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Nursing Care Plan (NCP) for Disseminated Intravascular Coagulation (DIC)

Nursing Care Plan (NCP) for Disseminated Intravascular Coagulation (DIC)

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Study Tools For Nursing Care Plan (NCP) for Disseminated Intravascular Coagulation (DIC)

Disseminated Intravascular Coagulation (DIC) Interventions (Picmonic)
Disseminated Intravascular Coagulation (DIC) Assessment (Picmonic)
DIC Pathochart (Cheatsheet)
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Outline

Lesson Objective for Disseminated Intravascular Coagulation (DIC)

  • Understanding DIC Pathophysiology:
    • Comprehend the underlying pathophysiological mechanisms of DIC, including the imbalance between coagulation and fibrinolysis.
  • Identifying Risk Factors:
    • Recognize and identify the risk factors that contribute to the development of DIC, such as sepsis, trauma, or obstetric complications.
  • Symptom Recognition:
    • Learn to recognize the clinical manifestations of DIC, including abnormal bleeding and clotting, petechiae, organ dysfunction, and laboratory abnormalities.
  • Diagnostic Methods:
    • Understand the diagnostic methods used to confirm DIC, including laboratory tests such as platelet count, prothrombin time (PT), activated partial thromboplastin time (aPTT), and D-dimer levels.
  • Intervention Strategies:
    • Gain knowledge of nursing interventions and management strategies aimed at addressing DIC, including supportive measures, monitoring, and addressing the underlying cause.

Pathophysiology of Disseminated Intravascular Coagulation (DIC)

  • Triggering Event:
    • DIC often begins with an underlying trigger, such as severe sepsis, trauma, malignancy, obstetric complications, or other conditions that activate the coagulation system.
  • Release of Tissue Factor:
    • The triggering event leads to the release of tissue factor, initiating the extrinsic pathway of coagulation. Tissue factor activates factor VII, setting off a cascade of coagulation reactions.
  • Excessive Thrombin Generation:
    • Activation of the coagulation cascade results in an excessive generation of thrombin. Thrombin converts fibrinogen to fibrin, leading to the formation of microvascular thrombi throughout the circulation.
  • Platelet Consumption:
    • The formation of microvascular thrombi consumes platelets, resulting in thrombocytopenia. Decreased platelet count contributes to the bleeding manifestations observed in DIC.
  • Fibrinolysis Activation:
    • Simultaneously, the clotting process activates fibrinolysis, leading to the release of fibrin degradation products (FDPs) and D-dimers. Elevated D-dimer levels are characteristic of ongoing fibrinolysis.
  • Microvascular Thrombosis and Organ Dysfunction:
    • Widespread microvascular thrombosis and deposition of fibrin in small blood vessels lead to compromised blood flow, ischemia, and organ dysfunction. The consumption of clotting factors contributes to bleeding tendencies.

 

Etiology of Disseminated Intravascular Coagulation (DIC)

  • Sepsis:
    • DIC is commonly triggered by severe bacterial or viral infections, particularly sepsis. The release of endotoxins or exotoxins can activate the coagulation cascade.
  • Trauma:
    • Major trauma, such as extensive injuries or burns, can lead to widespread tissue damage and the release of procoagulant substances, initiating DIC.
  • Obstetric Complications:
    • Conditions such as abruptio placentae, amniotic fluid embolism, and severe preeclampsia can trigger DIC during pregnancy.
  • Malignancy:
    • Certain cancers, especially those associated with extensive tissue necrosis or metastasis, can activate the coagulation cascade and contribute to DIC.
  • Systemic Inflammatory Response Syndrome (SIRS):
    • Conditions causing a systemic inflammatory response, such as severe pancreatitis or major surgery, may lead to DIC due to the release of inflammatory mediators.
  • Vascular Disorders:
    • Conditions affecting blood vessels, including vasculitis or atherosclerosis, can disrupt vascular integrity and contribute to the initiation of DIC.
  • Transfusion Reactions:
    • Incompatible blood transfusions or massive blood transfusions can introduce foreign substances into the bloodstream, triggering an immune response and activating the coagulation cascade.
  • Toxic Injuries:
    • Exposure to toxins or chemicals, such as snake venom or certain medications, may induce a systemic response that activates coagulation pathways, leading to DIC.

Desired Outcomes for Disseminated Intravascular Coagulation (DIC)

  • Normalization of Coagulation Parameters:
    • Achieve and maintain a balance in coagulation parameters, including prothrombin time (PT), activated partial thromboplastin time (aPTT), fibrinogen levels, and platelet count.
  • Resolution of Underlying Cause:
    • Identify and treat the underlying cause of DIC, addressing conditions such as sepsis, trauma, obstetric complications, malignancy, or systemic inflammatory response syndrome (SIRS).
  • Prevention of Organ Dysfunction:
    • Prevent or minimize organ dysfunction resulting from microvascular thrombosis and hemorrhage, focusing on organs such as the kidneys, lungs, and central nervous system.
  • Maintenance of Tissue Perfusion:
    • Ensure adequate tissue perfusion by managing fluid balance, hemodynamic stability, and oxygenation to prevent ischemia and multi-organ failure.
  • Minimization of Bleeding Complications:
    • Prevent and manage bleeding complications by carefully balancing anticoagulation and hemostasis, considering the risk of both thrombosis and hemorrhage in DIC patients.

Disseminated Intravascular Coagulation (DIC) Nursing Care Plan

 

Subjective Data:

  • Chest pain
  • Shortness of breath
  • Pain in affected limb
  • Headache
  • Dizziness
  • Double vision

Objective Data:

  • Erythema
  • Warmth of affected area
  • Swelling
  • Blood in urine or stool
  • Petechiae
  • Uncontrolled bleeding

Nursing Assessment for Disseminated Intravascular Coagulation (DIC)

 

  • Clinical History:
    • Obtain a detailed clinical history, including recent trauma, surgery, infections, or other underlying conditions that may contribute to the development of DIC.
  • Bleeding Manifestations:
    • Assess for signs of bleeding, such as petechiae, ecchymosis, mucosal bleeding, and prolonged bleeding from minor cuts or wounds.
  • Clotting Manifestations:
    • Evaluate for thrombotic manifestations, including deep vein thrombosis (DVT), pulmonary embolism (PE), or other clot-related complications.
  • Skin Integrity:
    • Inspect the skin for areas of necrosis or gangrene, which may occur due to microvascular thrombosis leading to impaired blood flow.
  • Vital Signs:
    • Monitor vital signs closely, paying attention to changes in blood pressure, heart rate, and respiratory rate, as DIC can lead to systemic instability.
  • Laboratory Values:
    • Review laboratory results, including platelet count, fibrinogen levels, prothrombin time (PT), activated partial thromboplastin time (aPTT), and D-dimer to confirm the diagnosis and assess severity.
  • Organ Function:
    • Assess organ function, especially renal and hepatic function, as DIC can lead to organ failure due to microvascular thrombosis and subsequent ischemia.
  • Neurological Assessment:
    • Evaluate neurological status for signs of altered mental status, confusion, or focal neurological deficits, which may indicate cerebral thrombosis or embolism.
  • Fluid Balance:
    • Monitor fluid balance closely, as DIC can lead to capillary leakage, resulting in hypovolemia and shock.
  • Collaborate with Diagnostic Imaging:
    • Collaborate with diagnostic imaging, such as ultrasound or CT scans, to identify thrombotic events and assess the extent of organ involvement.

 

Nursing Implementation for Disseminated Intravascular Coagulation (DIC)

 

  • Administer Clotting Factors:
    • Provide blood products, such as fresh frozen plasma or cryoprecipitate, to replace depleted clotting factors and support hemostasis.
  • Monitor Fluid Balance:
    • Implement strict intake and output monitoring to manage fluid balance. Adequate hydration helps prevent hypovolemia and supports organ perfusion.
  • Administer Anticoagulants or Antiplatelet Agents:
    • Depending on the underlying cause and severity, anticoagulants or antiplatelet medications may be administered to manage excessive clotting. This requires careful assessment of bleeding risk.
  • Address Underlying Cause:
    • Treat the primary cause of DIC, whether it’s sepsis, trauma, malignancy, or other triggers. Targeting the root cause is essential for resolving the coagulation abnormalities.
  • Implement Bed Rest and Activity Restrictions:
    • Promote bed rest and restrict activities to minimize the risk of bleeding. Patients with DIC are prone to bleeding complications, and careful monitoring of movements is essential.
  • Provide Emotional Support:
    • Offer emotional support to patients and their families, as DIC can be a critical and life-threatening condition. Discussing the condition, treatment options, and potential outcomes can help alleviate anxiety and stress.

Nursing Interventions and Rationales

 

  • Assess and monitor respiratory status; note rate, rhythm, cyanosis; auscultate the lungs for areas of absent air movement

 

In both acute and chronic DIC, blood clots often form or travel to the lungs resulting in embolism. This will be evident by shortness of breath, cyanosis and complaints of chest pain

 

  • Assess and monitor cardiac status;  perform 12-lead ECG as indicated

 

Tachycardia, changes in blood pressure and decreased cap refill are signs of deteriorating cardiovascular function.

 

  • Assess for changes in level of consciousness

 

Early signs of hypoxia include confusion and irritability; monitor for signs of stroke as blood clots may travel to the brain.

 

  • Administer oxygen as necessary; monitor Arterial Blood Gas (ABG) and oxygen saturation

 

For optimal tissue perfusion, oxygen saturation should remain 90% or greater.

 

  • Provide wound care and pressure for external bleeding

 

Simple procedures such as venipuncture and IV access can cause external bleeding which is severe. Apply more than usual pressure to assist with clotting.

 

  • Assess amount and color of urine

 

Decreased perfusion to the kidneys may result in hematuria and decreased urination (output <30 mL/hr)

 

  • Monitor for blood in stool; administer stool softeners to avoid straining during bowel movements

 

Dark blood in stool can indicate GI bleed, while bright red blood may indicate bleeding hemorrhoids or anal fissures.

 

  • Monitor for hemoptysis or blood in suctioning

 

This is a common indicator of DIC. When suctioning secretions, observe for blood. Note any blood in emesis.

 

  • Monitor diagnostic tests (labs):
    • Platelet count- decreased
    • PT / PTT- increased
    • D-dimer level- markedly increased

 

Changes in these labs can help determine if treatment is effective.

 

  • Initiate bleeding precautions; no razors, soft toothbrush, limit needle sticks as much as possible, limit BP readings

 

Minimize risks of bleeding from friction, injury or pressure. Observe for petechiae or purpura which can indicate

 

  • Administer medications and blood products as necessary

 

Heparin may be used for chronic DIC when clotting is more of a problem; excessive blood loss may require transfusion; antibiotics are often given when infection or sepsis is the underlying factor.

Evaluation of Nursing Interventions for Disseminated Intravascular Coagulation (DIC)

 

  • Coagulation Parameters:
    • Regularly assess coagulation parameters, including PT, PTT, and platelet count, to evaluate the effectiveness of interventions in improving coagulation status.
  • Hemodynamic Stability:
    • Monitor the patient’s hemodynamic status, including blood pressure, heart rate, and perfusion, to determine if interventions have contributed to hemodynamic stability.
  • Organ Function:
    • Evaluate organ function through laboratory tests and clinical assessments to determine if the interventions have mitigated organ dysfunction associated with DIC.
  • Bleeding Control:
    • Assess the control of bleeding episodes and signs of hemorrhage, such as petechiae and ecchymosis, to determine if interventions have effectively managed coagulation abnormalities.
  • Patient Response:
    • Evaluate the overall response of the patient to the implemented nursing interventions, considering factors such as symptom improvement, decreased complications, and the patient’s overall well-being.

References

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Transcript

Hey guys, let’s take a look at the care plan for disseminated intravascular coagulation also known as DIC. So in this lesson, we’ll briefly take a look at the pathophysiology and etiology of DIC. We’re also going to look at subjective and objective data, as well as nursing interventions and rationales. 

 

Okay. Let’s look closer at DIC. So this is a condition where small blood clots form throughout the body’s small blood vessels. Serious bleeding can occur internally and externally because these clots use up platelets and clotting factors in the blood. Acute DIC develops within a few hours or days and leads to serious bleeding. Chronic DIC develops over weeks or months, and doesn’t usually lead to excessive bleeding, but the formation of more clots. So, there are several diseases and disorders that cause DIC generally derived from one of two processes: either an inflammatory process, sepsis or major trauma, or exposure of a procoagulant material in the blood like cancer, a brain injury, or an obstetric event. DIC can also occur due to a venomous snake bite. 

 

Presentation and treatment depends on the cause and whether the DIC is acute or chronic. So, the desired outcome is going to be to treat the underlying cause, promote optimal gas exchange, restore clotting factors and reduce the risk of bleeding. Let’s take a look at some of the subjective and objective data that your patient with DIC may present with. 

 

Now, remember subjective data are going to be things that are based on your patient’s opinions or feelings, and for DIC, they may express chest pain, shortness of breath, pain in the affected limb, a headache, dizziness, or even double vision. 

 

Objective data may include erythema, warmth of the affected area, swelling, blood in the urine or the stool, BTKI, or of course, uncontrolled bleeding. 

 

Okay, now onto the nursing interventions necessary when caring for a patient with DIC. Assess and monitor the respiratory status, noting the rates, the rhythm, and if there is any cyanosis. Both acute and chronic DIC blood clots often form or travel to the lungs resulting in an embolism. This will be evident by shortness of breath, cyanosis, or complaints of chest pain. Be sure to auscultate the lungs for areas of absence and air movement. You’re also going to want to assess and monitor the cardiac status (including a 12 lead EKG) as indicated, and of course,  tachycardia and changes in blood pressure and decreased capillary refills are signs of deteriorating cardiovascular function. Next, assess for changes in level of consciousness because early signs of hypoxia include confusion and irritability and guys, monitor for signs of stroke as these clots can also travel to the brain. You’re also going to want to monitor arterial blood gases or ABG’s, and closely monitor oxygen saturation, administering oxygen when necessary keeping SATs greater than 90% for optimal tissue perfusion. 

 

So with DIC, even the simplest of procedures, like if any puncture or an IV can cause external bleeding, which is severe, you must apply more pressure than normal to help with clotting in these situations. Assess the amount and color of your patient’s urine as there could be decreased perfusion to the kidneys, which may result in hematuria, and decreased urine output of less than 30 MLS per hour, as well as, monitor for blood in the stool. Now, dark blood in the stool can indicate a GI bleed, while bright red blood may indicate hemorrhoids or anal fissures. It’s important for these patients to administer stool softeners, to avoid straining during bowel movements. A common indicator of DIC is blood with suctioning, so make sure you are observing for blood when suctioning or with MSS. Monitoring labs like platelet counts, PT and PTT, and the D-dimer level are critical to help determine if treatment is effective. 

 

So for DIC patients, it’s so important to minimize the risks of bleeding from friction, injury, or pressure. So, this means no razors, using a soft bristle toothbrush, limit needle sticks and BP readings as much as possible, and observe for petechiae and purpura. Heparin may be used for chronic DIC when clotting is more of a problem. Excessive blood loss may require a transfusion and antibiotics when sepsis or infection is the underlying factor. 

 

Okay, guys, here is a look at the completed care plan for DIC. We love you guys. Now, go out and be your best self today and as always, happy nursing!

 

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Wound Care – Assessment
Wound Care – Dressing Change
Wound Care – Selecting a Dressing
Wound Care – Wound Drains
Wound Bleeding (Uncontrolled External Hemorrhage) for Certified Emergency Nursing (CEN)
Who Needs Dialysis Nursing Mnemonic (AEIOU)
Warfarin (Coumadin) Nursing Considerations
Vitamin D Lab Values
Ventricular Tachycardia (V-tach)
Ventricular Fibrillation (V Fib)
Ventricular Dysrhythmias for Progressive Care Certified Nurse (PCCN)
Ventilator Settings
Vent Alarms
Venous Disorders (Chronic venous insufficiency, Deep venous thrombosis/DVT)
Vasopressin (Pitressin) Nursing Considerations
Vasopressin
Vancomycin (Vancocin) Nursing Considerations
Vaccine-Preventable Diseases (Measles, Mumps, Pertussis, Chicken Pox, Diphtheria) for Certified Emergency Nursing (CEN)
Using Aseptic Technique
Urine Culture and Sensitivity Lab Values
Upper Gastrointestinal (GI) Module Intro
Understanding Blood Pressure Meds! – Live Tutoring Archive
Ulcerative Colitis – Assessment Nursing Mnemonic (MADE 10)
Types of Anemia Nursing Mnemonic (Always Introduce Special Patients)
Tuberculosis for Certified Emergency Nursing (CEN)
Tuberculosis (TB) Case Study (60 min)
Urinary Tract Infection Case Study (45 min)
Varicocele
Trimethoprim-Sulfamethoxazole (Bactrim) Nursing Considerations
Triiodothyronine (T3) Lab Values
Trauma – Assessment (Emergency) Nursing Mnemonic (ABCDEFGHI)
Transient Ischemic Attack (TIA) for Certified Emergency Nursing (CEN)
Traction – Nursing Care Nursing Mnemonic (TRACTION)
Trach Suctioning
Trach Care
Toxicity Sepsis- Signs and Symptoms Nursing Mnemonic (The 6 T’s)
Total Iron Binding Capacity (TIBC) Lab Values
To Clot or Not To Clot – Anticoagulants! – Live Tutoring Archive
Thyroxine (T4) Lab Values
Thyroid Stimulating Hormone (TSH) Lab Values
Thrombolytics
Thromboembolic Disease- Deep Vein Thrombosis (DVT) for Certified Emergency Nursing (CEN)
Thrombocytopenia
Thrombin Inhibitors
Thoracentesis
The 5-Minute Assessment (Physical assessment)
Tetracycline (Panmycin) Nursing Considerations
TB Drugs Nursing Mnemonic (RIPE)
Systemic Lupus Erythematosus (SLE)
Symptoms of Wernicke’s Encephalopathy Nursing Mnemonic (COAT)
Symptoms of Nephrotic Syndrome Nursing Mnemonic (NAPHROTIC)
Symptoms of Hypothyroidism Nursing Mnemonic (MOM’S SO TIRED)
Symptoms of Hyperthyroidism Nursing Mnemonic (SWEATING)
Sympatholytics (Alpha & Beta Blockers)
Supraventricular Tachycardia (SVT)
Sucralfate (Carafate) Nursing Considerations
Stroke Therapeutic Management (CVA)
Stroke Nursing Care (CVA)
Stroke for Progressive Care Certified Nurse (PCCN)
Stroke for Certified Emergency Nursing (CEN)
Stroke Concept Map
Stroke Case Study (45 min)
Stroke Assessment (CVA)
Stroke (CVA) Module Intro
Streptokinase (Streptase) Nursing Considerations
Strabismus
Stoke Assessments Nursing Mnemonic (FAST)
Sterile Gloves
Sterile Field Maintenance (Aseptic Technique) for Certified Perioperative Nurse (CNOR)
Sterile Field
Stages of Hepatitis Nursing Mnemonic (PIP)
Sprains and Strains – Nursing Care Nursing Mnemonic (RICE)
Spinal Cord Injury Case Study (60 min)
Spinal Cord Injury
Specimen Prep, Tracking, and Transporting for Certified Perioperative Nurse (CNOR)
Specialty Diets (Nutrition)
Sinus Tachycardia
Sinus Bradycardia
Signs of Osteoarthritis Nursing Mnemonic (OSTEO)
Shock Module Intro
Shock States (Anaphylactic, Hypovolemic) For PCCN for Progressive Care Certified Nurse (PCCN)
Shock – Signs and symptoms Nursing Mnemonic (TV SPARC CUBE)
Shock
Septic Shock (Sepsis) Case Study (45 min)
Sepsis Labs
Sepsis for Progressive Care Certified Nurse (PCCN)
Sepsis for Certified Emergency Nursing (CEN)
Sepsis Concept Map
Seizures Module Intro
Sedatives-Hypnotics
Sedatives-Hypnotics
Science of Nutrition
Routine Neuro Assessments
Rheumatoid Arthritis Assessment Nursing Mnemonic (RHEUMATOID)
Restrictive Lung Diseases (Pulmonary Fibrosis, Neuromuscular Disorders)
Restrictive Lung Disease Causes Nursing Mnemonic (PAINT)
Respiratory Trauma Module Intro
Respiratory Trauma for Certified Emergency Nursing (CEN)
Respiratory Procedures Module Intro
Respiratory Infections Module Intro
Respiratory Infections (Pneumonia) for Progressive Care Certified Nurse (PCCN)
Respiratory Failure (Acute, Chronic, Failure to Wean) for Progressive Care Certified Nurse (PCCN)
Respiratory Distress Syndrome for Certified Emergency Nursing (CEN)
Respiratory Course Introduction
Respiratory Alkalosis
Respiratory A&P Module Intro
Renal (Kidney) Failure Labs
Renal Failure for Certified Emergency Nursing (CEN)
Red Cell Distribution Width (RDW) Lab Values
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)
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Postoperative (Postop) Complications
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Positioning
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Pneumothorax for Certified Emergency Nursing (CEN)
Pneumonia Risk Factors Nursing Mnemonic (VENTS)
Pneumonia Labs
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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
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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
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Patients with Communication Difficulties
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Patient Rights Advocacy for Certified Perioperative Nurse (CNOR)
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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
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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