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Nursing Care Plan (NCP) for Cardiogenic Shock

Nursing Care Plan (NCP) for Cardiogenic Shock

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Cardiogenic Shock Pathochart (Cheatsheet)
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Outline

Lesson Objective for Cardiogenic Shock Nursing Care Plan

  • Understanding Cardiogenic Shock:
    • Gain a comprehensive understanding of cardiogenic shock, including its pathophysiology, etiology, and associated risk factors.
  • Recognition of Clinical Manifestations:
    • Develop the ability to recognize and interpret the clinical manifestations of cardiogenic shock, distinguishing them from other forms of shock.
  • Implementation of Interventions:
    • Acquire the skills to implement timely and appropriate nursing interventions aimed at stabilizing the patient, improving cardiac output, and addressing the underlying causes of cardiogenic shock.
  • Monitoring and Assessment:
    • Learn effective monitoring techniques and assessment strategies to evaluate the patient’s response to interventions, hemodynamic status, and overall progress during the treatment of cardiogenic shock.
  • Collaborative Team Communication:
    • Develop strong communication skills for collaboration with the healthcare team, ensuring seamless coordination of care, and promoting optimal outcomes for patients experiencing cardiogenic shock.

Pathophysiology of Cardiogenic Shock

  • Impaired Cardiac Function:
    • Cardiogenic shock is primarily characterized by a severe decrease in cardiac output, resulting from impaired myocardial contractility. This dysfunction can stem from conditions such as myocardial infarction, severe heart failure, or myocardial contusion.
  • Decreased Tissue Perfusion:
    • Inadequate cardiac output leads to diminished perfusion of vital organs and tissues, depriving them of oxygen and nutrients. This can trigger a cascade of cellular events, contributing to multiorgan dysfunction.
  • Increased Myocardial Workload:
    • The heart attempts to compensate for decreased cardiac output by increasing its workload. This compensatory mechanism can exacerbate myocardial ischemia and further compromise the heart’s ability to pump effectively.
  • Activation of Neurohormonal Responses:
    • The body initiates neurohormonal responses, including the release of catecholamines (such as adrenaline) and activation of the renin-angiotensin-aldosterone system. While initially adaptive, prolonged activation can lead to detrimental effects on the cardiovascular system.
  • Systemic Inflammatory Response:
    • Cardiogenic shock can trigger a systemic inflammatory response, contributing to endothelial dysfunction and promoting the release of inflammatory mediators. This inflammatory state further compounds organ damage and dysfunction.

Etiology of Cardiogenic Shock

  • Myocardial Infarction (MI):
    • A leading cause of cardiogenic shock, MI results from a sudden reduction or blockage of blood flow to a part of the heart muscle, leading to myocardial damage and compromised cardiac function.
  • Severe Heart Failure:
    • Advanced stages of heart failure, where the heart is unable to pump blood effectively, can progress to cardiogenic shock. This may be due to chronic conditions such as ischemic heart disease or cardiomyopathy.
  • Myocardial Contusion:
    • Trauma or injury to the chest, such as in a severe accident or blunt force trauma, can cause myocardial contusion, leading to impaired cardiac function and potentially cardiogenic shock.
  • Cardiomyopathy:
    • Conditions affecting the heart muscle, such as dilated or hypertrophic cardiomyopathy, can contribute to cardiogenic shock by compromising the heart’s ability to contract and pump blood adequately.
  • Arrhythmias:
    • Certain severe arrhythmias, especially those leading to sustained ventricular tachycardia or fibrillation, can disrupt the heart’s normal rhythm, impairing its pumping function and precipitating cardiogenic shock.

Desired Outcome of Cardiogenic Shock Management

 

  • Stabilize Hemodynamics:
    • Achieve and maintain hemodynamic stability by optimizing blood pressure, heart rate, and cardiac output to ensure adequate organ perfusion.
  • Restore Myocardial Perfusion:
    • Implement interventions to restore blood flow to the myocardium, such as reperfusion therapies like angioplasty or thrombolytics in the case of ischemic causes.
  • Optimize Oxygenation:
    • Ensure optimal oxygen delivery to tissues by improving respiratory function and supporting oxygenation through mechanical ventilation if necessary.
  • Address Underlying Cause:
    • Identify and treat the underlying cause of cardiogenic shock, whether it be myocardial infarction, severe heart failure, or other contributing factors.
  • Prevent Complications:
    • Mitigate and prevent complications associated with cardiogenic shock, such as multiorgan failure, by providing comprehensive care, including renal support, nutritional support, and vigilant monitoring.

Cardiogenic Shock Nursing Care Plan

 

Subjective Data:

  • Crushing Chest Pain
  • Anxiety or restlessness
  • Sudden, severe, SOB
  • Weakness
  • Nausea

Objective Data:

  • Evidence of MI or 12-Lead and Cardiac Enzymes
  • ↑ HR
  • ↑ RR
  • ↓ BP
  • ↓SpO2
  • ↓ Temp
  • ↑ CVP
  • ↓ CO
  • ↑ SVR
  • ↓ LOC
  • ↓ Urine output
  • Skin is cold, pale, possibly dusky or mottled
  • Pulses rapid and thready
  • Diaphoretic
  • JVD
  • Crackles in lungs
  • Heart sounds muffled
  • S3, S4 present

Nursing Assessment for Cardiogenic Shock

 

  • Hemodynamic Monitoring:
    • Continuously monitor blood pressure, heart rate, and central venous pressure to assess the patient’s hemodynamic status.
  • Cardiac Rhythm Analysis:
    • Perform continuous electrocardiogram (ECG) monitoring to identify arrhythmias or changes in cardiac rhythm.
  • Assessment of Respiratory Status:
    • Monitor respiratory rate, effort, and oxygen saturation to assess the adequacy of oxygenation and ventilation.
  • Neurological Assessment:
    • Evaluate the patient’s level of consciousness, neurological status, and responsiveness to stimuli for signs of cerebral hypoperfusion.
  • Peripheral Perfusion Assessment:
    • Assess peripheral perfusion by monitoring skin color, temperature, and capillary refill time to identify signs of poor tissue perfusion.
  • Fluid Balance Monitoring:
    • Keep track of intake and output to assess fluid balance, considering the patient’s response to fluid resuscitation.
  • Laboratory Values:
    • Monitor laboratory values, including arterial blood gases, electrolytes, and cardiac enzymes, to evaluate organ function and guide treatment.
  • Pain Assessment:
    • Assess and manage pain, considering the potential for ischemic chest pain and the need for pain relief to reduce cardiac workload.
  • Psychosocial Assessment:
    • Consider the emotional and psychological impact of cardiogenic shock on the patient and their family, offering support and resources as needed.

Implementation for Cardiogenic Shock

 

  • Hemodynamic Support:
    • Administer vasoactive medications, such as inotropes, to improve cardiac contractility and optimize blood pressure.
    • Administer medications, such as antiarrhythmics, to correct underlying arrhythmias. 
  • Oxygen Therapy:
    • Provide supplemental oxygen to ensure adequate oxygenation and relieve myocardial oxygen demand. Critically ill patients may require mechanical ventilation. Collaborate with respiratory therapy as needed. 
  • Fluid Management:
    • Administer intravenous fluids cautiously to maintain adequate preload while avoiding fluid overload and pulmonary edema.
    • Monitor urine output as an indicator of fluid balance and organ perfusion. 
  • Pain Management:
    • Administer appropriate analgesics to manage chest pain and reduce the overall cardiac workload.
  • Continuous Monitoring:
    • Implement continuous monitoring of vital signs, ECG, and invasive hemodynamic parameters to assess the patient’s response to interventions.

Nursing Interventions and Rationales

 

  • Assess for Risk
    • History of Myocardial Infarction
    • Coronary Artery Disease, Obesity, Hyperlipidemia
    • Pulmonary Embolism Risk
    • Blunt Chest Trauma

 

Nurses should assess their patient for the risk of developing cardiogenic shock.

  • History of MI – previous damage to heart muscle means more susceptible to shock with a recurrent MI.
  • CAD, Obesity, HLD all contribute to risk for MI
  • Pts on prolonged bedrest, postpartum mothers, and those with DVTs are at highest risk of developing a pulmonary embolism
  • Blunt Chest Trauma means patient may be at risk of developing pericardial tamponade.

 

Either way, the more aware the nurse is of the risk, the more likely it can be prevented or caught early.

 

  • Assess and monitor:
    • VS – apply oxygen as needed
    • LOC
    • Lung Sounds
    • Edema
    • Urine Output

 

Monitoring VS could help to prevent decompensation and cardiac arrest if caught early, but will also help to determine the patient’s response to treatment.

Level of consciousness should be assessed because it may decrease as the patient loses oxygenation of their brain. Decreasing LOC is a sign of advancing shock.

If a patient’s SpO2 falls below 92% (or prescribed threshold), apply supplemental oxygen via nasal cannula to improve overall oxygenation ability.

 

  • Assess and manage pain

 

Patient may have severe chest pain because of myocardial ischemia. Pain should be assessed every 4 hours or more often as needed, and reassessed 30 minutes after administration of pain medication.

 

  • Monitor Hemodynamics
    • MAP
    • CVP
    • CO
    • SVR
    • VO2

 

Hemodynamic measurements will tell us the severity of the shock and how well the patient is responding to treatment.

  • MAP = Mean Arterial Pressure – this is the average pressure within the arteries. It can be calculated with a non-invasive blood pressure, but is more accurate when measured by  an Arterial Line. Decompensated shock will show a decreasing MAP below 60 mmHg
  • CVP = Central Venous Pressure. This measures Preload. In a patient with cardiogenic shock, it will be high (>12 mmHg). The goal would be to see this number return closer to normal, but ultimately the CO measurement is more important.
  • CO = Cardiac Output. In cardiogenic shock, the overall CO takes the biggest hit.  The body cannot compensate. The goal of therapy is to increase cardiac output, so it needs to be monitored closely. This is assessed using a FloTrac or Pulmonary Artery  catheter.
  • SVR = Systemic Vascular Resistance. This measures afterload. We will expect this to be high because of the body’s attempts to compensate through vasoconstriction. If treatment is effective, we will see this number return back down to normal. Dobutamine can also help to decrease this number through vasodilation.
  • VO2 Oxygen consumption – the rate at which oxygen is taken up into the tissues. In cardiogenic shock, we will see this number decrease significantly because the tissues are not getting the oxygen they need. This is a classic sign of cardiogenic shock versus heart failure (normal VO2)

(Marino, 2007)

 

  • Calibrate all hemodynamic monitoring transducers: Level and Zero CVP and A-line to the phlebostatic axis

 

The phlebostatic axis is located at the 4th intercostal space, mid-axillary line, and is the most accurate reference point for the right atrium. This is where a CVP is measured using a central line. It is also the most accurate reference point of the aorta for MAP measured by an arterial line.  

Leveling and zeroing ensures that the measurements are calibrated correctly so that readings are accurate.

 

  • Prepare for procedures
    • Arterial Line or Central Line Placement
      • Gather all supplies
      • Ensure consent is obtained by provider
      • Explain procedure to patient/family
      • Prep fluids or tubing
      • Ensure all monitoring equipment is available
    • Intubation
      • Notify Respiratory Therapist and Charge Nurse for support
      • Suction and Ambu Bag at the bedside
      • Gather supplies
      • Ensure all monitoring equipment is available
    • Surgical Intervention
      • Follow facility procedures
      • Remove all personal clothes, jewelry, etc.
      • Ensure informed consent is obtained by provider
      • Facilitate transport

 

Arterial lines are placed for invasive hemodynamic monitoring. They can measure MAP, but can also measure other hemodynamic values such as CO/CI, SVR, SV, etc. when using a FloTrac machine.

Central lines are placed for administration of fluids and medications as well as hemodynamic monitoring of CVP, CO/CI, and SVR. Patients with cardiogenic shock may also receive a Pulmonary Artery catheter (also called a Swan-Ganz catheter) for more detailed invasive hemodynamic monitoring.

Patients whose airway and/or ventilation has been compromised due to ↓ LOC or pulmonary edema may need to be intubated and placed on a ventilator.

Patients may need to be taken to the OR to repair the injury or internal bleeding that caused the hypovolemia in the first place.

**Informed consent MUST be obtained by the provider. You can explain procedures to patients/family, but the provider must give the reason, risks, benefits, etc. and obtain the informed consent.

 

  • Maintain HOB >30°

 

Lowering the head of bed or laying the patient flat can be detrimental for two reasons:

  • It brings blood towards the heart and baroreceptors, which will now believe that the problem has been fixed and will stop working to compensate. While lowering the head and raising the legs can be useful in the absence of other interventions, it should be avoided once more advanced therapies are available.
  • The patient likely has pulmonary edema because of this acute cardiogenic shock. Laying them flat will compromise their oxygenation because of all the fluid in their lungs.

 

  • Elevate legs on pillows
    Apply SCD’s
    SCD’s are contraindindicated if the patient already has a DVT

 

The goal with these interventions is to decrease peripheral edema in the patient’s legs and facilitate some venous return in order to prevent development of a DVT. DVT’s are the #1 cause of pulmonary  embolism.

 

  • Prepare for and manage Intra-Aortic Balloon Pump (IABP)
    • Prep like any other procedure
    • Leg used should be kept straight at all times
    • Patient on bedrest – reposition every 2 hours
    • Follow facility policy for documentation of pressures

 

This is an advanced technique that would be seen in a cardiovascular ICU. IABP is used to decrease the workload/afterload on the heart and assist with forward circulation. It is inserted via the femoral artery into the descending aorta. The balloon inflates during diastole to help with filling pressures and deflates with systole to help with forward pressure.

Advanced cardiogenic shock may require LVAD or Transplant.

Evaluation for Cardiogenic Shock

 

  • Hemodynamic Parameters:
    • Regularly assess and analyze hemodynamic parameters, including blood pressure, heart rate, and central venous pressure, to evaluate the effectiveness of vasoactive medications and fluid management.
  • Organ Perfusion:
    • Monitor for signs of adequate organ perfusion, such as mean arterial pressure > 60, urine output 0.5 – 1.5 ml/kg/hr
  • Oxygenation Status:
    • Monitor oxygen saturation levels and arterial blood gases to ensure adequate oxygenation and assess the impact of oxygen therapy.
  • Pain Assessment:
    • Evaluate the patient’s pain level and assess the effectiveness of pain management strategies to ensure optimal comfort.
  • Fluid Balance:
    • Review fluid balance and assess for signs of fluid overload or depletion, adjusting intravenous fluid administration as needed.
  • Clinical Response:
    • Evaluate the overall clinical response, including the resolution or improvement of symptoms such as chest pain and dyspnea, to determine the success of the nursing care plan.

References

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Transcript

This lesson, we’re going to take a look at the care plan for cardiogenic shock. So, we’ll briefly take a look at the path of physiology and etiology of this issue. 

 

We’re also going to take a look at additional things like subjective and objective data that your patient may present with as well as nursing interventions and rationales for this issue. 

 

Alight, let’s jump in. So, the medical diagnosis is cardiogenic shock, which is an acute and extreme version of heart failure, where the organs are not receiving adequate oxygenated blood. So guys, cardiogenic shock is most definitely a medical emergency. It can be caused by a few things like myocardial infarction or MI, because of the heart’s inability to pump effectively, also issues that obstruct blood flow like cardiac tamponade, which is a buildup of fluid around the heart, which compresses and prevents functional pumping. Also a pulmonary embolism or PE, a blood clot in the pulmonary arteries can prevent blood flow and also cause cardiogenic shock. 

 

So the desired outcome for a patient with this issue is to reverse what is causing the problem and restore sufficient cardiac output. So let’s take a look at some of the subjective and objective data that your patient with this issue may present with. 

 

Now, remember subjective data. These are going to be things that are based on your patient’s opinions or feelings. So, they may include the feeling of crushing chest pain. Also, they might express anxiousness or restlessness, sudden and severe shortness of breath, weakness, or maybe nausea. 

 

Objective data are a number of things, including the evidence of an EMI increased heart rate, increased respiratory rate, decreased blood pressure, decreased oxygen saturation, decreased temperature, increased central venous pressure and decreased cardiac output. Your patient’s heart sounds. They may sound muffled. They may have decreased urine output or crackles in the lungs. They may have a rapid, thready pulse and they may be diaphoretic with cold/ pale, possibly mottled skin. 

 

Okay, nursing interventions are a super important part of a care plan. So, let’s take a look at a few of those for cardiogenic shock. First off, assess your patient’s risk for developing this issue. Things like a history of an EMI means your patient is more susceptible because of previous damage to the heart. So, coronary artery disease, obesity, and hyperlipidemia all contribute to the risk of having an EMI. So, assess your patient’s risk also for a pulmonary embolism. Those on prolonged bed rest, postpartum mothers and patients with DVT are all at a higher risk. Finally, blunt chest trauma puts the patient at risk of developing pericardial tamponade. 

 

Being aware of these risk factors in your patient means cardiogenic shock can be prevented or caught early okay? So, for cardiogenic shock, you will monitor vital signs to prevent decompensation or cardiac arrest, applying oxygen as needed and as necessary, monitor level of consciousness because decreased LOC is a sign of advancing shock. Also assess lung sounds, edema and your patient’s urine output. 

 

A few more nursing interventions for this issue are assessing your patient’s pain and managing that pain. So, your patient may have severe chest pain because of myocardial ischemia. So, pain should be assessed every four hours or even more often. And of course, reassess 30 minutes after you give any pain meds. 

 

So, for monitoring hemodynamics, it is critical. It will tell us as providers how severe the shock is and if the patient is responding to treatment. Mean arterial pressure or MAP is the average pressure in the arteries. Decompensating shock will show a decreasing map below 60 millimeters of mercury. Central venous pressure means preload in a patient with cardiogenic shock. This pressure will be greater than 12 millimeters of mercury cardiac output and is super important because in cardiogenic shock, cardiac output takes the biggest hit. 

 

So, the goal is to increase cardiac output. This can be measured by the use of a flow track or pulmonary artery catheter. Also, with systemic vascular resistance or SVR, we can expect this to be high because the body will try to compensate with vasoconstriction. So, we watch this value because it will return to normal. If treatment is effective, guys dobutamine can also help to decrease this number. Finally, V02 oxygen compensation, which is the rate at which oxygen is taken up into the tissues is decreased in shock. So, this is a classic sign of cardiogenic shock versus heart failure where V02 is normal. Okay, hemodynamic monitors, they must be calibrated for accurate readings. They must be leveled and zeroed at the phlebostatic axis, which is located at the fourth intercostal space, mid axillary line. This is the most accurate reference point for the right atrium and where the CVP is measured using a central line. 

 

Guys, this is also the most accurate reference point of the aorta for MAP being measured with an arterial line. Be sure to prepare your patient for any possible procedures, like an art line or central line placement for intubation or a surgical intervention. To prepare for the arterial line placement, gather supplies, ensure consent is obtained by the provider, explain the procedure to the patient and family and prep any fluids or tubing, and ensure monitoring equipment is available. 

 

Guys, if the patient has a decreased level of consciousness or compromised ventilation, intubation may be necessary. Make sure supplies, including an ambu bag are available and notify respiratory therapy or the charge nurse for support. So for surgical interventions, possibly to repair an injury or internal bleeding, follow your facility’s protocol, remove all jewelry from your patient, clothing, obtain informed consent, and also, this is by the provider, and possibly, facilitate transport. 

 

So, it may sound super simple, but it’s critical that with a patient with cardiogenic shock, the head of the bed must be greater than 30 degrees. The reason for this is a patient with this issue that lays flat or lowering the head of the bed can be detrimental to the patient’s laying flat, brings blood to the heart and barrier receptors, which will make the body think that the problem has been fixed and compensation will then be stopped. So, it is important to say that in some cases, lowering the head and raising the legs can help if there is an absence of other interventions, but not when we have more advanced therapies available. Also guys, patients with acute cardiogenic shock commonly have pulmonary edema. So, laying them flat compromises their oxygenation. Elevating the patient’s legs and applying SCDs helps to decrease peripheral edema and also facilitates venous return to prevent DVTs. 

DVTs are the number one cause of PEs. Remember though, SCDs are contra-indicated to any patient with a current DVT. 

 

A final intervention is to repair and manage the intra aortic balloon pump or IABP, which is an advanced technique that is typically seen in the cardiovascular ICU. The IABP is used to decrease workload afterload on the heart and with forward circulation. The IABP is inserted through the femoral artery, into the descending aorta. This IABP, it inflates during diastolic to help with filling pressures and deflates with systolic for pressure. So, to prepare for this, prep like any other procedure, but after, the legs should be kept straight at all times. The patient should be on bedrest and repositioned every two hours and finally, follow facility policy for documentation of their pressures. One final thing guys, some patients may even require an LVAD or even a heart transplant.

 

Okay, here is a look at the final care plan for cardiogenic shock. Alright, let’s do a quick review. Cardiogenic shock occurs due to organs not receiving adequate oxygenated blood due to heart failure, which is sudden acute and a medical emergency. Causes include an MI, cardiac tympanum or a pulmonary embolism. Subjective data is crushing chest pain, anxiety, restlessness, shortness of breath, weakness and nausea. Objective data can include decreased BP, SATs, temperature, cardiac output, level of consciousness, increased heart rate, respiratory rate or CVP. Assess your patient’s risk, monitor vital signs, level of consciousness, lung sounds, edema, their hemodynamics as well as their pain. Calibrate hemodynamic monitors, prepare for any procedures, elevate the head greater than 30 degrees. On the legs, apply SCDs, prepare and manage the inner aortic balloon pump. 

 

Okay guys, that is it on this care plan, go out and be your best self today and as always, happy nursing!

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Study Plan Lessons

Wound Care – Assessment
Wound Care – Dressing Change
Wound Care – Selecting a Dressing
Wound Care – Wound Drains
Wound Bleeding (Uncontrolled External Hemorrhage) for Certified Emergency Nursing (CEN)
Who Needs Dialysis Nursing Mnemonic (AEIOU)
Warfarin (Coumadin) Nursing Considerations
Vitamin D Lab Values
Ventricular Tachycardia (V-tach)
Ventricular Fibrillation (V Fib)
Ventricular Dysrhythmias for Progressive Care Certified Nurse (PCCN)
Ventilator Settings
Vent Alarms
Venous Disorders (Chronic venous insufficiency, Deep venous thrombosis/DVT)
Vasopressin (Pitressin) Nursing Considerations
Vasopressin
Vancomycin (Vancocin) Nursing Considerations
Vaccine-Preventable Diseases (Measles, Mumps, Pertussis, Chicken Pox, Diphtheria) for Certified Emergency Nursing (CEN)
Using Aseptic Technique
Urine Culture and Sensitivity Lab Values
Upper Gastrointestinal (GI) Module Intro
Understanding Blood Pressure Meds! – Live Tutoring Archive
Ulcerative Colitis – Assessment Nursing Mnemonic (MADE 10)
Types of Anemia Nursing Mnemonic (Always Introduce Special Patients)
Tuberculosis for Certified Emergency Nursing (CEN)
Tuberculosis (TB) Case Study (60 min)
Urinary Tract Infection Case Study (45 min)
Varicocele
Trimethoprim-Sulfamethoxazole (Bactrim) Nursing Considerations
Triiodothyronine (T3) Lab Values
Trauma – Assessment (Emergency) Nursing Mnemonic (ABCDEFGHI)
Transient Ischemic Attack (TIA) for Certified Emergency Nursing (CEN)
Traction – Nursing Care Nursing Mnemonic (TRACTION)
Trach Suctioning
Trach Care
Toxicity Sepsis- Signs and Symptoms Nursing Mnemonic (The 6 T’s)
Total Iron Binding Capacity (TIBC) Lab Values
To Clot or Not To Clot – Anticoagulants! – Live Tutoring Archive
Thyroxine (T4) Lab Values
Thyroid Stimulating Hormone (TSH) Lab Values
Thrombolytics
Thromboembolic Disease- Deep Vein Thrombosis (DVT) for Certified Emergency Nursing (CEN)
Thrombocytopenia
Thrombin Inhibitors
Thoracentesis
The 5-Minute Assessment (Physical assessment)
Tetracycline (Panmycin) Nursing Considerations
TB Drugs Nursing Mnemonic (RIPE)
Systemic Lupus Erythematosus (SLE)
Symptoms of Wernicke’s Encephalopathy Nursing Mnemonic (COAT)
Symptoms of Nephrotic Syndrome Nursing Mnemonic (NAPHROTIC)
Symptoms of Hypothyroidism Nursing Mnemonic (MOM’S SO TIRED)
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Sucralfate (Carafate) Nursing Considerations
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Stages of Hepatitis Nursing Mnemonic (PIP)
Sprains and Strains – Nursing Care Nursing Mnemonic (RICE)
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Spinal Cord Injury
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Specialty Diets (Nutrition)
Sinus Tachycardia
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Signs of Osteoarthritis Nursing Mnemonic (OSTEO)
Shock Module Intro
Shock States (Anaphylactic, Hypovolemic) For PCCN for Progressive Care Certified Nurse (PCCN)
Shock – Signs and symptoms Nursing Mnemonic (TV SPARC CUBE)
Shock
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Proton Pump Inhibitors
Protein in Urine Lab Values
Prostate Specific Antigen (PSA) Lab Values
Prostate Nursing Mnemonic (FUN)
Prostate Cancer
Propylthiouracil (PTU) Nursing Considerations
Propofol (Diprivan) Nursing Considerations
Propranolol (Inderal) Nursing Considerations
Procalcitonin (PCT) Lab Values
Pressure Ulcers/Pressure injuries (Braden scale)
Pressure Line Management
Pressure Injuries (Ulcers) for Progressive Care Certified Nurse (PCCN)
Premature Ventricular Contraction (PVC)
Premature Atrial Contraction (PAC)
PPE Donning & Doffing
PPE Precautions (Personal Protective Equipment) for Certified Perioperative Nurse (CNOR)
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
Phosphorus (PO4) Blood Test Lab Values
Phenobarbital (Luminal) Nursing Considerations
Phenazopyridine (Pyridium) Nursing Considerations
Pharmacological Patient Response Evaluation for Certified Perioperative Nurse (CNOR)
Peritonitis for Certified Emergency Nursing (CEN)
Peritoneal Dialysis (PD)
Peripheral Vascular Assessment
Pericardial Tamponade for Certified Emergency Nursing (CEN)
Performing Cardiac (Heart) Monitoring
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 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 Certified Emergency Nursing (CEN)
Pancreatitis For PCCN for Progressive Care Certified Nurse (PCCN)
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
Opioids
Ondansetron (Zofran) Nursing Considerations
Omeprazole (Prilosec) Nursing Considerations
Obstruction for Certified Emergency Nursing (CEN)
Obstructions for Certified Emergency Nursing (CEN)
Nutrition-related Diseases
Nutrition (Diet) in Disease
Nursing Skills Course Introduction
Nursing Case Study for Rheumatoid Arthritis
Nursing Case Study for Type 1 Diabetes
Nursing Case Study for Rheumatic Heart Disease
Nursing Case Study for Pneumonia
Nursing Case Study for Hepatitis
Nursing Case Study for Cardiogenic Shock
Nursing Case Study for Acute Kidney Injury
Nursing Care Plan for Syphilis (STI)
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 Macular Degeneration
Nursing Care Plan for Gastritis
Nursing Care Plan for Fractures
Nursing Care Plan for Fibromyalgia
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 (NCP) Trigeminal Neuralgia
Nursing Care Plan (NCP) for Urinary Tract Infection (UTI)
Nursing Care Plan (NCP) for Tuberculosis
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 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 Spinal Cord Injury
Nursing Care Plan (NCP) for Sepsis
Nursing Care Plan (NCP) for Risk for Fall
Nursing Care Plan (NCP) for Rheumatoid Arthritis (RA)
Nursing Care Plan (NCP) for Restrictive Lung Diseases
Nursing Care Plan (NCP) for Respiratory Failure
Nursing Care Plan (NCP) for Pulmonary Embolism
Nursing Care Plan (NCP) for Psoriasis
Nursing Care Plan (NCP) for Pressure Ulcer / Decubitus Ulcer (Pressure Injury)
Nursing Care Plan (NCP) for Pneumothorax/Hemothorax
Nursing Care Plan (NCP) for Pneumonia
Nursing Care Plan (NCP) for Pericarditis
Nursing Care Plan (NCP) for Parkinson’s Disease
Nursing Care Plan (NCP) for Pancreatitis
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 Myocardial Infarction (MI)
Nursing Care Plan (NCP) for Myasthenia Gravis (MG)
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 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 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 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 Enuresis / Bedwetting
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 Chronic Obstructive Pulmonary Disease (COPD)
Nursing Care Plan (NCP) for Chronic Kidney Disease
Nursing Care Plan (NCP) for Cellulitis
Nursing Care Plan (NCP) for Cardiomyopathy
Nursing Care Plan (NCP) for Cardiogenic Shock
Nursing Care Plan (NCP) for Bowel Obstruction
Nursing Care Plan (NCP) for Blunt Chest Trauma
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 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 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 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 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 Rheumatoid Arthritis (RA)
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 Parkinsons
Nursing Care and Pathophysiology for Pancreatitis
Nursing Care and Pathophysiology for Myasthenia Gravis
Nursing Care and Pathophysiology for Multiple Sclerosis (MS)
Nursing Care and Pathophysiology for Meningitis
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 Hyperparathyroidism
Nursing Care and Pathophysiology for Human Papilloma Virus (HPV STI)
Nursing Care and Pathophysiology for Herpes Zoster – Shingles
Nursing Care and Pathophysiology for Hepatitis (Liver Disease)
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 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 Cirrhosis (Liver Disease, Hepatic encephalopathy, Portal Hypertension, Esophageal Varices)
Nursing Care and Pathophysiology for Compartment Syndrome
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 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
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)
Neostigmine (Prostigmin) Nursing Considerations
Naproxen (Aleve) Nursing Considerations
Myocardial Infarction Nursing Mnemonic (MONATAS)
Myocardial Infarction (MI) Case Study (45 min)
Musculoskeletal Course Introduction
Musculoskeletal Assessment
Murmur locations Nursing Mnemonic (hARD ASS MRS. MSD)
Multiple Sclerosis Symptoms Nursing Mnemonic (DEMYELINATION)
Morphine (MS Contin) Nursing Considerations
Moderate Sedation
Mobility & Assistive Devices
Miscellaneous Nerve Disorders
Minimally-Invasive Thoracic Surgery (VATS) 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
Medication Classess for IBD Nursing Mnemonic (Sometimes I Can’t Answer)
Mechanical Aids
Management of Pressure Ulcers (Pressure Injuries) Nursing Mnemonic (SKIN)
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
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
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)
Lactic Acid
Lactate Dehydrogenase (LDH) Lab Values
Lacerations for Certified Emergency Nursing (CEN)
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)
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) Important Points
Integumentary (Skin) Module Intro
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)
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 (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)
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)
Heart Failure-Left-Sided Nursing Mnemonic (CHOP)
Heart Failure-Origin Nursing Mnemonic (Left – Lung|Right – Rest)
Heat Temperature-related Emergencies for Certified Emergency Nursing (CEN)
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 (Cardiac) Sound Locations and Auscultation
Heart (Cardiac) Failure Therapeutic Management
Heart (Cardiac) Failure Module Intro
Heart (Cardiac) and Great Vessels Assessment
Healthcare-Acquired Infections: Surgical Site Infections (SSI) for Progressive Care Certified Nurse (PCCN)
Hearing Loss
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
Hb (Hepatitis) Vaccine
Hazardous Material Handling and Disposition (Chemo, Radioactive) for Certified Perioperative Nurse (CNOR)
Hand Hygiene Guideline Adherence for Certified Perioperative Nurse (CNOR)
Glucagon (GlucaGen) Nursing Considerations
Glipizide (Glucotrol) Nursing Considerations
Glaucoma
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 Infections for Certified Emergency Nursing (CEN)
Genitourinary Course Introduction
Genitourinary Trauma for Certified Emergency Nursing (CEN)
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)
Free T4 (Thyroxine) Lab Values
Fluid Volume Overload
Fibromyalgia
Fibrinogen Lab Values
Fibrin Degradation Products (FDP) Lab Values
Ferrous Sulfate (Iron) Nursing Considerations
Fentanyl (Duragesic) Nursing Considerations
Explant Preparation (Final Disposition) for Certified Perioperative Nurse (CNOR)
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
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
Different Dressings
Diltiazem (Cardizem) Nursing Considerations
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)
Diabetes Mellitus Type 1- Signs & Symptoms Nursing Mnemonic (The 3 P’s)
Diabetes Mellitus for Progressive Care Certified Nurse (PCCN)
Diabetes Mellitus & Those Dang Blood Sugars! – Live Tutoring Archive
Diabetes Mellitus Case Study (45 min)
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 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)
Critical Thinking to Facilitate Patient Care for Certified Perioperative Nurse (CNOR)
Creatinine Clearance Lab Values
Creatine Phosphokinase (CPK) Lab Values
Cranial Nerve Mnemonic 02 Nursing Mnemonic (Oh Oh Oh To Touch And Feel Very Good Velvet AH!)
Cortisone (Cortone) Nursing Considerations
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
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)
Complications of Thoracentesis Nursing Mnemonic (Patients Sometimes Bleed Internally)
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)
Comfort Provisions (Behavioral Response to Procedure) for Certified Perioperative Nurse (CNOR)
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 Complications Nursing Mnemonic (Please Bring Happy Energy)
Cirrhosis for Certified Emergency Nursing (CEN)
Cirrhosis Case Study (45 min)
Circulatory Checks (5 P’s) Nursing Mnemonic (The 5 P’s)
Chronic Obstructive Pulmonary Disease (COPD) for Certified Emergency Nursing (CEN)
Chronic Renal (Kidney) Module Intro
Chronic Kidney Disease (CKD) Case Study (45 min)
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)
Cerebral Perfusion Pressure CPP
Cerebral Perfusion Pressure Case Study (60 min)
Cephalexin (Keflex) Nursing Considerations
Central Line Dressing Change
Celecoxib (Celebrex) Nursing Considerations
Causes of Dyspnea Nursing Mnemonic (The 6 P’s)
Causes of Pancreatitis Nursing Mnemonic (BAD HITS)
Causes of Anaphylaxis Nursing Mnemonic (Many Boys Love Food)
Cataracts
Cardiovascular Disorders (CVD) Module Intro
Cardiovascular Angiography
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)
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
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
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)
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
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
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)
ASA (Aspirin) Nursing Considerations
Artificial Airways
ARDS causes Nursing Mnemonic (GUT PASS)
ARDS Case Study (60 min)
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
Anticonvulsants
Anti-Platelet Aggregate
Anti-Infective – Antitubercular
Anti-Infective – Tetracyclines
Anti-Infective – Sulfonamides
Anti-Infective – Glycopeptide
Anti-Infective – Carbapenems
Anti Tumor Antibiotics
Anion Gap Acidosis 1 Nursing Mnemonic (KULT)
Anion Gap Acidosis 2 Nursing Mnemonic (MUDPILES)
Anion Gap
Angiotensin Receptor Blockers
Aneurysm and Dissection for Certified Emergency Nursing (CEN)
Anesthetic Agents
Anesthetic Agents
Aneurysm (Dissecting, Repair) for Progressive Care Certified Nurse (PCCN)
Anesthesia Management Assistance for Certified Perioperative Nurse (CNOR)
Anemia for Progressive Care Certified Nurse (PCCN)
Amputation for Certified Emergency Nursing (CEN)
Anaphylaxis Nursing Interventions for Certified Perioperative Nurse (CNOR)
Amputation Concept Map
Amputation
Amlodipine (Norvasc) Nursing Considerations
Amitriptyline (Elavil) Nursing Considerations
Altered Mental Status Nursing Mnemonic (AEIOU TIPS)
Alteplase (tPA, Activase) Nursing Considerations
Altered Mental Status- Delirium and Dementia for Progressive Care Certified Nurse (PCCN)
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
03.04 DKA vs HHNK for CCRN Review
03.05 Endocrine Practice Questions 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
02.02 Cardiomyopathy for CCRN Review
02.06 Heart Murmurs for CCRN Review
02.08 Cardiac Catheterization & Acute Coronary Syndrome for CCRN Review
02.12 Myocardial Infarction- Inferior Wall for CCRN Review