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Nursing Care Plan (NCP) for Bronchoscopy (Procedure)

Nursing Care Plan (NCP) for Bronchoscopy (Procedure)

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Study Tools For Nursing Care Plan (NCP) for Bronchoscopy (Procedure)

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Outline

Lesson Objective for Bronchoscopy

  • Understanding the Procedure:
    • Provide detailed information to the patient about the bronchoscopy procedure, including its purpose, potential benefits, and what to expect during and after the examination.
  • Preparation and Pre-procedural Care:
    • Ensure the patient comprehends and follows the necessary pre-procedural instructions, including fasting, medication adjustments, and any required laboratory tests or imaging.
  • Informed Consent:
    • Facilitate the informed consent process, ensuring the patient fully understands the risks, benefits, and alternatives to bronchoscopy before consenting to the procedure.
  • Managing Anxiety and Discomfort:
    • Develop strategies to address patient anxiety and discomfort related to the procedure, incorporating relaxation techniques and providing reassurance throughout the pre-procedural and post-procedural phases.
  • Post-procedural Care and Follow-up:
    • Educate the patient on post-bronchoscopy care, potential side effects, and the importance of following up with the healthcare provider for results and further management.

Pathophysiology of Bronchoscopy

 

  • Scope Insertion and Visualization:
    • A bronchoscope, a flexible tube with a light and camera, is inserted through the patient’s nose or mouth and down the airways, allowing direct visualization of the bronchial passages and lungs.
  • Diagnostic and Therapeutic Procedures:
    • Bronchoscopy serves both diagnostic and therapeutic purposes. It enables the collection of samples (biopsy, cytology, culture) for further examination and allows for interventions such as removing foreign bodies or placing stents.
  • Visualization of Abnormalities:
    • The procedure helps identify and assess abnormalities in the respiratory system, such as tumors, inflammation, infections, or structural issues, aiding in the diagnosis and management of respiratory conditions.
  • Pulmonary Function Assessment:
    • Bronchoscopy provides an opportunity to assess pulmonary function by evaluating airway patency, detecting obstructions, and gauging the overall health of the respiratory system.
  • Potential Complications:
    • While generally safe, bronchoscopy carries potential risks, including bleeding, infection, or respiratory compromise. Understanding the pathophysiology involves recognizing these potential complications and taking appropriate precautions to minimize risk.

Etiology of Need for Bronchoscopy

  • Diagnostic Investigation:
    • The primary reason for bronchoscopy is to investigate and diagnose various respiratory conditions, including but not limited to lung cancer, infections, pulmonary fibrosis, or persistent cough of unknown origin.
  • Evaluation of Abnormal Imaging Findings:
    • Patients with abnormal chest X-rays or CT scans may undergo bronchoscopy to obtain more detailed information about the nature and extent of the identified abnormalities.
  • Assessment of Respiratory Symptoms:
    • Individuals presenting with symptoms such as hemoptysis (coughing up blood), unexplained shortness of breath, or persistent cough may undergo bronchoscopy to identify the underlying cause.
  • Guidance for Treatment Decisions:
    • Bronchoscopy is often performed to obtain samples for histological examination, aiding in the determination of treatment strategies, especially in cases of suspected lung cancer or other pulmonary diseases.
  • Therapeutic Interventions:
    • Besides its diagnostic role, bronchoscopy can be employed for therapeutic purposes, such as removing foreign bodies, clearing airway obstructions, or placing stents to alleviate bronchial strictures.

Desired Outcome after Bronchoscopy

  • Accurate Diagnosis:
    • Achieve a precise and timely diagnosis of the underlying respiratory condition or disease, providing essential information for subsequent management.
  • Treatment Planning:
    • Facilitate the development of an effective and personalized treatment plan based on the identified pathology, ensuring optimal care and improved patient outcomes.
  • Resolution of Symptoms:
    • Alleviate or resolve respiratory symptoms such as cough, shortness of breath, or hemoptysis, contributing to an enhanced quality of life for the patient.
  • Prevention of complications:
    • The patient does not experience complications during or after the procedure, such as aspiration, pneumothorax or bleeding. 
  • Early Intervention for Lung Cancer:
    • Enable early detection of lung cancer, if present, leading to timely initiation of appropriate therapeutic measures and potentially improving long-term survival rates.
  • Patient Education and Support:
    • Provide comprehensive education to the patient regarding the diagnosis, treatment options, and potential lifestyle modifications, fostering active participation in their healthcare journey.

 

Bronchoscopy (Procedure) Nursing Care Plan

 

Subjective Data:

Indications

  • Patient reports persistent cough

Complications

  • Shortness of breath
  • Dyspnea
  • Chest tightness
  • Restless/anxious
  • Dysphagia/difficulty swallowing

Objective Data:

Indications

  • Hemoptysis
  • Abnormal findings on chest x-ray (mass/lesion)
  • Known obstruction
  • Excessive secretions, especially if thick
  • Rhonchi or crackles

Complications

  • Coughing when trying to swallow
  • Decreased SpO2
  • Increased RR
  • Hemoptysis
  • Wheezing
  • Rhonchi/Crackles

Nursing Assessment after Bronchoscopy

 

  • Respiratory Status:
    • Monitor respiratory rate, depth, and pattern to identify any changes or abnormalities post-bronchoscopy.
  • Vital Signs:
    • Continuously assess vital signs, including heart rate, blood pressure, and oxygen saturation, to detect any signs of instability.
  • Bleeding and Hemodynamic Stability:
    • Evaluate for signs of bleeding such as hemoptysis and assess hemodynamic stability to detect potential complications.
  • Pulmonary Function:
    • Monitor pulmonary function, including lung sounds and chest movement, to ensure adequate ventilation and oxygenation.
  • Pain Assessment:
    • Assess the patient’s pain level at the site of bronchoscopy or any discomfort, providing appropriate pain management interventions.
  • Level of Consciousness:
    • Evaluate the patient’s level of consciousness and orientation to detect any neurological changes or adverse reactions to medications.
  • Fluid Balance:
    • Monitor fluid intake and output to assess for imbalances or signs of dehydration, especially if the patient has received sedation.
  • Patient Education and Psychosocial Assessment:
    • Engage in patient education regarding post-procedural care, potential complications, and recovery expectations. Assess psychosocial aspects, addressing any concerns or anxiety related to the procedure.

Implementation after Bronchoscopy

 

  • Post-Procedure Monitoring:
    • Continuously monitor the patient for the initial post-procedure period, paying close attention to respiratory and hemodynamic parameters.
    • Verify the patient’s gag reflex is present before initiating oral intake, as local numbing agents may be utilized during scope insertion. 
  • Airway Management:
    • Provide appropriate airway management, ensuring the patient maintains a patent airway and administering supplemental oxygen as needed.
    • Auscultate breath sounds to detect potential pneumothorax post-procedure.
    • Monitor the patient’s secretions. Pink or blood-tinged sputum may be expectorated after the procedure. Bright red or copious amounts of sputum would be concerning.
  • Pain Management:
    • Administer prescribed pain medications as needed and assess the patient’s pain level regularly. Employ non-pharmacological interventions, such as positioning for comfort.
  • Fluid Management:
    • Maintain adequate hydration, monitoring intravenous fluids, and encouraging oral intake as tolerated to prevent dehydration.
  • Patient Education:
    • Offer detailed post-procedure instructions, including signs of complications, activity restrictions, and follow-up appointments. Ensure the patient understands and follows the recommended care plan.

Nursing Interventions and Rationales

 

  • Ensure informed consent is obtained and the patient is educated about the procedure

 

Informed consent should be obtained by the provider, including indications, risks, and possible complications of the procedure. You, the nurse, should simply ensure it is done and witness the patient’s signature.

 

  • Keep patient NPO for 6-8 hours prior to the procedure

 

The patient is at high risk for aspiration, which is increased if they have had anything to eat or drink in the last 6-8 hours. Emesis could be aspirated into their lungs.

 

  • Ensure emergency equipment available at bedside

 

As with any procedure involving the airway, emergency equipment should be kept ready at the bedside, including suction, ambu bag, and artificial/advanced airways in case of respiratory distress.

 

  • Insert IV. Administer and manage conscious sedation

 

Sedation should be given to make the patient drowsy and comfortable, but still able to follow commands. Follow facility policy and medication orders from the provider for conscious sedation administration/monitoring.

 

  • Monitor Vital Signs, LOC, Respiratory status before, during, and after procedure per facility policy.

 

  • Obtaining a baseline assessment and set of vital signs helps to know if anything has changed during or after the procedure.  
  • Monitor VS during procedure per facility guidelines for conscious sedation – being alert for possible respiratory distress.
  • Monitor vitals and LOC after procedure to ensure patient wakes up safely from conscious sedation and recovers well.

 

  • Place in High-Fowler’s position and administer supplemental O2 as needed

 

Patient is at risk for aspiration and respiratory distress post-procedure. Placing the patient in high-fowler’s position can improve oxygenation and prevent aspiration.  As patients may still be drowsy or could experience some bleeding in the lungs after the procedure, supplemental O2 can help improve oxygen levels.

 

  • NPO after procedure until gag reflex returns

 

Patients’ throats will be numb because of the numbing spray, this means they may not have a good gag reflex until 1-2 hours post-procedure. Keep NPO until gag reflex returns and patient can safely swallow – prevents aspiration.

 

  • Monitor for possible complications:
    • Bleeding
    • Bronchospasm
    • Respiratory Distress
    • Aspiration

 

  • A slight cough with specks of blood or clots is expected, bright red hemoptysis would be an emergency. Bronchospasm presents as severe dyspnea and anxiety with possible wheezing or stridor.
  • Assess for signs of aspiration or respiratory distress and intervene as needed (artificial airway, suction, O2)

 

  • Educate patient on post-procedure instructions:
    • No driving x 24 hours
    • May have cough
    • Swallow may be impaired x 1-2 hours

 

  • Sedation may impair response times or ability to safely operate a vehicle or heavy machinery.
  • A slight cough is normal but ensure gag reflex has fully returned before eating or drinking, to prevent choking or aspiration.

Evaluation after Bronchoscopy

 

  • Respiratory Status:
    • Assess the patient’s respiratory status, monitoring for signs of complications such as increased respiratory rate, decreased oxygen saturation, or difficulty breathing.
  • Pain Assessment:
    • Evaluate the patient’s pain level using a pain scale and assess the effectiveness of prescribed pain medications. Ensure the patient’s comfort and address any unresolved pain.
  • Complications and Adverse Events:
    • Evaluate for any procedural complications or adverse events, such as bleeding, infection, or pneumothorax. Promptly address and document any complications that may arise.
  • Patient Understanding:
    • Assess the patient’s understanding of post-procedure care instructions, ensuring they can articulate signs of complications and know when to seek medical attention. Provide additional education if needed.

References

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Transcript

This is the nursing care plan for the bronchoscopy procedure. So the purpose for a bronchoscopy is to visualize the airways in order to diagnose issues or remove obstructions. Indications for a bronchoscopy indicate persistent cough of unknown origin, excessive thick secretions, that the patient is unable to clear on their own, abnormal findings on a chest x-ray, coughing up blood or hemoptysis, or a lesion or mass that requires biopsy or sampling. Some nursing considerations are that we want to manage sedation. We want to monitor vital signs, draw labs and frequent respiratory assessment. The desired outcome for a patient undergoing a bronch is that we want to be able to identify the cause of symptoms and abnormal findings. We want to obtain samples as needed. And if needed, we want to clear any airway obstruction like foreign bodies, thick sputum. We want to minimize the occurrence of any possible complications. 

So the bronchoscopy procedure, this is a unique procedure, because this is really speaking on care, why a patient would come in for a bronch, and so we’re going to focus on that. Some of the subjective things that a patient will report, is they may report a persistent cough. So, let’s write that persistent cough. So, some things that we are going to, uh, maybe as a complication is there may be shortness of breath or dyspnea, which is difficulty breathing. There may be some chest tightness. They may be restless or anxious, dysphasia, which is just difficulty swallowing. There may be some hemoptysis, so bloody sputum. There may also be abnormal findings on a chest x-ray that may indicate a need for a bronchoscopy. There may be a known obstruction that could be a thick sputum. We may hear breath sounds. So breath sounds we may auscultate are ronchi, or crackles. Some other complications may be coughing when trying to swallow. So coughing when swallowing. We may see a decreased SATs. We may see increased respirations or hemoptysis. So, this patient presents with a persistent cough. We may see hemoptysis, we may see different complications, maybe a known obstruction, excessive secretions. So, what are some things that we want to do for a patient who is anticipated with all of these things that’s going on? This patient needs a bronch. So, what are we going to do? Well, first thing is we want to keep that patient NPO, nothing by mouth for at least six to eight hours prior. And the reason why is because this patient is at a high risk for aspiration. If you think about it, we are literally taking a scope to go down into the lungs, into the airway that is going to induce a choking, coughing, possible vomiting, so we want to keep them NPO, so there’s nothing to vomit. Emesis could be aspirated into their lungs. The next thing we want to do is to ensure emergency equipment is at the bedside. The reason why is because with any procedure involving the airway, we need to keep that emergency equipment at the bedside. And these things are going to include suction, ambu bag, maybe we want to do an artificial airway, such as an intubation kit or a tracheotomy kit. We want to monitor this patient for signs of respiratory distress. The next thing we want to do is we want to make sure that this patient has an IV. We want to administer and manage conscious sedation. Remember, this is not a procedure where the patient is going to be wide awake. Looking at you, talking to you. This is the procedure, what we want this patient sedated. So, because we want that sedation, we want to ensure that they are drowsy, comfortable, but if necessary, be able to follow commands. 

We want to monitor their vital signs. That includes their level of consciousness, their respiratory status before, during, and after the procedure. We are doing this so that we can get a baseline for the patient. And we get a baseline of vitals. We know if anything has changed, for example, we’re going to get those vitals. Remember, that the level of consciousness after the procedure, we want to ensure the patient wakes up safely from the sedation and recovers well. We want to make sure that they are alert as possible for any possible respiratory distress, especially as a high risk for respiratory distress. Finally, we want to make sure that we put this, you know, this is my favorite position, high Fowler’s, high Fowler’s. We want to set that patient up because this patient is at risk for aspiration of respiratory distress, post-procedure. We want to give them enough room for the chest to properly expand. Remember, patients are coming up from sedation, so they may be drowsy or could experience a bleeding of the lungs after the procedure. We want to make sure to administer any supplemental o2 as necessary to improve their oxygen levels. 

So the key points, what are some path physiology behind this? Remember the goal of the Bronch, is to visualize the airways in order to help diagnose issues or remove any obstructions. The subjective data, the patient is going to report a persistent cough. That could be one of the indicators for a Bronch. Something that we may see that may be an indicator for a Bronch is hemoptysis or bleeding, any known obstruction, thick secretions. Some things we want to do are to keep this patient in NPO. We want to keep them NPO for a procedure. This patient is at a high risk for aspiration. They should be NPO for a minimum of six to eight hours prior to the procedure. We want to do a good respiratory assessment. Remember, pre-op during the operation, and post-op complications include atelectasis, bleeding, respiratory distress, and aspiration. We love you guys here and go out and be your best self today. And as always, happy nursing.

 

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Care plan

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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)
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Propranolol (Inderal) Nursing Considerations
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Product Assessment (Packaging, Sterilization) for Certified Perioperative Nurse (CNOR)
Procedurally-Relevant Focused Assessments for Certified Perioperative Nurse (CNOR)
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Preoperative (Preop) Nursing Priorities
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Preoperative (Preop) Education
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PPE Donning & Doffing
Postoperative Follow-up for Certified Perioperative Nurse (CNOR)
Postoperative (Postop) Complications
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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