Nursing Care Plan (NCP) for Abruptio Placentae / Placental abruption
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Outline
Nursing Care Plan (NCP) for Abruptio Placentae/Placental Abruption
Lesson Objective
- Understanding the Definition and Risk Factors:
- Define and comprehend the concept of abruptio placentae, including risk factors such as hypertension, trauma, advanced maternal age, and substance abuse.
- Recognition of Clinical Signs and Symptoms:
- Identify the clinical manifestations of placental abruption, including vaginal bleeding, abdominal pain, uterine tenderness, and signs of fetal distress, to facilitate prompt assessment and intervention.
- Knowledge of Pathophysiology:
- Comprehend the pathophysiological mechanisms involved in abruptio placentae, particularly the premature separation of the placenta from the uterine wall, and its potential impact on maternal and fetal well-being.
- Emergency Response and Immediate Interventions:
- Acquire skills in the immediate response to abruptio placentae emergencies, including initiating emergency medical services, assessing maternal and fetal status, and implementing interventions such as fluid resuscitation and blood transfusions.
- Collaborative Care and Monitoring:
- Understand the importance of interdisciplinary collaboration in the care of individuals experiencing abruptio placentae, involving obstetricians, nurses, anesthesiologists, and other healthcare professionals. Learn about ongoing monitoring, maternal-fetal surveillance, and potential complications.
Pathophysiology of Abruptio Placentae/Placental Abruption:
- Premature Separation:
- Abruptio placentae involves the premature separation of the placenta from the uterine wall before delivery, leading to a disruption in the normal exchange of oxygen and nutrients between the mother and fetus.
- Hematoma Formation:
- The separation can create a hematoma between the placenta and the uterine wall, causing bleeding into the maternal compartment and reducing the blood supply to the fetus.
- Uterine Ischemia:
- The compromised blood flow to the uterus results in uterine ischemia, leading to intense uterine contractions, abdominal pain, and uterine tenderness.
- Concealed or External Hemorrhage:
- The bleeding may be concealed within the uterine cavity or manifest externally, contributing to the risk of maternal hemorrhage and hypovolemic shock.
- Fetal Distress:
- Decreased oxygen and nutrient supply to the fetus due to the placental separation can result in fetal distress, evidenced by non-reassuring fetal heart rate patterns and potential adverse perinatal outcomes.
Etiology of Abruptio Placentae/Placental Abruption:
- Hypertension:
- Chronic hypertension or pregnancy-induced hypertension (preeclampsia) increases the risk of abruptio placentae due to vascular changes affecting the placental circulation.
- Trauma:
- Trauma to the abdomen, such as from motor vehicle accidents or domestic violence, can lead to abruptio placentae, especially in the presence of a predisposing factor like hypertension.
- Advanced Maternal Age:
- Women of advanced maternal age have a higher risk of placental abruption, possibly due to age-related changes in blood vessels and increased incidence of hypertension.
- Substance Abuse:
- Substance abuse, including tobacco smoking, cocaine use, and certain medications, can contribute to abruptio placentae by affecting blood flow and increasing the risk of hypertension.
- Uterine Overdistension:
- Conditions that cause rapid uterine expansion, such as multiple gestations (twins or more) or polyhydramnios (excessive amniotic fluid), may predispose the uterus to abruptio placentae.
Desired Outcome of Nursing Care for Abruptio Placentae/Placental Abruption:
- Stabilization of Maternal Vital Signs:
- Ensure the mother’s vital signs, including blood pressure, heart rate, and respiratory rate, are within normal ranges to prevent maternal compromise.
- Management of Hemorrhage:
- Control and minimize hemorrhage to prevent hypovolemic shock and maintain adequate perfusion to vital organs.
- Fetal Well-being:
- Monitor fetal heart rate patterns to assess fetal well-being and intervene promptly if signs of fetal distress are present.
- Prevention of Complications:
- Prevent complications such as disseminated intravascular coagulation (DIC) and organ failure by closely monitoring laboratory values and providing appropriate interventions.
- Psychosocial Support:
- Offer emotional support and education to the mother and her family regarding the condition, potential outcomes, and the importance of compliance with medical recommendations.
Abruptio Placentae / Placental abruption Nursing Care Plan
Subjective Data:
- Abdominal pain
- Uterine tenderness
- Back pain
- Constant uterine contractions
Objective Data:
- Vaginal bleeding
- Back-to-back uterine contractions
- Firmness of uterus on palpation
- Advanced abruption and severe blood loss may lead to shock
- Tachycardia
- Hypotension
Nursing Assessment for Abruptio Placentae/Placental Abruption:
- Maternal Vital Signs:
- Monitor blood pressure, heart rate, respiratory rate, and temperature regularly to detect signs of hypovolemic shock or maternal compromise.
- Uterine Contractions:
- Assess the frequency, duration, and intensity of uterine contractions to identify abnormalities that may contribute to placental separation.
- Abdominal Examination:
- Perform regular abdominal examinations to assess for uterine tenderness, rigidity, or distension, which may indicate abruptio placentae.
- Vaginal Bleeding:
- Monitor the amount, color, and consistency of vaginal bleeding to gauge the severity of hemorrhage and guide interventions.
- Fetal Heart Rate Monitoring:
- Continuously monitor the fetal heart rate to detect any signs of fetal distress or non-reassuring patterns.
- Pain Assessment:
- Evaluate the mother’s pain level and characteristics, as abruptio placentae is often associated with abdominal pain or back pain.
- Laboratory Values:
- Monitor laboratory values, including coagulation studies (PT, APTT), complete blood count (CBC), and fibrinogen levels, to assess for complications such as DIC.
- Psychosocial Assessment:
- Assess the emotional well-being of the mother and her support system, providing emotional support and addressing concerns.
Implementation for Abruptio Placentae/Placental Abruption:
- Emergency Interventions:
- Initiate emergency measures, including administering oxygen therapy, establishing intravenous access, and preparing for blood transfusions, to stabilize the mother and address immediate concerns.
- Continuous Fetal Monitoring:
- Maintain continuous fetal heart rate monitoring to promptly identify any signs of fetal distress and facilitate timely interventions.
- Fluid Resuscitation:
- Administer intravenous fluids judiciously to address hypovolemia and maintain adequate perfusion to vital organs, helping prevent maternal shock.
- Blood Product Administration:
- Administer blood products, such as packed red blood cells and clotting factors, as indicated by laboratory values, to manage and correct coagulation abnormalities.
- Surgical Interventions:
- Collaborate with the healthcare team for potential surgical interventions, such as an emergency cesarean section, if the condition warrants prompt delivery for maternal or fetal well-being.
Nursing Interventions and Rationales
| Nursing Intervention (ADPIE) | Rationale |
| Assess and monitor vaginal bleeding | Excessive bleeding may result in shock. Amount of obvious blood may not fully indicate severity due to possible internal bleeding |
| Obtain history from patient | Determine time bleeding began, any history of pregnancy complications or abdominal/uterine trauma |
| Place patient on bed rest in lateral position | This position helps avoid pressure on the vena cava to avoid decreased cardiac output |
| Initiate IV access with large bore line | IV fluids will be given to manage hypovolemia and blood transfusion may be required |
| Assess abdomen for uterine tenderness and contractions | Uterus may be tender upon palpation, tense and rigid.
Fundal massage may help to slow bleeding from uterine wall. |
| Monitor maternal vitals for signs of shock | Watch for signs of hypovolemia to include tachycardia, tachypnea and hypotension |
| Place and observe external fetal monitoring for signs of fetal distress | This allows you to monitor fetal heart rate and contractions to observe for variability and responsiveness of the fetal heart rate. A lack of variability or decelerations indicate fetal distress. |
| Assess and manage pain | Massage
Guided imagery Cool compresses to the forehead Deep breathing techniques Abdominal, back and uterine pain may accompany bleeding and at times may be severe, especially with contractions. Provide alternative options for pain relief if able |
| Administer medications | Corticosteroids
Analgesics as appropriate Oxytocin In addition to IV fluids, corticosteroids may be given to speed up fetal lung development if delivery is necessary. Oxytocin may be given after delivery to decrease hemorrhage. |
| Provide patient education | Help patient to feel more informed and lessen anxiety and stress |
Evaluation for Abruptio Placentae/Placental Abruption:
- Maternal Stability:
- Assess the stabilization of maternal vital signs and overall condition, ensuring that blood pressure, heart rate, and respiratory rate are within normal ranges.
- Hemorrhage Control:
- Evaluate the effectiveness of interventions in controlling hemorrhage, monitoring ongoing blood loss and adjusting treatment as needed.
- Fetal Well-being:
- Review fetal monitoring records to assess the baby’s well-being and response to interventions, ensuring that any signs of distress are promptly addressed.
- Complication Prevention:
- Monitor for and evaluate the prevention of complications such as disseminated intravascular coagulation (DIC) by regularly assessing laboratory values.
- Psychosocial Support:
- Evaluate the emotional well-being of the mother and family, ensuring they have received adequate support, information, and resources to cope with the traumatic event.
References
- https://my.clevelandclinic.org/health/diseases/9435-placental-abruption
- https://medlineplus.gov/ency/patientinstructions/000605.htm
- https://americanpregnancy.org/healthy-pregnancy/pregnancy-complications/placental-abruption/
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Transcript
Hi everyone, today, we’re going to be creating a nursing care plan for abruptio placentae or placental abruption. So, let’s get started. First, we’re going to be going over the pathophysiology. So abruptio placentae or placental abruption is when the placenta partially or completely detaches prematurely from the uterus. Nursing considerations. We want to assess vaginal bleeding, bedrest, managing pain, administering medications, and fetal monitoring Desired outcomes: the patient will have no, or minimal bleeding, and pain will be controlled. Fetus will show no signs of his distress. And so here we have an image to show. So, you’re going to see all this bleeding all right here, because it’s separated from the uterus right here. And you can see over here, there’s this internal bleeding here and how it’s separated there from the uterus.
So now we’re going to go over the care plan. We’re going to be writing down some subjective data and some objective data. So, what are we going to see with patients? They are going to have some abdominal pain. They’re going to have some uterine tenderness, possibly some back pain. Some objective data: they’re going to have some vaginal bleeding and some firmness of the uterus. So constant uterine contractions are another thing that these patients may have or an advanced abruption and severe loss. It may lead to tachycardia and hypotension.
So, interventions, we want to make sure we’re going to assess and monitor vaginal bleeding, the maternal vital signs. We also want to make sure we’re getting a patient history. Excessive bleeding may result in shock. So, the amount of obvious blood may not fully indicate the severity due to possible internal bleeding. We want to watch for signs of hypovolemia to tachycardia, and hypotension. We want to determine time bleeding began and any history of pregnancy complications or abdominal uterine trauma that the mom may have. We also want to make sure we’re placing the patient on bedrest in a lateral position. So, we want to do bedrest and we want to make sure it’s lateral positioning. This position’s going to help avoid pressure on the vena cava to avoid any sort of decreased cardiac output. That is why we want them in the lateral position. We also want to make sure that we initiate any sort of IV access with a large bore line. We’re going to want to make sure we’re giving IV fluids and able to manage the hypovolemia and possibly give a blood transfusion. We want to make sure we’re assessing the abdomen for uterine tenderness and contractions. So, the abdomen we’re going to be assessing. The uterus may be tender upon palpation and tense and rigid. So, a massage may help to slow bleeding from the uterine wall. And we’re going to place and observe external fetal monitoring for signs of fetal distress. So, we’re going to want to make sure that we’re doing fetal monitoring. This allows you to monitor the fetal heart rate and contractions to observe for the variability and responsiveness of the fetal heart rate. A lack of variability or deceleration will indicate fetal distress. We want to make sure that we’re assessing and managing pain So we can do nonpharmacological: massage, guided imagery, cool compresses. Abdominal, back, and uterine pain can all accompany bleeding. And at times it may be severe, especially with contractions. So, you want to make sure we’re providing any sort of alternative options for pain relief, if available. Otherwise, you may end up giving them some by mouth pain medication. So other medications that we may be giving the patient corticosteroids, analgesics for the pain, and oxytocin. So, in addition to IV fluids, corticosteroids may be given to speed up the fetal lung development. If delivery is necessary oxytocin to is given after delivery to decrease hemorrhage.
Alright, we’re going to move on to the key points. So, the placenta partially or completely will detach prematurely from the uterus. Risk factors will include abdominal trauma, vascular disorders, hypertension, and advanced maternal age. Some subjective and objective data that you’re going to see in these patients: they’ll complain of abdominal pain, uterine tenderness, bleeding, back-to-back uterine contractions, and firmness of the uterus. We want to make sure we’re assessing for that vaginal bleeding, getting a proper history, abdominal tenderness, fetal monitoring, and managing the pain. We want to make sure we’re administering the medications as needed, making sure we’re promoting bedrest. And there we have that completed care plan.
You guys did amazing. We love you guys. Go out, be your best self today and as always happy nursing.
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- Disorders of Pancreas
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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