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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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Reasons for Chest Tube Nursing Mnemonic (Don’t Ever Fail)
Ranitidine (Zantac) Nursing Considerations
Quality Improvement Participation for Certified Perioperative Nurse (CNOR)
Pupil Reactions Nursing Mnemonic (PERRLA)
Pulmonary Hypertension for Progressive Care Certified Nurse (PCCN)
Pulmonary Hypertension for Certified Emergency Nursing (CEN)
Pulmonary Embolus for Certified Emergency Nursing (CEN)
Pulmonary Embolism for Progressive Care Certified Nurse (PCCN)
Pulmonary edema treatment Nursing Mnemonic (MAD DOG)
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