepsis Labs
Septic Shock (Sepsis) Case Study (45 min)
Shock
Shock – Signs and symptoms Nursing Mnemonic (TV SPARC CUBE)
Shock Module Intro
Shock States (Anaphylactic, Hypovolemic) For PCCN for Progressive Care Certified Nurse (PCCN)
Signs of Osteoarthritis Nursing Mnemonic (OSTEO)
Sinus Bradycardia
Sinus Tachycardia
Skin Cancer
Specialty Diets (Nutrition)
Specimen Prep, Tracking, and Transporting for Certified Perioperative Nurse (CNOR)
Spinal Cord Injury
Spinal Cord Injury Case Study (60 min)
Spinal Precautions & Log Rolling
Sprains and Strains – Nursing Care Nursing Mnemonic (RICE)
Stages of Hepatitis Nursing Mnemonic (PIP)
Sterile Field
Sterile Field Maintenance (Aseptic Technique) for Certified Perioperative Nurse (CNOR)
Sterile Gloves
Sterilization and Cleaning (Instruments, Reusable Goods) for Certified Perioperative Nurse (CNOR)
Sterilization and Disinfection Documentation for Certified Perioperative Nurse (CNOR)
Sterilization and Storage Environment Conditions for Certified Perioperative Nurse (CNOR)
Sterilization, Biological, Chemical Monitoring and Documentation for Certified Perioperative Nurse (CNOR)
Stoke Assessments Nursing Mnemonic (FAST)
Stomach Cancer (Gastric Cancer)
Strabismus
Streptokinase (Streptase) Nursing Considerations
Stroke (CVA) Module Intro
Stroke Assessment (CVA)
Stroke Case Study (45 min)
Stroke Concept Map
Stroke for Certified Emergency Nursing (CEN)
Stroke for Progressive Care Certified Nurse (PCCN)
Stroke Nursing Care (CVA)
Stroke Therapeutic Management (CVA)
Sucralfate (Carafate) Nursing Considerations
Supraventricular Tachycardia (SVT)
Surgical Attire Guideline Adherence (Surgical, Perioperative Zones) for Certified Perioperative Nurse (CNOR)
Surgical Counts for Certified Perioperative Nurse (CNOR)
Surgical Incisions & Drain Sites
Surgical Prep
Surgical Site Preparation for Certified Perioperative Nurse (CNOR)
Surgical Wound Classification Documentation for Certified Perioperative Nurse (CNOR)
Sympatholytics (Alpha & Beta Blockers)
Symptoms of Hyperthyroidism Nursing Mnemonic (SWEATING)
Symptoms of Hypothyroidism Nursing Mnemonic (MOM’S SO TIRED)
Symptoms of Nephrotic Syndrome Nursing Mnemonic (NAPHROTIC)
Symptoms of Wernicke’s Encephalopathy Nursing Mnemonic (COAT)
Systemic Lupus Erythematosus (SLE)
TB Drugs Nursing Mnemonic (RIPE)
Tension and Cluster Headaches
Testicular Cancer
Tetracycline (Panmycin) Nursing Considerations
The 5-Minute Assessment (Physical assessment)
The Medical Team
Thoracentesis
Thoracic Surgery (Lobectomy, Pneumonectomy) for Progressive Care Certified Nurse (PCCN)
Thrombin Inhibitors
Thrombocytopenia
Thromboembolic Disease- Deep Vein Thrombosis (DVT) for Certified Emergency Nursing (CEN)
Thrombolytics
Thyroid Cancer
Thyroid Stimulating Hormone (TSH) Lab Values
Thyroxine (T4) Lab Values
To Clot or Not To Clot – Anticoagulants! – Live Tutoring Archive
Total Iron Binding Capacity (TIBC) Lab Values
Toxicity Sepsis- Signs and Symptoms Nursing Mnemonic (The 6 T’s)
Trach Care
Trach Suctioning
Traction – Nursing Care Nursing Mnemonic (TRACTION)
Transient Ischemic Attack (TIA) for Certified Emergency Nursing (CEN)
Transportation and Storage (Single Use Items) for Certified Perioperative Nurse (CNOR)
Trauma – Assessment (Emergency) Nursing Mnemonic (ABCDEFGHI)
Trauma Nursing Interventions for Certified Perioperative Nurse (CNOR)
Triiodothyronine (T3) Lab Values
Trimethoprim-Sulfamethoxazole (Bactrim) Nursing Considerations
Troponin I (cTNL) Lab Values
Tuberculosis (TB) Case Study (60 min)
Tuberculosis for Certified Emergency Nursing (CEN)
Types of Anemia Nursing Mnemonic (Always Introduce Special Patients)
Types of Hemorrhoids Nursing Mnemonic (Pie)
Ulcerative Colitis – Assessment Nursing Mnemonic (MADE 10)
Ultrasound
Understanding Blood Pressure Meds! – Live Tutoring Archive
Universal Protocol Performance for Certified Perioperative Nurse (CNOR)
Upper Gastrointestinal (GI) Module Intro
Urinary Elimination
Urinary Retention for Certified Emergency Nursing (CEN)
Urinary Tract Infection Case Study (45 min)
Urine Culture and Sensitivity Lab Values
Using Aseptic Technique
Vaccine-Preventable Diseases (Measles, Mumps, Pertussis, Chicken Pox, Diphtheria) for Certified Emergency Nursing (CEN)
Valvular Heart Disease for Progressive Care Certified Nurse (PCCN)
Vancomycin (Vancocin) Nursing Considerations
Varicocele
Vascular Disease – Deep Vein Thrombosis Nursing Mnemonic (HIS Leg Might Fall off)
Vascular disease – Raynaud’s symptoms Nursing Mnemonic (COLD HAND)
Vascular Disease for Progressive Care Certified Nurse (PCCN)
Vasopressin
Vasopressin (Pitressin) Nursing Considerations
Venous Disorders (Chronic venous insufficiency, Deep venous thrombosis/DVT)
Vent Alarms
Ventilator Settings
Ventricular Dysrhythmias for Progressive Care Certified Nurse (PCCN)
Ventricular Fibrillation (V Fib)
Ventricular Tachycardia (V-tach)
Vessels & Fluid
Visitor Supervision for Certified Perioperative Nurse (CNOR)
Vitamin D Lab Values
Warfarin (Coumadin) Nursing Considerations
Who Needs Dialysis Nursing Mnemonic (AEIOU)
Wound Bleeding (Uncontrolled External Hemorrhage) for Certified Emergency Nursing (CEN)
Wound Care – Assessment
Wound Care – Dressing Change
Wound Care – Selecting a Dressing
Wound Care – Wound Drains
Wound Classification for Certified Perioperative Nurse (CNOR)
Wound Dressing Maintenance for Certified Perioperative Nurse (CNOR)
Wound Infections for Certified Emergency Nursing (CEN)
Wounds (Infectious, Surgical, Trauma) for Progressive Care Certified Nurse (PCCN)