Nursing Care Plan (NCP) for Heart Valve Disorders

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Included In This Lesson

Study Tools For Nursing Care Plan (NCP) for Heart Valve Disorders

Endocarditis Interventions (Picmonic)
Endocarditis Assessment (Picmonic)
Endocarditis vs Pericarditis Chart (Cheatsheet)
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Outline

Lesson Objective for Heart Valve Disorders Nursing Care Plan:

Your heart has four valves, and their job is like doors that open and close to control blood flow inside your heart. These valves make sure blood flows in the right direction. In Heart Valve Disorders, something is wrong with one or more of these valves.

 

There are two main types of valve disorders:

 

  1. Stenosis: This is when a valve doesn’t open fully, so the heart has to work harder to push blood through the narrow opening. Imagine trying to squeeze a big ball through a small hole; it’s tough!
  2. Regurgitation: This happens when a valve doesn’t close properly. It’s like a leaky door that lets blood flow backward, which isn’t the way it’s supposed to go.

 

Upon completion of this nursing care plan for Heart Valve Disorders, nursing students will be able to:

  • Understand Heart Valve Anatomy and Function:
    • Demonstrate a comprehensive understanding of normal heart valve anatomy and function, including the role of each valve in ensuring proper blood flow through the heart.
  • Identify Common Heart Valve Disorders:
    • Develop the ability to identify and differentiate common heart valve disorders, such as stenosis and regurgitation, and understand the underlying causes and hemodynamic consequences.
  • Implement Hemodynamic Monitoring:
    • Acquire skills in implementing hemodynamic monitoring techniques to assess the severity of heart valve disorders, including the interpretation of echocardiographic findings, to guide appropriate interventions.
  • Facilitate Preoperative and Postoperative Care:
    • Provide effective preoperative and postoperative care for individuals undergoing heart valve surgery. This includes comprehensive assessment, education, and support to optimize outcomes and ensure a smooth recovery process.
  • Educate Patients on Lifestyle Management:
    • Educate patients with heart valve disorders on lifestyle modifications, medication adherence, and the importance of regular follow-up to manage symptoms, prevent complications, and improve overall cardiovascular health.

Pathophysiology

Heart valve disorders happen when the valves in the heart don’t work properly. Valves are like doors that control blood flow in and out of the heart. When these valves are damaged or don’t close tightly, it can affect how well the heart pumps blood.

 

  • Mitral Regurgitation – The mitral valve cannot close completely, therefore blood back-flows into the left atrium (LA)
  • Mitral Stenosis – The mitral valve cannot open fully or is narrowed, therefore blood can’t go into the left ventricle (LV)
  • Aortic Regurgitation – The aortic valve cannot close completely, therefore blood back-flows into the LV
  • Aortic Stenosis – The aortic valve cannot open fully or is narrowed, therefore blood can’t get out of LV

 

When the blood can’t flow in the direction it’s supposed to flow, cardiac output is compromised.

Etiology

 

  • Congenital Anomalies:
    • Congenital heart valve anomalies, present at birth, can contribute to heart valve disorders. Malformations or abnormalities in the structure of the valves may lead to stenosis, regurgitation, or other issues.
  • Rheumatic Fever:
    • Rheumatic fever, caused by untreated or inadequately treated streptococcal infections, can result in damage to heart valves. Rheumatic heart disease is a common cause of valvular stenosis and regurgitation, particularly affecting the mitral and aortic valves.
  • Degenerative Changes:
    • Degenerative changes in the valves, often associated with aging, can lead to valvular disorders. Progressive wear and tear on the valve tissue may result in stenosis or regurgitation.
  • Infective Endocarditis:
    • Infective endocarditis, an infection of the inner lining of the heart chambers and valves, can cause damage to heart valves. Bacterial or fungal infections may lead to valvular dysfunction.
  • Connective Tissue Disorders:
    • Certain connective tissue disorders, such as Marfan syndrome and Ehlers-Danlos syndrome, can affect the structure and function of heart valves. Connective tissue abnormalities may contribute to valve prolapse or other issues.

Desired Outcome

 

  • Optimize Hemodynamic Stability:
    • Aim to optimize hemodynamic stability by managing heart valve disorders to maintain adequate blood flow and prevent complications such as congestive heart failure.
  • Minimize Symptoms and Improve Quality of Life:
    • Work towards minimizing symptoms associated with heart valve disorders, such as dyspnea, fatigue, and chest pain, to improve the overall quality of life for affected individuals.
  • Prevent Progression of Valve Dysfunction:
    • Implement strategies to prevent the progression of valve dysfunction, including monitoring for changes in valve function and intervening promptly to address worsening conditions.
  • Facilitate Successful Surgical Interventions:
    • Provide comprehensive preoperative and postoperative care for individuals undergoing heart valve surgery. Aim for successful surgical interventions and support a smooth recovery process.
  • Educate on Lifestyle Management:
    • Educate individuals with heart valve disorders on lifestyle modifications, medication adherence, and the importance of regular follow-up to manage symptoms, prevent complications, and improve overall cardiovascular health.

Heart Valve Disorders Nursing Care Plan

 

Subjective Data:

May be asymptomatic except heart murmur. If cardiac output is compromised, may see these symptoms:

  • Chest pain
  • Shortness of breath
  • Weakness
  • Fatigue

Objective Data:

  • Heart Murmur
    • Systolic Murmur – Aortic Stenosis or Mitral Regurgitation
    • Diastolic Murmur – Aortic Regurgitation or Mitral Stenosis

 

May be asymptomatic except heart murmur. If cardiac output is compromised, may see these signs:

  • ↓ BP
  • ↑ HR
  • Skin – cool, diaphoretic, pale, dusky
  • Weak pulses
  • Slow cap refill

Nursing Assessment Heart Valve Disorders

 

  • Patient History:
    • Collect a detailed patient history, focusing on any past diagnoses of heart valve disorders, including the type of valve affected and the timing of the diagnosis. Inquire about symptoms such as fatigue, shortness of breath, chest pain, irregular heartbeats, or swelling in the extremities.
  • Physical Examination:
    • Conduct a thorough physical examination with a focus on the cardiovascular and respiratory systems. Pay special attention to heart sounds, detecting any murmurs, clicks, or abnormal sounds that may indicate valve abnormalities. Assess pulses, capillary refill, skin color, and temperature for signs of decreased perfusion.
  • Cardiovascular Assessment:
    • Measure blood pressure in both arms, noting any discrepancies that may indicate vascular abnormalities. Assess for peripheral edema, particularly in the lower extremities, which may signify heart failure or compromised cardiac output.
  • Respiratory Assessment:
    • Evaluate respiratory status by auscultating lung sounds for crackles or wheezing. Measure oxygen saturation (SpO2) to assess for potential hypoxia. Inquire about any history of shortness of breath, especially during exertion or while lying flat.
  •  Diagnostic Tests:
    • Order and review diagnostic tests, including echocardiography, which provides detailed information about the structure and function of heart valves. ECG can identify irregular heart rhythms, and chest X-rays may reveal changes in heart size or pulmonary congestion.
  •  Review Medication History:
    • Assess the patient’s medication history, specifically looking for anticoagulant therapy, as individuals with valve disorders often require lifelong anticoagulation. Ensure understanding of medication adherence and any potential side effects.
  • Assess for Complications:
    • Look for signs of complications such as endocarditis, which may include fever, chills, or unexplained fatigue. Assess for embolic events, considering symptoms like sudden weakness, vision changes, or speech difficulties.
  • Functional Assessment:
    • Evaluate the patient’s functional capacity by inquiring about their ability to perform daily activities and any limitations imposed by symptoms. Assess exercise tolerance and any factors that exacerbate or alleviate symptoms.
  •  Psychosocial Assessment:
    • Consider the psychosocial impact of a heart valve disorder. Assess for anxiety, depression, or concerns related to lifestyle changes. Encourage open communication to address emotional well-being and coping mechanisms.
  • Collaborative Communication:
    • Collaborate with other healthcare professionals, including cardiologists and specialists, to ensure a comprehensive understanding of the patient’s condition. Facilitate open communication between the patient and the healthcare team to promote informed decision-making.

Nursing Interventions and Rationales

 

  • Assess Heart SoundsTo identify murmur:
    1. Is it an S1 or S2 murmur?
    2. Which valve are you listening to?
    3. What should the valve be doing at that time?

 

The easiest way for a nurse to determine the presence of a valve disorder is to listen for murmurs. A murmur indicates abnormal or turbulent blood flow through the valve.  

  • If the valve should be open, but doesn’t open fully – stenosis
  • If the valve should be closed but doesn’t close fully – regurgitation

 

  • Assess and Monitor CV status
    • Pulses
    • Capillary refill
    • Skin color, temperature
    • Heart rate
    • Blood Pressure
    • Arrhythmias (ECG)

 

Valve disorders can compromise cardiac output. Assess cardiovascular status to determine if there is decreased perfusion to the tissues. If BP is dropping, HR may increase to compensate.

 

  • Assess respiratory status
    • Lung sounds
    • SpO2
    • Shortness of Breath
    • Sputum

 

If blood is not going forward or backing up, it can cause pulmonary congestion leading to pulmonary edema. This would cause decreased SpO2, crackles in the lungs, and possibly even pink-frothy sputum

 

  • Notify the provider of new or sudden onset or murmurs, especially if accompanied by signs of poor perfusion or pulmonary edema

 

Papillary muscle rupture and mitral valve prolapse may occur suddenly. They are most often accompanied by chest pain, shortness of breath, or other signs of heart failure. This is an emergency that requires surgical intervention immediately. Don’t hesitate to call for help.

  • Administer medications as ordered to optimize cardiac contracility and output, including:
    • Beta-blockers
    • Diuretics
    • ACE inhibitors
    • Angiotension-2 receptor blockers
  • Administer oxygen as ordered to maintain perfusion
  • Monitor laboratory results, including:
    • Electrolyte levels (especially for patients on potassium-wasting diuretics), because electrolyte imbalances can lead to cardiac arrythymias and complications
    • Hemoglobin and hematocrit
    • B-natriuretic peptide (BNP), which is an indicator of heart failure and fluid overload
  • Implement cardiac, low-sodium diet and fluid restriction as ordered to help maintain fluid balance
  • Monitor intake and output to assess for fluid volume overload or deficits
  • Educate patient about pacing activities of daily living when dyspnea is present
  • Educate patient about post-op requirements after valve replacement surgery
    • Prophylactic antibiotics prior to any invasive procedures
    • Bleeding Precautions (anticoagulant therapy)
    • Use soft bristle toothbrush
    • Maintain good oral hygiene
    • Avoid dental procedures for 6 months post-op

 

Patients who receive artificial valve replacements will require lifelong anticoagulant therapy. They need to be taught precautions for anticoagulant therapy, including using electric razors and soft bristle toothbrushes and how often they will require monitoring, if at all.

Patients with artificial heart valves are at high risk of developing endocarditis. They need to be taught about preventative measures, including receiving prophylactic antibiotics before any invasive procedures.

Oral hygiene is imperative for the prevention of endocarditis after valve repair.  This may seem silly but it is a HUGE deal. The evidence has shown that bacteria from the oral cavity are highly likely to translocate (move) to the heart and become lodged in/on the valves. This is also why patients should avoid dental procedures for 6 months after valve surgery. It is so important that you, as the nurse, educate them on why this is so important.

 

Evaluation for Heart Valve Disorder Care Plan

 

  • Hemodynamic Monitoring:
    • Regularly monitor hemodynamic parameters, including echocardiographic findings and other relevant diagnostic tests, to assess the effectiveness of interventions in optimizing blood flow and preventing complications.
  • Fluid Balance:
    • Monitoring the patient’s intake and output closely will provide information about the patient’s fluid balance and the effectiveness of interventions such as diuretics and fluid restrictions
  • Symptom Assessment:
    • Assess and evaluate the severity of symptoms associated with heart valve disorders, such as dyspnea, chest pain, and fatigue. Monitor for changes in symptoms and adjust interventions accordingly.
  • Postoperative Recovery:
    • Evaluate the postoperative recovery process for individuals who have undergone heart valve surgery. Monitor for complications, assess wound healing, and ensure a smooth transition to self-care and rehabilitation.
  • Valve Function Monitoring:
    • Monitor changes in heart valve function over time through repeated echocardiographic assessments. Evaluate the impact of interventions on preventing the progression of valve dysfunction.
  • Medication Adherence:
    • Assess medication adherence and the effectiveness of pharmacological interventions in managing heart valve disorders. Address any barriers to adherence and adjust medication regimens as needed.
  • Patient Education Retention:
    • Evaluate the retention and application of patient education on lifestyle management. Assess the individual’s ability to implement recommended lifestyle modifications, adhere to prescribed medications, and recognize signs of worsening symptoms.

 


References

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Example Nursing Diagnosis For Nursing Care Plan (NCP) for Heart Valve Disorders

  1. Decreased Cardiac Output: Aortic stenosis results in reduced blood flow from the left ventricle, leading to decreased cardiac output. This diagnosis addresses the impact on cardiac function.
  2. Activity Intolerance: Patients with aortic stenosis may have limited tolerance for physical activity due to reduced cardiac output. This diagnosis helps plan appropriate levels of activity.
  3. Risk for Ineffective Tissue Perfusion: Aortic stenosis can compromise systemic circulation, increasing the risk of inadequate tissue perfusion and related complications.

Transcript

Hey guys, in this lesson, we’re going to take a look at the care plan for heart valve disorders. We’ll briefly take a look at the pathophysiology and the etiology of heart valve disorders. We’re also going to look at additional things like subjective and objective data that your patient may present with as well as nursing interventions and rationales. 

 

Heart valve disorders occur when blood flow direction is compromised through the valves, which then causes cardiac output to be compromised. Heart valve disorders include mitral regurgitation, mitral stenosis, aortic regurgitation, and aortic stenosis. Please see the next slide for a description of these issues. The most common causes of heart valve disorders are rheumatic fever or endocarditis, which causes damage, vegetations or even thickening and scarring of the heart valves. An acute emergency situation could be caused by mitral valve prolapse or papillary muscle rupture, so the desired outcome in these patients is to preserve cardiac output when possible and proceed to valve repair or replacement, and also prevent any complications. Mitral regurgitation occurs when the mitral valve cannot close completely and blood then flows into the left atrium. Mitral stenosis is when the mitral valve cannot open fully or is narrowed, and blood cannot get into the left ventricle. An aortic regurgitation is when the aortic valve cannot close completely and therefore blood backflows into the left ventricle. Finally, aortic stenosis is when the aortic valve cannot open fully or is narrowed and blood can’t get out of that left ventricle. 

 

Alright guys, let’s take a look at some of the subjective and objective data that your patient with heart valve disorders may present with. Now remember, subjective data are going to be things that are based on your patient’s opinions or feelings, but your patient with a heart valve issue may actually be asymptomatic with the exception of a heart murmur. However, if cardiac output is compromised, they may explain symptoms of chest pain, shortness of breath, weakness, fatigue and things like that. 

 

Objective data includes a systolic murmur, which is indicative of aortic stenosis or mitral regurge, and a diastolic murmur is actually indicative of aortic regurge or mitral stenosis. If cardiac output is compromised, we may see a decreased blood pressure, increased heart rate, weak pulses, slow capillary refill, and cool, diaphoretic, pale, even dusky skin. 

 

Okay, guys, let’s begin to review the nursing interventions for heart valve disorders. Assessing heart sounds is critical in these patients and is the easiest way for a nurse to identify a valve disorder. A murmur indicates turbulent blood flow or abnormal blood flow through the valve. Remember, if a valve should be open, but doesn’t open fully, this is stenosis, and if a valve should be closed, this will be regurgitation. To help with identifying the presence of a murmur,  identify, Is it an S1 or S2 murmur, realize which valve you are actually listening to, and what should the valve be doing at this time? We also must assess and monitor the cardiovascular status of these patients as valve disorders can compromise cardiac output. By assessing their cardiovascular status, we can help to determine if there is decreased perfusion to the tissues. Be sure to assess closely, their blood pressure, their heart rate, pulses, capillary refill, their skin color and temperature as the skin will be cool, pale and clammy with a decreased cardiac output, and also the presence of any arrhythmias. 

So assessing respiratory status is also important because think about it, if blood is not moving forward or backing up,this can create pulmonary congestion and lead to pulmonary edema. We would see decreased SATs, crackles in their lungs, and the patient can even have pink, frothy sputum. We also want to make sure we notify the provider of any new or sudden onset of murmurs, especially if accompanied by poor perfusion or pulmonary edema as a papillary muscle rupture and mitral valve prolapse can occur suddenly. So, these issues are often accompanied with chest pain, shortness of breath, and other signs of heart failure. 

 

Guys, this is an emergency that requires surgical intervention immediately. So, if your patient did require a surgical intervention like a valve replacement, it is necessary to educate them about the postoperative requirements. First of all, these patients will require lifelong anticoagulant therapy, which means they must be educated on precautions like using electric razors and soft bristle toothbrushes, and how often they require monitoring. Patients with artificial heart valves are at a super high risk of endocarditis, so they need to be educated on how to prevent this issue like receiving prophylactic antibiotics if a procedure is necessary and also maintaining good oral hygiene, that is super important. So, you guys really need to stress that as silly as it may sound. There is a ton of research on how bacteria moves from the oral cavity and becomes lodged in the valve. So with this, they should not undergo any dental procedures up to six months after valve surgery. 

 

Okay, guys, here is a look at a completed care plan for heart valve disorders. Okay, let’s do a quick review with heart valve disorders. Blood flow direction is compromised through the valves, which means cardiac output is compromised. Heart valve disorders include mitral regurgitation, mitral stenosis, aortic regurgitation, and aortic stenosis. The patient may be asymptomatic or just have a murmur. Subjective data if cardiac output is compromised, may include chest pain, shortness of breath, weakness or fatigue. Objective data may include decreased blood pressure, increased heart rate, weak pulses, slow capillary refill, and pale/ cool, clammy skin.  Assess heart sounds for murmurs, respiratory status for signs of pulmonary edema and cardiovascular status to assess for decreased perfusion. Notify the provider of new onset murmurs as this could indicate an issue like a papillary muscle rupture, which requires a surgical intervention. Educate valve replacement patients on the lifelong anticoagulant therapy need and the prevention of endocarditis. 

 

Okay guys, that is it for this lesson on heart valve disorders. We love you guys. Now, go out and be your best self today and as always, happy nursing!

 

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