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Hyperbilirubinemia (Jaundice)

Hyperbilirubinemia (Jaundice)

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10 Hyperbilirubinemia (Jaundice) NCLEX Questions

Question 1 of 10

The nurse is discussing jaundice with a concerned mother of a newborn. The nurse knows that if a baby has sustained hyperbilirubinemia, the primary concern is what?

Kernicterus

Transient tachypnea

Decreased muscular tone

Difficulty feeding

Question 2 of 10

The nurse is working in a postpartum unit caring for 4 mothers and 5 babies. Which of the following newborn bilirubin levels are MOST concerning? Select all that apply.

7 mg/dL

31 mg/dL

3 mg/dL

11 mg/dL

13 mg/dL

Question 3 of 10

A nurse is educating a breastfeeding mother on how to help a newborn with a high bilirubin level. Which of the following should be included?

Breastfeed every 3-4 hours

Keep the baby under the phototherapy and skip every other feeding

Stop breastfeeding and switch to formula

Breastfeed every 2 hours and supplement with pumped breast milk

Question 4 of 10

A nurse is setting up phototherapy for a newborn infant with an elevated bilirubin level. When preparing the phototherapy, which intervention must the nurse utilize to ensure the effectiveness of the process?

The infant should be given sunscreen to avoid skin burns

The infant should be naked except for a diaper

The infant's eyes should be open under the eye shields

The infant should wear a hat during the treatment

Question 5 of 10

Which infants are most at risk for hyperbilirubinemia? Select all that apply

A bottle feeding infant

A 2 day old infant who has stooled once in 24 hours

A baby with facial bruising from delivery

An infant born at 32 weeks

A baby with Coombs positive blood

Question 6 of 10

The parents of a newborn with jaundice are being instructed in home use of a phototherapy blanket to treat the condition. Which information would the nurse most likely give this family for instructions on home phototherapy?

You should continue to feed your baby every 4 to 6 hours, even with the phototherapy

You may notice that your baby has changes in his bowel movements but this should stop when the phototherapy is discontinued

You will most likely need to use the phototherapy blanket for about 6 months

Put the baby's clothes on first and then cover them with the phototherapy blanket

Question 7 of 10

A nurse notes a high risk bilirubin level on a newborn. After notifying the provider, which provider order should be questioned?

Start phototherapy

Check infant’s temperature every 3 hours

Recheck the bilirubin in 8 hours

Feed formula every 4 hours

Question 8 of 10

Which order would a nurse expect for an infant that is jaundiced on the face and sclera at 22 hours of life?

Increase feedings

Stat bilirubin level

Start phototherapy

Notify if yellowing progresses to the diaper area

Question 9 of 10

The nurse is training a new graduate nurse who is caring for an infant receiving phototherapy for hyperbilirubinemia. Which of the following statements by the new nurse indicates a need for further education?

"After we discontinue the therapy, it'll be important for me to monitor for rebound increase bilirubin levels"

"To minimize interruptions in light therapy, I'll complete my assessment after mom breastfeeds and the therapy lights are back on"

"Whenever I need to draw a bilirubin lab, I'll make sure to turn the light off first"

"I'll be sure to closely monitor stool and body temp"

Question 10 of 10

The nurse is caring for a newborn on phototherapy due to hyperbilirubinemia. Which of the following interventions are priorities for a newborn with this diagnosis? Select all that apply.

Blood transfusions

Providing the mother with a dose of RhoGAM

Nutrition

Skin care

IV fluids and hydration

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Newborn Hyperbilirubinemia Pathochart (Cheatsheet)

Hyperbilirubinemia (Image)

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Outline

Overview

Definition: an elevated total bilirubin compared to the newborns age in hours
1. Graphed: Bilirubin level compared to hours of age

Nursing Points

General

Bilirubin explanation
1. Formed in the liver when old RBC’s are broken down (a natural, normal process) → excreted into bile and urine
2. When it’s needed, it is released from the gallbladder and goes to the small intestines to get to work, helping digest fats
3. We then excrete it in our feces and it is what makes feces brown
Why is this commonly seen in newborns?
1. In utero, the placenta removes the bilirubin from the baby’s body because they don’t excrete it in their feces until after they are birth
2. Some newborn’s will have a liver that is immature or takes longer to work efficiently
Pathological vs. physiological
1. Physiological jaundice- starts 2nd or 3rd day of life can be expected as this normal transition from placenta doing the work to the baby’s liver.
  1. Breastfeeding
  2. Broken down RBCs (bruising)
  3. Prematurity
2. Pathological:Jaundice that appears within the first 24 hours of life indicates that there is a pathological process going on. Something else other than this normal process, and requires further investigation/assessment.
  1. Blood incompatibility
  2. Problem with liver
Concern
1. Kernicterus-brain damage that can occur If hyperbilirubinemia is sustained

Assessment

Jaundice
1. Definition: Accumulation of bilirubin, resulting in yellowing of skin, sclera
2. Assess skin in natural light
3. Assess skin head to extremities, usually starts in forehead or face
4. Jaundice in first 24 hours is a red flag for PATHOLOGICAL issues – notify MD!
Elevated bilirubin levels
1. Plotted on graph as low risk, high-intermediate risk, or high risk
  1. High risk needs phototherapy
2. Some variant but a total level of 12 at day 2 to 3 is usually high risk with critical being greater than 15 mg/dl

Therapeutic Management

Frequent feeding→ hydration and nutrition
Phototherapy

Nursing Concepts

Human Development
Gastrointestinal/Liver Metabolism
Nutrition

Patient Education

Feeding frequently
Keeping them under the light
Goggles
Importance of phototherapy

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ADPIE Related Lessons

Related Nursing Process (ADPIE) Lessons for Hyperbilirubinemia (Jaundice)

Pediatric Vital Signs (VS)

Newborn Physical Exam

Body System Assessments

Diagnose Lessons

Total Bilirubin (T. Billi) Lab Values

Diagnose Lessons

Direct Bilirubin (Conjugated) Lab Values

Supplemental Lessons

Nursing Care Plan (NCP) for Neonatal Jaundice | Hyperbilirubinemia

Transcript

In this lesson I will talk about hyperbilirubinemia and your role in care of this patient.

So what is hyperbilirubinemia? It is high bilirubin. Ok what is bilirubin? Bilirubin is form in the liver from broken down red blood cells. The bilirubin is then excreted into the feces. Why is this a common problem in newborns? Well a few things, the newborns didn’t have to worry about doing this when they were in utero and now they sometimes have an immature liver that is trying to do its job. They might have bruising from delivery which means more broken down red blood cells. They might not be feeding great which means they aren’t stooling alot and excreting the bilirubin. There are two classifications, pathological and physiological jaundice to understand.

So our pathological versus physiological. Pathological jaundice appears within the first 24 hours of life and it indicates that there is a pathological process going on. This means something else other than this normal process. So this could be a blood incompatibility between mom and baby and blood mixture has occurred. If the baby has maternal blood that doesn’t match then he is going to work hard to break down those red blood cells which means there will be more broken down red blood cells. Another cause could be a diseased liver. It is working properly. So pathological jaundice will requires further investigation and assessment. Physiological jaundice starts the 2nd or 3rd day of life and can be expected as this normal transition from placenta doing the work to the baby’s liver. Causes of this are bruising from delivery. So bruising is broken down red blood cells so if we have extra of these it is adding to the work of the liver and the baby can not excrete it quick enough. Prematurity because the liver is just immature and not able to keep up. Breastfeeding is another cause because the baby isn’t getting enough to stool enough and get the bilirubin excreted. Our concern for anytime of jaundice is if it goes untreated and levels rise to dangerous levels then kernicterus could occur which is brain damage.

This newborn is going to be assessed like normal with the head to toe assessment but you will observe jaundice on a patient with hyperbilirubinemia. So yellowing of the skin and sclera. This starts at the head usually and as it builds the yellow color spreads from head to extremities. So they might be a touch yellow on face and then as you see it move down to the diaper area it is rising. You need to have good lighting and really assess the skin. If jaundice coloring happens in first 24 hours it is a red flag that we have pathological problems so notify the doctor to draw a bilirubin. Once you have your bilirubin level from the lab you can graph it. This is how you will assess if phototherapy is needed. So let me draw this graph for you. On one side we have the bilirubin level on the other it is the hours of life. And you plot your number and it will either fall in the low risk, ow intermediate, high-intermediate, or high risk. High risk levels needs phototherapy. You do need a physician order for phototherapy but at least you will know to expect that we need to light the kid up. There is some variant based on different labs or if it is a pathological issue but a total level of 12 mg/dl at day 2 to 3 is usually high risk with critical being greater than 15 mg/dl.

Management is going to be frequent feeding. We need the baby to stay hydrated and get enough volume so that the baby will stool more. The more they eat the more they excrete, right? We will initiate phototherapy treatment if levels are high enough. Education is important if the lights are started. The baby needs to wear protective goggles over their eyes and stay under the light. So you can see in this image the goggles on the eyes. I just wanted you to have an idea of what that was and have a visual. The googles protect their eyes from the light and it is funny because when you take them out from the light to assess them or draw labs you remove the goggles and can see a yellow ring around their eyes like a racoon. That is always a good sign that the bilirubin is coming down. The babies hate being under this light because they have no clothes on, they are un-swaddled and can’t be held. So it can be quite miserable for them and the parents. But if they don’t stay under this light it will get worse.

Human development is a concept because if this is pathological then it is related to development, liver metabolism because it is working to excrete the bilirubin and nutrition because we need the baby well fed and hydrated to excrete the bilirubin.
So on to the important facts. Remember these and you will have a good grasp of what this is. We have high bilirubin levels in the blood. The bilirubin comes from broken down red blood cells. It is secreted by the liver so if we have anything that causes a lot of broken down red blood cells like bruising or blood incompatibility and an immature liver then the bilirubin can’t be excreted fast enough. This will cause jaundice to occur and our treatment is phototherapy to reduce the bilirubin.

Make sure you check out the resources attached to this lesson and review the differences between physiological and pathological. Now, go out and be your best selves today. And, as always, happy nursing.

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Concepts Covered:

Study Plan Lessons

05.03 Jaundice for CCRN Review

Abortion in Nursing: Spontaneous, Induced, and Missed

Abruptio Placenta for Certified Emergency Nursing (CEN)

Abruptio Placentae (Placental abruption)

Acyclovir (Zovirax) Nursing Considerations

Addicted Newborn

Adult Vital Signs (VS)

Alpha-fetoprotein (AFP) Lab Values

Ampicillin (Omnipen) Nursing Considerations

Anemia in Pregnancy

Antepartum Testing

Antepartum Testing Case Study (45 min)

Anti-Infective – Aminoglycosides

Anti-Infective – Lincosamide

Aspiration for Certified Emergency Nursing (CEN)

Behind The Red Line – Live Tutoring Archive

Betamethasone and Dexamethasone

Betamethasone and Dexamethasone in Pregnancy

Bicarbonate (HCO3) Lab Values

Blood Glucose Monitoring

Blood Transfusions (Administration)

Body System Assessments

Butorphanol (Stadol) Nursing Considerations

Cardiac (Heart) Disease in Pregnancy

Causes of Chorioamnionitis Nursing Mnemonic (Pregnancies Are Very Interesting)

Causes of Labor Dystocia Nursing Mnemonic (Having Extremely Frustrating Labor)

Causes of Postpartum Hemorrhage Nursing Mnemonic (4 T’s)

Certified Nurse Midwife

Chorioamnionitis

Clindamycin (Cleocin) Nursing Considerations

Congestive Heart Failure (CHF) Labs

Day in the Life of a Labor Nurse

Day in the Life of a Postpartum Nurse

Dexamethasone (Decadron) Nursing Considerations

Direct Bilirubin (Conjugated) Lab Values

Discomforts of Pregnancy

Disseminated Intravascular Coagulation (DIC)

Diuretics (Loop, Potassium Sparing, Thiazide, Furosemide/Lasix)

Ectopic Pregnancy

Ectopic Pregnancy Case Study (30 min)

Ectopic Pregnancy for Certified Emergency Nursing (CEN)

Emergent Delivery (OB) (30 min)

Emergent Delivery for Certified Emergency Nursing (CEN)

Episiotomy – Evaluation of Healing Nursing Mnemonic (REEDA)

Erythroblastosis Fetalis

Eye Prophylaxis for Newborn

Eye Prophylaxis for Newborn (Erythromycin)

Factors That Can Put a Pregnancy at Risk Nursing Mnemonic (RIBCAGE)

Family Planning & Contraception

Family Planning & Signs of Pregnancy – Live Tutoring Archive

Fertilization and Implantation

Fetal Alcohol Syndrome (FAS)

Fetal Circulation

Fetal Development

Fetal Distress Interventions Nursing Mnemonic (Stop MOAN)

Fetal Environment

Fetal Heart Monitoring (FHM)

Fetal Heart Monitoring Like A Pro – Live Tutoring Archive

Fetal Heart Monitoring Like A Pro 2 – Live Tutoring Archive

Fetal Wellbeing Assessment Tests Nursing Mnemonic (ALONE)

Fundal Height Assessment for Nurses

Furosemide (Lasix) Nursing Considerations

Gestation & Nägele’s Rule: Estimating Due Dates

Gestational Diabetes (GDM)

Gestational Diabetes and Why YOU Should Know About It – Live Tutoring Archive

Gestational HTN (Hypertension)

Glucagon Lab Values

Glucose Tolerance Test (GTT) Lab Values

Gravidity and Parity (G&Ps, GTPAL)

HELLP Syndrome – Signs and Symptoms Nursing Mnemonic (HELLP)

Hematomas in OB Nursing: Causes, Symptoms, and Nursing Care

Hemoglobin A1c (HbA1C)

Hemorrhage (Postpartum Bleeding) for Certified Emergency Nursing (CEN)

Hepatitis B Vaccine for Newborns

Homocysteine (HCY) Lab Values

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Hydralazine (Apresoline) Nursing Considerations

Hydrochlorothiazide (Hydrodiuril) Nursing Considerations

Hyperbilirubinemia (Jaundice)

Hyperemesis Gravidarum

Hyperemesis Gravidarum for Certified Emergency Nursing (CEN)

Hyperglycemia Management Nursing Mnemonic (Dry and Hot – Insulin Shot)

Hypovolemic Shock Case Study (OB sim) (60 min)

Incompetent Cervix

Infections in Pregnancy

Initial Care of the Newborn (APGAR)

Inserting a Foley (Urinary Catheter) – Female

Intra Uterine Device – Potential Problems Nursing Mnemonic (PAINS)

Isotonic Solutions (IV solutions)

Labor Progression Case Study (45 min)

Leopold Maneuvers

Lung Surfactant

Lung Surfactant for Newborns

Magnesium Sulfate

Magnesium Sulfate

Magnesium Sulfate (MgSO4) Nursing Considerations

Magnesium Sulfate in Pregnancy

Maternal Risk Factors

Mechanisms of Labor

Meconium Aspiration

Meds for Postpartum Hemorrhage (PPH)

Meds for PPH (postpartum hemorrhage)

Menstrual Cycle

Methylergonovine (Methergine) Nursing Considerations

Newborn of HIV+ Mother

Newborn Physical Exam

Newborn Reflexes

Nifedipine (Procardia) Nursing Considerations

Nursing Care Plan (NCP) for Abortion, Spontaneous Abortion, Miscarriage

Nursing Care Plan (NCP) for Abruptio Placentae / Placental abruption

Nursing Care Plan (NCP) for Chorioamnionitis

Nursing Care Plan (NCP) for Diabetes Mellitus (DM)

Nursing Care Plan (NCP) for Dystocia

Nursing Care Plan (NCP) for Ectopic Pregnancy

Nursing Care Plan (NCP) for Gestational Diabetes (GDM)

Nursing Care Plan (NCP) for Gestational Hypertension, Preeclampsia, Eclampsia

Nursing Care Plan (NCP) for Hyperemesis Gravidarum

Nursing Care Plan (NCP) for Hypertension (HTN)

Nursing Care Plan (NCP) for Incompetent Cervix

Nursing Care Plan (NCP) for Mastitis

Nursing Care Plan (NCP) for Maternal-Fetal Dyad Using GTPAL

Nursing Care Plan (NCP) for Meconium Aspiration

Nursing Care Plan (NCP) for Neonatal Jaundice | Hyperbilirubinemia

Nursing Care Plan (NCP) for Newborns

Nursing Care Plan (NCP) for Placenta Previa

Nursing Care Plan (NCP) for Postpartum Hemorrhage (PPH)

Nursing Care Plan (NCP) for Premature Rupture of Membranes (PROM) / Preterm Premature Rupture of Membranes (PPROM)

Nursing Care Plan (NCP) for Preterm Labor / Premature Labor

Nursing Care Plan (NCP) for Process of Labor

Nursing Care Plan (NCP) for Transient Tachypnea of Newborn

Nursing Care Plan for (NCP) Fetal Alcohol Syndrome (FAS)

Nursing Care Plan for Newborn Reflexes

Nursing Case Study for Maternal Newborn

Nutrition Assessments

Nutrition in Pregnancy

Nutritional Requirements

OB (Labor) Nurse Report to OB (Postpartum) Nurses

OB Course Introduction

OB Non-Stress Test Results Nursing Mnemonic (NNN)

OB Pharm and What Drugs You HAVE to Know – Live Tutoring Archive

Obstetric Trauma for Certified Emergency Nursing (CEN)

Obstetrical Procedures

Opioid Analgesics in Pregnancy

Oral Birth Control Pills – Serious Complications Nursing Mnemonic (Aches)

Oxytocin (Pitocin) Nursing Considerations

Pediatric Vital Signs (VS)

Physiological Changes

Phytonadione (Vitamin K)

Phytonadione (Vitamin K) for Newborn

Placenta Previa

Placenta Previa for Certified Emergency Nursing (CEN)

Possible Infections During Pregnancy Nursing Mnemonic (TORCH)

Post-Partum Assessment Nursing Mnemonic (BUBBLE)

Postpartum Discomforts

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Postpartum Physiological Maternal Changes

Postpartum Thrombophlebitis

Precipitous Labor

Preeclampsia (45 min)

Preeclampsia, Eclampsia, and HELLP Syndrome for Certified Emergency Nursing (CEN)

Preeclampsia: Signs, Symptoms, Nursing Care, and Magnesium Sulfate

Pregnancy Outcomes Nursing Mnemonic (GTPAL)

Preload and Afterload

Premature Rupture of the Membranes (PROM)

Preterm Labor for Certified Emergency Nursing (CEN)

Probable Signs of Pregnancy Nursing Mnemonic (CHOP BUGS)

Process of Labor

Process of Labor – Mom Nursing Mnemonic (4 P’s)

Process of Labor – Baby Nursing Mnemonic (ALPPPS)

Process of Labor – Live Tutoring Archive

Process of Labor 2 – Live Tutoring Archive

Prolapsed Umbilical Cord

Promethazine (Phenergan) Nursing Considerations

Prostaglandins in Pregnancy

Protein (PROT) Lab Values

Retinopathy of Prematurity (ROP)

Rh Immune Globulin (Rhogam)

Rh Immune Globulin in Pregnancy

Signs of Pregnancy – Live Tutoring Archive

Signs of Pregnancy (Presumptive, Probable, Positive)

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Carboxyhemoglobin Lab Values

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Diagnostics Terminology

Digestive Terminology

Gamma Glutamyl Transferase (GGT) Lab Values

Growth Hormone (GH) Lab Values

Hematology Oncology & Immunology Terminology

Integumentary (Skin) Terminology

Mean Corpuscular Volume (MCV) Lab Values

Mean Platelet Volume (MPV) Lab Values

Medical Terminology Course Introduction

MedTerm Basic Word Structure

MedTerm Body as a Whole

MedTerm Prefixes

MedTerm Suffixes

Metabolic & Endocrine Terminology

Methemoglobin (MHGB) Lab Values

Musculoskeletal Terminology

Myoglobin (MB) Lab Values

Neuro Terminology

Pharmacology Terminology

Prealbumin (PAB) Lab Values

Procedural Terminology

Psychiatry Terminology

Reproductive Terminology

Respiratory Terminology

Sensory Terminology

Urinary Terminology

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02.04 Pulmonary Artery Wedge Pressure (PAWP) for CCRN Review

02.05 Calculating PAWP on PEEP for CCRN Review

02.07 Reading “A, C, V Waves” & PAWP Waveforms for CCRN Review

02.09 12 Lead EKG- Leads 1, 2, 3, aVL, and aVF for CCRN Review

02.10 12 Lead EKG- Lead V1-V6 for CCRN Review

02.11 12 Lead EKG- Injuries for CCRN Review

07.02 Neuro Anatomy for CCRN Review

10.01 Arterial Blood Gas (ABG) Interpretation for CCRN Review

10.02 Breath Sounds for CCRN Review

ABG Course (Arterial Blood Gas) Introduction

Alkalosis and Acidosis Nursing Mnemonic (Kick Up, Drop Down)

Anatomy & Physiology Course Introduction

Anticholinergics – Side Effects Nursing Mnemonic (4 Can’ts)

Arterial Blood Gases Nursing Mnemonic (ROME)

Arterial Pressure Monitoring

Atropine (Atropen) Nursing Considerations

Autonomic Nervous System (ANS)

Autonomic Nervous System (ANS)

Beta 1 and Beta 2 Nursing Mnemonic (1 Heart, 2 Lungs)

Blood Pressure (BP) Control

Bowel Elimination

Breathing Control

Breathing Movements

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Cardiac A&P Module Intro

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Development of Bones

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Digestive System Anatomy

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EKG (ECG) Waveforms

EKG Basics – Live Tutoring Archive

Electrical A&P of the Heart

Electrical Activity in the Heart

Electroencephalography (EEG)

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Electrolytes – Location in Body Nursing Mnemonic (PISO)

Electrolytes Involved in Cardiac (Heart) Conduction

Electromyography (EMG)

Epithelial (Skin) Tissues

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Fluid & Electrolytes Course Introduction

Fluid Volume Deficit

Formation & Excretion of Urine

Gastrointestinal (GI) Course Introduction

Health Assessment Course Introduction

Hyperkalemia – Causes Nursing Mnemonic (MACHINE)

Hyperkalemia – Management Nursing Mnemonic (AIRED)

Hyperkalemia – Signs and Symptoms Nursing Mnemonic (Murder)

Hypernatremia – Causes Nursing Mnemonic (MODEL)

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Inserting a Foley (Urinary Catheter) – Male

Intro to Circulatory System

Intro to Health Assessment

Introduction to Health Assessment

Large Intestine

Liver & Gallbladder

Male Reproductive Anatomy (Anatomy and Physiology)

Membrane Potentials

Mouth & Oropharynx

Muscle Anatomy (anatomy and physiology)

Muscle Contraction

Muscle Cytology

Muscle Physiology

Nerve Transmission

Nervous System Anatomy

Neuro Assessment Module Intro

Normal Sinus Rhythm

Nursing Care Plan (NCP) for Bronchoscopy (Procedure)

Nursing Care Plan (NCP) for Fluid Volume Deficit

Order of Lab Draws

Oxygen Delivery Module Intro

Parasympathomimetics (Cholinergics) Nursing Considerations

Pituitary Gland

Renal (Kidney) Acid-Base Balance

Renal (Kidney) Fluid & Electrolyte Balance

Renal (Kidney) Structure & Function

Renin Angiotensin Aldosterone System

Renin Angiotensin Aldosterone System (RAAS)

Respiratory A&P Module Intro

Respiratory Functions of Blood

Respiratory Structure & Function

Selecting THE vein

Skeletal Anatomy

Skeletal Muscle

Skin Structure & Function

Small Intestine

Sodium and Potassium Imbalance for Certified Emergency Nursing (CEN)

Tattoos IV Insertion

The EKG (ECG) Graph

Tonicity of Solutions – Live Tutoring Archive

Trach Suctioning

Two pathways of the peripheral nervous system Nursing Mnemonic (SAME)

Types of Epithelial (Skin) Tissue

Urinary Elimination

Urinary System Anatomy (Anatomy and Physiology)

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ACLS (Advanced cardiac life support) Drugs

Adenosine (Adenocard) Nursing Considerations

Amiodarone (Pacerone) Nursing Considerations

Anesthetic Agents

Anti-Infective – Antifungals

Anti-Platelet Aggregate

Antianxiety Meds

Antidepressants

Atenolol (Tenormin) Nursing Considerations

Atropine (Atropen) Nursing Considerations

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Basics of Calculations

Benztropine (Cogentin) Nursing Considerations

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Buspirone (Buspar) Nursing Considerations

Carbidopa-Levodopa (Sinemet) Nursing Considerations

Cefdinir (Omnicef) Nursing Considerations

Celecoxib (Celebrex) Nursing Considerations

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Combative: IV Insertion

Complex Calculations (Dosage Calculations/Med Math)

Cyclosporine (Sandimmune) Nursing Considerations

Dark Skin: IV Insertion

Dimensional Analysis Nursing (Dosage Calculations/Med Math)

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Drawing Blood from the IV

Drawing Up Meds

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Eye Prophylaxis for Newborn

Fentanyl (Duragesic) Nursing Considerations

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Giving Medication Through An IV Set Port

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Guaifenesin (Mucinex) Nursing Considerations

Hanging an IV Piggyback

How to Remove (discontinue) an IV

How to Secure an IV (chevron, transparent dressing)

Hydrocodone-Acetaminophen (Vicodin, Lortab) Nursing Considerations

Hydromorphone (Dilaudid) Nursing Considerations

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Insulin – Mixtures (70/30)

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Interactive Practice Drip Calculations

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IV Complications (infiltration, phlebitis, hematoma, extravasation, air embolism)

IV Drip Administration & Safety Checks

IV Drip Therapy – Medications Used for Drips

IV Infusions (Solutions)

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IV Insertion Course Introduction

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IV Pump Management

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Ketorolac (Toradol) Nursing Considerations

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NG Tube Med Administration (Nasogastric)

NG Tube Medication Administration

Nitro Compounds

NRSNG Live | The S.O.C.K Method for Mastering Nursing Pharmacology and Never Forgetting a Medication Again

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OB Pharm and What Drugs You HAVE to Know – Live Tutoring Archive

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Opioid Analgesics in Pregnancy

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Pain Management for the Older Adult – Live Tutoring Archive

Pain Management Meds – Live Tutoring Archive

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Pharmacology Course Introduction

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Rh Immune Globulin in Pregnancy

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Struggling with Dimensional Analysis? – Live Tutoring Archive

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The SOCK Method of Pharmacology 1 – Live Tutoring Archive

The SOCK Method of Pharmacology 2 – Live Tutoring Archive

The SOCK Method of Pharmacology 3 – Live Tutoring Archive

Tips & Advice for Newborns (Neonatal IV Insertion)

Tips & Advice for Pediatric IV

Understanding All The IV Set Ports

Using Aseptic Technique

Verapamil (Calan) Nursing Considerations

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