Nursing Care Plan (NCP) for Angina

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Included In This Lesson

Study Tools For Nursing Care Plan (NCP) for Angina

Stable Angina (Picmonic)
Unstable Angina (Picmonic)
Angina (Cheatsheet)
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Outline

Lesson Objective for Angina Nursing Care:

  • Understanding Angina:
    • Develop a comprehensive understanding of angina, including its pathophysiology, triggers, and manifestations, to facilitate accurate assessment and targeted interventions.
  • Managing Acute Episodes:
    • Learn effective strategies for managing acute episodes of angina, including prompt recognition of symptoms, administration of prescribed medications, and implementation of lifestyle modifications to alleviate ischemic chest pain.
  • Preventing Complications:
    • Explore preventive measures to reduce the risk of complications associated with angina, such as myocardial infarction (heart attack). Emphasize the importance of adherence to prescribed medications and lifestyle modifications.
  • Implementing Lifestyle Changes:
    • Understand and advocate for lifestyle changes that can positively impact angina, including a heart-healthy diet, regular physical activity, smoking cessation, and stress management techniques.
  • Promoting Medication Adherence:
    • Focus on strategies to promote medication adherence, ensuring individuals understand the purpose and potential side effects of prescribed medications for angina. Encourage open communication with healthcare providers regarding concerns or challenges.

Pathophysiology of Angina:

  • Coronary Artery Disease (CAD):
    • Angina is primarily associated with coronary artery disease, a condition where the coronary arteries, responsible for supplying blood to the heart muscle, become narrowed or blocked by atherosclerosis. Atherosclerosis involves the buildup of plaque composed of cholesterol, fats, and inflammatory cells on the arterial walls.
  • Myocardial Ischemia:
    • Reduced blood flow to the myocardium (heart muscle) due to narrowed coronary arteries results in myocardial ischemia. Insufficient oxygen and nutrients reaching the heart muscle can lead to chest pain or discomfort, known as angina.
  • Triggering Factors:
    • Angina symptoms are often triggered by increased demands on the heart, such as physical exertion, emotional stress, or exposure to cold temperatures. These triggers exacerbate the imbalance between myocardial oxygen supply and demand.
  • Stable vs. Unstable Angina:
    • Stable angina occurs predictably and is often relieved by rest or nitroglycerin. Unstable angina is characterized by more frequent, severe, or unpredictable episodes, posing a higher risk of progressing to a heart attack (myocardial infarction).
  • Vasospasm and Microvascular Dysfunction:
    • In addition to atherosclerosis, vasospasm (abnormal constriction of blood vessels) and microvascular dysfunction may contribute to angina. These mechanisms further compromise blood flow, intensifying myocardial ischemia and symptomatology.

Etiology of Angina:

  • Coronary Artery Disease (CAD):
    • The primary cause of angina is coronary artery disease (CAD), characterized by the buildup of atherosclerotic plaques within the coronary arteries. These plaques narrow the arteries, reducing blood flow to the heart muscle and leading to myocardial ischemia.
  • Risk Factors:
    • Multiple risk factors contribute to the development of CAD and angina, including hypertension, hyperlipidemia (elevated cholesterol levels), diabetes mellitus, smoking, and a family history of cardiovascular disease. Addressing these risk factors is essential in angina management.
  • Aging and Genetics:
    • Advancing age is associated with an increased likelihood of developing CAD and angina. Genetic factors also play a role, as individuals with a family history of cardiovascular disease may have a higher predisposition.
  • Obesity and Sedentary Lifestyle:
    • Lifestyle factors, such as obesity and a sedentary lifestyle, contribute to the development and progression of CAD. Physical inactivity and poor dietary choices can exacerbate risk factors like high blood pressure and cholesterol levels.
  • Microvascular Dysfunction and Vasospasm:
    • Beyond traditional CAD, angina may also result from microvascular dysfunction or vasospasm, where blood vessels constrict abnormally, reducing blood flow. These conditions may be independent or coexist with atherosclerosis.

Desired Outcome for Angina Nursing Care:

  • Symptom Control:
    • Achieve effective control of angina symptoms, minimizing the frequency, intensity, and duration of episodes. The goal is to provide individuals with a better quality of life and reduce the impact of chest pain on daily activities.
  • Prevention of Complications:
    • Prevent the progression of angina to more severe cardiovascular complications, such as myocardial infarction (heart attack) or heart failure. This involves addressing underlying risk factors and promoting a heart-healthy lifestyle.
  • Improved Exercise Tolerance:
    • Enhance the individual’s exercise tolerance by implementing a structured cardiac rehabilitation program and encouraging regular, tailored physical activity. Improved cardiovascular fitness contributes to overall well-being.
  • Medication Adherence:
    • Promote adherence to prescribed medications, including anti-anginal drugs and medications for managing underlying cardiovascular risk factors. This helps maintain optimal blood flow to the heart and reduces the risk of adverse events.
  • Enhanced Quality of Life:
    • Work towards an improved overall quality of life for individuals with angina by addressing physical symptoms, providing emotional support, and empowering them to actively participate in their healthcare. This includes education on self-management strategies and coping mechanisms.

Angina Nursing Care Plan

 

Subjective Data:

  • Chest Pain
  • Dyspnea on Exertion
  • Do full pain assessment (PQRST or OLDCARTS)
  • Ask about any doses of nitroglycerin or aspirin

Objective Data:

  • EKG changes (arrhythmias)
  • Hypotension
  • Tachycardia
  • Bradycardia
  • Decreased SpO2
  • Signs of decreased perfusion (cool, clammy, pale, diaphoretic)

Nursing Assessment for Angina:

  • Clinical History:
    • Obtain a comprehensive clinical history, including the onset, duration, and characteristics of angina symptoms. Inquire about any recent changes in the frequency or intensity of episodes.
  • Risk Factor Assessment:
    • Evaluate and document cardiovascular risk factors such as hypertension, hyperlipidemia, diabetes, smoking, family history of heart disease, and lifestyle factors (diet, exercise). Identify modifiable risk factors for targeted interventions.
  • Physical Examination:
    • Perform a thorough physical examination, focusing on cardiovascular parameters. Assess blood pressure, heart rate, respiratory rate, and signs of heart failure. Examine for peripheral edema and signs of poor perfusion.
  • Pain Assessment:
    • Use a validated pain assessment tool to quantify and characterize chest pain. Explore factors that alleviate or exacerbate pain, and assess the impact of pain on the individual’s daily activities.
  • Exercise Tolerance:
    • Evaluate exercise tolerance by assessing the individual’s ability to engage in physical activity without triggering angina symptoms. Determine any limitations or challenges related to exercise.
  • Medication History:
    • Review the individual’s medication history, ensuring adherence to prescribed anti-anginal medications and other cardiovascular medications. Inquire about any side effects or challenges with medication management.
  • Psychosocial Assessment:
    • Assess the psychosocial impact of angina on the individual’s mental health, emotional well-being, and overall quality of life. Explore coping mechanisms, stressors, and support systems.
  • Educational Needs:
    • Identify educational needs related to angina management. Assess the individual’s understanding of the condition, prescribed medications, lifestyle modifications, and the importance of seeking prompt medical attention for worsening symptoms.

Implementation for Angina Nursing Care:

  • Medication Administration:
    • Administer prescribed anti-anginal medications, such as nitroglycerin, beta-blockers, or calcium channel blockers, as directed. 
  • Educate the individual on the proper use of nitroglycerin for acute symptom relief and when to call for medical support
  • Lifestyle Modification Support:
    • Provide guidance and support for lifestyle modifications, including dietary changes, regular physical activity as tolerated, smoking cessation, and stress management. Collaborate with the individual to develop a personalized plan for cardiovascular health.
  • Cardiac Rehabilitation Referral:
    • Refer the individual to cardiac rehabilitation programs to enhance exercise tolerance and promote overall cardiovascular fitness. Monitor participation and progress in rehabilitation activities.
  • Patient Education:
    • Conduct ongoing education on angina management, including the importance of adhering to prescribed medications, recognizing and responding to symptoms, and adopting a heart-healthy lifestyle. Ensure understanding of self-care strategies.
  • Monitoring and Follow-up:
    • Implement regular monitoring of symptoms, blood pressure, and heart rate. Schedule follow-up appointments to assess progress, address concerns, and make necessary adjustments to the care plan. Encourage open communication between the healthcare team and the individual.

 

Nursing Interventions and Rationales

 

  • Bedside EKG monitoring
    (3 or 5 Lead)

 

Apply a 3- or 5-lead EKG monitor to determine the presence of any arrhythmias.

Most common arrhythmias that cause angina include Atrial Fibrillation with Rapid Ventricular Response (AFib with RVR), Supraventricular Tachycardia (SVT), and Bradycardias.

 

  • 12-Lead ECGIf initial 12-lead ECG indicates inferior MI, do a right-sided 12-lead ECG.

 

To rule out the presence of Myocardial Infarction. It takes 5-15 minutes to determine if the chest pain will subside with nitroglycerin. By checking a 12-lead EKG, a possible STEMI can be ruled out immediately. If STEMI is present, patient should be taken to the Cath Lab STAT.

Right-sided 12 lead ECG shows the right side of the heart to assess for right ventricular ischemia.

 

  • MONA:
    • Morphine
    • Oxygen
    • Nitroglycerin
    • Aspirin (ASA)

    *note – this is only a mnemonic and not the correct order of administration – see rationale for details*

 

Initial treatment for acute coronary syndrome.

  • Morphine: given ONLY if aspirin and nitroglycerin do not relieve chest pain. Initial dose is 2-4 mg IV.
  • Oxygen: helps for you to remember to check oxygenation for chest pain – if under 94% or if patient is short of breath give 2L NC initially. Administer oxygen only when clinically relevant.
  • Nitroglycerin: This is the initial medication given, along with aspirin. This medication dilates the blood vessels to help allow any blood flow that might be impeded. Give 0.4 mg sublingual tab, wait 5 minutes, if the chest pain is not relieved administer another dose. This can happen 3 times total. Monitor a patient’s blood pressure, hold for a systolic BP of less than 90 mmHg.
  • Aspirin: given to thin the blood and decrease mortality risk. A total of 4 baby aspirin (81 mg each) can be given for a total of 324 mg, or a single 325 mg dose.

 

  • Insert Large Bore IV and draw initial Cardiac Enzymes

 

IV access is important for the administration of medications, possible interventions if angina worsens, and any scans that may be needed to rule out thrombosis.

Cardiac enzymes further serve to rule out Myocardial Infarction and can give an indication to the extent of myocardial damage.

  • Troponin I
  • CK
  • CK-MB
  • Myoglobin

 

  • BP Monitoring
    • The measurement is determined by the doctor, who is determining this based on evidence-based research married with patient factors.
    • It can be measured by the systolic BP or the Mean Arterial Pressure (MAP).

 

This is important because the higher the blood pressure, the more pressure is on a clot. It isn’t out of the question for someone to have more than one clot, and increased pressure could break free a clot lodge itself somewhere else either in the heart, lungs, brain, or extremity.  

It is also possible that the source of the angina is severe hypotension. This should be assessed and monitored and corrected as needed.

 

  • Monitor Cardiac Enzymes:
    • Troponin I
    • Creatine Kinase-MB (CKMB)

 

The values of these enzymes are based on your institutional laboratory technique. If they are elevated it indicates that the cardiac muscle is stressed out or injured.

  • Troponin I is an enzyme that helps the interaction of myosin and actin in the cardiac muscle. When necrosis of the myocyte happens, the contents of the cell eventually will be released into the bloodstream.
    • Troponin can become elevated 2-4 hours after in ischemic cardiac event and can stay elevated for up to 14 days.
  • Creatine Kinase MB: This enzyme is found in the cardiac muscle cells and catalyzes the conversion of ATP into ADP giving your cells energy to contract. When the cardiac muscle cells are damaged the enzyme is eventually released into the bloodstream.
    • CKMB levels should be checked at admission, and then every 8 hours afterward.

 

  • Cluster Care to allow for periods of rest

 

It is important in the initial phases of treatment that patients get adequate rest. Clustering nursing care means doing multiple tasks in a short period of time and allowing longer breaks between interventions. This allows the patient to rest, thus decreasing their myocardial oxygen demands.

 

Evaluation for Angina Nursing Care:

 

  • Symptom Control Assessment:
    • Evaluate the effectiveness of interventions in controlling angina symptoms. Assess the frequency, intensity, and duration of episodes compared to baseline data.
  • Exercise Tolerance Improvement:
    • Measure improvements in exercise tolerance through objective assessments and feedback from the individual. Evaluate the ability to engage in physical activity without triggering angina symptoms.
  • Medication Adherence and Side Effects:
    • Assess the individual’s adherence to prescribed medications and inquire about any side effects experienced. Adjust the medication regimen as needed to optimize symptom management and minimize adverse effects.
  • Quality of Life Enhancement:
    • Gauge the impact of nursing interventions on the individual’s overall quality of life. Evaluate improvements in daily functioning, emotional well-being, and the ability to participate in meaningful activities.
  • Educational Effectiveness:
    • Determine the effectiveness of educational interventions by assessing the individual’s understanding of angina, adherence to lifestyle modifications, and ability to recognize and respond to worsening symptoms. Reinforce education as necessary.


References

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Transcript

Hey guys, today, we’re going to take a look at angina and its associated care plan. 

 

So in this lesson, we’ll take a look at what angina is and the different types of angina. We’re also going to take a look at additional things like subjective and objective data that your patient may present with and also the necessary nursing interventions and rationales for those interventions. 

 

Okay. Let’s jump in. So, the pathophysiology behind angina is pretty simple. Basically angina is chest pain, which your patient feels because of inadequate blood flow to the heart. This is super important because if blood flow is not restored, more damage can occur. So what is the etiology or cause behind the angina? So, the most common cause is coronary artery disease or CAD. We also see angina in patients with anemia, heart failure, abnormal heart rhythms, or even stress and overexertion.  

 

So, the desired outcome for these patients is to increase or restore blood flow to the heart, to decrease chest pain and improve activity tolerance. 

 

Okay. So here you can see an example of a care plan. Let’s walk through this so you can see exactly how a care plan for angina would be completed. So, at the top here, you can see the medical diagnosis. Below, let’s think of some of the subjective data your patient may present with. Now, remember subjective data is based on the patient’s opinion or feelings, and really cannot be measured by you. So, subjective data for this will include chest pain, dyspnea on exertion or shortness of breath. Included in this objective data, should be a full pain assessment, maybe using a scale like OLDCARTS. Also super important, ask the patient if they have taken any aspirin or nitroglycerin. Objective data will include EKG changes, hypotension, tachycardia, bradycardia, decreased Sp02, and finally signs of decreased perfusion like cool clammy pale skin.

 

So, nursing interventions are such an important part of a care plan. So, let’s take a look at those next.  Bedside EKG monitoring (three or five lead) is critical to see if the patient has any arrhythmias because arrhythmias like Afib with RVR, SVT, and also bradycardia commonly cause angina. Another nursing intervention will include a 12 lead EKG to rule out an MI. It takes five to 15 minutes to determine if chest pain will be relieved by nitroglycerin. So, by checking a 12 lead, a possible STEMI can be ruled out immediately. If your patient does in fact have a STEMI, the patient must go to the cath lab stat.

 

Okay, a super important Pneumonic we use for the treatment of angina is MONA. M stands for medicine for pain, O is for oxygen, N is for nitroglycerin and A is for aspirin. So, this is the initial treatment for acute coronary syndrome. Now remember, MONA is not the correct order of administration, just an easy way to remember the components of this treatment. Okay. So M used to be used for morphine if both aspirin and nitroglycerin did not relieve chest pain, but morphine isn’t really used anymore as it increases mortality. So, for the M and Mona, think medicine because some type of medication will be given for pain. Oxygen, reminds you to check your oxygenation for chest pain. If the patient is short of breath or has a sat of less than 94%, start two liters Nasal Cannula. Now remember though, only use or administer oxygen if it is clinically necessary.

 

All right, guys, nitroglycerin is the initial medication given along with aspirin. Nitroglycerin works as a dilator to help allow blood flow that might be disrupted. You’re going to give 0.4 milligrams sublingual. You’re going to wait five minutes and if chest pain isn’t relieved, administer another dose, no more than three doses. Make sure that the patient’s blood pressure is being monitored. Hold the dose if the systolic blood pressure is less than 90 milligrams mercury. Finally guys, aspirin is given because it decreases mortality by thinning the patient’s blood. A single dose of 325 milligrams may be given or four baby aspirin, which are 81 milligrams each can be given to total 324 milligrams. Okay, IV access, as you can imagine, is super important to be able to administer medications, and also for other interventions, if angina worsens, or even for scans to rule out thrombosis. Additionally cardiac enzymes should be drawn to rule out myocardial infarction, and even to help show the extent of myocardial damage. These cardiac enzymes include Troponin 1, CK, CK-MB and myoglobin. 

 

So, your patient should have the blood pressure monitoring because the higher the blood pressure, the more pressure will be exerted on a clot, or even severe hypotension could cause angina. The blood pressure parameters are determined by the physician and the systolic BP, or even the mean arterial pressure or map will be used. 

 

So, not only do we draw cardiac enzymes, but they also need to be monitored. Troponin 1 is an enzyme that helps with the interaction of myosin and actin in the cardiac muscle. So, troponin can become elevated two to four hours after an ischemic cardiac event, and can even stay elevated for up to 14 days. When we talk about CK-MB, which is creatinine kinase, MB is also an enzyme that is found in cardiac muscle. So, when cardiac muscle cells are damaged, this enzyme is released into the bloodstream. 

 

So CK-MB should be measured at admission and then every eight hours after. Finally, for these patients an important intervention is clustering care. This allows the patient to rest by doing multiple things in a short time to allow for longer breaks for the patient. Clustering care decreases their myocardial oxygen demands. 

 

All right guys, here is a look at the completed care plan for angina. 

 

All right, before we end this lesson, it’s important to mention that there are different types of angina that do exist that include: stable, unstable and variant angina. Stable angina usually occurs with stress or exertion. It lasts less than five minutes and is usually predictable and is relieved with rest or nitroglycerin. Unstable angina usually occurs with stress, exertion and also rest. It lasts up to 30 minutes, is unpredictable and may be relieved with nitroglycerin, but it may not be. Variant angina occurs at rest at different durations, is unpredictable and may or may not be relieved with nitroglycerin. So, be sure to refer to the angina cheat sheet that we have for more information. 

 

Okay. So let’s take a final look at the components of the angina care plan. So, remember angina is chest pain due to decreased blood flow to the heart, which can be caused by coronary artery disease, heart failure, stress, and also dysrhythmias. 

 

Subjective data includes chest pain, using a pain assessment like OLDCARTS, also dyspnea on exertion, and ask them if aspirin or nitro has been taken. 

 

Objective data includes hypotension, tachycardia, bradycardia, decreased sats, signs of decreased perfusion like cool pale clammy skin or diaphoretic skin. 

 

Nursing interventions include a three or five lead EKG to assess for any arrhythmias and also a 12 lead to rule out an MI. MONA is a critical nursing intervention for the initial treatment of coronary artery syndrome. Some type of medicine for pain is given. If nitroglycerin and aspirin do not relieve chest pain, oxygenate the patients if clinically necessary. Nitroglycerin sublingual is the initial treatment to relieve chest pain, to increase blood flow to the necessary areas of the heart. And finally, aspirin is given to thin the blood, which increases patient decreases, excuse me, patient mortality. Blood pressure monitoring is important to determine and treat hyper or hypotension, and cardiac enzymes, including Troponin 1, CK CK-MB and myoglobin should be drawn to rule out EMI and determine cardiac damage.

 

That’s it guys for this lesson. Go out and be your best self today and as always, happy nursing!

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Respiratory Failure (Acute, Chronic, Failure to Wean) for Progressive Care Certified Nurse (PCCN)
Respiratory Distress Syndrome for Certified Emergency Nursing (CEN)
Respiratory Depression (Medication-Induced, Decreased-LOC-Induced) for Progressive Care Certified Nurse (PCCN)
Respiratory Course Introduction
Respiratory Alkalosis
Respiratory A&P Module Intro
Renal Failure- Acute Kidney Injury (AKI), Chronic Kidney Disease (CKD) for Progressive Care Certified Nurse (PCCN)
Renal Failure for Certified Emergency Nursing (CEN)
Renal Calculi for Certified Emergency Nursing (CEN)
Renal (Kidney) Failure Labs
Relevant Patient Data Review for Certified Perioperative Nurse (CNOR)
Red Cell Distribution Width (RDW) Lab Values
Reasons for Chest Tube Nursing Mnemonic (Don’t Ever Fail)
Reactivation of Herpes Zoster Nursing Mnemonic (FICA)
Ranitidine (Zantac) Nursing Considerations
Reasons for a Bronchoscopy Nursing Mnemonic (Please Assess His Weird Bronchoscopy Results)
Radiation Cancer Treatment
Quality Improvement Participation for Certified Perioperative Nurse (CNOR)
Pupil Reactions Nursing Mnemonic (PERRLA)
Pulmonary Hypertension for Progressive Care Certified Nurse (PCCN)
Pulmonary Hypertension for Certified Emergency Nursing (CEN)
Pulmonary Embolus for Certified Emergency Nursing (CEN)
Pulmonary Embolism for Progressive Care Certified Nurse (PCCN)
Pulmonary edema treatment Nursing Mnemonic (MAD DOG)
Protein in Urine Lab Values
Proton Pump Inhibitors
Prostate Specific Antigen (PSA) Lab Values
Propylthiouracil (PTU) Nursing Considerations
Prostate Cancer
Prostate Nursing Mnemonic (FUN)
Propranolol (Inderal) Nursing Considerations
Propofol (Diprivan) Nursing Considerations
Professional Organization Participation for Certified Perioperative Nurse (CNOR)
Product Evaluation and Selection for Certified Perioperative Nurse (CNOR)
Product Assessment (Packaging, Sterilization) for Certified Perioperative Nurse (CNOR)
Procedurally-Relevant Focused Assessments for Certified Perioperative Nurse (CNOR)
Procalcitonin (PCT) Lab Values
Pressure Ulcers/Pressure injuries (Braden scale)
Pressure Line Management
Pressure Injuries (Ulcers) for Progressive Care Certified Nurse (PCCN)
Preoperative (Preop) Nursing Priorities
Preoperative (Preop)Assessment
Premature Ventricular Contraction (PVC)
Preoperative (Preop) Education
Premature Atrial Contraction (PAC)
PPE Precautions (Personal Protective Equipment) for Certified Perioperative Nurse (CNOR)
PPE Donning & Doffing
Postoperative Follow-up for Certified Perioperative Nurse (CNOR)
Postoperative (Postop) Complications
Post-Anesthesia Recovery
Positioning (Pressure Injury Prevention and Tourniquet Safety) for Certified Perioperative Nurse (CNOR)
Positioning
Pneumothorax Signs and Symptoms Nursing Mnemonic (P-THORAX)
Pneumothorax for Certified Emergency Nursing (CEN)
Pneumonia Risk Factors Nursing Mnemonic (VENTS)
Pneumonia Labs
Pneumonia Concept Map
Pleural Space Complications (Pneumothorax, Hemothorax, Pleural Effusion, Empyema, Chylothorax) for Progressive Care Certified Nurse (PCCN)
Pleural Effusion for Certified Emergency Nursing (CEN)
Plant Alkaloids Topoisomerase and Mitotic Inhibitors
Pituitary Adenoma
Phosphorus (PO4) Blood Test Lab Values
Phenobarbital (Luminal) Nursing Considerations
Phenazopyridine (Pyridium) Nursing Considerations
Pharmacological Patient Response Evaluation for Certified Perioperative Nurse (CNOR)
Personal Growth Resources for Certified Perioperative Nurse (CNOR)
Peritonitis for Certified Emergency Nursing (CEN)
Peritoneal Dialysis (PD)
Peripheral Vascular Assessment
Perioperative Nursing Roles
Perioperative Nursing Course Introduction
Perioperative Education Documentation for Certified Perioperative Nurse (CNOR)
Perioperative Assessment Documentation for Certified Perioperative Nurse (CNOR)
Pericardial Tamponade for Certified Emergency Nursing (CEN)
Performing Cardiac (Heart) Monitoring
Peptic Ulcer Disease Case Study (60 min)
Pentobarbital (Nembutal) Nursing Considerations
Patients with Communication Difficulties
Patient Status Evaluation (Transfer of Care) for Certified Perioperative Nurse (CNOR)
Patient Rights Advocacy for Certified Perioperative Nurse (CNOR)
Patient Records and Care Documentation for Certified Perioperative Nurse (CNOR)
Patient Positioning (Performance) for Certified Perioperative Nurse (CNOR)
Patient Positioning
Patient Consent for Treatment for Certified Emergency Nursing (CEN)
Patient Communication Techniques for Certified Perioperative Nurse (CNOR)
Patient and Personal Safety (Environmental Hazard Monitoring) for Certified Perioperative Nurse (CNOR)
Patient and Healthcare Team Safety (Disasters, Environmental Hazards) for Certified Perioperative Nurse (CNOR)
Patient and Family Teaching (Per Procedure) for Certified Perioperative Nurse (CNOR)
Parasympatholytics (Anticholinergics) Nursing Considerations
Pantoprazole (Protonix) Nursing Considerations
Pancreatitis For PCCN for Progressive Care Certified Nurse (PCCN)
Pancreatitis for Certified Emergency Nursing (CEN)
Pain Management and Procedural Sedation for Certified Emergency Nursing (CEN)
Pain Assessments for Certified Perioperative Nurse (CNOR)
Pain Assessment Questions Nursing Mnemonic (OPQRST)
Pain and Nonpharmacological Comfort Measures
Pain (Acute, Chronic) for Progressive Care Certified Nurse (PCCN)
Pacemakers
Oxygen Delivery Module Intro
Ovarian Disorders (Cyst, Torsion, Rupture) for Certified Emergency Nursing (CEN)
Ovarian Cancer
Outside Instrument and Material Tracking (Regulatory Requirements) for Certified Perioperative Nurse (CNOR)
Osteosarcoma
Opioids
Ondansetron (Zofran) Nursing Considerations
Oncology nurse
Oncology Module Intro
Oncology Important Points
Omeprazole (Prilosec) Nursing Considerations
Ocular Infections (Conjunctivitis, Iritis) for Certified Emergency Nursing (CEN)
Obstructive Sleep Apnea for Progressive Care Certified Nurse (PCCN)
Obstructions for Certified Emergency Nursing (CEN)
Obstruction for Certified Emergency Nursing (CEN)
Nutrition-related Diseases
Nutrition (Diet) in Disease
Nursing Skills Course Introduction
Nursing Case Study for Type 1 Diabetes
Nursing Case Study for Rheumatoid Arthritis
Nursing Case Study for Rheumatic Heart Disease
Nursing Case Study for Pneumonia
Nursing Case Study for Hepatitis
Nursing Case Study for Diabetic Foot Ulcer
Nursing Case Study for Colon Cancer
Nursing Case Study for Cardiogenic Shock
Nursing Case Study for Breast Cancer
Nursing Case Study for Acute Kidney Injury
Nursing Care Plan for Testicular Torsion
Nursing Care Plan for Syphilis (STI)
Nursing Care Plan for Scleroderma
Nursing Care Plan for Restrictive Lung Diseases (Pulmonary Fibrosis, Neuromuscular Disorders)
Nursing Care Plan for Pulmonary Edema
Nursing Care Plan for Pelvic Inflammatory Disease (PID)
Nursing Care Plan for Osteomyelitis
Nursing Care Plan for Nasal Disorders
Nursing Care Plan for Myocarditis
Nursing Care Plan for Macular Degeneration
Nursing Care Plan for Liver Cancer
Nursing Care Plan for Hiatal Hernia
Nursing Care Plan for Herpes Simplex (HSV, STI)
Nursing Care Plan for Hemorrhoids
Nursing Care Plan for Gonorrhea (STI)
Nursing Care Plan for Gastritis
Nursing Care Plan for Fractures
Nursing Care Plan for Fibromyalgia
Nursing Care Plan for Endometriosis
Nursing Care Plan for Distributive Shock
Nursing Care Plan for Coronary Artery Disease (CAD)
Nursing Care Plan for Compartment Syndrome
Nursing Care Plan for Cirrhosis (Liver)
Nursing Care Plan for Chlamydia (STI)
Nursing Care Plan for Amputation
Nursing Care Plan for (NCP) Trigeminal Neuralgia
Nursing Care Plan (NCP) for West Nile Virus
Nursing Care Plan (NCP) for Urinary Tract Infection (UTI)
Nursing Care Plan (NCP) for Tuberculosis
Nursing Care Plan (NCP) for Thyroid Cancer
Nursing Care Plan (NCP) for Thrombophlebitis / Deep Vein Thrombosis (DVT)
Nursing Care Plan (NCP) for Thrombocytopenia
Nursing Care Plan (NCP) for Thoracentesis (Procedure)
Nursing Care Plan (NCP) for Testicular Cancer
Nursing Care Plan (NCP) for Systemic Lupus Erythematosus (SLE)
Nursing Care Plan (NCP) for Syndrome of Inappropriate Antidiuretic Hormone (SIADH)
Nursing Care Plan (NCP) for Syncope (Fainting)
Nursing Care Plan (NCP) for Stroke (CVA)
Nursing Care Plan (NCP) for Stomach Cancer (Gastric Cancer)
Nursing Care Plan (NCP) for Spinal Cord Injury
Nursing Care Plan (NCP) for Skull Fractures
Nursing Care Plan (NCP) for Skin cancer – Melanoma, Basal Cell Carcinoma, Squamous Cell Carcinoma
Nursing Care Plan (NCP) for Sepsis
Nursing Care Plan (NCP) for Seizures
Nursing Care Plan (NCP) for Rubeola – Measles
Nursing Care Plan (NCP) for Risk for Fall
Nursing Care Plan (NCP) for Rheumatoid Arthritis (RA)
Nursing Care Plan (NCP) for Rhabdomyolysis
Nursing Care Plan (NCP) for Restrictive Lung Diseases
Nursing Care Plan (NCP) for Respiratory Failure
Nursing Care Plan (NCP) for Renal Calculi
Nursing Care Plan (NCP) for Pulmonary Embolism
Nursing Care Plan (NCP) for Psoriasis
Nursing Care Plan (NCP) for Prostate Cancer
Nursing Care Plan (NCP) for Pressure Ulcer / Decubitus Ulcer (Pressure Injury)
Nursing Care Plan (NCP) for Polycystic Ovarian Syndrome (PCOS)
Nursing Care Plan (NCP) for Pneumothorax/Hemothorax
Nursing Care Plan (NCP) for Pneumonia
Nursing Care Plan (NCP) for Pericarditis
Nursing Care Plan (NCP) for Peptic Ulcer Disease (PUD)
Nursing Care Plan (NCP) for Parkinson’s Disease
Nursing Care Plan (NCP) for Pancreatitis
Nursing Care Plan (NCP) for Ovarian Cancer
Nursing Care Plan (NCP) for Osteoporosis
Nursing Care Plan (NCP) for Osteoarthritis (OA), Degenerative Joint Disease
Nursing Care Plan (NCP) for Nutrition Imbalance
Nursing Care Plan (NCP) for Neutropenia
Nursing Care Plan (NCP) for Nephrotic Syndrome
Nursing Care Plan (NCP) for Myocardial Infarction (MI)
Nursing Care Plan (NCP) for Myasthenia Gravis (MG)
Nursing Care Plan (NCP) for Mumps
Nursing Care Plan (NCP) for Multiple Sclerosis (MS)
Nursing Care Plan (NCP) for Meniere’s Disease
Nursing Care Plan (NCP) for Lymphoma (Hodgkin’s, Non-Hodgkin’s)
Nursing Care Plan (NCP) for Lyme Disease
Nursing Care Plan (NCP) for Lung Cancer
Nursing Care Plan (NCP) for Leukemia
Nursing Care Plan (NCP) for Kidney Cancer
Nursing Care Plan (NCP) for Inflammatory Bowel Disease (Ulcerative Colitis / Crohn’s Disease)
Nursing Care Plan (NCP) for Impetigo
Nursing Care Plan (NCP) for Hypovolemic Shock
Nursing Care Plan (NCP) for Hypothyroidism
Nursing Care Plan (NCP) for Hypoparathyroidism
Nursing Care Plan (NCP) for Hypoglycemia
Nursing Care Plan (NCP) for Hyperthyroidism
Nursing Care Plan (NCP) for Hyperthermia (Thermoregulation)
Nursing Care Plan (NCP) for Hyperparathyroidism
Nursing Care Plan (NCP) for Hyperosmolar Hyperglycemic Nonketotic Syndrome (HHNS)
Nursing Care Plan (NCP) for Hydrocephalus
Nursing Care Plan (NCP) for Herpes Zoster – Shingles
Nursing Care Plan (NCP) for Hepatitis
Nursing Care Plan (NCP) for Heart Valve Disorders
Nursing Care Plan (NCP) for Hashimoto’s Thyroiditis
Nursing Care Plan (NCP) for Guillain-Barre
Nursing Care Plan (NCP) for Gout / Gouty Arthritis
Nursing Care Plan (NCP) for Glomerulonephritis
Nursing Care Plan (NCP) for Glaucoma
Nursing Care Plan (NCP) for GI (Gastrointestinal) Bleed
Nursing Care Plan (NCP) for Gastroesophageal Reflux Disease (GERD)
Nursing Care Plan (NCP) for Epididymitis
Nursing Care Plan (NCP) for Enuresis / Bedwetting
Nursing Care Plan (NCP) for Endocarditis
Nursing Care Plan (NCP) for Encephalopathy
Nursing Care Plan (NCP) for Emphysema
Nursing Care Plan (NCP) for Diverticulosis / Diverticulitis
Nursing Care Plan (NCP) for Disseminated Intravascular Coagulation (DIC)
Nursing Care Plan (NCP) for Diabetic Ketoacidosis (DKA)
Nursing Care Plan (NCP) for Diabetes Insipidus
Nursing Care Plan (NCP) for Diabetes
Nursing Care Plan (NCP) for Dementia
Nursing Care Plan (NCP) for Cushing’s Disease
Nursing Care Plan (NCP) for Congestive Heart Failure (CHF)
Nursing Care Plan (NCP) for Colorectal Cancer (Colon Cancer)
Nursing Care Plan (NCP) for Chronic Obstructive Pulmonary Disease (COPD)
Nursing Care Plan (NCP) for Chronic Kidney Disease
Nursing Care Plan (NCP) for Cholecystitis
Nursing Care Plan (NCP) for Cervical Cancer
Nursing Care Plan (NCP) for Cellulitis
Nursing Care Plan (NCP) for Cardiomyopathy
Nursing Care Plan (NCP) for Cardiogenic Shock
Nursing Care Plan (NCP) for Bronchoscopy (Procedure)
Nursing Care Plan (NCP) for Breast Cancer
Nursing Care Plan (NCP) for Brain Tumors
Nursing Care Plan (NCP) for Bowel Obstruction
Nursing Care Plan (NCP) for Bone Cancer (Osteosarcoma, Chondrosarcoma, and Ewing Sarcoma)
Nursing Care Plan (NCP) for Blunt Chest Trauma
Nursing Care Plan (NCP) for Bladder Cancer
Nursing Care Plan (NCP) for Benign Prostatic Hyperplasia (BPH)
Nursing Care Plan (NCP) for Bell’s Palsy
Nursing Care Plan (NCP) for Atrial Fibrillation (AFib)
Nursing Care Plan (NCP) for Asthma / Childhood Asthma
Nursing Care Plan (NCP) for Aspiration
Nursing Care Plan (NCP) for Arterial Disorders
Nursing Care Plan (NCP) for Aortic Aneurysm
Nursing Care Plan (NCP) for Angina
Nursing Care Plan (NCP) for Anemia
Nursing Care Plan (NCP) for Anaphylaxis
Nursing Care Plan (NCP) for Addison’s Disease (Primary Adrenal Insufficiency)
Nursing Care Plan (NCP) for Acute Respiratory Distress Syndrome
Nursing Care Plan (NCP) for Acute Pain
Nursing Care Plan (NCP) for Acute Kidney Injury
Nursing Care Plan (NCP) for Acute Bronchitis
Nursing Care Plan (NCP) for Activity Intolerance
Nursing Care Plan (NCP) for Acquired Immune Deficiency Syndrome (AIDS)
Nursing Care Plan (NCP) for Abdominal Pain
Nursing Care Plan (NCP) & Interventions for Increased Intracranial Pressure (ICP)
Nursing Care and Pathophysiology of Urinary Tract Infection (UTI)
Nursing Care and Pathophysiology of Renal Calculi (Kidney Stones)
Nursing Care and Pathophysiology of Pneumonia
Nursing Care and Pathophysiology of Osteoporosis
Nursing Care and Pathophysiology of Osteoarthritis (OA)
Nursing Care and Pathophysiology of Nephrotic Syndrome
Nursing Care and Pathophysiology of Myocarditis
Nursing Care and Pathophysiology of Myocardial Infarction (MI)
Nursing Care and Pathophysiology of Hypertension (HTN)
Nursing Care and Pathophysiology of Glomerulonephritis
Nursing Care and Pathophysiology of Endocarditis and Pericarditis
Nursing Care and Pathophysiology of Diabetic Ketoacidosis (DKA)
Nursing Care and Pathophysiology of Diabetes Mellitus (DM)
Nursing Care and Pathophysiology of Coronary Artery Disease (CAD)
Nursing Care and Pathophysiology of COPD (Chronic Obstructive Pulmonary Disease)
Nursing Care and Pathophysiology of Chronic Kidney (Renal) Disease (CKD)
Nursing Care and Pathophysiology of BPH (Benign Prostatic Hyperplasia)
Nursing Care and Pathophysiology of Angina
Nursing Care and Pathophysiology of Acute Respiratory Distress Syndrome (ARDS)
Nursing Care and Pathophysiology of Acute Kidney (Renal) Injury (AKI)
Nursing Care and Pathophysiology for Valve Disorders
Nursing Care and Pathophysiology for Ulcerative Colitis(UC)
Nursing Care and Pathophysiology for Tuberculosis (TB)
Nursing Care and Pathophysiology for Thrombophlebitis (clot)
Nursing Care and Pathophysiology for Testicular Torsion
Nursing Care and Pathophysiology for Syphilis (STI)
Nursing Care and Pathophysiology for SIRS & MODS
Nursing Care and Pathophysiology for Sickle Cell Anemia
Nursing Care and Pathophysiology for SIADH (Syndrome of Inappropriate antidiuretic Hormone Secretion)
Nursing Care and Pathophysiology for Sepsis
Nursing Care and Pathophysiology for Seizure
Nursing Care and Pathophysiology for Scleroderma
Nursing Care and Pathophysiology for Rheumatoid Arthritis (RA)
Nursing Care and Pathophysiology for Rhabdomyolysis
Nursing Care and Pathophysiology for Pulmonary Embolism
Nursing Care and Pathophysiology for Pulmonary Edema
Nursing Care and Pathophysiology for Psoriasis
Nursing Care and Pathophysiology for Polycystic Ovarian Syndrome (PCOS)
Nursing Care and Pathophysiology for Pneumothorax & Hemothorax
Nursing Care and Pathophysiology for Peptic Ulcer Disease (PUD)
Nursing Care and Pathophysiology for Pelvic Inflammatory Disease (PID)
Nursing Care and Pathophysiology for Parkinsons
Nursing Care and Pathophysiology for Pancreatitis
Nursing Care and Pathophysiology for Osteomyelitis
Nursing Care and Pathophysiology for Myasthenia Gravis
Nursing Care and Pathophysiology for Multiple Sclerosis (MS)
Nursing Care and Pathophysiology for Menopause
Nursing Care and Pathophysiology for Meningitis
Nursing Care and Pathophysiology for Male Infertility
Nursing Care and Pathophysiology for Lyme Disease
Nursing Care and Pathophysiology for Ischemic Stroke (CVA)
Nursing Care and Pathophysiology for Influenza (Flu)
Nursing Care and Pathophysiology for Inflammatory Bowel Disease (IBD)
Nursing Care and Pathophysiology for Hypovolemic Shock
Nursing Care and Pathophysiology for Hypothyroidism
Nursing Care and Pathophysiology for Hyperthyroidism
Nursing Care and Pathophysiology for Hyperparathyroidism
Nursing Care and Pathophysiology for Human Papilloma Virus (HPV STI)
Nursing Care and Pathophysiology for Herpes Zoster – Shingles
Nursing Care and Pathophysiology for Herpes Simplex (HSV, STI)
Nursing Care and Pathophysiology for Hepatitis (Liver Disease)
Nursing Care and Pathophysiology for Hemorrhoids
Nursing Care and Pathophysiology for Hemorrhagic Stroke (CVA)
Nursing Care and Pathophysiology for Heart Failure (CHF)
Nursing Care and Pathophysiology for Hashimoto’s Thyroiditis
Nursing Care and Pathophysiology for Gout
Nursing Care and Pathophysiology for Gonorrhea (STI)
Nursing Care and Pathophysiology for Epididymitis
Nursing Care and Pathophysiology for Endometriosis
Nursing Care and Pathophysiology for Diverticulosis – Diverticulitis
Nursing Care and Pathophysiology for Distributive Shock
Nursing Care and Pathophysiology for Disseminated Intravascular Coagulation (DIC)
Nursing Care and Pathophysiology for Diabetes Insipidus (DI)
Nursing Care and Pathophysiology for Cushings Syndrome
Nursing Care and Pathophysiology for Crohn’s Disease
Nursing Care and Pathophysiology for Compartment Syndrome
Nursing Care and Pathophysiology for Cirrhosis (Liver Disease, Hepatic encephalopathy, Portal Hypertension, Esophageal Varices)
Nursing Care and Pathophysiology for Cholecystitis
Nursing Care and Pathophysiology for Chlamydia (STI)
Nursing Care and Pathophysiology for Cardiomyopathy
Nursing Care and Pathophysiology for Cardiogenic Shock
Nursing Care and Pathophysiology for Asthma
Nursing Care and Pathophysiology for Arterial Disorders
Nursing Care and Pathophysiology for Appendicitis
Nursing Care and Pathophysiology for Aortic Aneurysm
Nursing Care and Pathophysiology for Anemia
Nursing Care and Pathophysiology for Anaphylaxis
Nursing Care and Pathophysiology for Acquired Immune Deficiency Syndrome (AIDS)
Nuclear Medicine
NRSNG Live | So You Want to be a Surgical Nurse?
Norepinephrine (Levophed) Nursing Considerations
Noncardiac Pulmonary Edema for Certified Emergency Nursing (CEN)
Nitroprusside (Nitropress) Nursing Considerations
Nitroglycerin (Nitrostat) Nursing Considerations
Nitro Compounds
NG (Nasogastric)Tube Management
Neurological Fractures
Neurological Disorders (Multiple Sclerosis, Myasthenia Gravis, Guillain-Barré Syndrome) for Certified Emergency Nursing (CEN)
Neurogenic Shock for Certified Emergency Nursing (CEN)
Neuro Trauma Module Intro
Neuro Disorders Module Intro
Neuro Course Introduction
Neuro Assessment Module Intro
Neuro Anatomy
Neuro A&P Module Intro
Nephrotic Syndrome Case Study (Peds) (45 min)
Neostigmine (Prostigmin) Nursing Considerations
Nasal Disorders
Naproxen (Aleve) Nursing Considerations
Myocardial Infarction (MI) Case Study (45 min)
Musculoskeletal Module Intro
Musculoskeletal Course Introduction
Musculoskeletal Assessment
Murmur locations Nursing Mnemonic (hARD ASS MRS. MSD)
Multiple Sclerosis Symptoms Nursing Mnemonic (DEMYELINATION)
Multiple Myeloma
Morphine (MS Contin) Nursing Considerations
Montelukast (Singulair) Nursing Considerations
Moderate Sedation
Mobility & Assistive Devices
Miscellaneous Nerve Disorders
Minimally-Invasive Thoracic Surgery (VATS) for Progressive Care Certified Nurse (PCCN)
Minimally-Invasive Cardiac Surgery (Non-Sternal Approach) for Progressive Care Certified Nurse (PCCN)
Migraines
MI Surgical Intervention
Metronidazole (Flagyl) Nursing Considerations
Metoprolol (Toprol XL) Nursing Considerations
Metoclopramide (Reglan) Nursing Considerations
Methylprednisolone (Solu-Medrol) Nursing Considerations
Metformin (Glucophage) Nursing Considerations
Metabolic/Endocrine Course Introduction
Metabolic Acidosis (interpretation and nursing diagnosis)
Metabolic & Endocrine Module Intro
Meropenem (Merrem) Nursing Considerations
Meperidine (Demerol) Nursing Considerations
Meningitis for Certified Emergency Nursing (CEN)
Meniere’s Disease
Melanoma
Medications to Prevent Seizures Nursing Mnemonic (Pretty Little Liars Forever)
Medications for Pancreatitis Nursing Mnemonic (Please Make Tummy Better)
Medication Classess for IBD Nursing Mnemonic (Sometimes I Can’t Answer)
Mechanical Aids
Maxillofacial Trauma for Certified Emergency Nursing (CEN)
Management of Pressure Ulcers (Pressure Injuries) Nursing Mnemonic (SKIN)
Management of Lyme Disease Nursing Mnemonic (BAR)
Management of Glomerulonephritis Nursing Mnemonic (Please Help Deliver Diuretics)
Mammogram
Malignant Hyperthermia (MH) Nursing Interventions for Certified Perioperative Nurse (CNOR)
Malignant Hyperthermia
Magnetic Resonance Imaging (MRI)
Macular Degeneration
Lymphoma – Signs and Symptoms Nursing Mnemonic (NURSE For Pete’s Sake)
Lymphoma
Lymphatic Assessment
Lung Diseases Module Intro
Lung Cancer
Lower Gastrointestinal (GI) Module Intro
Low Pressure Vent Alarms Nursing Mnemonic (Cake Everyday)
Losartan (Cozaar) Nursing Considerations
Loperamide (Imodium) Nursing Considerations
Local Anesthetic Systemic Toxicity (LAST) Nursing Interventions for Certified Perioperative Nurse (CNOR)
Local Anesthesia
Liver/Gallbladder Module Intro
Liver Cancer
Live Bedside Report Medsurg (Medical surgical)
Lisinopril (Prinivil) Nursing Considerations
Lipase Lab Values
Linen Change
Lidocaine Toxicity – Signs and Symptoms Nursing Mnemonic (SAMS)
Lidocaine (Xylocaine) Nursing Considerations
Levothyroxine (Synthroid)
Levofloxacin (Levaquin) Nursing Considerations
Levels of consciousness Nursing Mnemonic (Never Carry Dirty Socks Or Smelly Clothes)
Leukemia Case Study (60 min)
Leukemia – Signs and Symptoms Nursing Mnemonic (ANT)
Leukemia
Lactic Acid
Lactate Dehydrogenase (LDH) Lab Values
Lacerations for Certified Emergency Nursing (CEN)
Kidney Cancer
IV Complications (infiltration, phlebitis, hematoma, extravasation, air embolism)
Isoniazid (Niazid) Nursing Considerations
Ischemic Bowel for Progressive Care Certified Nurse (PCCN)
Ischemic (CVA) Stroke Labs
Iron (Fe) Lab Values
Ionized Calcium Lab Values
Iodine Nursing Considerations
Intubation in the OR
Introduction to Health Assessment
Intro to Health Assessment
Intrarenal Causes of Acute Kidney Injury Nursing Mnemonic (TONIC)
Intraoperative Positioning
Intraoperative Nursing Priorities
Intraoperative (Intraop) Complications
Intracranial Pressure ICP
Interventions for Aphasia Nursing Mnemonic (PROP)
Interventional Radiology
Interdisciplinary Team Participation for Certified Perioperative Nurse (CNOR)
Interdisciplinary Team Member Functions for Certified Perioperative Nurse (CNOR)
Interdisciplinary Healthcare Team Collaboration for Certified Perioperative Nurse (CNOR)
Integumentary (Skin) Module Intro
Integumentary (Skin) Important Points
Integumentary (Skin) Course Introduction
Intake and Output (I&O)
Insulin Mnemonic (Ready, Set, Inject, Love)
Insulin – Short Acting (Regular) Nursing Considerations
Insulin – Rapid Acting (Novolog, Humalog) Nursing Considerations
Insulin – Mixtures (70/30)
Insulin – Long Acting (Lantus) Nursing Considerations
Insulin – Intermediate Acting (NPH) Nursing Considerations
Insulin
Inserting an NG (Nasogastric) Tube
Inserting a Foley (Urinary Catheter) – Male
Informed Consent
Influenza for Certified Emergency Nursing (CEN)
Inflammatory Bowel Disease Case Study (45 min)
Infectious Diseases: Influenza for Progressive Care Certified Nurse (PCCN)
Individualized Physical Assessments for Certified Perioperative Nurse (CNOR)
Increased Intraocular Pressure for Certified Emergency Nursing (CEN)
Impulse Transmission
Implant Verification and Availability for Certified Perioperative Nurse (CNOR)
Implant Records and Tracking for Certified Perioperative Nurse (CNOR)
Implant Preparation for Certified Perioperative Nurse (CNOR)
Impaired or Disruptive Behavior Reporting (Interdisciplinary Healthcare Team) for Certified Perioperative Nurse (CNOR)
Immunology Module Intro
Immunocompromise (HIV and AIDS, Oncology and Chemotherapy, Transplant Patient) for Certified Emergency Nursing (CEN)
ICU Nurse Report to OR (Operating)Team
Hypoxia – Signs and Symptoms Nursing Mnemonic (RAT BED)
Hypovolemic and Distributive Shock for Certified Emergency Nursing (CEN)
Hypotonic Solutions (IV solutions)
Hypothermia (Thermoregulation)
Hypoparathyroidism
Hyponatremia- Definition, Signs and Symptoms Nursing Mnemonic (SALT LOSS)
Hypokalemia – Signs and Symptoms Nursing Mnemonic (6 L’s)
Hypoglycemia symptoms Nursing Mnemonic (DIRE)
Hypoglycemia Management Nursing Mnemonic (Cool and Clammy – Give ‘Em Candy)
Hypoglycemia for Progressive Care Certified Nurse (PCCN)
Hypoglycemia – Signs and Symptoms Nursing Mnemonic (TIRED)
Hypoglycemia
Hypocalcemia – Definition, Signs and Symptoms Nursing Mnemonic (CATS)
Hypertonic Solutions (IV solutions)
Hyperthyroidism Case Study (75 min)
Hyperthermia (Thermoregulation)
Hypertensive Crisis Case Study (45 min)
Hypertension- Complications Nursing Mnemonic (The 4 C’s)
Hypertension for Certified Emergency Nursing (CEN)
Hypertension (Uncontrolled) and Hypertensive Crisis for Progressive Care Certified Nurse (PCCN)
Hypertension (HTN) Concept Map
Hypertension – Nursing care Nursing Mnemonic (DIURETIC)
Hypernatremia – Signs and Symptoms 3 Nursing Mnemonic (SALT)
Hypernatremia – Signs and Symptoms 2 Nursing Mnemonic (SWINE)
Hypernatremia – Signs and Symptoms 2 Nursing Mnemonic (FRIED)
Hyperglycemia for Progressive Care Certified Nurse (PCCN)
Hyperglycaemic Hyperosmolar Non-ketotic syndrome (HHNS)
Hypercalcemia – Signs and Symptoms Nursing Mnemonic (GROANS, MOANS, BONES, STONES, OVERTONES)
Hygiene
Hydralazine
HMG-CoA Reductase Inhibitors (Statins)
Histamine 2 Receptor Blockers
Histamine 1 Receptor Blockers
High Pressure Vent Alarms Nursing Mnemonic (Kings Eat Big Cakes)
Hiatal Hernia Symptoms Nursing Mnemonic (Her Belly Really Hurts Following Dinner)
Hiatal Hernia
Hepatitis for Certified Emergency Nursing (CEN)
Hepatitis B Virus (HBV) Lab Values
Hepatic Disorders (Cirrhosis, Hepatitis, Portal Hypertension) for Progressive Care Certified Nurse (PCCN)
Heparin (Hep-Lock) Nursing Considerations
Hemorrhagic Stroke Risk Factors Nursing Mnemonic (HATS)
Hemorrhagic Fevers for Certified Emergency Nursing (CEN)
Hemorrhage Nursing Interventions for Certified Perioperative Nurse (CNOR)
Hemodialysis (Renal Dialysis)
Hematology/Oncology/Immunology Course Introduction
Hematology Module Intro
Hematologic Disorders for Certified Emergency Nursing (CEN)
Heat Temperature-related Emergencies for Certified Emergency Nursing (CEN)
Heart Failure-Origin Nursing Mnemonic (Left – Lung|Right – Rest)
Heart Failure-Left-Sided Nursing Mnemonic (CHOP)
Heart Failure for Certified Emergency Nursing (CEN)
Heart Failure Case Study (45 min)
Heart Failure 2 – Live Tutoring Archive
Heart Failure (Acute Exacerbations, Chronic) for Progressive Care Certified Nurse (PCCN)
Heart Failure – Right Sided Nursing Mnemonic (HEAD)
Heart Failure – Live Tutoring Archive
Heart (Cardiac) Sound Locations and Auscultation
Heart (Cardiac) Failure Therapeutic Management
Heart (Cardiac) Failure Module Intro
Heart (Cardiac) and Great Vessels Assessment
Hearing Loss
Healthcare-Acquired Infections: Surgical Site Infections (SSI) for Progressive Care Certified Nurse (PCCN)
Healthcare-Acquired Infections: Catheter-Associated Bloodstream Infections (CAUTI) for Progressive Care Certified Nurse (PCCN)
Healthcare Team Member Supervision and Education for Certified Perioperative Nurse (CNOR)
Health Assessment Course Introduction
Head/Neck Assessment
Head and Spinal Cord Trauma for Certified Emergency Nursing (CEN)
HCIR Management (Healthcare Industry Representative) for Certified Perioperative Nurse (CNOR)
Hb (Hepatitis) Vaccine
Hazardous Material Handling and Disposition (Chemo, Radioactive) for Certified Perioperative Nurse (CNOR)
Hand Hygiene Guideline Adherence for Certified Perioperative Nurse (CNOR)
Gynecological Trauma for Certified Emergency Nursing (CEN)
Gynecological Infections for Certified Emergency Nursing (CEN)
Gout Case Study (45 min)
Glucagon (GlucaGen) Nursing Considerations
Global Symptoms for Brain Tumors Nursing Mnemonic (HAS)
Glipizide (Glucotrol) Nursing Considerations
Glaucoma
GI Surgeries (Resections, Esophagogastrectomy, Bariatric) for Progressive Care Certified Nurse (PCCN)
GI Infections (C. difficile) for Progressive Care Certified Nurse (PCCN)
GI Bleed (Upper, Lower) for Progressive Care Certified Nurse (PCCN)
GERD causes Nursing Mnemonic (Reflux Is Probably Mean)
GERD (Gastroesophageal Reflux Disease)
Genitourinary Trauma for Certified Emergency Nursing (CEN)
Genitourinary Infections for Certified Emergency Nursing (CEN)
Genitourinary Course Introduction
Genitourinary (GU) Assessment
General Assessment (Physical assessment)
General Anesthesia
Gastrointestinal (GI) Bleed Concept Map
Gastritis
Gabapentin (Neurontin) Nursing Considerations
Fundamentals Course Introduction
Functional Issues (Immobility, Falls, Gait Disorders) for Progressive Care Certified Nurse (PCCN)
Functional GI Disorders (Obstruction, Ileus, Diabetic Gastroparesis, Gastroesophageal Reflux, Irritable Bowel Syndrome) for Progressive Care Certified Nurse (PCCN)
Function Within Scope of Practice for Certified Perioperative Nurse (CNOR)
Free T4 (Thyroxine) Lab Values
Fractures (Open, Closed, Fat Embolus) for Certified Emergency Nursing (CEN)
Fractures
Formulating Nursing Diagnoses for Certified Perioperative Nurse (CNOR)
Fluid Volume Overload
Fibromyalgia
Fibrin Degradation Products (FDP) Lab Values
Fibrinogen Lab Values
Ferrous Sulfate (Iron) Nursing Considerations
Fentanyl (Duragesic) Nursing Considerations
Explant Preparation (Final Disposition) for Certified Perioperative Nurse (CNOR)
Evaluation of Irregular Moles Nursing Mnemonic (ABCDE)
Ethical and Professional Standards for Certified Perioperative Nurse (CNOR)
Essential NCLEX Meds by Class
Esophageal Varices for Certified Emergency Nursing (CEN)
Erythromycin (Erythrocin) Nursing Considerations
Erythrocyte Sedimentation Rate (ESR) Lab Values
Equipment Utilization (Manufacturers Recommendations) for Certified Perioperative Nurse (CNOR)
Epoetin Alfa
Epoetin (Epogen) Nursing Considerations
Epinephrine (EpiPen) Nursing Considerations
Environmental Stewardship (Waste Minimization) for Certified Perioperative Nurse (CNOR)
Environmental Factor Control for Certified Perioperative Nurse (CNOR)
Environmental Cleaning (Spills, Room Turnover, Terminal Cleaning) for Certified Perioperative Nurse (CNOR)
Envenomation Emergencies for Certified Emergency Nursing (CEN)
Enteral & Parenteral Nutrition (Diet, TPN)
Enoxaparin (Lovenox) Nursing Considerations
Endoscopy & EGD
Endocarditis for Certified Emergency Nursing (CEN)
End-Stage Renal Disease (ESRD) for Progressive Care Certified Nurse (PCCN)
Encephalopathy (Hypoxic-ischemic, Metabolic, Infectious, Hepatic) for Progressive Care Certified Nurse (PCCN)
Encephalopathies
Enalapril (Vasotec) Nursing Considerations
Emergency Situation Identification for Certified Perioperative Nurse (CNOR)
EENT Medications
EENT Course Introduction
Echocardiogram (Cardiac Echo)
Dysrhythmias Labs
Dysrhythmias for Certified Emergency Nursing (CEN)
Drugs that Cause SJS Nursing Mnemonic (I C NASA)
Dopamine (Inotropin) Nursing Considerations
Dobutamine (Dobutrex) Nursing Considerations
DKA Treatment Nursing Mnemonic (KING UFC)
Diverticulitis for Certified Emergency Nursing (CEN)
Diverticulitis Complications Nursing Mnemonic (Please Fix His Abscess SOon)
Disseminated Intravascular Coagulation Case Study (60 min)
Disease Specific Medications
Discharge Planning for Certified Emergency Nursing (CEN)
Discharge (DC) Teaching After Surgery
Diltiazem (Cardizem) Nursing Considerations
Different Dressings
Dialysis & Other Renal Points
Diagnostic Criteria for Lupus Nursing Mnemonic (SOAP BRAIN MD)
Diabetic Ketoacidosis for Progressive Care Certified Nurse (PCCN)
Diabetic Ketoacidosis (DKA) Case Study (45 min)
Diabetic Emergencies for Certified Emergency Nursing (CEN)
Diabetes Mellitus Type 1- Signs & Symptoms Nursing Mnemonic (The 3 P’s)
Diabetes Mellitus for Progressive Care Certified Nurse (PCCN)
Diabetes Mellitus Case Study (45 min)
Diabetes Mellitus & Those Dang Blood Sugars! – Live Tutoring Archive
Diabetes Mellitus (DM) Module Intro
Diabetes Management
Diabetes Insipidus Nursing Mnemonic (DDD)
Diabetes Insipidus Case Study (60 min)
Dementia and Alzheimers
Delegation and Personnel Management for Certified Perioperative Nurse (CNOR)
Decrease ICP Nursing Mnemonic (Craniums Excite Me)
Day in the Life of an Operating Room Nurse
Day in the Life of a Med-surg Nurse
D-Dimer (DDI) Lab Values
Cyclosporine (Sandimmune) Nursing Considerations
Cyclic Citrullinated Peptide (CCP) Lab Values
Cushings Assessment Nursing Mnemonic (STRESSED)
Cushing’s Syndrome Case Study (60 min)
Cultures
CT & MR Angiography
Crohn’s Morphology and Symptoms Nursing Mnemonic (CHRISTMAS)
CRNA
Critical Thinking to Facilitate Patient Care for Certified Perioperative Nurse (CNOR)
Creatinine Clearance Lab Values
Creatine Phosphokinase (CPK) Lab Values
Cranial Nerve Mnemonic 03 Nursing Mnemonic (On Old Obando Tower Top A Filipino Army Guards Villages And Huts)
Cranial Nerve Mnemonic 02 Nursing Mnemonic (Oh Oh Oh To Touch And Feel Very Good Velvet AH!)
Cranial Nerve Mnemonic 01 Nursing Mnemonic (Olympic Opium Occupies Troubled Triathletes After Finishing Vegas Gambling Vacations Still High)
Cost Containment Measures for Certified Perioperative Nurse (CNOR)
Cortisol Lab Vales
Coronavirus (COVID-19) Nursing Care and General Information
Coronary Circulation
Coronary Artery Disease Concept Map
Coronary Arteries – Location Nursing Mnemonic (I have a RIGHT to CAMP if you LEFT off the AC)
Cor Pulmonale – Signs & Symptoms Nursing Mnemonic (Please Read His Text)
COPD management Nursing Mnemonic (COPD)
COPD Exacerbation for Progressive Care Certified Nurse (PCCN)
COPD Concept Map
COPD (Chronic Obstructive Pulmonary Disease) Labs
Continuous Renal Replacement Therapy (CRRT, dialysis)
Congestive Heart Failure Concept Map
Confirming Patient Identity (Patient Identifiers) for Certified Perioperative Nurse (CNOR)
Confirmation of Correct Procedure (Operative Site, Side, Site Marking) for Certified Perioperative Nurse (CNOR)
Computed Tomography (CT)
Complications of Thoracentesis Nursing Mnemonic (Patients Sometimes Bleed Internally)
Complications of Spinal Cord Injuries Nursing Mnemonic (ABCDEFG)
Complications of Immobility
Compartment Syndrome for Certified Emergency Nursing (CEN)
Communication of Patient Outcomes (Continuum of Care) for Certified Perioperative Nurse (CNOR)
Common Signs of Parkinson’s Nursing Mnemonic (SMART)
Common Pathogens for UTI Nursing Mnemonic (KEEPS)
Comfort Provisions (Behavioral Response to Procedure) for Certified Perioperative Nurse (CNOR)
Colorectal Cancer (colon rectal cancer)
Colonoscopy
Cold Temperature-related Emergencies for Certified Emergency Nursing (CEN)
Coagulopathies, Medication-Induced (Coumadin, Platelet Inhibitors, Heparin, HIT) for Progressive Care Certified Nurse (PCCN)
Coagulation Studies (PT, PTT, INR)
Clopidogrel (Plavix) Nursing Considerations
Cirrhosis for Certified Emergency Nursing (CEN)
Cirrhosis Complications Nursing Mnemonic (Please Bring Happy Energy)
Cirrhosis Case Study (45 min)
Circulatory Checks (5 P’s) Nursing Mnemonic (The 5 P’s)
Chronic Renal (Kidney) Module Intro
Chronic Obstructive Pulmonary Disease (COPD) for Certified Emergency Nursing (CEN)
Chronic Obstructive Pulmonary Disease (COPD) Case Study (60 min)
Chronic Kidney Disease (CKD) Case Study (45 min)
Cholecystitis for Certified Emergency Nursing (CEN)
CHF Treatment Nursing Mnemonic (UNLOAD FAST)
Chest Tube Management Case Study (60 min)
Chest Tube Management
Chest Tube Management
Chest Tube Assessment Nursing Mnemonic (Two AA’s)
Chemotherapy Patients
Cervical Cancer
Cerebral Perfusion Pressure CPP
Cerebral Perfusion Pressure Case Study (60 min)
Cerebral Metabolism
Cerebral Angiography
Cephalexin (Keflex) Nursing Considerations
Central Line Dressing Change
Celecoxib (Celebrex) Nursing Considerations
Causes of Renal Calculi Nursing Mnemonic (Patients Complain of Pain and Difficulty Urinating)
Causes of Pancreatitis Nursing Mnemonic (BAD HITS)
Causes of Dyspnea Nursing Mnemonic (The 6 P’s)
Causes of Anaphylaxis Nursing Mnemonic (Many Boys Love Food)
Cataracts
Cardiovascular Disorders (CVD) Module Intro
Cardiovascular Angiography
Cardiomyopathies (Dilated, Hypertrophic, Restrictive) for Progressive Care Certified Nurse (PCCN)
Cardiogenic Shock For PCCN for Progressive Care Certified Nurse (PCCN)
Cardiogenic Shock and Obstructive Shock for Certified Emergency Nursing (CEN)
Cardiac/Vascular Catheterization (Diagnostic, Interventional) for Progressive Care Certified Nurse (PCCN)
Cardiac Valves Blood Flow Nursing Mnemonic (Toilet Paper my Ass)
Cardiac Tamponade for Progressive Care Certified Nurse (PCCN)
Cardiac Surgery (Post-ICU Care) for Progressive Care Certified Nurse (PCCN)
Cardiac Stress Test
Cardiac Labs – What and When to Use Them 2 – Live Tutoring Archive
Cardiac Labs – What and When to Use Them – Live Tutoring Archive
Cardiac Course Introduction
Cardiac Arrest Nursing Interventions for Certified Perioperative Nurse (CNOR)
Cardiac Anatomy
Cardiac A&P Module Intro
Cardiac (Heart) Enzymes
Carbon Dioxide (Co2) Lab Values
Carbidopa-Levodopa (Sinemet) Nursing Considerations
Captopril (Capoten) Nursing Considerations
Canes Nursing Mnemonic (COAL)
Cancer – Nursing Priorities Nursing Mnemonic (CANCER)
Cancer – Early Warning Signs Nursing Mnemonic (CAUTION UP)
Calcium Channel Blockers
Calcium Carbonate (Tums) Nursing Considerations
Calcium Acetate (PhosLo) Nursing Considerations
C. Difficile for Certified Emergency Nursing (CEN)
C-Reactive Protein (CRP) Lab Values
Burns for Certified Emergency Nursing (CEN)
Burn Injuries
Bronchoscopy
Breast Cancer Concept Map
Breast Cancer
Brain Tumors
Brain Tumors
Brain Natriuretic Peptide (BNP) Lab Values
Brain Death v. Comatose
BPH Symptoms Nursing Mnemonic (FUN WISE)
Bowel Perforation for Certified Emergency Nursing (CEN)
Bowel Obstruction Concept Map
Bone Cancer (Osteosarcoma, Chondrosarcoma, and Ewing Sarcoma)
Body Mechanics (Utilization) for Certified Perioperative Nurse (CNOR)
Blunt Chest Trauma
Blood Salvage Transfusion Anticipation for Certified Perioperative Nurse (CNOR)
Blood Flow Through The Heart
Bleeding Precautions Nursing Mnemonic (RANDI)
Bleeding for Certified Emergency Nursing (CEN)
Bleeding Complications (Minor) Nursing Mnemonic (BEEP)
Bladder Cancer
Bismuth Subsalicylate (Pepto-Bismol) Nursing Considerations
Biopsy
Biohazard Material Handling and Disposition (Blood, Microbiology, Creutzfeldt-Jakob Disease) for Certified Perioperative Nurse (CNOR)
Beta Hydroxy (BHB) Lab Values
Benztropine (Cogentin) Nursing Considerations
Bed Bath
Barriers to Health Assessment
Barrier Material Selection (Procedure-Specific) for Certified Perioperative Nurse (CNOR)
Bariatric: IV Insertion
Bariatric Surgeries
Barbiturates
Bacterial Endocarditis – Symptoms Nursing Mnemonic (Be Joan Of Arc)
Azithromycin (Zithromax) Nursing Considerations
Avulsions and Degloving Injuries for Certified Emergency Nursing (CEN)
AVPU Mnemonic (The AVPU Scale)
AV Blocks Dysrhythmias for Progressive Care Certified Nurse (PCCN)
Atrial Flutter
Atrial Fibrillation (A Fib)
Atrial Dysrhythmias for Progressive Care Certified Nurse (PCCN)
Atorvastatin (Lipitor) Nursing Considerations
Atenolol (Tenormin) Nursing Considerations
At Risk for Gout Nursing Mnemonic (MALE)
Asthma for Certified Emergency Nursing (CEN)
Asthma (Severe) for Progressive Care Certified Nurse (PCCN)
Assessment of Guillain-Barre Syndrome Nursing Mnemonic (GBS=PAID)
Assessment for Myasthenic Crisis Nursing Mnemonic (BRISH)
Aspiration for Certified Emergency Nursing (CEN)
ASA (Aspirin) Nursing Considerations
Artificial Airways
ARDS causes Nursing Mnemonic (GUT PASS)
ARDS Case Study (60 min)
Appendicitis for Certified Emergency Nursing (CEN)
Aortic Stenosis Symptoms Nursing Mnemonic (SAD)
Aortic Aneurysm – Thoracic signs Nursing Mnemonic (PEE BADS)
Aortic Aneurysm – Management Nursing Mnemonic (CRAM)
Antinuclear Antibody Lab Values
Antineoplastics
Antimetabolites
Antidiabetic Agents
Anti-Infective – Antitubercular
Anticonvulsants
Anti-Platelet Aggregate
Anti-Infective – Tetracyclines
Anti-Infective – Sulfonamides
Anti-Infective – Glycopeptide
Anti-Infective – Carbapenems
Anti Tumor Antibiotics
Anion Gap Acidosis 2 Nursing Mnemonic (MUDPILES)
Anion Gap Acidosis 1 Nursing Mnemonic (KULT)
Anion Gap
Angiotensin Receptor Blockers
Aneurysm and Dissection for Certified Emergency Nursing (CEN)
Aneurysm (Dissecting, Repair) for Progressive Care Certified Nurse (PCCN)
Anesthetic Agents
Anesthetic Agents
Anesthesia Management Assistance for Certified Perioperative Nurse (CNOR)
Anemia for Progressive Care Certified Nurse (PCCN)
Anaphylaxis Nursing Interventions for Certified Perioperative Nurse (CNOR)
Amputation for Certified Emergency Nursing (CEN)
Amputation Concept Map
Amputation
Amlodipine (Norvasc) Nursing Considerations
Amitriptyline (Elavil) Nursing Considerations
Altered Mental Status- Delirium and Dementia for Progressive Care Certified Nurse (PCCN)
Altered Mental Status Nursing Mnemonic (AEIOU TIPS)
Alteplase (tPA, Activase) Nursing Considerations
Allergic Reactions and Anaphylaxis for Certified Emergency Nursing (CEN)
Alkylating Agents
Alkaline Phosphatase (ALK PHOS) Lab Values
Alendronate (Fosamax) Nursing Considerations
Alanine Aminotransferase (ALT) Lab Values
Airway Suctioning
AIDS Case Study (45 min)
Age and Culturally Appropriate Health Assessment Techniques for Certified Perioperative Nurse (CNOR)
Advanced Directive and DNR Status Confirmation for Certified Perioperative Nurse (CNOR)
Advance Directives
Adrenal Gland Hormones Nursing Mnemonic (The 3 S’s)
Adrenal and Thyroid Disorder Emergencies for Certified Emergency Nursing (CEN)
Admissions, Discharges, and Transfers
Adjunct Neuro Assessments
Addisons Disease
Addisons Assessment Nursing Mnemonic (STEROID)
Acute Respiratory Distress Syndrome (ARDS) for Progressive Care Certified Nurse (PCCN)
Acute Renal (Kidney) Module Intro
Acute Kidney Injury Case Study (60 min)
Acute Inflammatory Disease (Myocarditis, Endocarditis, Pericarditis) for Progressive Care Certified Nurse (PCCN)
Acute Coronary Syndromes (MI-ST and Non ST, Unstable Angina) for Progressive Care Certified Nurse (PCCN)
Acute Abdomen for Certified Emergency Nursing (CEN)
ACE (angiotensin-converting enzyme) Inhibitors
Accountability and Assistance for Personal Limitations for Certified Perioperative Nurse (CNOR)
Absolute Reticulocyte Count (ARC) Lab Values
Absolute Neutrophil Count (ANC) Lab Values
3rd Degree AV Heart Block (Complete Heart Block)
2nd Degree AV Heart Block Type 2 (Mobitz II)
2nd Degree AV Heart Block Type 1 (Mobitz I, Wenckebach)
1st Degree AV Heart Block
10.04 Pulmonary Question Review for CCRN Review
07.10 Neurologic Review questions for CCRN Review
07.09 Meningitis for CCRN Review
06.05 Wide Complex Tachycardia for CCRN Review
06.04 Differentiating Ectopy and Aberrancy for CCRN Review
05.05 GI Practice Questions for CCRN Review
05.02 Liver Overview and Disease for CCRN Review
05.01 Pancreatitis and Large Bowel Obstruction for CCRN Review
03.05 Endocrine Practice Questions for CCRN Review
03.04 DKA vs HHNK for CCRN Review
03.03 Hypoglycemia for CCRN Review
03.02 Diabetes Insipidus for CCRN Review
03.01 Syndrome of Inappropriate Antidiuretic hormone (SIADH) for CCRN Review
02.18 Cardiovascular Practice Questions for CCRN Review
02.17 Septic Shock for CCRN Review
02.16 Cardiogenic Shock for CCRN Review
02.15 Hypovolemic Shock for CCRN Review
02.14 Shock Stages for CCRN Review
02.13 Myocardial Infarction – Anterior Septal Wall for CCRN Review
02.12 Myocardial Infarction- Inferior Wall for CCRN Review
02.08 Cardiac Catheterization & Acute Coronary Syndrome for CCRN Review
02.06 Heart Murmurs for CCRN Review
02.02 Cardiomyopathy for CCRN Review