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Nursing Care Plan (NCP) for Congestive Heart Failure (CHF)

Nursing Care Plan (NCP) for Congestive Heart Failure (CHF)

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Outline

Objective for Congestive Heart Failure (CHF)

 

What is Congestive Heart Failure?

 

Imagine your heart is like a pump in a garden watering system. In Congestive Heart Failure, this pump isn’t working as well as it should. It doesn’t mean the heart has stopped working, but it’s struggling to pump blood efficiently. This is like a garden pump that’s weak and can’t push water through the system effectively.

 

Why the Heart Struggles:

 

The heart might be too weak or stiff. When it’s weak, it can’t pump blood out well (like a pump that’s lost power). When it’s stiff, it can’t fill up with enough blood (like a pump that can’t draw enough water).

 

Effects on the Body:

 

Because the heart can’t pump properly, blood can back up in other parts of the body. Imagine a watering system where water starts pooling in the wrong places because it’s not being pumped out correctly.

This can lead to swelling in the legs and fluid in the lungs, making it hard to breathe.

 

Upon completion of this care plan, nursing students will be able to:

  • Understand the pathophysiology of Congestive Heart Failure (CHF), including the impaired pumping function of the heart and the resulting hemodynamic changes.
  • Conduct a comprehensive nursing assessment, integrating signs and symptoms of CHF, risk factors, and potential complications.
  • Formulate and prioritize nursing diagnoses, addressing both physiological and psychosocial aspects of CHF management.
  • Develop evidence-based nursing interventions, focusing on optimizing cardiac function, promoting fluid balance, and preventing exacerbations.
  • Educate patients on self-management strategies, including medication adherence, dietary considerations, and symptom monitoring to improve quality of life and reduce hospital readmissions.

Pathophysiology for Congestive Heart Failure (CHF)

 

  • Left-Sided Heart Failure:
    • Cause: Typically arises from conditions such as coronary artery disease, hypertension, or myocardial infarction.
    • Pathophysiology:
      • Systolic Dysfunction: The left ventricle fails to contract forcefully during systole, reducing the amount of blood ejected into the systemic circulation.
      • Diastolic Dysfunction: The left ventricle fails to relax adequately during diastole, impairing its ability to fill with blood.
    • Consequences: Decreased cardiac output leads to inadequate oxygen delivery to systemic tissues, resulting in fatigue, dyspnea, and impaired exercise tolerance.
  • Right-Sided Heart Failure:
    • Cause: Often secondary to left-sided heart failure, chronic lung diseases (such as COPD), or conditions affecting the right ventricle directly.
    • Pathophysiology:
      • Impaired Right Ventricular Function: Inability of the right ventricle to effectively pump blood into the pulmonary circulation.
    • Consequences: Backflow of blood into the systemic venous circulation, leading to systemic congestion, peripheral edema, and hepatomegaly.
  • Compensatory Mechanisms:
    • Neurohormonal Activation: The body activates compensatory mechanisms such as the renin-angiotensin-aldosterone system (RAAS) and sympathetic nervous system to maintain cardiac output.
    • Vasoconstriction and Fluid Retention: These mechanisms, while initially adaptive, contribute to increased afterload, myocardial workload, and fluid retention, eventually exacerbating heart failure.
  • Chronic Inflammation and Remodeling:
    • Inflammatory Response: Chronic inflammation and cellular damage contribute to structural changes in the myocardium, leading to cardiac remodeling.
    • Fibrosis and Hypertrophy: Fibrous tissue replaces damaged myocardial cells, contributing to hypertrophy and impaired contractility.

Etiology for Congestive Heart Failure (CHF)

 

  • Coronary Artery Disease (CAD):
    • Atherosclerosis and myocardial infarction contribute to impaired cardiac function.
  • Hypertension:
    • Persistent high blood pressure leads to increased afterload, causing hypertrophy and eventual heart failure.
  • Cardiomyopathy:
    • Structural changes in the heart, such as dilated or hypertrophic cardiomyopathy, can result in impaired ventricular function.
  • Chronic Lung Diseases:
    • Conditions like chronic obstructive pulmonary disease (COPD) can lead to pulmonary hypertension, affecting the right side of the heart.
  • Valvular Heart Disease:
    • Malfunctioning heart valves, such as aortic or mitral valve issues, can impact cardiac output and contribute to heart failure.

Desired Outcome for Congestive Heart Failure (CHF)

 

  • Optimized Cardiac Function:
    1. Short-term goal: Improve cardiac output and reduce symptoms of heart failure.
  • Fluid Balance Maintenance:
    1. Short-Term Goal: Achieve and maintain euvolemia and prevent fluid overload.
  • Symptom Relief:
    1. Short-Term Goal: Alleviate symptoms such as dyspnea, fatigue, and edema.
  • Medication Adherence:
    1. Intermediate-Term Goal: Ensure consistent adherence to prescribed medications.
    2. Interventions: Provide patient education on the purpose and potential side effects of medications. Develop a medication schedule and address barriers to adherence.
  • Lifestyle Modification:
    1. Intermediate-Term Goal: Encourage and support lifestyle changes to improve heart health.
    2. Interventions: Collaborate with a dietitian to develop a heart-healthy diet plan, encourage regular physical activity within the patient’s capabilities, and promote smoking cessation if applicable.

 

Congestive Heart Failure (CHF) Nursing Care Plan

 

Subjective Data:

  • Difficulty in Breathing
  • Heart palpitations or feeling like the heart is racing.
  • Weakness
  • Fatigue
  • Reports significant weight gain or loss

Objective Data:

  • Peripheral edema
  • JVD
  • Crackles in the lung bases
  • Coughing
  • Pink, frothy sputum
  • SOB with exertion
  • ↓ SpO2
  • Tachycardia
  • Possible Atrial Fibrillation on ECG
  • ↓ LOC
  • Signs of decreased perfusion
    • ↓ pulses
    • Cool, clammy skin
    • Diaphoretic
    • Slow cap refill
    • Possible cyanosis or dusky skin

Nursing Assessment for Nursing Care Plan for Congestive Heart Failure (CHF)

  • Health History:
    • Current Symptoms: Document the presence and severity of symptoms such as dyspnea, fatigue, orthopnea, paroxysmal nocturnal dyspnea, and peripheral edema.
    • Medical History: Obtain information on prior cardiac events, hypertension, diabetes, and any other chronic conditions affecting cardiac function.
    • Medication History: Review the patient’s current medications, noting compliance, and potential side effects.
  • Physical Examination:
    • Vital Signs: Monitor blood pressure, heart rate, respiratory rate, and temperature. Note any signs of tachycardia, hypertension, or hypotension.
    • Cardiovascular Examination: Assess for abnormal heart sounds (e.g., S3 gallop), jugular venous distension, and peripheral edema.
    • Respiratory Examination: Auscultate lung sounds for crackles or wheezing, and assess respiratory effort.
  • Fluid Balance Assessment:
    • Daily Weights: Implement a daily weight monitoring system to detect fluid retention.
    • Edema Assessment: Evaluate for peripheral edema, noting location, pitting, and degree.
  • Nutritional Assessment:
    • Dietary Habits: Assess the patient’s dietary habits, particularly sodium and fluid intake. Collaborate with a dietitian to develop a heart-healthy diet plan.
    • Weight Changes: Monitor for unintended weight gain or loss.
  • Medication Adherence:
    • Review Medications: Verify the patient’s understanding and adherence to prescribed medications.
    • Side Effects: Assess for any medication side effects, especially those related to diuretics or changes in blood pressure.
  • Psychosocial Assessment:
    • Emotional Well-being: Evaluate the patient’s emotional state, addressing potential anxiety or depression related to the chronic nature of CHF.
    • Support System: Identify available support from family and friends.

Nursing Interventions and Rationales Nursing Care Plan for Congestive Heart Failure

 

  • Monitor heart rhythm with telemetry; obtain a 12 lead ECG
  • Patients with CHF will have a low voltage ECG after peripheral edema is resolved the ECG gains voltage again and becomes more of a normal-looking ECG.
  • Patients may also have Atrial Fibrillation – a condition in which the atria quiver instead of contracting – which can lead to the development of heart failure.
  • May also see signs of current or previous ischemia or infarction.
  • Restrict sodium intake

  Water follows salt! The patient has too much fluid on board and needs to get rid of it, restricting the sodium helps with this. This means educating the patient on dietary changes that need to happen and be adhered to.

  • 300-600 mg of salt per serving.
  • Avoid processed foods or lunch meats
  • Do not add salt to meals

Caution with a salt substitute in renal insufficiency – it is made with potassium chloride and can raise the patient’s K+!

  • Monitor BNPNormal range: <100 pg/mL
  Brain natriuretic peptide (BNP): is a hormone made by the heart. When the heart is stressed or working hard to pump blood, it releases BNP.
  • Assess respiratory function:
    • Listen to breath sounds
    • Monitor O2 saturation
    • Apply O2 as needed
  Fluid can back up into the lungs and cause shortness of breath, especially upon exertion. Be careful about laying these patients flat as you can put them in respiratory distress. Place the patient on O2 as needed to help them keep their O2 levels adequate – usually above 92% or as ordered by the provider.
  • Administer diuretics:
      • Furosemide (Lasix) – loop diuretic (potassium wasting) 
      • Bumetanide (Bumex) – loop diuretic  (potassium wasting)
      • Hydrochlorothiazide (Microzide) – thiazide diuretic 
      • Spironolactone (Aldactone) – potassium sparing

Diuretics work on different parts of the nephrons. The goal of diuretics is to help the kidneys rid the body of salt (notice I didn’t say sodium (Na+)?) and fluids. It is important to note for every Na+ molecule there is a compound of one water (H20) that follows it. Psssst: potassium is a salt, too… There are three kinds of diuretics: Loop, Thiazide, and potassium-sparing.

  • Loop: works on the loop of Henle and excretes Na+, K+, and Ca-. Water follows. (Yikes! Watch your patient’s electrolytes!)
  • Thiazide: Works on the distal convoluted tubule and blocks the Na+/Cl- symporter (which reabsorbs…you guessed it Na+ and Cl-). This symporter is responsible for about 5% of Na+ reabsorption. So monitor your patient’s sodium and chloride. Oh, and your K+…Why? Because K+, Cl-, and Na+ have direct relationships!
  • Potassium-Sparing: Works on the Na+/K+ pumps in the collecting ducts of the kidney by blocking the effects of aldosterone at that site. Aldosterone has the collecting ducts reabsorbing Na+ and thus water, and for every Na+ absorbed, one molecule of K+ is excreted. So this diuretic does the opposite of that, saves a K+, and excretes a Na+ and H20.

The most commonly used diuretics in congestive heart failure are loop and sometimes thiazides are used with loop diuretics:

  • Furosemide: Loop
  • Bumetanide: Loop
  • Hydrochlorothiazide: Thiazide
  • Strict intake and output (I&O’s)

  These patients should only have around 8 cups of fluid or just slightly under 2 liters of fluid per day. This can change per patient and per doctor’s recommendation, so make sure to get a goal from the physician. Strict I&O means measuring every drop that goes in or out of that patient.

  • Teach the patient to drink one cup at a time and to report how many they’ve had
  • Put a hat in the toilet if the patient has bathroom privileges
  • Record foley catheter output, if the patient has one.
  • Be familiar with common beverage options and their volumes (juice, milk, coffee cup, etc.)
  • Monitor swelling/edema

  Edema is caused by volume overload due to congestion within the system. Worsening edema can indicate worsening heart failure. Edema is measured by pressing over a bony prominence, usually the top of the foot or the tibia, and is charted by a number and whether the skin bounces back or stays pitted (called pitting edema).

  • Non-pitting – doesn’t stay pitted
  • +1: mild indent, 2mm
  • +2: Moderate indent, 4mm
  • +3: Deep indent, 6mm
  • +4: Very deep indent, 8mm
  • Daily Weights
  Daily weights should be done at the same time of the day, same clothes (or none), same scale. A weight gain of 1 kg is equivalent to 1 L of fluid – notify HCP for a gain of 2 lbs in a day or 5 lbs in a week.

Evaluation of Congestive Heart Failure (CHF) Nursing Care Plan

 

  • Cardiac Function:
    • Expected Outcome: Improved cardiac function and reduced symptoms.
    • Evaluation Criteria: Compare current cardiac assessments (e.g., ejection fraction, heart sounds) with baseline measurements. Note any improvement in symptoms such as dyspnea or edema.
  • Fluid Balance:
    • Expected Outcome: Maintained euvolemia and prevention of fluid overload.
    • Evaluation Criteria: Review daily weight monitoring records and assess for signs of edema. Ensure the absence of sudden weight gain or worsening edema.
  • Symptom Relief:
    • Expected Outcome: Alleviation of symptoms such as dyspnea and fatigue.
    • Evaluation Criteria: Interview the patient to assess changes in symptomatology. Document any improvement or resolution of symptoms compared to the initial assessment.
  • Medication Adherence:
    • Expected Outcome: Consistent adherence to prescribed medications.
    • Evaluation Criteria: Verify medication records and assess the patient’s understanding of the purpose and potential side effects of each medication. Address any concerns or barriers to adherence.
  • Lifestyle Modification:
    • Expected Outcome: Positive lifestyle changes, including adherence to a heart-healthy diet and regular physical activity.
    • Evaluation Criteria: Collaborate with the patient to assess dietary habits and physical activity. Monitor changes in lifestyle choices and provide positive reinforcement.

References

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Example Nursing Diagnosis For Nursing Care Plan (NCP) for Congestive Heart Failure (CHF)

  1. Impaired Gas Exchange: CHF often leads to inadequate oxygen exchange, resulting in symptoms like dyspnea and hypoxia. This diagnosis addresses the respiratory component.
  2. Excess Fluid Volume: CHF patients frequently experience fluid retention, leading to edema and increased cardiac workload. This diagnosis focuses on fluid management.
  3. Activity Intolerance: Due to reduced cardiac output, CHF patients may have limited tolerance for physical activity. This diagnosis helps plan appropriate activity levels.

Transcript

Today, I’m going to show how to run a nursing care plan on congestive heart failure. I know that these are hard to put together and they’re overwhelming, but stay tuned. I’ll make it super easy for you. 

 

So, of course, we are going to focus on how we write this care plan, but while doing so, you’re going to learn how to care for CHF patients, as well as how to educate them, which is super important. So, they know how to take care of themselves going home. Alright, so the cool thing about care planning is that it’s so individualized to one specific patient. We can make it as specific as we need to. 

 

First, we start off with this subjective data. These are things that are coming from the subject or the patient, so let’s say that this gentleman comes in and he tells us that he can only get to sleep nowadays in a recliner, or maybe in a bed with like three or four pillows behind him, that is not normal. That tells us that he’s having a really hard time breathing and that’s known as orthopnea. That’s something that can be seen in CHF. Next step, he tells us that he’s really short of breath, even when he’s not doing anything super strenuous or hard. He’s finding that he is having a really hard time keeping up with his oxygen demands. That’s also not normal and that’s also associated with CHF. 

 

Next step, we can use our nursing skills to find out more information in this objective data. So, we can listen to his lungs and determine that he has coarse crackles. That means that in his lung fields, he’s carrying some extra fluids and that’s what makes this coarse crackly sound. Some nurses might refer to this as junkie. So, that’s not good either and that tells us that the heart is not pumping fluids forward and actually some of them are backing up into the lungs. That’s where the C in congestive heart failure comes from. That’s the congestion they’re talking about. Okay, next step, we notice that his fingers and his toes are really pale and that tells us that they’re not getting good perfusion. Same with this next thing here. The capillary refill being prolonged tells us that the blood flow from the heart all the way down to the extremities, the hands and the feet, is not sufficient. 

 

Okay, so we work our way forward into the diagnosis section. This is where we as nurses get to decide what is really going on with this patient? What are we concerned about? This is how we move forward with building our care plan. So, we noticed that he has decreased cardiac output. Some of these things from the assessment tell us that, especially these last two here, his pale fingers and toes and his capillary refill that tells us that the heart again is not pumping out to those extremities. Next step, we also can notice that he has increased fluid volume and we notice those from the respiratory symptoms. So, these crackles, the shortness of breath, not being able to sleep, laying down flat, those will have to do with the body working too hard to manage the current volume of fluid in the plan section. This is where we determine what this patient can work towards to get feeling better. 

 

So, we can make up a few different goals here. Weight is a really, really good goal for patients who have CHF, because weight is a very sensitive indicator of how well the patient is doing and how much fluid they’re carrying around. So, we could say that the patient would participate in daily weights. That goes hand in hand with a fluid restriction. Typically, the provider will write out a fluid restriction and it will be somewhere around two liters that this patient needs to adhere to. The patient not having shortness of breath would be a huge indication that they’re doing better, right, so that’s a great goal there. They have a brisk capillary refill, so that would be something like around two seconds, instead of prolonged here, let’s say that was maybe like three or more seconds to come back. So, a brisk cap refill tells us that those fingers and toes they’re getting the blood that they need and so are all the other organs along the way. Then lastly, we always, always want our patients to understand education about all these other things that we’re working with them on in the implementation section. This is where we decide what we do as a nurse to help out our patient and if you haven’t noticed yet, there’s a trend here, right? We’re always working this way in the care plan and referring back to build the next section.

 

So, the nurse will support daily weights by helping to record them and teaching the patient how important it is to do this. When they go home, a lot of times, a good rule of thumb for these patients is to be doing this at the same time every day, wearing roughly the same amount of clothing too. That’s really important for when they go home.  The nurse can monitor this fluid restriction and make sure that the patient’s actually adhering to it. This is something that’s really, really hard to do. Think about any time you’ve been told you can’t have something, what do you want? You want that thing they say you cannot have. So, these patients are really, really thirsty for fluid so we can help them out with monitoring their intake and output and we also can help them by giving them maybe cups of ice because when you drink a big old drink, that super easy to go down, but when you give them a cup of ice, this melts down and actually has a lot less volume than straight water or other liquids would have, but they’re still feeling like they’re getting hydrated. 

 

Then for these next two goals, we can just monitor them more like we’re supposed to be doing as nurses, every shift, right? So, we monitor their cardiovascular and the respiratory systems, how we do that is by listening, right? We can listen to their hearts. We can listen to their lungs. We can observe how hard they’re working to breathe and we can keep on checking that cap refill on the shortness of breath and saying, Hmm, are they getting any better? Lastly, of course, we play a huge role in the education of this patient. So, we want them to feel confident that they can take care of themselves and that they can avoid hospital stays in the future because they know what they’re doing. They know how to manage this new diagnosis, right? That’s very important. So, for daily weights, this right here is important too. Also, one thing to know is that there may be a guideline for this patient to follow. So, maybe they need to call the doctor if they gain more than two pounds in one day or five pounds in one week and that tells us that, oh, they’re starting to have too many fluids on board. When you discharge a patient, there will be education like this, so they know exactly when they need to seek a provider’s care. We also, again, can help them to know why they’re doing this strict fluid restriction, because it’s really hard. I know when things are hard, they’re made easier when you understand, why, why do I have to do this? Why are you not letting me drink fluids? Well, it’s going to make your heart’s job a lot easier and you will continue to feel better and then heck, they can even monitor their own status at home. They can keep a journal of how frequently they’re feeling, shortness of breath. Does that happen when they do something really strenuous? Like they just went and mowed the lawn, or is it starting to happen more just at rest when someone is short of breath at rest, that is not a good sign, right? So, making sure they know all of this is very, very important. 

 

The last section here is very straight forward. We’re just asking ourselves, did this work? Did they meet their goals? So, let’s say this patient was a rockstar and they met all of their goals. So, they recorded their weights every day. They complied with her fluid restriction here, check and check. They no longer have shortness of breath at rest. Their capillary refill is back to normal and they verbalize understanding of the education you’ve given them. That would be awesome. That would be a very successful care plan, right? But, let’s say that this patient actually didn’t meet one of these goals. What would we do then? What do you think we would do? Well, we would put “not met” in this section and all we have to do is reevaluate. Sometimes that means we have to go back one section. Sometimes that means we have to go all the way back here and we just fix the problem and make it so we can eventually have this met, and that’s okay. That’s part of customizing a care plan for a patient because not every patient is going to respond the exact same way. 

 

Alright, so now you know how to do your awesome care plan. You know how to give patient care and you know how to educate these patients. We love you guys. Now, go out and be your best selves today and as always, happy nursing!

 

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1st Degree AV Heart Block
2nd Degree AV Heart Block Type 1 (Mobitz I, Wenckebach)
2nd Degree AV Heart Block Type 2 (Mobitz II)
3rd Degree AV Heart Block (Complete Heart Block)
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Circulatory Checks (5 P’s) Nursing Mnemonic (The 5 P’s)
Cirrhosis Case Study (45 min)
Cirrhosis Complications Nursing Mnemonic (Please Bring Happy Energy)
Clopidogrel (Plavix) Nursing Considerations
Coagulation Studies (PT, PTT, INR)
Colonoscopy
Colorectal Cancer (colon rectal cancer)
Common Pathogens for UTI Nursing Mnemonic (KEEPS)
Common Signs of Parkinson’s Nursing Mnemonic (SMART)
Complications of Immobility
Complications of Spinal Cord Injuries Nursing Mnemonic (ABCDEFG)
Complications of Thoracentesis Nursing Mnemonic (Patients Sometimes Bleed Internally)
Computed Tomography (CT)
Congestive Heart Failure Concept Map
Continuous Renal Replacement Therapy (CRRT, dialysis)
COPD (Chronic Obstructive Pulmonary Disease) Labs
COPD Concept Map
COPD management Nursing Mnemonic (COPD)
Cor Pulmonale – Signs & Symptoms Nursing Mnemonic (Please Read His Text)
Coronary Arteries – Location Nursing Mnemonic (I have a RIGHT to CAMP if you LEFT off the AC)
Coronary Artery Disease Concept Map
Coronary Circulation
Coronavirus (COVID-19) Nursing Care and General Information
Cortisol Lab Vales
Cortisone (Cortone) Nursing Considerations
Cranial Nerve Mnemonic 01 Nursing Mnemonic (Olympic Opium Occupies Troubled Triathletes After Finishing Vegas Gambling Vacations Still High)
Cranial Nerve Mnemonic 02 Nursing Mnemonic (Oh Oh Oh To Touch And Feel Very Good Velvet AH!)
Cranial Nerve Mnemonic 03 Nursing Mnemonic (On Old Obando Tower Top A Filipino Army Guards Villages And Huts)
Creatine Phosphokinase (CPK) Lab Values
Creatinine Clearance Lab Values
CRNA
Crohn’s Morphology and Symptoms Nursing Mnemonic (CHRISTMAS)
CT & MR Angiography
Cultures
Cushing’s Syndrome Case Study (60 min)
Cushings Assessment Nursing Mnemonic (STRESSED)
Cyclic Citrullinated Peptide (CCP) Lab Values
Cyclosporine (Sandimmune) Nursing Considerations
D-Dimer (DDI) Lab Values
Day in the Life of a Med-surg Nurse
Day in the Life of an Operating Room Nurse
Decrease ICP Nursing Mnemonic (Craniums Excite Me)
Dementia and Alzheimers
Diabetes Insipidus Case Study (60 min)
Diabetes Insipidus Nursing Mnemonic (DDD)
Diabetes Management
Diabetes Mellitus (DM) Module Intro
Diabetes Mellitus & Those Dang Blood Sugars! – Live Tutoring Archive
Diabetes Mellitus Case Study (45 min)
Diabetes Mellitus Type 1- Signs & Symptoms Nursing Mnemonic (The 3 P’s)
Diabetic Ketoacidosis (DKA) Case Study (45 min)
Diagnostic Criteria for Lupus Nursing Mnemonic (SOAP BRAIN MD)
Dialysis & Other Renal Points
Different Dressings
Diltiazem (Cardizem) Nursing Considerations
Discharge (DC) Teaching After Surgery
Disease Specific Medications
Disseminated Intravascular Coagulation Case Study (60 min)
Diverticulitis Complications Nursing Mnemonic (Please Fix His Abscess SOon)
DKA Treatment Nursing Mnemonic (KING UFC)
Dobutamine (Dobutrex) Nursing Considerations
Dopamine (Inotropin) Nursing Considerations
Drugs that Cause SJS Nursing Mnemonic (I C NASA)
Dysrhythmias Labs
Echocardiogram (Cardiac Echo)
EENT Course Introduction
EENT Medications
Enalapril (Vasotec) Nursing Considerations
Encephalopathies
Endocarditis Case Study (45 min)
Endoscopy & EGD
Enoxaparin (Lovenox) Nursing Considerations
Enteral & Parenteral Nutrition (Diet, TPN)
Epinephrine (EpiPen) Nursing Considerations
Epoetin (Epogen) Nursing Considerations
Epoetin Alfa
Erythrocyte Sedimentation Rate (ESR) Lab Values
Erythromycin (Erythrocin) Nursing Considerations
Essential NCLEX Meds by Class
Evaluation of Irregular Moles Nursing Mnemonic (ABCDE)
Fentanyl (Duragesic) Nursing Considerations
Ferrous Sulfate (Iron) Nursing Considerations
Fibrin Degradation Products (FDP) Lab Values
Fibrinogen Lab Values
Fibromyalgia
Fluid Volume Overload
Fractures
Free T4 (Thyroxine) Lab Values
Fundamentals Course Introduction
Gabapentin (Neurontin) Nursing Considerations
Gastritis
Gastrointestinal (GI) Bleed Concept Map
General Anesthesia
General Assessment (Physical assessment)
Genitourinary (GU) Assessment
Genitourinary Course Introduction
GERD (Gastroesophageal Reflux Disease)
GERD causes Nursing Mnemonic (Reflux Is Probably Mean)
Glaucoma
Glipizide (Glucotrol) Nursing Considerations
Global Symptoms for Brain Tumors Nursing Mnemonic (HAS)
Glucagon (GlucaGen) Nursing Considerations
Gout Case Study (45 min)
Hb (Hepatitis) Vaccine
Head/Neck Assessment
Health Assessment Course Introduction
Hearing Loss
Heart (Cardiac) and Great Vessels Assessment
Heart (Cardiac) Failure Module Intro
Heart (Cardiac) Failure Therapeutic Management
Heart (Cardiac) Sound Locations and Auscultation
Heart Failure – Live Tutoring Archive
Heart Failure – Right Sided Nursing Mnemonic (HEAD)
Heart Failure 2 – Live Tutoring Archive
Heart Failure Case Study (45 min)
Heart Failure-Left-Sided Nursing Mnemonic (CHOP)
Heart Failure-Origin Nursing Mnemonic (Left – Lung|Right – Rest)
Hematology Module Intro
Hematology/Oncology/Immunology Course Introduction
Hemodialysis (Renal Dialysis)
Hemorrhagic Stroke Risk Factors Nursing Mnemonic (HATS)
Heparin (Hep-Lock) Nursing Considerations
Hepatitis B Virus (HBV) Lab Values
Hiatal Hernia
Hiatal Hernia Symptoms Nursing Mnemonic (Her Belly Really Hurts Following Dinner)
High Pressure Vent Alarms Nursing Mnemonic (Kings Eat Big Cakes)
Histamine 1 Receptor Blockers
Histamine 2 Receptor Blockers
HMG-CoA Reductase Inhibitors (Statins)
Hydralazine
Hygiene
Hypercalcemia – Signs and Symptoms Nursing Mnemonic (GROANS, MOANS, BONES, STONES, OVERTONES)
Hyperglycaemic Hyperosmolar Non-ketotic syndrome (HHNS)
Hypernatremia – Signs and Symptoms 2 Nursing Mnemonic (FRIED)
Hypernatremia – Signs and Symptoms 2 Nursing Mnemonic (SWINE)
Hypernatremia – Signs and Symptoms 3 Nursing Mnemonic (SALT)
Hypertension – Nursing care Nursing Mnemonic (DIURETIC)
Hypertension (HTN) Concept Map
Hypertension- Complications Nursing Mnemonic (The 4 C’s)
Hypertensive Crisis Case Study (45 min)
Hyperthermia (Thermoregulation)
Hyperthyroidism Case Study (75 min)
Hypertonic Solutions (IV solutions)
Hypocalcemia – Definition, Signs and Symptoms Nursing Mnemonic (CATS)
Hypoglycemia
Hypoglycemia – Signs and Symptoms Nursing Mnemonic (TIRED)
Hypoglycemia Management Nursing Mnemonic (Cool and Clammy – Give ‘Em Candy)
Hypoglycemia symptoms Nursing Mnemonic (DIRE)
Hypokalemia – Signs and Symptoms Nursing Mnemonic (6 L’s)
Hyponatremia- Definition, Signs and Symptoms Nursing Mnemonic (SALT LOSS)
Hypoparathyroidism
Hypothermia (Thermoregulation)
Hypotonic Solutions (IV solutions)
Hypoxia – Signs and Symptoms Nursing Mnemonic (RAT BED)
ICU Nurse Report to OR (Operating)Team
Immunology Module Intro
Impulse Transmission
Inflammatory Bowel Disease Case Study (45 min)
Informed Consent
Inserting a Foley (Urinary Catheter) – Male
Inserting an NG (Nasogastric) Tube
Insulin
Insulin – Intermediate Acting (NPH) Nursing Considerations
Insulin – Long Acting (Lantus) Nursing Considerations
Insulin – Mixtures (70/30)
Insulin – Rapid Acting (Novolog, Humalog) Nursing Considerations
Insulin – Short Acting (Regular) Nursing Considerations
Insulin Mnemonic (Ready, Set, Inject, Love)
Intake and Output (I&O)
Integumentary (Skin) Course Introduction
Integumentary (Skin) Important Points
Integumentary (Skin) Module Intro
Interventional Radiology
Interventions for Aphasia Nursing Mnemonic (PROP)
Intracranial Pressure ICP
Intraoperative (Intraop) Complications
Intraoperative Nursing Priorities
Intraoperative Positioning
Intrarenal Causes of Acute Kidney Injury Nursing Mnemonic (TONIC)
Intro to Health Assessment
Introduction to Health Assessment
Intubation in the OR
Iodine Nursing Considerations
Ionized Calcium Lab Values
Iron (Fe) Lab Values
Ischemic (CVA) Stroke Labs
Isoniazid (Niazid) Nursing Considerations
IV Complications (infiltration, phlebitis, hematoma, extravasation, air embolism)
Kidney Cancer
Lactate Dehydrogenase (LDH) Lab Values
Lactic Acid
Leukemia
Leukemia – Signs and Symptoms Nursing Mnemonic (ANT)
Leukemia Case Study (60 min)
Levels of consciousness Nursing Mnemonic (Never Carry Dirty Socks Or Smelly Clothes)
Levofloxacin (Levaquin) Nursing Considerations
Levothyroxine (Synthroid)
Lidocaine (Xylocaine) Nursing Considerations
Lidocaine Toxicity – Signs and Symptoms Nursing Mnemonic (SAMS)
Linen Change
Lipase Lab Values
Lisinopril (Prinivil) Nursing Considerations
Live Bedside Report Medsurg (Medical surgical)
Liver Cancer
Liver/Gallbladder Module Intro
Local Anesthesia
Loperamide (Imodium) Nursing Considerations
Losartan (Cozaar) Nursing Considerations
Low Pressure Vent Alarms Nursing Mnemonic (Cake Everyday)
Lower Gastrointestinal (GI) Module Intro
Lung Cancer
Lung Diseases Module Intro
Lymphatic Assessment
Lymphoma
Lymphoma – Signs and Symptoms Nursing Mnemonic (NURSE For Pete’s Sake)
Macular Degeneration
Magnetic Resonance Imaging (MRI)
Malignant Hyperthermia
Mammogram
Management of Glomerulonephritis Nursing Mnemonic (Please Help Deliver Diuretics)
Management of Lyme Disease Nursing Mnemonic (BAR)
Management of Pressure Ulcers (Pressure Injuries) Nursing Mnemonic (SKIN)
Mechanical Aids
Medication Classess for IBD Nursing Mnemonic (Sometimes I Can’t Answer)
Medications for Pancreatitis Nursing Mnemonic (Please Make Tummy Better)
Medications to Prevent Seizures Nursing Mnemonic (Pretty Little Liars Forever)
Melanoma
Meniere’s Disease
Meperidine (Demerol) Nursing Considerations
Meropenem (Merrem) Nursing Considerations
Metabolic & Endocrine Module Intro
Metabolic Acidosis (interpretation and nursing diagnosis)
Metabolic/Endocrine Course Introduction
Metformin (Glucophage) Nursing Considerations
Methylprednisolone (Solu-Medrol) Nursing Considerations
Metoclopramide (Reglan) Nursing Considerations
Metoprolol (Toprol XL) Nursing Considerations
Metronidazole (Flagyl) Nursing Considerations
MI Surgical Intervention
Migraines
Miscellaneous Nerve Disorders
Mobility & Assistive Devices
Moderate Sedation
Montelukast (Singulair) Nursing Considerations
Morphine (MS Contin) Nursing Considerations
Multiple Myeloma
Multiple Sclerosis Symptoms Nursing Mnemonic (DEMYELINATION)
Murmur locations Nursing Mnemonic (hARD ASS MRS. MSD)
Musculoskeletal Assessment
Musculoskeletal Course Introduction
Musculoskeletal Module Intro
Myocardial Infarction (MI) Case Study (45 min)
Myocardial Infarction Nursing Mnemonic (MONATAS)
Naproxen (Aleve) Nursing Considerations
Nasal Disorders
Neostigmine (Prostigmin) Nursing Considerations
Nephrotic Syndrome Case Study (Peds) (45 min)
Neuro A&P Module Intro
Neuro Anatomy
Neuro Assessment Module Intro
Neuro Course Introduction
Neuro Disorders Module Intro
Neuro Trauma Module Intro
Neurological Fractures
NG (Nasogastric)Tube Management
Nitro Compounds
Nitroglycerin (Nitrostat) Nursing Considerations
Nitroprusside (Nitropress) Nursing Considerations
Norepinephrine (Levophed) Nursing Considerations
NRSNG Live | So You Want to be a Surgical Nurse?
Nuclear Medicine
Nursing Care and Pathophysiology for Acquired Immune Deficiency Syndrome (AIDS)
Nursing Care and Pathophysiology for Anaphylaxis
Nursing Care and Pathophysiology for Anemia
Nursing Care and Pathophysiology for Aortic Aneurysm
Nursing Care and Pathophysiology for Appendicitis
Nursing Care and Pathophysiology for Arterial Disorders
Nursing Care and Pathophysiology for Asthma
Nursing Care and Pathophysiology for Cardiogenic Shock
Nursing Care and Pathophysiology for Cardiomyopathy
Nursing Care and Pathophysiology for Chlamydia (STI)
Nursing Care and Pathophysiology for Cholecystitis
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 Crohn’s Disease
Nursing Care and Pathophysiology for Cushings Syndrome
Nursing Care and Pathophysiology for Diabetes Insipidus (DI)
Nursing Care and Pathophysiology for Disseminated Intravascular Coagulation (DIC)
Nursing Care and Pathophysiology for Distributive Shock
Nursing Care and Pathophysiology for Diverticulosis – Diverticulitis
Nursing Care and Pathophysiology for Endometriosis
Nursing Care and Pathophysiology for Epididymitis
Nursing Care and Pathophysiology for Gonorrhea (STI)
Nursing Care and Pathophysiology for Gout
Nursing Care and Pathophysiology for Hashimoto’s Thyroiditis
Nursing Care and Pathophysiology for Heart Failure (CHF)
Nursing Care and Pathophysiology for Hemorrhagic Stroke (CVA)
Nursing Care and Pathophysiology for Hemorrhoids
Nursing Care and Pathophysiology for Hepatitis (Liver Disease)
Nursing Care and Pathophysiology for Herpes Simplex (HSV, STI)
Nursing Care and Pathophysiology for Herpes Zoster – Shingles
Nursing Care and Pathophysiology for Human Papilloma Virus (HPV STI)
Nursing Care and Pathophysiology for Hyperparathyroidism
Nursing Care and Pathophysiology for Hyperthyroidism
Nursing Care and Pathophysiology for Hypothyroidism
Nursing Care and Pathophysiology for Hypovolemic Shock
Nursing Care and Pathophysiology for Inflammatory Bowel Disease (IBD)
Nursing Care and Pathophysiology for Influenza (Flu)
Nursing Care and Pathophysiology for Ischemic Stroke (CVA)
Nursing Care and Pathophysiology for Lyme Disease
Nursing Care and Pathophysiology for Male Infertility
Nursing Care and Pathophysiology for Meningitis
Nursing Care and Pathophysiology for Menopause
Nursing Care and Pathophysiology for Multiple Sclerosis (MS)
Nursing Care and Pathophysiology for Myasthenia Gravis
Nursing Care and Pathophysiology for Osteomyelitis
Nursing Care and Pathophysiology for Pancreatitis
Nursing Care and Pathophysiology for Parkinsons
Nursing Care and Pathophysiology for Pelvic Inflammatory Disease (PID)
Nursing Care and Pathophysiology for Peptic Ulcer Disease (PUD)
Nursing Care and Pathophysiology for Pneumothorax & Hemothorax
Nursing Care and Pathophysiology for Polycystic Ovarian Syndrome (PCOS)
Nursing Care and Pathophysiology for Psoriasis
Nursing Care and Pathophysiology for Pulmonary Edema
Nursing Care and Pathophysiology for Pulmonary Embolism
Nursing Care and Pathophysiology for Rhabdomyolysis
Nursing Care and Pathophysiology for Rheumatoid Arthritis (RA)
Nursing Care and Pathophysiology for Scleroderma
Nursing Care and Pathophysiology for Seizure
Nursing Care and Pathophysiology for Sepsis
Nursing Care and Pathophysiology for SIADH (Syndrome of Inappropriate antidiuretic Hormone Secretion)
Nursing Care and Pathophysiology for Sickle Cell Anemia
Nursing Care and Pathophysiology for SIRS & MODS
Nursing Care and Pathophysiology for Syphilis (STI)
Nursing Care and Pathophysiology for Testicular Torsion
Nursing Care and Pathophysiology for Thrombophlebitis (clot)
Nursing Care and Pathophysiology for Tuberculosis (TB)
Nursing Care and Pathophysiology for Ulcerative Colitis(UC)
Nursing Care and Pathophysiology for Valve Disorders
Nursing Care and Pathophysiology of Acute Kidney (Renal) Injury (AKI)
Nursing Care and Pathophysiology of Acute Respiratory Distress Syndrome (ARDS)
Nursing Care and Pathophysiology of Angina
Nursing Care and Pathophysiology of BPH (Benign Prostatic Hyperplasia)
Nursing Care and Pathophysiology of Chronic Kidney (Renal) Disease (CKD)
Nursing Care and Pathophysiology of COPD (Chronic Obstructive Pulmonary Disease)
Nursing Care and Pathophysiology of Coronary Artery Disease (CAD)
Nursing Care and Pathophysiology of Diabetes Mellitus (DM)
Nursing Care and Pathophysiology of Diabetic Ketoacidosis (DKA)
Nursing Care and Pathophysiology of Endocarditis and Pericarditis
Nursing Care and Pathophysiology of Glomerulonephritis
Nursing Care and Pathophysiology of Hypertension (HTN)
Nursing Care and Pathophysiology of Myocardial Infarction (MI)
Nursing Care and Pathophysiology of Myocarditis
Nursing Care and Pathophysiology of Nephrotic Syndrome
Nursing Care and Pathophysiology of Osteoarthritis (OA)
Nursing Care and Pathophysiology of Osteoporosis
Nursing Care and Pathophysiology of Pneumonia
Nursing Care and Pathophysiology of Renal Calculi (Kidney Stones)
Nursing Care and Pathophysiology of Urinary Tract Infection (UTI)
Nursing Care Plan (NCP) & Interventions for Increased Intracranial Pressure (ICP)
Nursing Care Plan (NCP) for Abdominal Pain
Nursing Care Plan (NCP) for Acquired Immune Deficiency Syndrome (AIDS)
Nursing Care Plan (NCP) for Activity Intolerance
Nursing Care Plan (NCP) for Acute Bronchitis
Nursing Care Plan (NCP) for Acute Kidney Injury
Nursing Care Plan (NCP) for Acute Pain
Nursing Care Plan (NCP) for Acute Respiratory Distress Syndrome
Nursing Care Plan (NCP) for Addison’s Disease (Primary Adrenal Insufficiency)
Nursing Care Plan (NCP) for Anaphylaxis
Nursing Care Plan (NCP) for Anemia
Nursing Care Plan (NCP) for Angina
Nursing Care Plan (NCP) for Aortic Aneurysm
Nursing Care Plan (NCP) for Arterial Disorders
Nursing Care Plan (NCP) for Aspiration
Nursing Care Plan (NCP) for Asthma / Childhood Asthma
Nursing Care Plan (NCP) for Atrial Fibrillation (AFib)
Nursing Care Plan (NCP) for Bell’s Palsy
Nursing Care Plan (NCP) for Benign Prostatic Hyperplasia (BPH)
Nursing Care Plan (NCP) for Bladder Cancer
Nursing Care Plan (NCP) for Blunt Chest Trauma
Nursing Care Plan (NCP) for Bone Cancer (Osteosarcoma, Chondrosarcoma, and Ewing Sarcoma)
Nursing Care Plan (NCP) for Bowel Obstruction
Nursing Care Plan (NCP) for Brain Tumors
Nursing Care Plan (NCP) for Breast Cancer
Nursing Care Plan (NCP) for Bronchoscopy (Procedure)
Nursing Care Plan (NCP) for Cardiogenic Shock
Nursing Care Plan (NCP) for Cardiomyopathy
Nursing Care Plan (NCP) for Cellulitis
Nursing Care Plan (NCP) for Cervical Cancer
Nursing Care Plan (NCP) for Cholecystitis
Nursing Care Plan (NCP) for Chronic Kidney Disease
Nursing Care Plan (NCP) for Chronic Obstructive Pulmonary Disease (COPD)
Nursing Care Plan (NCP) for Colorectal Cancer (Colon Cancer)
Nursing Care Plan (NCP) for Congestive Heart Failure (CHF)
Nursing Care Plan (NCP) for Cushing’s Disease
Nursing Care Plan (NCP) for Dementia
Nursing Care Plan (NCP) for Diabetes
Nursing Care Plan (NCP) for Diabetes Insipidus
Nursing Care Plan (NCP) for Diabetic Ketoacidosis (DKA)
Nursing Care Plan (NCP) for Disseminated Intravascular Coagulation (DIC)
Nursing Care Plan (NCP) for Diverticulosis / Diverticulitis
Nursing Care Plan (NCP) for Emphysema
Nursing Care Plan (NCP) for Encephalopathy
Nursing Care Plan (NCP) for Endocarditis
Nursing Care Plan (NCP) for Enuresis / Bedwetting
Nursing Care Plan (NCP) for Epididymitis
Nursing Care Plan (NCP) for Gastroesophageal Reflux Disease (GERD)
Nursing Care Plan (NCP) for GI (Gastrointestinal) Bleed
Nursing Care Plan (NCP) for Glaucoma
Nursing Care Plan (NCP) for Glomerulonephritis
Nursing Care Plan (NCP) for Gout / Gouty Arthritis
Nursing Care Plan (NCP) for Guillain-Barre
Nursing Care Plan (NCP) for Hashimoto’s Thyroiditis
Nursing Care Plan (NCP) for Heart Valve Disorders
Nursing Care Plan (NCP) for Hepatitis
Nursing Care Plan (NCP) for Herpes Zoster – Shingles
Nursing Care Plan (NCP) for Hydrocephalus
Nursing Care Plan (NCP) for Hyperosmolar Hyperglycemic Nonketotic Syndrome (HHNS)
Nursing Care Plan (NCP) for Hyperparathyroidism
Nursing Care Plan (NCP) for Hyperthermia (Thermoregulation)
Nursing Care Plan (NCP) for Hyperthyroidism
Nursing Care Plan (NCP) for Hypoglycemia
Nursing Care Plan (NCP) for Hypoparathyroidism
Nursing Care Plan (NCP) for Hypothyroidism
Nursing Care Plan (NCP) for Hypovolemic Shock
Nursing Care Plan (NCP) for Impetigo
Nursing Care Plan (NCP) for Inflammatory Bowel Disease (Ulcerative Colitis / Crohn’s Disease)
Nursing Care Plan (NCP) for Kidney Cancer
Nursing Care Plan (NCP) for Leukemia
Nursing Care Plan (NCP) for Lung Cancer
Nursing Care Plan (NCP) for Lyme Disease
Nursing Care Plan (NCP) for Lymphoma (Hodgkin’s, Non-Hodgkin’s)
Nursing Care Plan (NCP) for Meniere’s Disease
Nursing Care Plan (NCP) for Multiple Sclerosis (MS)
Nursing Care Plan (NCP) for Mumps
Nursing Care Plan (NCP) for Myasthenia Gravis (MG)
Nursing Care Plan (NCP) for Myocardial Infarction (MI)
Nursing Care Plan (NCP) for Nephrotic Syndrome
Nursing Care Plan (NCP) for Neutropenia
Nursing Care Plan (NCP) for Nutrition Imbalance
Nursing Care Plan (NCP) for Osteoarthritis (OA), Degenerative Joint Disease
Nursing Care Plan (NCP) for Osteoporosis
Nursing Care Plan (NCP) for Ovarian Cancer
Nursing Care Plan (NCP) for Pancreatitis
Nursing Care Plan (NCP) for Parkinson’s Disease
Nursing Care Plan (NCP) for Peptic Ulcer Disease (PUD)
Nursing Care Plan (NCP) for Pericarditis
Nursing Care Plan (NCP) for Pneumonia
Nursing Care Plan (NCP) for Pneumothorax/Hemothorax
Nursing Care Plan (NCP) for Polycystic Ovarian Syndrome (PCOS)
Nursing Care Plan (NCP) for Pressure Ulcer / Decubitus Ulcer (Pressure Injury)
Nursing Care Plan (NCP) for Prostate Cancer
Nursing Care Plan (NCP) for Psoriasis
Nursing Care Plan (NCP) for Pulmonary Embolism
Nursing Care Plan (NCP) for Renal Calculi
Nursing Care Plan (NCP) for Respiratory Failure
Nursing Care Plan (NCP) for Restrictive Lung Diseases
Nursing Care Plan (NCP) for Rhabdomyolysis
Nursing Care Plan (NCP) for Rheumatoid Arthritis (RA)
Nursing Care Plan (NCP) for Risk for Fall
Nursing Care Plan (NCP) for Rubeola – Measles
Nursing Care Plan (NCP) for Seizures
Nursing Care Plan (NCP) for Sepsis
Nursing Care Plan (NCP) for Skin cancer – Melanoma, Basal Cell Carcinoma, Squamous Cell Carcinoma
Nursing Care Plan (NCP) for Skull Fractures
Nursing Care Plan (NCP) for Spinal Cord Injury
Nursing Care Plan (NCP) for Stomach Cancer (Gastric Cancer)
Nursing Care Plan (NCP) for Stroke (CVA)
Nursing Care Plan (NCP) for Syncope (Fainting)
Nursing Care Plan (NCP) for Syndrome of Inappropriate Antidiuretic Hormone (SIADH)
Nursing Care Plan (NCP) for Systemic Lupus Erythematosus (SLE)
Nursing Care Plan (NCP) for Testicular Cancer
Nursing Care Plan (NCP) for Thoracentesis (Procedure)
Nursing Care Plan (NCP) for Thrombocytopenia
Nursing Care Plan (NCP) for Thrombophlebitis / Deep Vein Thrombosis (DVT)
Nursing Care Plan (NCP) for Thyroid Cancer
Nursing Care Plan (NCP) for Tuberculosis
Nursing Care Plan (NCP) for Urinary Tract Infection (UTI)
Nursing Care Plan (NCP) for West Nile Virus
Nursing Care Plan for (NCP) Trigeminal Neuralgia
Nursing Care Plan for Amputation
Nursing Care Plan for Chlamydia (STI)
Nursing Care Plan for Cirrhosis (Liver)
Nursing Care Plan for Compartment Syndrome
Nursing Care Plan for Coronary Artery Disease (CAD)
Nursing Care Plan for Distributive Shock
Nursing Care Plan for Endometriosis
Nursing Care Plan for Fibromyalgia
Nursing Care Plan for Fractures
Nursing Care Plan for Gastritis
Nursing Care Plan for Gonorrhea (STI)
Nursing Care Plan for Hemorrhoids
Nursing Care Plan for Herpes Simplex (HSV, STI)
Nursing Care Plan for Hiatal Hernia
Nursing Care Plan for Liver Cancer
Nursing Care Plan for Macular Degeneration
Nursing Care Plan for Myocarditis
Nursing Care Plan for Nasal Disorders
Nursing Care Plan for Osteomyelitis
Nursing Care Plan for Pelvic Inflammatory Disease (PID)
Nursing Care Plan for Pulmonary Edema
Nursing Care Plan for Restrictive Lung Diseases (Pulmonary Fibrosis, Neuromuscular Disorders)
Nursing Care Plan for Scleroderma
Nursing Care Plan for Syphilis (STI)
Nursing Care Plan for Testicular Torsion
Nursing Case Study for Acute Kidney Injury
Nursing Case Study for Breast Cancer
Nursing Case Study for Cardiogenic Shock
Nursing Case Study for Colon Cancer
Nursing Case Study for Diabetic Foot Ulcer
Nursing Case Study for Hepatitis
Nursing Case Study for Pneumonia
Nursing Case Study for Rheumatic Heart Disease
Nursing Case Study for Rheumatoid Arthritis
Nursing Case Study for Type 1 Diabetes
Nursing Skills Course Introduction
Nutrition (Diet) in Disease
Nutrition-related Diseases
Omeprazole (Prilosec) Nursing Considerations
Oncology Important Points
Oncology Module Intro
Oncology nurse
Ondansetron (Zofran) Nursing Considerations
Opioids
Osteosarcoma
Ovarian Cancer
Oxygen Delivery Module Intro
Pacemakers
Pain and Nonpharmacological Comfort Measures
Pain Assessment Questions Nursing Mnemonic (OPQRST)
Pain Assessments for Certified Perioperative Nurse (CNOR)
Pantoprazole (Protonix) Nursing Considerations
Parasympatholytics (Anticholinergics) Nursing Considerations
Patient Positioning
Patients with Communication Difficulties
Pentobarbital (Nembutal) Nursing Considerations
Peptic Ulcer Disease Case Study (60 min)
Performing Cardiac (Heart) Monitoring
Perioperative Nursing Course Introduction
Perioperative Nursing Roles
Peripheral Vascular Assessment
Peritoneal Dialysis (PD)
Phenazopyridine (Pyridium) Nursing Considerations
Phenobarbital (Luminal) Nursing Considerations
Phosphorus (PO4) Blood Test Lab Values
Pituitary Adenoma
Plant Alkaloids Topoisomerase and Mitotic Inhibitors
Pneumonia Concept Map
Pneumonia Labs
Pneumonia Risk Factors Nursing Mnemonic (VENTS)
Pneumothorax Signs and Symptoms Nursing Mnemonic (P-THORAX)
Positioning
Post-Anesthesia Recovery
Postoperative (Postop) Complications
PPE Donning & Doffing
Premature Atrial Contraction (PAC)
Premature Ventricular Contraction (PVC)
Preoperative (Preop) Education
Preoperative (Preop) Nursing Priorities
Preoperative (Preop)Assessment
Pressure Line Management
Pressure Ulcers/Pressure injuries (Braden scale)
Procalcitonin (PCT) Lab Values
Propofol (Diprivan) Nursing Considerations
Propranolol (Inderal) Nursing Considerations
Propylthiouracil (PTU) Nursing Considerations
Prostate Cancer
Prostate Nursing Mnemonic (FUN)
Prostate Specific Antigen (PSA) Lab Values
Protein in Urine Lab Values
Proton Pump Inhibitors
Pulmonary edema treatment Nursing Mnemonic (MAD DOG)
Pupil Reactions Nursing Mnemonic (PERRLA)
Radiation Cancer Treatment
Ranitidine (Zantac) Nursing Considerations
Reactivation of Herpes Zoster Nursing Mnemonic (FICA)
Reasons for a Bronchoscopy Nursing Mnemonic (Please Assess His Weird Bronchoscopy Results)
Reasons for Chest Tube Nursing Mnemonic (Don’t Ever Fail)
Red Cell Distribution Width (RDW) Lab Values
Renal (Kidney) Failure Labs
Respiratory A&P Module Intro
Respiratory Alkalosis
Respiratory Course Introduction
Respiratory Infections Module Intro
Respiratory Procedures Module Intro
Respiratory Trauma Module Intro
Restrictive Lung Disease Causes Nursing Mnemonic (PAINT)
Restrictive Lung Diseases (Pulmonary Fibrosis, Neuromuscular Disorders)
Rheumatoid Arthritis Assessment Nursing Mnemonic (RHEUMATOID)
Rifampin (Rifadin) Nursing Considerations
Risk Factors for Cholelithiasis Nursing Mnemonic (5-F’s)
Risk Factors for Osteoporosis Nursing Mnemonic (ACCESS)
Routine Neuro Assessments
Science of Nutrition
Scleroderma Symptoms Nursing Mnemonic (CREST)
Sedatives-Hypnotics
Sedatives-Hypnotics
Seizure Assessment
Seizure Causes (Epilepsy, Generalized)
Seizure Causes Nursing Mnemonic (VITAMIN)
Seizure Therapeutic Management
Seizures Case Study (45 min)
Seizures Module Intro
Sepsis Concept Map
Sepsis Labs
Septic Shock (Sepsis) Case Study (45 min)
Shock
Shock – Signs and symptoms Nursing Mnemonic (TV SPARC CUBE)
Shock Module Intro
Signs of Osteoarthritis Nursing Mnemonic (OSTEO)
Sinus Bradycardia
Sinus Tachycardia
Skin Cancer
Specialty Diets (Nutrition)
Spinal Cord Injury
Spinal Cord Injury Case Study (60 min)
Spinal Precautions & Log Rolling
Sprains and Strains – Nursing Care Nursing Mnemonic (RICE)
Stages of Hepatitis Nursing Mnemonic (PIP)
Sterile Field
Sterile Gloves
Stoke Assessments Nursing Mnemonic (FAST)
Stomach Cancer (Gastric Cancer)
Strabismus
Streptokinase (Streptase) Nursing Considerations
Stroke (CVA) Module Intro
Stroke Assessment (CVA)
Stroke Case Study (45 min)
Stroke Concept Map
Stroke Nursing Care (CVA)
Stroke Therapeutic Management (CVA)
Sucralfate (Carafate) Nursing Considerations
Supraventricular Tachycardia (SVT)
Surgical Incisions & Drain Sites
Surgical Prep
Sympatholytics (Alpha & Beta Blockers)
Symptoms of Hyperthyroidism Nursing Mnemonic (SWEATING)
Symptoms of Hypothyroidism Nursing Mnemonic (MOM’S SO TIRED)
Symptoms of Nephrotic Syndrome Nursing Mnemonic (NAPHROTIC)
Symptoms of Wernicke’s Encephalopathy Nursing Mnemonic (COAT)
Systemic Lupus Erythematosus (SLE)
TB Drugs Nursing Mnemonic (RIPE)
Tension and Cluster Headaches
Testicular Cancer
Tetracycline (Panmycin) Nursing Considerations
The 5-Minute Assessment (Physical assessment)
The Medical Team
Thoracentesis
Thrombin Inhibitors
Thrombocytopenia
Thrombolytics
Thyroid Cancer
Thyroid Stimulating Hormone (TSH) Lab Values
Thyroxine (T4) Lab Values
To Clot or Not To Clot – Anticoagulants! – Live Tutoring Archive
Total Iron Binding Capacity (TIBC) Lab Values
Toxicity Sepsis- Signs and Symptoms Nursing Mnemonic (The 6 T’s)
Trach Care
Trach Suctioning
Traction – Nursing Care Nursing Mnemonic (TRACTION)
Trauma – Assessment (Emergency) Nursing Mnemonic (ABCDEFGHI)
Triiodothyronine (T3) Lab Values
Trimethoprim-Sulfamethoxazole (Bactrim) Nursing Considerations
Troponin I (cTNL) Lab Values
Tuberculosis (TB) Case Study (60 min)
Types of Anemia Nursing Mnemonic (Always Introduce Special Patients)
Types of Hemorrhoids Nursing Mnemonic (Pie)
Ulcerative Colitis – Assessment Nursing Mnemonic (MADE 10)
Ultrasound
Understanding Blood Pressure Meds! – Live Tutoring Archive
Upper Gastrointestinal (GI) Module Intro
Urinary Elimination
Urinary Tract Infection Case Study (45 min)
Urine Culture and Sensitivity Lab Values
Using Aseptic Technique
Vancomycin (Vancocin) Nursing Considerations
Varicocele
Vascular Disease – Deep Vein Thrombosis Nursing Mnemonic (HIS Leg Might Fall off)
Vascular disease – Raynaud’s symptoms Nursing Mnemonic (COLD HAND)
Vasopressin
Vasopressin (Pitressin) Nursing Considerations
Venous Disorders (Chronic venous insufficiency, Deep venous thrombosis/DVT)
Vent Alarms
Ventilator Settings
Ventricular Fibrillation (V Fib)
Ventricular Tachycardia (V-tach)
Vessels & Fluid
Vitamin D Lab Values
Warfarin (Coumadin) Nursing Considerations
Who Needs Dialysis Nursing Mnemonic (AEIOU)
Wound Care – Assessment
Wound Care – Dressing Change
Wound Care – Selecting a Dressing
Wound Care – Wound Drains
Seizure Documentation Nursing Mnemonic (TDOC)