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

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Outline

Lesson Objective for Nursing Care Plan (NCP) – Fetal Alcohol Syndrome (FAS)

  • Understanding Fetal Alcohol Syndrome (FAS):
    • Develop a comprehensive understanding of Fetal Alcohol Syndrome, including its etiology, pathophysiology, and the impact of alcohol exposure on fetal development.
  • Assessment of Maternal Alcohol Consumption:
    • Learn to assess and document maternal alcohol consumption during pregnancy, emphasizing the importance of obtaining accurate information to guide appropriate interventions.
  • Recognition of Clinical Manifestations:
    • Identify and recognize the clinical manifestations and physical characteristics associated with Fetal Alcohol Syndrome, ensuring early detection for timely intervention.
  • Development of Holistic Care Strategies:
    • Formulate holistic nursing care strategies that address the unique needs of individuals affected by FAS, considering physical, developmental, and psychosocial aspects.
  • Collaborative Care and Support:
    • Explore collaborative approaches involving healthcare professionals, educators, and community resources to provide comprehensive support for individuals with Fetal Alcohol Syndrome and their families.

Pathophysiology of Fetal Alcohol Syndrome (FAS)

  • Alcohol Exposure during Pregnancy:
    • Fetal Alcohol Syndrome results from exposure to alcohol during pregnancy, particularly during critical periods of fetal development, affecting organogenesis and functional maturation.
  • Placental Transfer and Fetal Vulnerability:
    • Alcohol crosses the placenta, exposing the developing fetus to ethanol, which interferes with cellular processes, disrupts organ formation, and poses a heightened vulnerability during organogenesis.
  • Impact on Neurological Development:
    • Alcohol’s neurotoxic effects on the developing brain can lead to structural abnormalities, neuronal migration disturbances, and alterations in synaptic function, contributing to cognitive and behavioral deficits.
  • Cardiovascular Implications:
    • FAS can involve congenital heart defects and structural abnormalities, as alcohol disrupts cardiovascular development, impacting the formation and function of the heart and major blood vessels.
  • Facial Dysmorphology and Growth Retardation:
    • Distinctive facial features, growth deficiencies, and organ malformations are common characteristics of Fetal Alcohol Syndrome, reflecting disruptions in cellular proliferation, migration, and tissue differentiation.

Etiology of Fetal Alcohol Syndrome (FAS)

  • Maternal Alcohol Consumption:
    • FAS primarily occurs when pregnant individuals consume alcohol, especially during the first trimester when fetal organ development is most susceptible to teratogenic effects.
  • Timing and Quantity of Alcohol Consumption:
    • The risk of FAS is associated with the timing and amount of alcohol consumed during pregnancy. Heavy or binge drinking increases the likelihood of adverse outcomes.
  • Individual Susceptibility:
    • Genetic factors may influence an individual’s susceptibility to the teratogenic effects of alcohol. Variations in metabolism and detoxification pathways can impact fetal vulnerability.
  • Absence of a Safe Threshold:
    • There is no identified “safe” level of alcohol consumption during pregnancy. Even low to moderate alcohol intake may pose a risk to fetal development, emphasizing the importance of abstinence.
  • Interplay of Environmental Factors:
    • Socioeconomic factors, maternal nutrition, and overall maternal health can interact with alcohol exposure, influencing the severity and manifestation of FAS in the developing fetus.

 

Desired Outcome of Nursing Care for Fetal Alcohol Syndrome (FAS)

  • Optimal Growth and Development:
    • Facilitate an environment that supports the child’s physical and cognitive growth, aiming for age-appropriate milestones and achievements.
  • Early Intervention and Support:
    • Implement early intervention programs and therapies to address developmental delays, behavioral challenges, and learning difficulties, enhancing the child’s overall well-being.
  • Health Maintenance:
    • Promote the child’s health through regular medical check-ups, vaccinations, and preventive measures to minimize the risk of secondary health issues associated with FAS.
  • Educational Success:
    • Collaborate with educators to create an individualized education plan (IEP) that accommodates the child’s unique learning needs, fostering academic success and social integration.
  • Family and Community Involvement:
    • Engage families and communities in a supportive network, providing resources, education, and encouragement to enhance the quality of life for both the child and their caregivers.

Fetal Alcohol Syndrome (FAS) Nursing Care Plan

 

Subjective Data:

Patient’s mother/caregiver may report:

  • Poor coordination
  • Jitteriness or hyperactivity
  • Frequent mood changes
  • Difficulty in social settings (daycare, school)
  • Difficulty switching tasks
  • Learning disorders

Patient may report:

  • Trouble paying attention or focusing
  • Poor memory
  • Vision problems

Objective Data:

  • Distinct facial features that include small eyes, thin upper lip, short nose
  • Slow physical growth (before and after birth)
  • Small head circumference
  • Heart defects
  • Joint / bone deformities

Nursing Assessment for Fetal Alcohol Syndrome (FAS)

 

  • Prenatal History:
    • Gather detailed information about the mother’s alcohol consumption during pregnancy, including frequency, quantity, and timing of exposure.
  • Physical Examination:
    • Perform a comprehensive physical assessment of the newborn, paying attention to facial features, growth parameters, and any physical anomalies associated with FAS.
  • Neurodevelopmental Evaluation:
    • Assess the infant’s neurodevelopmental status, looking for signs of developmental delays, motor coordination issues, and cognitive impairments.
  • Behavioral Observation:
    • Observe the child’s behavior for signs of hyperactivity, impulsivity, attention deficits, or other behavioral challenges commonly associated with FAS.
  • Feeding and Nutritional Assessment:
    • Evaluate the infant’s feeding patterns, growth, and nutritional status, as individuals with FAS may face challenges related to feeding and growth.
  • Hearing and Vision Screening:
    • Conduct screenings for hearing and vision impairments, as these sensory deficits may be present in individuals with FAS.
  • Cardiac and Renal Assessment:
    • Assess the cardiovascular and renal systems for any anomalies or dysfunction related to FAS, as these systems can be affected by prenatal alcohol exposure.
  • Social and Family Dynamics:
    • Evaluate the family’s understanding of FAS, their coping mechanisms, and support systems, considering the impact of the syndrome on family dynamics.

 

Implementation for Fetal Alcohol Syndrome (FAS)

 

  • Educational Support:
    • Provide educational resources and information to parents and caregivers about FAS, emphasizing the importance of early intervention and specialized care.
  • Multidisciplinary Collaboration:
    • Facilitate collaboration among healthcare professionals, educators, and social workers to ensure a holistic approach to care, addressing the diverse needs of individuals with FAS.
  • Developmental Interventions:
    • Implement targeted developmental interventions, including physical therapy, occupational therapy, and speech therapy, to address specific challenges and promote optimal development.
  • Behavioral Management:
    • Collaborate with behavioral specialists to develop and implement behavior management strategies, providing support for both the individual with FAS and their caregivers.
  • Support Services and Advocacy:
    • Connect families with support services, community resources, and advocacy groups specializing in FAS to enhance social support and empower families in navigating the challenges associated with the syndrome.

Nursing Interventions and Rationales

 

  • Perform complete assessment of systems including heart and lung auscultation

 

FAS often results in deformities of the heart and lungs and may result in murmurs, heart valve disorders or respiratory diseases such as asthma

 

  • Assess infant for signs of withdrawal that include:
    • High-pitched cry
    • Postural arching (of the back)
    • Slow or delayed breathing (apnea / bradypnea)
    • Slow or irregular heartbeat

 

It is still controversial as to whether or not infants experience withdrawal symptoms.

There are certain symptoms that appear to be consistent in infants with FAS as listed and should be monitored if FAS is suspected.

 

  • Obtain history of pregnancy from patient’s mother

 

  • Determine how much alcohol was consumed throughout pregnancy and frequency.
  • Severity of symptoms may be determined by amount of exposure.
  • NO amount of alcohol consumed is considered safe during pregnancy.

 

  • Measure head and abdominal circumference of infant

 

Infants with FAS generally have smaller head size that indicates microcephaly.

Abdomen may be distended following birth. This may require nasogastric intubation.

 

  • Minimize external stimuli

 

Infants and children with FAS are often easily excitable and become agitated and fussy with excessive noise and physical stimuli.

Maintain calm atmosphere and cluster care as much as possible.

 

  • Provide education and counseling for parents/caregivers

 

  • Provide resources for parents that include alcohol cessation programs and support groups
  • Provide resources for child to include counseling, specialists (cardiology, neurology, orthopedics, etc) and special education programs
  • There is NO KNOWN safe amount of alcohol to be consumed during pregnancy

Evaluation for Fetal Alcohol Syndrome (FAS)

 

  • Developmental Milestones:
    • Regularly assess and monitor developmental milestones to evaluate progress and identify areas that may require additional support or intervention.
  • Behavioral Assessments:
    • Conduct behavioral assessments to evaluate the effectiveness of behavioral management strategies and make adjustments as needed to address behavioral challenges.
  • Educational Progress:
    • Evaluate educational progress, considering the individualized needs of children with FAS, and collaborate with educators to implement modifications or accommodations as necessary.
  • Family Functioning:
    • Assess the overall functioning of the family unit, ensuring that support services and resources are meeting the needs of both the individual with FAS and their caregivers.
  • Quality of Life Measures:
    • Utilize quality of life measures to assess the overall well-being and satisfaction of individuals with FAS and their families, considering factors such as social integration, emotional health, and community involvement.

 


References

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Transcript

This is the nursing care plan for fetal alcohol syndrome. So the pathophysiology behind fetal alcohol syndrome is that there are some infants who were exposed to alcohol, consumed by the mother during pregnancy, and it results in this disorder, fetal alcohol syndrome. This causes problems with growth and development and can lead to brain damage. There’s a variety of the disorder in that the infant can vary and normally includes a mix of behavioral, physical and mental disorders. These children often have varying degrees of learning disabilities. The effects of FAS may not even be recognized until the child develops over time, even after entering school and into adulthood, the nursing consideration. So we want to do a head and abdominal assessment. There could be some abnormalities there, with the FAS children. We want to monitor coughs. We want to monitor vital signs. We want to do a respiratory and cardiac assessment. We want to educate pregnant mothers and monitor the growth and development of these children. The desired outcome in managing these patients is that the patient is going to exhibit optimal, cognitive functioning, appropriate behaviors, and impulse control. The patient is going to have minimal effects. So the patient, mother, or caregiver may report that this patient with fetal alcohol syndrome is showing signs of a poor coordination, 

Jitteriness, maybe some hyper activity. There may also be frequent mood changes, difficulty in social settings, such as daycare in school. There may also be difficulty switching tasks. There may be some learning disorders. Once the patient is old enough to report their own subjective data, they may complain of having difficulty or trouble paying attention, and poor memory. Some of these children or adults may also report vision problems. Some objective things. So we’re going to see some distinct facial features. These distinct facial features may include small eyes, thin upper lip, and a short nose. They may also have short stature; so slow physical growth. And this is before and after birth. These babies are typically born with a small head or microcephaly. They may present with some heart defects or some joints and bone deformities. So what are some things that we can do from this patient? Well, the first thing we need to do is to do a full head-to-toe assessment, paying close attention to the respiratory and the cardiac. So we want to do an assessment and we want to keep those eyes looking at the heart and the lungs. Okay. It’s very important to do this. The patients with fetal alcohol syndrome may result in deformities of the heart and the lung. And you may hear things such as murmur valve disorders, or you may hear some respiratory diseases such as asthma or respiratory distress. Okay? The next thing we want to do is we want to assess the effect for signs of withdrawal. So these infants can still withdraw from alcohol dependence from when the mother had her last drink. So these signs and symptoms of withdrawal include a high pitched cry. This is characteristic for patients with fetal alcohol syndrome. They may do some postural arching. They may have slow or delayed breathing, or they may have a slow or irregular heartbeat. We want to measure the head. We want to measure the hair in the abdomen for circumference for the infant. Remember, but if it’s with a fetal alcohol syndrome, generally have a smaller head size that indicates microcephaly. So measurements would show microcephaly, and the abdomen may be distended following birth. So let’s do that. We want to do an abdomen distension. This may require an NG tube. We want to obtain a history of pregnancy from the patient’s mother. We want to determine how much alcohol was actually consumed throughout the pregnancy. And how often was it consumed? I remember no alcohol is ever okay during pregnancy. So we want to do that. We want to get history from the mother on consumption. And finally, we want to minimize external stimuli. Remember the patients with FAS are easily excitable and become agitated and fussy with excessive noise and physical stimulus. So we want to keep them calm, let them rest, let them work on healing. Some of the pathophysiology behind this is that infants who were exposed to alcohol consumed by the mother during pregnancy results in this disorder known as fetal alcohol syndrome. Some of the things that may be reported, some of the subjective data, is they report poor coordination, poor memory. They may be jittery. They may have learning disabilities. Some things that we’re going to notice is we may observe some objective data such as heart defects, maybe microcephaly, small head, small eyes, and a thin upper lip. So what can we do? Well, we want to do a good cardiac assessment. Remember that cardiac assessment is going to let us know if this patient has any congenital defects. Remember patients who have fetal alcohol syndrome tend to have a deformity. So things wrong with the heart, things wrong with the lungs; an ECG monitoring, and a thorough cardiac assessment will help us diagnose that next. We want to make sure we educate the caregiver. We want to educate the parents or the caregiver. We want to provide education on this disease process. We want to, we may need to refer the patient to a cardiologist and neurologist or a special education program. We love you guys; go out and be your best self today. And, as always, happy nursing.

 

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Concepts Covered:

  • Gastrointestinal
  • Newborn Complications
  • Pregnancy Risks
  • Labor Complications
  • Fetal Development
  • Terminology
  • Prenatal Concepts
  • Noninfectious Respiratory Disorder
  • Newborn Care
  • Labor and Delivery
  • Postpartum Care
  • Postpartum Complications
  • Medication Administration
  • Studying
  • Communication
  • Prefixes
  • Suffixes
  • Proteins
  • Statistics
  • Med Term Basic
  • Med Term Whole
  • Cardiovascular
  • Circulatory System
  • Nervous System
  • Skeletal System
  • Emergency Care of the Cardiac Patient
  • Neurological
  • Respiratory
  • Urinary System
  • Respiratory System
  • Endocrine System
  • Tissues and Glands
  • Hematologic System
  • Digestive System
  • Reproductive System
  • Endocrine and Metabolic Disorders
  • Preoperative Nursing
  • Integumentary Disorders
  • Urinary Disorders
  • Muscular System
  • Sensory System
  • Basics of Human Biology
  • Test Taking Strategies
  • Adult
  • Intraoperative Nursing
  • Microbiology
  • Cardiac Disorders
  • Anxiety Disorders
  • Depressive Disorders
  • Vascular Disorders
  • Upper GI Disorders
  • Central Nervous System Disorders – Brain
  • Gastrointestinal Disorders
  • Immunological Disorders
  • Fundamentals of Emergency Nursing
  • Dosage Calculations
  • Understanding Society
  • Concepts of Pharmacology
  • Hematologic Disorders
  • Adulthood Growth and Development
  • Disorders of Pancreas
  • Respiratory Disorders
  • Postoperative Nursing
  • Substance Abuse Disorders
  • Bipolar Disorders
  • Peripheral Nervous System Disorders
  • Learning Pharmacology
  • Psychotic Disorders

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)
Babies by Term
Behind The Red Line – Live Tutoring Archive
Betamethasone and Dexamethasone
Betamethasone and Dexamethasone in Pregnancy
Bicarbonate (HCO3) Lab Values
Blood Cultures
Blood Glucose Monitoring
Blood Transfusions (Administration)
Body System Assessments
Breastfeeding
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)
Dystocia
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)
Epidural
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
HELLP Syndrome – Signs and Symptoms Nursing Mnemonic (HELLP)
Hematomas in OB Nursing: Causes, Symptoms, and Nursing Care
Hemodynamics
Hemoglobin A1c (HbA1C)
Hemorrhage (Postpartum Bleeding) for Certified Emergency Nursing (CEN)
Hepatitis B Vaccine for Newborns
Homocysteine (HCY) Lab Values
Hydatidiform Mole (Molar pregnancy)
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
Mastitis
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
Postpartum Hematoma
Postpartum Hemorrhage (PPH)
Postpartum Interventions
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 Labs
Pregnancy Outcomes Nursing Mnemonic (GTPAL)
Preload and Afterload
Premature Rupture of the Membranes (PROM)
Preterm Labor
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
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)
Spironolactone (Aldactone) Nursing Considerations
Stages of Fetal Development Nursing Mnemonic (Proficiently Expanding Fetus)
Subinvolution
Terbutaline (Brethine) Nursing Considerations
Threatened/Spontaneous Abortion for Certified Emergency Nursing (CEN)
Tips & Advice for Newborns (Neonatal IV Insertion)
Tocolytics
Tocolytics
Top 5 Misunderstood OB Concepts – Live Tutoring Archive
Transient Tachypnea of Newborn
Umbilical Cord Vasculature Nursing Mnemonic (2A1V)
Uterine Stimulants (Oxytocin, Pitocin)
Uterine Stimulants (Oxytocin, Pitocin) Nursing Considerations
VEAL CHOP Nursing Mnemonic (Fetal Accelerations and Decelerations) (VEAL CHOP)
What the Heck is Antepartum Testing? – Live Tutoring Archive
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
02.03 Swan-Ganz Catheters for CCRN Review
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
Adrenal Gland
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 Grouping
Blood Plasma
Blood Pressure (BP) Control
Blood Vessels
Bone Structure
Bowel Elimination
Breathing Control
Breathing Movements
Calcium and Magnesium Imbalance for Certified Emergency Nursing (CEN)
Calculating Heart Rate
Cardiac (Heart) Physiology
Cardiac A&P Module Intro
Cardiac Cycle
Causes of Poor Gas Exchange Nursing Mnemonic (All People Can Value Lungs)
Cholinergic Crisis – Signs and Symptoms Nursing Mnemonic (SLUDGE)
Connective Tissues
Cranial Nerves
Development of Bones
Digestion & Absorption
Digestive System Anatomy
Drawing Blood
Drawing Blood from the IV
EKG (ECG) Course Introduction
EKG (ECG) Waveforms
EKG Basics – Live Tutoring Archive
Electrical A&P of the Heart
Electrical Activity in the Heart
Electroencephalography (EEG)
Electrolyte Imbalances for Progressive Care Certified Nurse (PCCN)
Electrolytes – Location in Body Nursing Mnemonic (PISO)
Electrolytes Involved in Cardiac (Heart) Conduction
Electromyography (EMG)
Epithelial (Skin) Tissues
Esophagus
Female Reproductive Anatomy (Anatomy and Physiology)
Fluid & Electrolytes Course Introduction
Fluid Volume Deficit
Formation & Excretion of Urine
Gastrointestinal (GI) Course Introduction
Glands
Health Assessment Course Introduction
Hygiene
Hyperkalemia – Causes Nursing Mnemonic (MACHINE)
Hyperkalemia – Management Nursing Mnemonic (AIRED)
Hyperkalemia – Signs and Symptoms Nursing Mnemonic (Murder)
Hypernatremia – Causes Nursing Mnemonic (MODEL)
Increase MAP Nursing Mnemonic (VAK)
Inserting a Foley (Urinary Catheter) – Male
Intro to Circulatory System
Intro to Health Assessment
Introduction to Health Assessment
Joints
Large Intestine
Liver & Gallbladder
Male Reproductive Anatomy (Anatomy and Physiology)
Membrane Potentials
Membranes
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
Pancreas
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
Sensory Basics
Skeletal Anatomy
Skeletal Muscle
Skin Structure & Function
Small Intestine
Sodium and Potassium Imbalance for Certified Emergency Nursing (CEN)
Spinal Cord
Stomach Video
Tattoos IV Insertion
The EKG (ECG) Graph
The Heart
Thyroid Gland
Tonicity of Solutions – Live Tutoring Archive
Trach Care
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)
12 Points to Answering Pharmacology Questions
6 Rights of Medication Administration
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
Barbiturates
Bariatric: IV Insertion
Basics of Calculations
Benztropine (Cogentin) Nursing Considerations
Bisacodyl (Dulcolax) Nursing Considerations
Buspirone (Buspar) Nursing Considerations
Carbidopa-Levodopa (Sinemet) Nursing Considerations
Cefdinir (Omnicef) Nursing Considerations
Celecoxib (Celebrex) Nursing Considerations
Codeine (Paveral) Nursing Considerations
Combative: IV Insertion
Complex Calculations (Dosage Calculations/Med Math)
Cyclosporine (Sandimmune) Nursing Considerations
Dark Skin: IV Insertion
Dimensional Analysis Nursing (Dosage Calculations/Med Math)
Diphenoxylate-Atropine (Lomotil) Nursing Considerations
Drawing Blood from the IV
Drawing Up Meds
Drug Interactions Nursing Mnemonic (These Drugs Can Interact)
Epoetin Alfa
Eye Prophylaxis for Newborn
Fentanyl (Duragesic) Nursing Considerations
Geriatric: IV Insertion
Giving Medication Through An IV Set Port
Glipizide (Glucotrol) Nursing Considerations
Guaifenesin (Mucinex) Nursing Considerations
Hanging an IV Piggyback
How to Remove (discontinue) an IV
How to Secure an IV (chevron, transparent dressing)
Hydralazine
Hydrocodone-Acetaminophen (Vicodin, Lortab) Nursing Considerations
Hydromorphone (Dilaudid) Nursing Considerations
IM Injections
Injectable Medications
Insulin
Insulin – Long Acting (Lantus) Nursing Considerations
Insulin – Mixtures (70/30)
Insulin Drips
Insulin Mixing
Interactive Pharmacology Practice
Interactive Practice Drip Calculations
IV Catheter Selection (gauge, color)
IV Complications (infiltration, phlebitis, hematoma, extravasation, air embolism)
IV Drip Administration & Safety Checks
IV Drip Therapy – Medications Used for Drips
IV Infusions (Solutions)
IV Insertion Angle
IV Insertion Course Introduction
IV Placement Start To Finish (How to Start an IV)
IV Pump Management
IV Push Medications
Ketorolac (Toradol) Nursing Considerations
Labeling (Medications, Solutions, Containers) for Certified Perioperative Nurse (CNOR)
Lidocaine (Xylocaine) Nursing Considerations
Magnesium Sulfate
Magnesium Sulfate in Pregnancy
Maintenance of the IV
Mannitol (Osmitrol) Nursing Considerations
MAOIs
Medication Errors
Medication Reconciliation Review for Certified Perioperative Nurse (CNOR)
Medications in Ampules
Meds for Postpartum Hemorrhage (PPH)
Meperidine (Demerol) Nursing Considerations
Methadone (Methadose) Nursing Considerations
Methylergonovine (Methergine) Nursing Considerations
Metoclopramide (Reglan) Nursing Considerations
Montelukast (Singulair) Nursing Considerations
Mood Stabilizers
Nalbuphine (Nubain) Nursing Considerations
Needle Safety
Neostigmine (Prostigmin) Nursing Considerations
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
Nystatin (Mycostatin) Nursing Considerations
OB Pharm and What Drugs You HAVE to Know – Live Tutoring Archive
Olanzapine (Zyprexa) Nursing Considerations
Opioid Analgesics in Pregnancy
Oral Medications
Oxycodone (OxyContin) Nursing Considerations
Pain Management for the Older Adult – Live Tutoring Archive
Pain Management Meds – Live Tutoring Archive
Parasympathomimetics (Cholinergics) Nursing Considerations
Patient Controlled Analgesia (PCA)
Pediatric Dosage Calculations
Pentobarbital (Nembutal) Nursing Considerations
Pharmacodynamics
Pharmacokinetics
Pharmacokinetics Nursing Mnemonic (ADME)
Pharmacology Course Introduction
Phenobarbital (Luminal) Nursing Considerations
Phytonadione (Vitamin K) for Newborn
Pill Crushing & Cutting
Positioning
Procainamide (Pronestyl) Nursing Considerations
Propofol (Diprivan) Nursing Considerations
Quetiapine (Seroquel) Nursing Considerations
Ranitidine (Zantac) Nursing Considerations
Rh Immune Globulin in Pregnancy
Sedatives-Hypnotics
Sedatives-Hypnotics
Selecting THE vein
Spiking & Priming IV Bags
Starting an IV
Streptokinase (Streptase) Nursing Considerations
Struggling with Dimensional Analysis? – Live Tutoring Archive
SubQ Injections
Supplies Needed
Tattoos IV Insertion
TCAs
The SOCK Method – C
The SOCK Method – K
The SOCK Method – O
The SOCK Method – Overview
The SOCK Method – S
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 & Tricks
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