Increased Intracranial Pressure (ICP) for Certified Emergency Nursing (CEN)
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Decrease ICP (Mnemonic)
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Outline
Increased Intracranial Pressure (ICP)
Definition/Etiology:
Intracranial pressure is… the pressure in the cranium. I mean that’s a simple way of saying it, but it is the sum of the pressure exerted by the brain, blood and cerebrospinal fluid that is housed in the skull.
An increase in ICP can occur from a non-traumatic event such as a stroke, but more commonly, is due to trauma. Falls, MVC, struck by or against events (Its football season as i create this lecture and there have been some pretty severe injuries over the years), and assaults all can cause head injuries that lead to increased ICP. The CDC estimates that 1.7 million people sustain a TBI annually.
Pathophysiology:
The skull contains 3 things. Blood, Brain and cerebro spinal fluid (CSF). Normally if one of these increases, the others adjust to compensate. When swelling or fluid gets too great, ICP rises. When this happens, this stuff has nowhere to expand to, so it just slides down through the foramen magnum, also known as “herniation”. When ICP exceeds the mean arterial pressure, all blood flow to the brain ceases. Our job is to make sure this doesn’t happen.
Let’s take a second to talk about the Monroe Kellie Doctrine. No this isn’t paperwork that was signed to end WWI. The Monro-Kellie doctrine states that the skull is a rigid compartment and contains three components: brain, blood, and cerebrospinal fluid. If an increase occurs in the volume of one component, the volume of one or more other components must decrease, or ICP will be elevated. When this is prevented, for whatever reason, ICP rises.
Clinical Presentation:
Much like any head injury, symptoms can be varied. First, we want to assess LOC or level of consciousness. From there, being aware of your neuro assessments is very important.
We’re not going to go into signs of a head injury. Firstly, you know most of them (i know you do) and secondly, here we are more concerned about the signs that ICP is rising.
Increased ICP activates the Cushing reflex, a nervous system response resulting in Cushing’s triad.
Cushing’s triad, which is a sign that ICP is rising, is composed of bradycardia, irregular respirations, and a widened pulse pressure (that’s the difference between the systolic and diastolic. For example… 120/80, good. 160/60, not so good.) Some also include an increasing systolic as part of the triad instead of the respirations.
In addition to Cushing’s, some pretty common signs that the ICP is going up would be a change in behavior, or LOC, weakness, (which may actually come before the vitals change), lethargy, a more severe headache, blurred vision and anisocoria. (What is aisocoria, it’s just a cool word for unequal pupils)
Collaborative Management:
So, what do we do? Well, here is where we need some math. When we worry about an increased ICP, we worry that the brain is not perfusing. Not getting what it needs. We need to maintain a good Cerebral Perfusion Pressure. “But Mike, you never mentioned that before!” Well…. I just did. The CPP is just what it sounds like, it’s the amount of pressure needed to perfuse the brain. The normal CPP is between 70-100 mm/Hg. The way we figure this out is pretty simple. Just subtract the IPP from the MAP and you get the CPP. That also easy…just look at the monitor and it should tell you. Usually, the number in a different color under your systolic and diastolic. If not, stay with me here… double the diastolic, add the systolic and then divide by 3.
OK so there’s some brain math for ya. As far as testing…. I think it goes without saying that we need a CT of the head. If there is an increasing ICP, it might be nice to know why.
To treat the problem:
- We need to increase the MAP. Fluids, pressors, and blood can all do this.
- We need to decrease vasodilation. Easy, elevate the head of the bed. We can also give diuretics like Manitol.
- WE also need to manage their Ph level as acidity can cause vasodilation which we do not want. CO2 is an acid. Respiratory acidosis is real in these patients. We need to manage their O2 and ventilations. But this is tricky. Hyperventilation, which will deliver more O2 and better perfuse the brain….is good. But hyperventilation also can increase intrathoracic pressure which in turn increases ICP… which is bad. There is a fine balance, and it is individual to the patient.
Evaluation | Patient Monitoring | Education:
We need to keep an eye on all the things we talked about. The ICP, the MAP, the CPP, the Co2 level, Oxygen status. These are all vital pieces of information when treating these patients.
One of the best ways to monitor ICP is with an ICP monitor. I’m not going to get in depth, but just know that you drill a hole and place a device in the skill that will monitor the pressure for us. It also helps to drill that hole to let a little of that pressure out. This is something that may or may not be done in the ED as its usually an ICU procedure. But…well i don’t have to tell you guys about ICU in the ED these days.
We want to avoid the “H Bombs” as best we can. Hypoxemia, hypercapnia, and H+ (respiratory acidosis) are all vasodilators. Cerebral vasodilation causes an increase in blood to the brain and a subsequent increase in ICP.
Linchpins: (Key Points)
- Prevent the “H Bombs”
- Maintain CPP
- Prevent vasodilation
- Be aware of changes
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Transcript
For more great CEN prep, got to the link below to purchase the “Emergency Nursing Examination Review” book by Dr. Laura Gasparis Vonfrolio RN, PHD
https://greatnurses.com/
References:
- Emergency Nurses Association. (2022). Emergency Nursing Orientation 3.0. Cambridge, MA: Elsevier, Inc.
- Sheehy, S. B., Hammond, B. B., & Zimmerman, P. G. (2013). Sheehy’s manual of emergency care (Vol. 7th Edition). St. Louis, MO: Elsevier/Mosby.
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Post-Partum Assessment Nursing Mnemonic (BUBBLE)
Prioritization
Prioritizing Assessments
Priority
Purpose of Nursing Care Plans
Questions To Ask Before Applying To A Nursing Program
R – Real-Life
Real Life
Real-Life Experiences
Recording
Repeating Words
Resources for Lesson Creation
RN to MSN
Safety Check Nursing Mnemonic (MADLE)
Same
SATA
SATA like a BOSS – Live Tutoring Archive
SATA like a BOSS 2 – Live Tutoring Archive
SBAR Communication Nursing Mnemonic (SBAR)
Screencastify Setup
Share the Wealth
SSRI’s Nursing Mnemonic (Effective For Sadness, Panic, and Compulsions)
Start and End with the Linchpin
Steps in the Nursing Process 1 Nursing Mnemonic (ADPIE)
Steps in the Nursing Process 2 Nursing Mnemonic (AAPIE)
Steps In The Nursing Process 3 Nursing Mnemonic (SOAPIE)
Study Setting
Study Tips for Success
Systems Thinking for Progressive Care Certified Nurse (PCCN)
TEAS® Prep Course Introduction
Tenet 1 Filet Mignon
Tenet 2 Linchpins & Connections
Tenet 3 Why Behind the What
Tenet 4 Learner-Centered Talkabouts
Test Taking Course Introduction
The Academy
The CARPET Methods of Teaching
The Nurse Routine
The Nursing Process Pro Tips for Test Taking – Live Tutoring Archive
The Outline is the Foundation
Thinking Like a Nurse
Time Management
Time Management
To The Point
Tracheal Esophageal Fistula – Sign and Symptoms Nursing Mnemonic (The 3 C’s)
Trauma – Complications Nursing Mnemonic (TRAUMATIC)
Trauma Surgery – Medical History Nursing Mnemonic (AMPLE)
Triage Nursing Mnemonic (START)
Trusting your Gut
Two pathways of the peripheral nervous system Nursing Mnemonic (SAME)
Using Nursing Care Plans in Clinicals
Vasospasm Therapy Nursing Mnemonic (Triple H Therapy)
VEAL CHOP Nursing Mnemonic (Fetal Accelerations and Decelerations) (VEAL CHOP)
Vitamins – Fat Soluble Nursing Mnemonic (All Dogs Eat Kibble)
Vitamins – Water Soluble Nursing Mnemonic (Birth Control)
Walkers Nursing Mnemonic (Wandering Wilma Always Late)
Welcome to NURSING.com
Welcome to NURSING.com
What Are the Absolutes
What are the NCLEX Categories? – Live Tutoring Archive
What do you want me to know?
What is CCMM?
What is Pedagogy
What is the NCLEX?
What Should They Learn
What to Expect In Clinical
Where To Start
Why NURSING.com?
Working night shift
Your Role
Citations
Evidence Based Research
Nurse Educator
Page Sections, Footnotes & Headers
Page Set-Up
Research Nurse
Title Page
Why CEs (Continuing education) matter
Aging and Socialization
Crime in Society
Dark Skin: IV Insertion
Gender Equity (Inclusion, Gender Transition) for Certified Emergency Nursing (CEN)
Gender Inequality
Global Inequalities
High-Risk Behaviors
Human Trafficking for Certified Emergency Nursing (CEN)
Introduction to Sociology
Lab Panels
Lab Panels – The Basics and What YOU Need to Know – Live Tutoring Archive
Lab Panels – The Basics and What YOU Need to Know 2 – Live Tutoring Archive
Lab Panels – The Basics and What YOU Need to Know 3 – Live Tutoring Archive
Lab Values Course Introduction
Race, Ethnicity, and Migration in Society
Shorthand Lab Values
Social Effects on Health, Illness, and Disability
Social Groups
Social Interactions in Life
Sociological Perspectives
Sociology and Culture
Sociology and Education
Sociology Course Introduction
Sociology Research
Citations
Evidence Based Research
Nurse Educator
Page Sections, Footnotes & Headers
Page Set-Up
Research Nurse
Title Page
Why CEs (Continuing education) matter
01.01 CCRN Test Overview for CCRN Review
12 Points to Answering Pharmacology Questions
5 Rules for Powerpoint
5 Things You Never Knew About The NCLEX – Live Tutoring Archive
9 Easy Steps to Passing Every Nursing School Test | With Jon Haws, BSN, RN, Founder of NURSING.com
Absolute Words
Acute vs Chronic
Addiction – Behavioral Problems Nursing Mnemonic (The 5 D’s)
ADLs (Activity of Daily Living) Nursing Mnemonic (BATTED)
Advanced Critical Thinking
Alcoholism – Outcomes Nursing Mnemonic (BAD)
Alkalosis and Acidosis Nursing Mnemonic (Kick Up, Drop Down)
Anatomy of an NCLEX Question
Anticholinergics – Side Effects Nursing Mnemonic (4 Can’ts)
Arterial Blood Gases Nursing Mnemonic (ROME)
Ask Questions
Avoiding Alarm Fatigue
Backwards and Forwards
Be a Mix Tape (Rewind and Fast-Forward)
Beta 1 and Beta 2 Nursing Mnemonic (1 Heart, 2 Lungs)
Bloom’s Taxonomy
C – Content
Can You Draw It
Care Plan Review (Addresses Patient Considerations) for Certified Perioperative Nurse (CNOR)
Caring Licensed Practical Nurse Nursing Mnemonic (CLPN)
Caring Practices for Progressive Care Certified Nurse (PCCN)
Causes of Poor Gas Exchange Nursing Mnemonic (All People Can Value Lungs)
Chance’s Story on His Personal Journey
Cheatsheets
Child Abuse/Neglect – Warning Signs Nursing Mnemonic (CHILD ABUSE)
CHO, CHO, CHON Nursing Mnemonic (CHO, CHO, CHON)
Cholinergic Crisis – Signs and Symptoms Nursing Mnemonic (SLUDGE)
Clinical Inquiry for Progressive Care Certified Nurse (PCCN)
Community Health Tool Nursing Mnemonic (MAP-IT)
Concept Map Course Introduction
Connections
Course Introduction to Nursing School Preparation
Critical Thinking
Critical Thinking
Degree Restrictions in Career Growth
Denying Feelings
Dig for the Why
Diploma vs ADN vs BSN vs Bridge
Drawing Pictures
Drug Interactions Nursing Mnemonic (These Drugs Can Interact)
Drugs for Bradycardia & Low Blood Pressure Nursing Mnemonic (IDEA)
Duplicate Facts
E – Engagement
Electrolytes – Location in Body Nursing Mnemonic (PISO)
Emergency Drugs Nursing Mnemonic (LEAN)
Environmental Health Assessment Nursing Mnemonic (I PREPARE)
Evaluating Patient Response to Plan of Care for Certified Perioperative Nurse (CNOR)
Exercise Guidelines Nursing Mnemonic (FIT)
Explaining the “Why”
Exporting and Uploading to Frame.io
Fetal Distress Interventions Nursing Mnemonic (Stop MOAN)
Fetal Wellbeing Assessment Tests Nursing Mnemonic (ALONE)
Fire Safety 1 Nursing Mnemonic (PASS)
Fire Safety 2 Nursing Mnemonic (RACE)
Getting Access to frame.io
Getting Started with Tech
Gluten Free Diet Nursing Mnemonic (BROW)
Goal Setting
HESI® Prep Course Introduction
High Risk Behavior Nursing Mnemonic (HEADSS)
How to Write a Nursing Care Plan
Hyperkalemia – Causes Nursing Mnemonic (MACHINE)
Hyperkalemia – Management Nursing Mnemonic (AIRED)
Hyperkalemia – Signs and Symptoms Nursing Mnemonic (Murder)
Hypernatremia – Causes Nursing Mnemonic (MODEL)
IADLS (Instrumental Activities of Daily Living) Nursing Mnemonic (SCUM)
Identifying Interventions per Nursing Diagnoses for Certified Perioperative Nurse (CNOR)
Identifying Measurable Patient Outcomes for Certified Perioperative Nurse (CNOR)
Increase MAP Nursing Mnemonic (VAK)
Inflammation- Signs and Symptoms Nursing Mnemonic (HIPER)
Interviewing for Nursing School
Introduction to CCMM
Jon’s Story on His Personal Journey
Keep it Short
Lesson Elements
MAO Inhibitors Nursing Mnemonic (TIPS)
Marie’s Story on Her Personal Nursing Journey
Miriam’s Story on Her Personal Journey
Mnemonic for Organ Systems (MR DICE RUNS)
MSN (Masters) vs. DNP (Doctorate)
NCLEX Question Traps! – Live Tutoring Archive
NCLEX® Question Traps
Need Help Making A Study Plan? – Live Tutoring Archive
NRSNG | Closing Thoughts
NRSNG Live | 5 Things You Never Knew About NCLEX Questions
NRSNG Live | AMA (Ask Me Anything) Nursing Success Roundtable
NRSNG Live | AMA Student Panel – How I Survive (Barely) Nursing School
NRSNG Live | How I Went From Nursing School Dropout to Passing NCLEX in 75 and Teaching 18 Million Nurses
NRSNG Live | How to Get the Most out of NRSNG
NRSNG Live | How to Pass Any Nursing School Test
NRSNG Live | My Super Secret Note Taking Method
NRSNG Live | The Core Content Mastery Method and How to Use it Throughout Your Nursing Journey
NRSNG Live | The Successful State of Mind
NRSNG Live | What Your Nursing Professors Want to Tell You But Can’t
Nursing Care Plans Course Introduction
Nursing Case Study Introduction
Nursing Process
Nursing Process – Assess
Nursing Process – Diagnose
Nursing Process – Evaluate
Nursing Process – Implement
Nursing Process – Plan
Nursing School Application Essay
NURSING.com Assessment & Skills Checks
NURSING.com Introduction
O – Origins
OLD CARTS Mnemonic (OLD CARTS)
Online vs Brick-and-Mortar
Opposite or the Same – Live Tutoring Archive
Opposites
Our Goals for Teaching
Our Mission
Outline Question Method (Note taking)
Overview of the Nursing Process
Paying for Nursing School
Pharmacokinetics Nursing Mnemonic (ADME)
Pictures
Plan of Care Updates for Certified Perioperative Nurse (CNOR)
Planning Community Health Interventions Nursing Mnemonic (PRECEDE-PROCEED)
Post-Partum Assessment Nursing Mnemonic (BUBBLE)
Prioritization
Prioritizing Assessments
Priority
Purpose of Nursing Care Plans
Questions To Ask Before Applying To A Nursing Program
R – Real-Life
Real Life
Real-Life Experiences
Recording
Repeating Words
Resources for Lesson Creation
RN to MSN
Safety Check Nursing Mnemonic (MADLE)
Same
SATA
SATA like a BOSS – Live Tutoring Archive
SATA like a BOSS 2 – Live Tutoring Archive
SBAR Communication Nursing Mnemonic (SBAR)
Screencastify Setup
Share the Wealth
SSRI’s Nursing Mnemonic (Effective For Sadness, Panic, and Compulsions)
Start and End with the Linchpin
Steps in the Nursing Process 1 Nursing Mnemonic (ADPIE)
Steps in the Nursing Process 2 Nursing Mnemonic (AAPIE)
Steps In The Nursing Process 3 Nursing Mnemonic (SOAPIE)
Study Setting
Study Tips for Success
Systems Thinking for Progressive Care Certified Nurse (PCCN)
TEAS® Prep Course Introduction
Tenet 1 Filet Mignon
Tenet 2 Linchpins & Connections
Tenet 3 Why Behind the What
Tenet 4 Learner-Centered Talkabouts
Test Taking Course Introduction
The Academy
The CARPET Methods of Teaching
The Nurse Routine
The Nursing Process Pro Tips for Test Taking – Live Tutoring Archive
The Outline is the Foundation
Thinking Like a Nurse
Time Management
Time Management
To The Point
Tracheal Esophageal Fistula – Sign and Symptoms Nursing Mnemonic (The 3 C’s)
Trauma – Complications Nursing Mnemonic (TRAUMATIC)
Trauma Surgery – Medical History Nursing Mnemonic (AMPLE)
Triage Nursing Mnemonic (START)
Trusting your Gut
Two pathways of the peripheral nervous system Nursing Mnemonic (SAME)
Using Nursing Care Plans in Clinicals
Vasospasm Therapy Nursing Mnemonic (Triple H Therapy)
VEAL CHOP Nursing Mnemonic (Fetal Accelerations and Decelerations) (VEAL CHOP)
Vitamins – Fat Soluble Nursing Mnemonic (All Dogs Eat Kibble)
Vitamins – Water Soluble Nursing Mnemonic (Birth Control)
Walkers Nursing Mnemonic (Wandering Wilma Always Late)
Welcome to NURSING.com
Welcome to NURSING.com
What Are the Absolutes
What are the NCLEX Categories? – Live Tutoring Archive
What do you want me to know?
What is CCMM?
What is Pedagogy
What is the NCLEX?
What Should They Learn
What to Expect In Clinical
Where To Start
Why NURSING.com?
Working night shift
Your Role
08.01 Psychological Review for CCRN Review
Addiction – Behavioral Problems Nursing Mnemonic (The 5 D’s)
Albumin Lab Values
Alcohol Withdrawal (Addiction)
Alcohol Withdrawal Case Study (45 min)
Alcoholism – Outcomes Nursing Mnemonic (BAD)
Alprazolam (Xanax) Nursing Considerations
Alzheimer – Diagnosis Nursing Mnemonic (The 5 A’s)
Ammonia (NH3) Lab Values
Anorexia – Signs and Symptoms Nursing Mnemonic (ANOREXIA)
Antianxiety Meds
Antianxiety Meds
Antidepressants
Antidepressants
Antipsychotics
Antipsychotics
Anxiety
Anxiety Disorders (PTSD, Anxiety, Panic Attack) for Certified Emergency Nursing (CEN)
Atypical Antipsychotics
Benzodiazepines
Benzodiazepines Nursing Mnemonic (Donuts and TLC)
Blood Urea Nitrogen (BUN) Lab Values
Bulimia – Signs and Symptoms 1 Nursing Mnemonic (BULIMIA)
Bulimia – Signs and Symptoms 2 Nursing Mnemonic (WASHED)
Buspirone (Buspar) Nursing Considerations
Calcium-Ca (Hypercalcemia, Hypocalcemia)
Carbamazepine (Tegretol) Nursing Considerations
Chloride-Cl (Hyperchloremia, Hypochloremia)
Chlorpromazine (Thorazine) Nursing Considerations
Cholesterol (Chol) Lab Values
Cognitive Impairment Disorders
Creatinine (Cr) Lab Values
Day in the Life of a Hospice, Palliative Care Nurse
Day in the Life of a Mental Health Nurse
Defense Mechanisms
Defense Mechanisms
Dementia Nursing Mnemonic (DEMENTIA)
Depression
Depression Assessment Nursing Mnemonic (SIGNS)
Depression Concept Map
Diazepam (Valium) Nursing Considerations
Disruptive Behaviors, Aggression, Violence for Progressive Care Certified Nurse (PCCN)
Dissociative Disorders
Divalproex (Depakote) Nursing Considerations
Eating Disorders (Anorexia Nervosa, Bulimia Nervosa)
Encephalopathy Case Study (45 min)
End of Life for Progressive Care Certified Nurse (PCCN)
End-of-Life and Palliative Care (Organ and Tissue Donation, Advance Directives, Care Withholding, Family Presence) for Certified Emergency Nursing (CEN)
Escitalopram (Lexapro) Nursing Considerations
Fluoxetine (Prozac) Nursing Considerations
Generalized Anxiety Disorder
Glomerular Filtration Rate (GFR)
Grief and Loss
Grief and Loss
Haloperidol (Haldol) Nursing Considerations
Handling Death and Dying
Head to Toe Nursing Assessment (Physical Exam)
Homicidal and Suicidal Ideation for Certified Emergency Nursing (CEN)
Hypochondriasis (Hypochondriac)
Lamotrigine (Lamictal) Nursing Considerations
Lithium (Lithonate) Nursing Considerations
Lithium Lab Values
Liver Function Tests
Lorazepam (Ativan) Nursing Considerations
Magnesium-Mg (Hypomagnesemia, Hypermagnesemia)
Manic Attack – Signs and Symptoms Nursing Mnemonic (DIG FAST)
MAO Inhibitors Nursing Mnemonic (TIPS)
MAOIs
Meds for Alzheimers
Mental Health Course Introduction
Metabolic Alkalosis
Methadone (Methadose) Nursing Considerations
Midazolam (Versed) Nursing Considerations
Mood Disorders (Bipolar, Depression) for Certified Emergency Nursing (CEN)
Mood Disorders (Bipolar)
Mood Stabilizers
Mood Stabilizers
Nurse-Patient Relationship
Nursing Care Plan (NCP) for Alcohol Withdrawal Syndrome / Delirium Tremens
Nursing Care Plan (NCP) for Alzheimer’s Disease
Nursing Care Plan (NCP) for Anxiety
Nursing Care Plan (NCP) for Depression
Nursing Care Plan (NCP) for Dissociative Disorders
Nursing Care Plan (NCP) for Eating Disorders (Anorexia Nervosa, Bulimia Nervosa, Binge-Eating Disorder)
Nursing Care Plan (NCP) for Mood Disorders (Major Depressive Disorder, Bipolar Disorder)
Nursing Care Plan (NCP) for Paranoid Disorders
Nursing Care Plan (NCP) for Personality Disorders
Nursing Care Plan (NCP) for Post-Traumatic Stress Disorder (PTSD)
Nursing Care Plan (NCP) for Schizophrenia
Nursing Care Plan (NCP) for Somatic Symptom Disorder (SSD)
Nursing Care Plan (NCP) for Suicidal Behavior Disorder
Nursing Case Study for (PTSD) Post Traumatic Stress Disorder
Nursing Case Study for Bipolar Disorder
Nursing Case Study for Mania (Manic Syndrome)
Olanzapine (Zyprexa) Nursing Considerations
Oxycodone (OxyContin) Nursing Considerations
Palliative Care for Progressive Care Certified Nurse (PCCN)
Paranoid Disorders
Paroxetine (Paxil) Nursing Considerations
Personality Disorders
Phases of Nurse-Client Relationship
Phosphorus-Phos
Post-Traumatic Stress Disorder (PTSD)
Postmortem Care
Potassium-K (Hyperkalemia, Hypokalemia)
Psychological Disorders (Anxiety, Depression) for Progressive Care Certified Nurse (PCCN)
Quetiapine (Seroquel) Nursing Considerations
Schizophrenia
Schizophrenia Case Study (45 min)
Self Concept
Senile Dementia – Assess for Changes Nursing Mnemonic (JAMCO)
Sertraline (Zoloft) Nursing Considerations
Sodium-Na (Hypernatremia, Hyponatremia)
Somatoform
Somatoform Disorder Case Study (30 min)
SSRI’s Nursing Mnemonic (Effective For Sadness, Panic, and Compulsions)
SSRIs
Substance Abuse (Alcohol, Drug Withdrawal) for Progressive Care Certified Nurse (PCCN)
Substance Abuse (Chronic Alcohol Abuse, Chronic Drug Abuse) for Progressive Care Certified Nurse (PCCN)
Substance Abuse (Drug-Seeking Behavior) for Progressive Care Certified Nurse (PCCN)
Suicidal Behavior
TCAs
Therapeutic Communication
Therapeutic Drug Levels (Digoxin, Lithium, Theophylline, Phenytoin)
Thought Disorders (Psychosis, Schizophrenia) for Certified Emergency Nursing (CEN)
Total Bilirubin (T. Billi) Lab Values
Types of Schizophrenia
Urinalysis (UA)
Vitamin B12 Lab Values
Assessment for Myasthenic Crisis Nursing Mnemonic (BRISH)
Bacterial Endocarditis – Symptoms Nursing Mnemonic (Be Joan Of Arc)
Canes Nursing Mnemonic (COAL)
Causes of Dyspnea Nursing Mnemonic (The 6 P’s)
CHF Treatment Nursing Mnemonic (UNLOAD FAST)
Common Signs of Parkinson’s Nursing Mnemonic (SMART)
Complications of Thoracentesis Nursing Mnemonic (Patients Sometimes Bleed Internally)
Cor Pulmonale – Signs & Symptoms Nursing Mnemonic (Please Read His Text)
Critical Thinking to Facilitate Patient Care for Certified Perioperative Nurse (CNOR)
Evaluation of Irregular Moles Nursing Mnemonic (ABCDE)
Formulating Nursing Diagnoses for Certified Perioperative Nurse (CNOR)
Hypoglycemia – Signs and Symptoms Nursing Mnemonic (TIRED)
Interventions for Aphasia Nursing Mnemonic (PROP)
Lidocaine Toxicity – Signs and Symptoms Nursing Mnemonic (SAMS)
Management of Pressure Ulcers (Pressure Injuries) Nursing Mnemonic (SKIN)
Medications to Prevent Seizures Nursing Mnemonic (Pretty Little Liars Forever)
Multiple Sclerosis Symptoms Nursing Mnemonic (DEMYELINATION)
Personal Growth Resources for Certified Perioperative Nurse (CNOR)
Seizure Causes Nursing Mnemonic (VITAMIN)
Seizure Documentation Nursing Mnemonic (TDOC)
Shock – Signs and symptoms Nursing Mnemonic (TV SPARC CUBE)
02.08 Cardiac Catheterization & Acute Coronary Syndrome for CCRN Review
06.04 Differentiating Ectopy and Aberrancy for CCRN Review
06.05 Wide Complex Tachycardia for CCRN Review
Age and Culturally Appropriate Health Assessment Techniques for Certified Perioperative Nurse (CNOR)
Altered Mental Status- Delirium and Dementia for Progressive Care Certified Nurse (PCCN)
Aneurysm and Dissection for Certified Emergency Nursing (CEN)
Aspiration for Certified Emergency Nursing (CEN)
Assessment for Myasthenic Crisis Nursing Mnemonic (BRISH)
Atrial Dysrhythmias for Progressive Care Certified Nurse (PCCN)
Atrial Fibrillation (A Fib)
Atrial Flutter
AV Blocks Dysrhythmias for Progressive Care Certified Nurse (PCCN)
Bacterial Endocarditis – Symptoms Nursing Mnemonic (Be Joan Of Arc)
Bleeding for Certified Emergency Nursing (CEN)
Canes Nursing Mnemonic (COAL)
Cardiac Arrest Nursing Interventions for Certified Perioperative Nurse (CNOR)
Causes of Dyspnea Nursing Mnemonic (The 6 P’s)
CHF Treatment Nursing Mnemonic (UNLOAD FAST)
Common Signs of Parkinson’s Nursing Mnemonic (SMART)
Complications of Thoracentesis Nursing Mnemonic (Patients Sometimes Bleed Internally)
Cor Pulmonale – Signs & Symptoms Nursing Mnemonic (Please Read His Text)
Critical Thinking to Facilitate Patient Care for Certified Perioperative Nurse (CNOR)
Discharge Planning for Certified Emergency Nursing (CEN)
Dysrhythmias for Certified Emergency Nursing (CEN)
Environmental Cleaning (Spills, Room Turnover, Terminal Cleaning) for Certified Perioperative Nurse (CNOR)
Environmental Stewardship (Waste Minimization) for Certified Perioperative Nurse (CNOR)
Evaluation of Irregular Moles Nursing Mnemonic (ABCDE)
Formulating Nursing Diagnoses for Certified Perioperative Nurse (CNOR)
Fundamentals Course Introduction
Head and Spinal Cord Trauma for Certified Emergency Nursing (CEN)
Hypertension (HTN) Concept Map
Hypertension (Uncontrolled) and Hypertensive Crisis for Progressive Care Certified Nurse (PCCN)
Hypertension for Certified Emergency Nursing (CEN)
Hypoglycemia – Signs and Symptoms Nursing Mnemonic (TIRED)
Interventions for Aphasia Nursing Mnemonic (PROP)
Ischemic (CVA) Stroke Labs
Lacerations for Certified Emergency Nursing (CEN)
Lidocaine Toxicity – Signs and Symptoms Nursing Mnemonic (SAMS)
Management of Pressure Ulcers (Pressure Injuries) Nursing Mnemonic (SKIN)
Maxillofacial Trauma for Certified Emergency Nursing (CEN)
Medications to Prevent Seizures Nursing Mnemonic (Pretty Little Liars Forever)
Multiple Sclerosis Symptoms Nursing Mnemonic (DEMYELINATION)
Nursing Care and Pathophysiology of Osteoporosis
Nursing Care Plan (NCP) for Atrial Fibrillation (AFib)
Nursing Care Plan (NCP) for Seizures
Patient and Healthcare Team Safety (Disasters, Environmental Hazards) for Certified Perioperative Nurse (CNOR)
Personal Growth Resources for Certified Perioperative Nurse (CNOR)
Premature Atrial Contraction (PAC)
Premature Ventricular Contraction (PVC)
Pulmonary Embolus for Certified Emergency Nursing (CEN)
Respiratory Distress Syndrome for Certified Emergency Nursing (CEN)
Respiratory Trauma for Certified Emergency Nursing (CEN)
Seizure Assessment
Seizure Causes (Epilepsy, Generalized)
Seizure Causes Nursing Mnemonic (VITAMIN)
Seizure Documentation Nursing Mnemonic (TDOC)
Seizure Therapeutic Management
Seizures Case Study (45 min)
Seizures Module Intro
Shock – Signs and symptoms Nursing Mnemonic (TV SPARC CUBE)
Sinus Bradycardia
Sinus Tachycardia
Stroke (CVA) Module Intro
Stroke Case Study (45 min)
Supraventricular Tachycardia (SVT)
Trauma Nursing Interventions for Certified Perioperative Nurse (CNOR)
Ventricular Dysrhythmias for Progressive Care Certified Nurse (PCCN)
Ventricular Fibrillation (V Fib)
Ventricular Tachycardia (V-tach)
Wound Bleeding (Uncontrolled External Hemorrhage) for Certified Emergency Nursing (CEN)
54 Common Medication Prefixes and Suffixes
Alpha-fetoprotein (AFP) Lab Values
Carboxyhemoglobin Lab Values
Cardiac Terminology
Diagnostic Testing Course Introduction
Diagnostics Terminology
Digestive Terminology
Gamma Glutamyl Transferase (GGT) Lab Values
Growth Hormone (GH) Lab Values
Hematology Oncology & Immunology Terminology
Integumentary (Skin) Terminology
Mean Corpuscular Volume (MCV) Lab Values
Mean Platelet Volume (MPV) Lab Values
Medical Terminology Course Introduction
MedTerm Basic Word Structure
MedTerm Body as a Whole
MedTerm Prefixes
MedTerm Suffixes
Metabolic & Endocrine Terminology
Methemoglobin (MHGB) Lab Values
Musculoskeletal Terminology
Myoglobin (MB) Lab Values
Neuro Terminology
Pharmacology Terminology
Prealbumin (PAB) Lab Values
Procedural Terminology
Psychiatry Terminology
Reproductive Terminology
Respiratory Terminology
Sensory Terminology
Urinary Terminology
Basic Algebra
Basic Geometry
Basic Operations
Basic Statistics
Common Stat tests
Covariance and Causality
Decimals & Percentages
Distributions
Gamma Glutamyl Transferase (GGT) Lab Values
Graphing Equations
Growth Hormone (GH) Lab Values
Interpreting Trends
Lab Panels
Lab Panels – The Basics and What YOU Need to Know – Live Tutoring Archive
Lab Panels – The Basics and What YOU Need to Know 2 – Live Tutoring Archive
Lab Panels – The Basics and What YOU Need to Know 3 – Live Tutoring Archive
Lab Values Course Introduction
Mathematics Course Introduction
Mean Corpuscular Volume (MCV) Lab Values
Mean Platelet Volume (MPV) Lab Values
Measure of Spread
Normal distribution curve
Prealbumin (PAB) Lab Values
Ratios & Proportions
Response Variable vs. Explanatory variable
Shorthand Lab Values
Working with Fractions
ACLS (Advanced cardiac life support) Drugs
Advanced Cardiovascular Life Support (ACLS)
Brief CPR (Cardiopulmonary Resuscitation) Overview
CPR-BLS (Basic Life Support)
Life Support Review Course Introduction
Neonatal Resuscitation Program (NRP)
Pediatric Advanced Life Support (PALS)
ABG Course (Arterial Blood Gas) Introduction
ABGs Nursing Normal Lab Values