Nursing Care Plan (NCP) for Influenza

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Study Tools For Nursing Care Plan (NCP) for Influenza

Influenza Pathochart (Cheatsheet)
Influenza Virus (Picmonic)
Influenza (Picmonic)
Example Care Plan_Influenza (Cheatsheet)
Blank Nursing Care Plan_CS (Cheatsheet)
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Outline

Lesson Objective for Influenza Nursing Care Plan

  • Understanding Influenza:
    • Gain knowledge about the pathophysiology, transmission, and clinical manifestations of influenza to provide effective nursing care.
  • Prevention and Control Strategies:
    • Learn strategies for preventing and controlling influenza, including vaccination promotion, infection control measures, and patient education.
  • Recognition of Influenza Symptoms:
    • Develop the ability to recognize the common symptoms of influenza, such as fever, cough, and body aches, for prompt identification and intervention.
  • Management of Influenza Complications:
    • Understand the potential complications associated with influenza, such as pneumonia, and learn how to manage and monitor patients at risk for severe outcomes.
  • Patient Education and Community Outreach:
    • Acquire skills in educating patients and communities about influenza, emphasizing preventive measures, symptom recognition, and when to seek medical attention.

Pathophysiology of Influenza

  • Viral Origin:
    • Influenza is caused by influenza viruses, primarily influenza A and B. These viruses belong to the Orthomyxoviridae family and are known for their ability to undergo frequent genetic changes.
  • Respiratory Transmission:
    • Influenza is primarily a respiratory infection transmitted through respiratory droplets when an infected person coughs or sneezes. It can also spread by touching surfaces contaminated with the virus.
  • Viral Entry and Replication:
    • The virus enters the respiratory epithelial cells lining the airways, where it replicates. The replication process leads to the destruction of infected cells, causing the characteristic symptoms of the flu.
  • Immune Response:
    • The immune response is activated to combat the virus, involving both innate and adaptive immunity. However, the virus can evade immune surveillance due to its ability to mutate, leading to recurrent infections.
  • Systemic Effects:
    • In addition to respiratory symptoms, influenza can have systemic effects, causing fever, malaise, muscle aches, and fatigue. Severe cases may lead to complications such as pneumonia, exacerbation of underlying conditions, and, in some cases, death.

Etiology of Influenza

  • Influenza Virus Types:
    • Influenza is primarily caused by influenza viruses, with the two main types being influenza A and influenza B. These viruses undergo frequent genetic changes, contributing to the variability of the flu.
  • Human and Animal Reservoirs:
    • Influenza viruses can infect various species, including humans, birds, and pigs. Interspecies transmission, particularly from animals to humans, can lead to the emergence of novel strains with pandemic potential.
  • Seasonal Variation:
    • Influenza exhibits a seasonal pattern, with outbreaks commonly occurring during the colder months. The virus is more stable in cold, dry air, and people tend to be in closer proximity indoors during colder seasons, facilitating its spread.
  • Antigenic Drift and Shift:
    • Influenza viruses undergo genetic changes through antigenic drift (minor changes in the virus over time) and antigenic shift (major changes resulting from reassortment of genetic material). These changes contribute to the need for regular updates in influenza vaccines.
  • Transmission through Respiratory Droplets:
    • The primary mode of transmission is through respiratory droplets expelled when an infected person coughs or sneezes. Additionally, the virus can spread by touching surfaces contaminated with the virus and then touching the face.

Desired Outcome for Influenza Nursing Care

  • Symptom Alleviation:
    • Relief of influenza symptoms, including fever, cough, sore throat, and body aches, to enhance patient comfort and well-being.
  • Prevention of Complications:
    • Minimization of complications such as pneumonia, bronchitis, and secondary bacterial infections, reducing the severity and duration of illness.
  • Reduced Transmission:
    • Limiting the spread of the influenza virus to prevent further cases and outbreaks within the community.
  • Patient Education:
    • Improved patient understanding of preventive measures, including vaccination, hand hygiene, and respiratory etiquette, to reduce the risk of influenza transmission.
  • Timely Recovery:
    • Facilitation of a timely recovery, enabling patients to return to their normal activities and daily routines as quickly as possible.

Influenza Nursing Care Plan

 

Subjective Data:

  • Shortness of breath
  • Fatigue
  • Muscle aches
  • Headache
  • Reports cough, runny nose, sore throat
  • Reports sudden onset
  • Reports vomiting

Objective Data:

  • High fever (102-104°F)
  • Productive cough
  • Vomiting
  • Positive flu swab

Nursing Assessment for Influenza

 

  • Patient History:
    • Obtain a detailed medical history, including recent exposure to individuals with influenza, travel history, and any pre-existing health conditions.
  • Symptom Assessment:
    • Evaluate the presence and severity of influenza symptoms, including fever, cough, sore throat, body aches, fatigue, and respiratory distress.
  • Vital Signs Monitoring:
    • Monitor vital signs regularly, paying close attention to temperature, respiratory rate, heart rate, and blood pressure to identify signs of systemic involvement.
  • Respiratory Assessment:
    • Assess respiratory status, including the presence of cough, chest pain, and any signs of respiratory distress, such as increased work of breathing or decreased oxygen saturation.
  • Fluid Intake and Output:
    • Evaluate fluid balance by assessing the patient’s oral intake, output, and signs of dehydration, especially in vulnerable populations such as the elderly and children.
  • Complication Screening:
    • Screen for potential complications such as pneumonia or secondary bacterial infections by assessing lung sounds, chest X-rays, and conducting laboratory tests if necessary.
  • Mental Health Assessment:
    • Evaluate the patient’s mental health status, assessing for signs of confusion, altered consciousness, or any neurological symptoms, which may indicate severe influenza or complications.
  • Patient Education Needs:
    • Identify the patient’s understanding of influenza, its transmission, and the importance of adherence to prescribed medications and preventive measures. Address any misconceptions and provide education as needed.

 

Implementation for Influenza

 

  • Isolation Precautions:
    • Implement appropriate infection control measures to prevent the spread of influenza. This may include placing the patient in a private room and using personal protective equipment (PPE) as needed.
  • Medication Administration:
    • Administer antiviral medications as prescribed by the healthcare provider. Ensure timely and accurate administration to enhance the effectiveness of treatment.
  • Symptomatic Relief Measures:
    • Provide supportive care to alleviate symptoms, such as fever reducers (e.g., acetaminophen), cough suppressants, and adequate hydration. Monitor for any adverse reactions to medications.
  • Respiratory Support:
    • Monitor respiratory status closely and provide respiratory support as needed. This may include administering supplemental oxygen, encouraging deep breathing exercises, and ensuring proper positioning to facilitate breathing.
  • Hygiene and Comfort Measures:
    • Promote patient comfort by ensuring a comfortable environment, providing warm blankets, and encouraging adequate rest. Emphasize the importance of maintaining good hygiene practices to prevent the spread of infection.

Nursing Interventions and Rationales

 

  • Screen patients for vaccine necessity and administer as appropriate
    • No contraindications
    • Provide VIS sheet
    • Document if received or declined

 

  • The best method for managing influenza is to prevent it in the first place. The flu vaccine is the best method to prevent the flu.
  • Ensure they meet indications and have no contraindications (allergy to eggs or latex, history of Guillain-Barre, recent bone marrow or organ transplant) to avoid complications.  
  • Always educate the patient on the possible side effects (injection site pain, runny nose) and provide the VIS sheet so they can read it.
  • Always document the details of the vaccine (lot number, expiration, etc.). OR document if they declined.

 

  • Maintain droplet precautions if hospitalized

 

Influenza is spread via droplets. Should wear gloves and a simple mask and use good hand hygiene

 

  • Assess lung sounds

 

Influenza primarily affects the respiratory system. Monitor for any changes in lung sounds that might indicate decompensation.

 

  • Monitor oxygenation and give supplemental O2 as needed

 

Influenza primarily affects the respiratory system. Patients may struggle to oxygenate appropriately because of mucus buildup. Support oxygenation as appropriate (caution in COPD patients).

 

  • Monitor for signs of sepsis or septic shock (increasing fever, decreasing blood pressure)

 

Influenza can escalate quickly, especially in immunocompromised patients. Monitor vital signs frequently to detect and signs of sepsis. Catching it early can improve outcomes

 

  • Encourage nutrition – small, frequent meals if needed – or nutrient dense options

 

Patients may lose their appetite or be too fatigued to eat. Proper nutrition can promote faster healing. It’s important to encourage them to eat, even if small meals.

Nutrient dense options like Boost shakes or Magic Cups can provide more protein in a smaller amount

 

  • Administer IV fluids and/or encourage PO intake

 

Because of the high fever and poor PO intake, patients can often get dehydrated. Providers may order maintenance IV fluids. If not, encourage PO intake of fluids to maintain proper hydration.

 

  • Educate patient and family on prevention of spread
    • Hand-hygiene
    • Cover cough
    • Don’t touch eyes, nose, mouth
    • Avoid public gatherings if symptomatic

 

Influenza is highly contagious. Preventing the spread to other patients is the purpose of our droplet precautions. However, it is important to educate the patient and family so that friends and family members don’t contract the flu or spread it to others.

Hand hygiene is the #1 way to prevent spread of influenza.

 

  • Administer antivirals as ordered

 

Oseltamivir (Tamiflu) is most effective when given within 48 hours of onset of symptoms. Educate patients on possible side effects.

Evaluation for Influenza

 

  • Symptom Resolution:
    • Assess the patient’s response to antiviral medications and other interventions by monitoring for resolution of influenza symptoms, including fever, cough, and body aches.
  • Complications Monitoring:
    • Evaluate for any potential complications of influenza, such as respiratory distress, pneumonia, or secondary bacterial infections. Promptly address and treat any emerging complications.
  • Patient Comfort and Well-being:
    • Gauge the patient’s overall comfort and well-being, considering factors such as improved sleep, reduction in pain and discomfort, and the ability to perform daily activities.
  • Adverse Effects Monitoring:
    • Monitor for any adverse effects related to antiviral medications or other interventions. Address and report any unexpected reactions promptly.
  • Prevention of Spread:
    • Assess the effectiveness of infection control measures in preventing the spread of influenza to others. Ensure that isolation precautions are maintained as needed, and educate the patient on appropriate measures to protect others.


References

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Transcript

All right. Today, we are going to be talking about influenza. The flu is pretty much caused by the influenza virus. It is easily spread with droplets in the air and also picks up droplets from a surface like a tabletop or counter. Most of its symptoms are respiratory. So you’re gonna think about coughing, sneezing, fevers. One thing that we want to take into consideration as nurses is we want to make sure that we encourage fluids; PO fluids, if possible. Because these patients are sick, they don’t want to drink, and they tend to get dehydrated. We want to make sure that we administer medication. So any antivirals that are ordered antibiotic or any insets, and then we want to make sure that we place these patients on droplet precautions because the flu is very contagious. Our desired outcome is to prevent respiratory distress and we want to support the symptoms so that the patient can return to their baseline. 

When a patient comes in with the flu, one of the main things that they are going to complain about is shortness of breath and fatigue. The flu is known for causing weakness. So we want to say weakness and fatigue. Okay. The next thing that the patient is going to complain about is muscle aches. You hear a lot of fullness in the head, cough, runny nose, sore throat, and vomiting, are some things that we’re going to notice. Some objective data that we’re going to notice as we’re going to notice a fever, but not just a fever, a high fever, ranging from one or two to 1 0 4. We’re going to also see a productive cough. So there’s going to be some sputum produced as well. And the definitive diagnosis for the flu is going to come from a positive flu swab. And typically those are done in the emergency room once they present with these symptoms. 

Some nursing interventions that we want to be mindful of are right when we find out that the patient or we suspect that the patient has flu, we want to initiate contact droplet precautions, because the flu is spread via droplets. So we want to make sure that we wear gloves and a face mask and make sure we use really good hand hygiene. The next thing that we want to focus on is we want to look at the vital signs, but more importantly, we want to take a look at their oxygenation because often times we may have to administer O2 because the patient may start to decline, especially those patients who are in those high risk categories, such as COPD patients or  PE patients with asthma, any other type of pre-existing conditions. We want to be mindful of them too, because they may find it difficult to breathe. 

There are some medications that we can give to kind of help shorten the flu, the most known one that we’re going to talk about. It’s an antiviral and it’s called Tamiflu. And that just pretty much, I think they said, it shortens it to like five days, which is great, but you want to make sure to just give them within 48 hours. And then we want to make sure we educate patients on any possible side effects. Next we want to educate the patient and the family on how to stop the spread because the flu is so contagious. We want to make sure we can end the spreading as soon as possible. And that’s going to include measures such as hand hygiene. And then we also want to make sure if the patient is sick, that they avoid public gatherings, and use the coughing into the elbow method if they are coughing. 

And, finally we want to encourage nutrition. Oftentimes these patients do not have to be hospitalized, but if you’re taking care of someone that’s hospitalized, whether they’re discharged, we want to encourage nutrition. So we want to make sure that they are drinking and if they can’t eat, maybe, maybe they can have some supplements such as a boost shake or magic cups just to provide more nutrients that’s calories, just in a smaller amount. Okay, some of the key points that we are going to focus on here is that remember influenza is spread by respiratory droplets. So anything coughing, those droplets can land on the table. So you want to make sure that you’re doing some really good hand hygiene, okay. Shortness of breath, fatigue, weakness, muscle aches. Those are some of the things that the patients will tell you. 

Some of the subjective data, some of the objective things that we’re going to see is a high fever, a one or two to 1 0 4, a positive flu swab, and also a productive cough. Antivirals are going to need to be administered within 48 hours of the onset of symptoms. So the one that is most widely used is Tamiflu, and then we go to one to prevent the spread. The number one way to prevent the spread of the influenza virus is by washing your hands. Okay. I hope that this presentation was really good for you. We love you guys; go out and be your best self today and, as always, happy nursing.

 

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Ground Zero

Concepts Covered:

  • Communication
  • Fundamentals of Emergency Nursing
  • Intraoperative Nursing
  • Documentation and Communication
  • Legal and Ethical Issues
  • Emergency Care of the Cardiac Patient
  • Delegation
  • Perioperative Nursing Roles
  • Preoperative Nursing
  • Community Health Overview
  • Prioritization
  • Studying
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  • Concepts of Population Health
  • Understanding Society
  • Test Taking Strategies
  • Medication Administration
  • Adult
  • Microbiology
  • Cardiac Disorders
  • Anxiety Disorders
  • Depressive Disorders
  • Vascular Disorders
  • Nervous System
  • Upper GI Disorders
  • Central Nervous System Disorders – Brain
  • Gastrointestinal Disorders
  • Immunological Disorders
  • Dosage Calculations
  • Circulatory System
  • Concepts of Pharmacology
  • Hematologic Disorders
  • Newborn Care
  • Adulthood Growth and Development
  • Disorders of Pancreas
  • Respiratory Disorders
  • Postoperative Nursing
  • Pregnancy Risks
  • Neurological
  • Postpartum Complications
  • Substance Abuse Disorders
  • Noninfectious Respiratory Disorder
  • Bipolar Disorders
  • Peripheral Nervous System Disorders
  • Learning Pharmacology
  • Psychotic Disorders
  • Prenatal Concepts
  • Tissues and Glands
  • Basics of Chemistry
  • Gastrointestinal
  • Newborn Complications
  • Labor Complications
  • Fetal Development
  • Terminology
  • Labor and Delivery
  • Postpartum Care
  • EENT Disorders
  • Infectious Disease Disorders
  • Lower GI Disorders
  • Integumentary Disorders
  • Neurologic and Cognitive Disorders
  • Hematologic Disorders
  • Integumentary Disorders
  • Cardiovascular Disorders
  • Musculoskeletal Disorders
  • Endocrine and Metabolic Disorders
  • Renal and Urinary Disorders
  • Urinary System
  • Oncologic Disorders
  • Renal Disorders
  • Infectious Respiratory Disorder
  • Urinary Disorders
  • Sexually Transmitted Infections
  • EENT Disorders
  • Behavior
  • Emotions and Motivation
  • Growth & Development
  • Psychological Disorders
  • State of Consciousness
  • Health & Stress

Study Plan Lessons

Communicating with Other Nurses
Conflict Management (Patient, Perioperative Team, Family) for Certified Perioperative Nurse (CNOR)
CRNA
Daily Charting
Day in the Life of a Labor Nurse
Day in the Life of a Med-surg Nurse
Day in the Life of a NICU Nurse
Day in the Life of a Postpartum Nurse
Day in the Life of an ICU (Intensive Care Unit) Nurse
Day in the Life of an Operating Room Nurse
Delegation and Personnel Management for Certified Perioperative Nurse (CNOR)
Delegation of Tasks to Assistive Personnel for Certified Emergency Nursing (CEN)
HCIR Management (Healthcare Industry Representative) for Certified Perioperative Nurse (CNOR)
Interdisciplinary Team Participation for Certified Perioperative Nurse (CNOR)
Joint Commission
MSN (Masters) vs. DNP (Doctorate)
Oncology nurse
Patient Consent for Treatment for Certified Emergency Nursing (CEN)
Patient Education
Patient Satisfaction for Certified Emergency Nursing (CEN)
Safety Checks
SBAR Practice Scenarios
Shift change and Patient handoff
The Medical Team
Time Management
Transition To Practice
Access to Care
Age and Culturally Appropriate Health Assessment Techniques for Certified Perioperative Nurse (CNOR)
Care of Vulnerable Populations
Child Abuse/Neglect – Warning Signs Nursing Mnemonic (CHILD ABUSE)
Communicable Diseases
Community Health Nursing Theories
Continuity of Care
Epidemiology
Levels of Prevention
Giving the Best Patient Education
Health Promotion Assessments
Health Promotion & Disease Prevention
High-Risk Behaviors
High Risk Behavior Nursing Mnemonic (HEADSS)
Health Promotion Model
Patient Education
Planning Community Health Interventions Nursing Mnemonic (PRECEDE-PROCEED)
Technology & Informatics
12 Points to Answering Pharmacology Questions
6 Rights of Medication Administration
ACLS (Advanced cardiac life support) Drugs
Adenosine (Adenocard) Nursing Considerations
Amiodarone (Pacerone) Nursing Considerations
Anesthetic Agents
Anti-Infective – Antifungals
Anti-Platelet Aggregate
Antianxiety Meds
Antidepressants
Atenolol (Tenormin) Nursing Considerations
Atropine (Atropen) Nursing Considerations
Barbiturates
Bariatric: IV Insertion
Basics of Calculations
Benztropine (Cogentin) Nursing Considerations
Bisacodyl (Dulcolax) Nursing Considerations
Buspirone (Buspar) Nursing Considerations
Carbidopa-Levodopa (Sinemet) Nursing Considerations
Cefdinir (Omnicef) Nursing Considerations
Celecoxib (Celebrex) Nursing Considerations
Codeine (Paveral) Nursing Considerations
Combative: IV Insertion
Complex Calculations (Dosage Calculations/Med Math)
Cyclosporine (Sandimmune) Nursing Considerations
Dark Skin: IV Insertion
Dimensional Analysis Nursing (Dosage Calculations/Med Math)
Diphenoxylate-Atropine (Lomotil) Nursing Considerations
Drawing Blood from the IV
Drawing Up Meds
Drug Interactions Nursing Mnemonic (These Drugs Can Interact)
Epoetin Alfa
Eye Prophylaxis for Newborn
Fentanyl (Duragesic) Nursing Considerations
Geriatric: IV Insertion
Giving Medication Through An IV Set Port
Glipizide (Glucotrol) Nursing Considerations
Guaifenesin (Mucinex) Nursing Considerations
Hanging an IV Piggyback
How to Remove (discontinue) an IV
How to Secure an IV (chevron, transparent dressing)
Hydralazine
Hydrocodone-Acetaminophen (Vicodin, Lortab) Nursing Considerations
Hydromorphone (Dilaudid) Nursing Considerations
IM Injections
Injectable Medications
Insulin
Insulin – Long Acting (Lantus) Nursing Considerations
Insulin – Mixtures (70/30)
Insulin Drips
Insulin Mixing
Interactive Pharmacology Practice
Interactive Practice Drip Calculations
IV Catheter Selection (gauge, color)
IV Complications (infiltration, phlebitis, hematoma, extravasation, air embolism)
IV Drip Administration & Safety Checks
IV Drip Therapy – Medications Used for Drips
IV Infusions (Solutions)
IV Insertion Angle
IV Insertion Course Introduction
IV Placement Start To Finish (How to Start an IV)
IV Pump Management
IV Push Medications
Ketorolac (Toradol) Nursing Considerations
Labeling (Medications, Solutions, Containers) for Certified Perioperative Nurse (CNOR)
Lidocaine (Xylocaine) Nursing Considerations
Magnesium Sulfate
Magnesium Sulfate in Pregnancy
Maintenance of the IV
Mannitol (Osmitrol) Nursing Considerations
MAOIs
Medication Errors
Medication Reconciliation Review for Certified Perioperative Nurse (CNOR)
Medications in Ampules
Meds for Postpartum Hemorrhage (PPH)
Meperidine (Demerol) Nursing Considerations
Methadone (Methadose) Nursing Considerations
Methylergonovine (Methergine) Nursing Considerations
Metoclopramide (Reglan) Nursing Considerations
Montelukast (Singulair) Nursing Considerations
Mood Stabilizers
Nalbuphine (Nubain) Nursing Considerations
Needle Safety
Neostigmine (Prostigmin) Nursing Considerations
NG Tube Med Administration (Nasogastric)
NG Tube Medication Administration
Nitro Compounds
NRSNG Live | The S.O.C.K Method for Mastering Nursing Pharmacology and Never Forgetting a Medication Again
Nystatin (Mycostatin) Nursing Considerations
OB Pharm and What Drugs You HAVE to Know – Live Tutoring Archive
Olanzapine (Zyprexa) Nursing Considerations
Opioid Analgesics in Pregnancy
Oral Medications
Oxycodone (OxyContin) Nursing Considerations
Pain Management for the Older Adult – Live Tutoring Archive
Pain Management Meds – Live Tutoring Archive
Parasympathomimetics (Cholinergics) Nursing Considerations
Patient Controlled Analgesia (PCA)
Pediatric Dosage Calculations
Pentobarbital (Nembutal) Nursing Considerations
Pharmacodynamics
Pharmacokinetics
Pharmacokinetics Nursing Mnemonic (ADME)
Pharmacology Course Introduction
Phenobarbital (Luminal) Nursing Considerations
Phytonadione (Vitamin K) for Newborn
Pill Crushing & Cutting
Positioning
Procainamide (Pronestyl) Nursing Considerations
Propofol (Diprivan) Nursing Considerations
Quetiapine (Seroquel) Nursing Considerations
Ranitidine (Zantac) Nursing Considerations
Rh Immune Globulin in Pregnancy
Sedatives-Hypnotics
Sedatives-Hypnotics
Selecting THE vein
Spiking & Priming IV Bags
Starting an IV
Streptokinase (Streptase) Nursing Considerations
Struggling with Dimensional Analysis? – Live Tutoring Archive
SubQ Injections
Supplies Needed
Tattoos IV Insertion
TCAs
The SOCK Method – C
The SOCK Method – K
The SOCK Method – O
The SOCK Method – Overview
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The SOCK Method of Pharmacology 1 – Live Tutoring Archive
The SOCK Method of Pharmacology 2 – Live Tutoring Archive
The SOCK Method of Pharmacology 3 – Live Tutoring Archive
Tips & Tricks
Tips & Advice for Newborns (Neonatal IV Insertion)
Tips & Advice for Pediatric IV
Understanding All The IV Set Ports
Using Aseptic Technique
Verapamil (Calan) Nursing Considerations
Acids & Bases (acid base balance)
05.03 Jaundice for CCRN Review
Abortion in Nursing: Spontaneous, Induced, and Missed
Abruptio Placenta for Certified Emergency Nursing (CEN)
Abruptio Placentae (Placental abruption)
Acyclovir (Zovirax) Nursing Considerations
Addicted Newborn
Adult Vital Signs (VS)
Alpha-fetoprotein (AFP) Lab Values
Ampicillin (Omnipen) Nursing Considerations
Anemia in Pregnancy
Antepartum Testing
Antepartum Testing Case Study (45 min)
Anti-Infective – Aminoglycosides
Anti-Infective – Lincosamide
Aspiration for Certified Emergency Nursing (CEN)
Babies by Term
Behind The Red Line – Live Tutoring Archive
Betamethasone and Dexamethasone
Betamethasone and Dexamethasone in Pregnancy
Bicarbonate (HCO3) Lab Values
Blood Cultures
Blood Glucose Monitoring
Blood Transfusions (Administration)
Body System Assessments
Breastfeeding
Butorphanol (Stadol) Nursing Considerations
Cardiac (Heart) Disease in Pregnancy
Causes of Chorioamnionitis Nursing Mnemonic (Pregnancies Are Very Interesting)
Causes of Labor Dystocia Nursing Mnemonic (Having Extremely Frustrating Labor)
Causes of Postpartum Hemorrhage Nursing Mnemonic (4 T’s)
Certified Nurse Midwife
Chorioamnionitis
Clindamycin (Cleocin) Nursing Considerations
Congestive Heart Failure (CHF) Labs
Day in the Life of a Labor Nurse
Day in the Life of a Postpartum Nurse
Dexamethasone (Decadron) Nursing Considerations
Direct Bilirubin (Conjugated) Lab Values
Discomforts of Pregnancy
Disseminated Intravascular Coagulation (DIC)
Diuretics (Loop, Potassium Sparing, Thiazide, Furosemide/Lasix)
Dystocia
Ectopic Pregnancy
Ectopic Pregnancy Case Study (30 min)
Ectopic Pregnancy for Certified Emergency Nursing (CEN)
Emergent Delivery (OB) (30 min)
Emergent Delivery for Certified Emergency Nursing (CEN)
Epidural
Episiotomy – Evaluation of Healing Nursing Mnemonic (REEDA)
Erythroblastosis Fetalis
Eye Prophylaxis for Newborn
Eye Prophylaxis for Newborn (Erythromycin)
Factors That Can Put a Pregnancy at Risk Nursing Mnemonic (RIBCAGE)
Family Planning & Contraception
Family Planning & Signs of Pregnancy – Live Tutoring Archive
Fertilization and Implantation
Fetal Alcohol Syndrome (FAS)
Fetal Circulation
Fetal Development
Fetal Distress Interventions Nursing Mnemonic (Stop MOAN)
Fetal Environment
Fetal Heart Monitoring (FHM)
Fetal Heart Monitoring Like A Pro – Live Tutoring Archive
Fetal Heart Monitoring Like A Pro 2 – Live Tutoring Archive
Fetal Wellbeing Assessment Tests Nursing Mnemonic (ALONE)
Fundal Height Assessment for Nurses
Furosemide (Lasix) Nursing Considerations
Gestation & Nägele’s Rule: Estimating Due Dates
Gestational Diabetes (GDM)
Gestational Diabetes and Why YOU Should Know About It – Live Tutoring Archive
Gestational HTN (Hypertension)
Glucagon Lab Values
Glucose Tolerance Test (GTT) Lab Values
Gravidity and Parity (G&Ps, GTPAL)
HELLP Syndrome
HELLP Syndrome – Signs and Symptoms Nursing Mnemonic (HELLP)
Hematomas in OB Nursing: Causes, Symptoms, and Nursing Care
Hemodynamics
Hemoglobin A1c (HbA1C)
Hemorrhage (Postpartum Bleeding) for Certified Emergency Nursing (CEN)
Hepatitis B Vaccine for Newborns
Homocysteine (HCY) Lab Values
Hydatidiform Mole (Molar pregnancy)
Hydralazine (Apresoline) Nursing Considerations
Hydrochlorothiazide (Hydrodiuril) Nursing Considerations
Hyperbilirubinemia (Jaundice)
Hyperemesis Gravidarum
Hyperemesis Gravidarum for Certified Emergency Nursing (CEN)
Hyperglycemia Management Nursing Mnemonic (Dry and Hot – Insulin Shot)
Hypovolemic Shock Case Study (OB sim) (60 min)
Incompetent Cervix
Infections in Pregnancy
Initial Care of the Newborn (APGAR)
Inserting a Foley (Urinary Catheter) – Female
Intra Uterine Device – Potential Problems Nursing Mnemonic (PAINS)
Isotonic Solutions (IV solutions)
Labor Progression Case Study (45 min)
Leopold Maneuvers
Lung Surfactant
Lung Surfactant for Newborns
Magnesium Sulfate
Magnesium Sulfate
Magnesium Sulfate (MgSO4) Nursing Considerations
Magnesium Sulfate in Pregnancy
Mastitis
Maternal Risk Factors
Mechanisms of Labor
Meconium Aspiration
Meds for Postpartum Hemorrhage (PPH)
Meds for PPH (postpartum hemorrhage)
Menstrual Cycle
Methylergonovine (Methergine) Nursing Considerations
Newborn of HIV+ Mother
Newborn Physical Exam
Newborn Reflexes
Nifedipine (Procardia) Nursing Considerations
Nursing Care Plan (NCP) for Abortion, Spontaneous Abortion, Miscarriage
Nursing Care Plan (NCP) for Abruptio Placentae / Placental abruption
Nursing Care Plan (NCP) for Chorioamnionitis
Nursing Care Plan (NCP) for Diabetes Mellitus (DM)
Nursing Care Plan (NCP) for Dystocia
Nursing Care Plan (NCP) for Ectopic Pregnancy
Nursing Care Plan (NCP) for Gestational Diabetes (GDM)
Nursing Care Plan (NCP) for Gestational Hypertension, Preeclampsia, Eclampsia
Nursing Care Plan (NCP) for Hyperemesis Gravidarum
Nursing Care Plan (NCP) for Hypertension (HTN)
Nursing Care Plan (NCP) for Incompetent Cervix
Nursing Care Plan (NCP) for Mastitis
Nursing Care Plan (NCP) for Maternal-Fetal Dyad Using GTPAL
Nursing Care Plan (NCP) for Meconium Aspiration
Nursing Care Plan (NCP) for Neonatal Jaundice | Hyperbilirubinemia
Nursing Care Plan (NCP) for Newborns
Nursing Care Plan (NCP) for Placenta Previa
Nursing Care Plan (NCP) for Postpartum Hemorrhage (PPH)
Nursing Care Plan (NCP) for Premature Rupture of Membranes (PROM) / Preterm Premature Rupture of Membranes (PPROM)
Nursing Care Plan (NCP) for Preterm Labor / Premature Labor
Nursing Care Plan (NCP) for Process of Labor
Nursing Care Plan (NCP) for Transient Tachypnea of Newborn
Nursing Care Plan for (NCP) Fetal Alcohol Syndrome (FAS)
Nursing Care Plan for Newborn Reflexes
Nursing Case Study for Maternal Newborn
Nutrition Assessments
Nutrition in Pregnancy
Nutritional Requirements
OB (Labor) Nurse Report to OB (Postpartum) Nurses
OB Course Introduction
OB Non-Stress Test Results Nursing Mnemonic (NNN)
OB Pharm and What Drugs You HAVE to Know – Live Tutoring Archive
Obstetric Trauma for Certified Emergency Nursing (CEN)
Obstetrical Procedures
Opioid Analgesics in Pregnancy
Oral Birth Control Pills – Serious Complications Nursing Mnemonic (Aches)
Oxytocin (Pitocin) Nursing Considerations
Pediatric Vital Signs (VS)
Physiological Changes
Phytonadione (Vitamin K)
Phytonadione (Vitamin K) for Newborn
Placenta Previa
Placenta Previa for Certified Emergency Nursing (CEN)
Possible Infections During Pregnancy Nursing Mnemonic (TORCH)
Post-Partum Assessment Nursing Mnemonic (BUBBLE)
Postpartum Discomforts
Postpartum Hematoma
Postpartum Hemorrhage (PPH)
Postpartum Interventions
Postpartum Physiological Maternal Changes
Postpartum Thrombophlebitis
Precipitous Labor
Preeclampsia (45 min)
Preeclampsia, Eclampsia, and HELLP Syndrome for Certified Emergency Nursing (CEN)
Preeclampsia: Signs, Symptoms, Nursing Care, and Magnesium Sulfate
Pregnancy Labs
Pregnancy Outcomes Nursing Mnemonic (GTPAL)
Preload and Afterload
Premature Rupture of the Membranes (PROM)
Preterm Labor
Preterm Labor for Certified Emergency Nursing (CEN)
Probable Signs of Pregnancy Nursing Mnemonic (CHOP BUGS)
Process of Labor
Process of Labor – Mom Nursing Mnemonic (4 P’s)
Process of Labor – Baby Nursing Mnemonic (ALPPPS)
Process of Labor – Live Tutoring Archive
Process of Labor 2 – Live Tutoring Archive
Prolapsed Umbilical Cord
Promethazine (Phenergan) Nursing Considerations
Prostaglandins
Prostaglandins in Pregnancy
Protein (PROT) Lab Values
Retinopathy of Prematurity (ROP)
Rh Immune Globulin (Rhogam)
Rh Immune Globulin in Pregnancy
Signs of Pregnancy – Live Tutoring Archive
Signs of Pregnancy (Presumptive, Probable, Positive)
Spironolactone (Aldactone) Nursing Considerations
Stages of Fetal Development Nursing Mnemonic (Proficiently Expanding Fetus)
Subinvolution
Terbutaline (Brethine) Nursing Considerations
Threatened/Spontaneous Abortion for Certified Emergency Nursing (CEN)
Tips & Advice for Newborns (Neonatal IV Insertion)
Tocolytics
Tocolytics
Top 5 Misunderstood OB Concepts – Live Tutoring Archive
Transient Tachypnea of Newborn
Umbilical Cord Vasculature Nursing Mnemonic (2A1V)
Uterine Stimulants (Oxytocin, Pitocin)
Uterine Stimulants (Oxytocin, Pitocin) Nursing Considerations
VEAL CHOP Nursing Mnemonic (Fetal Accelerations and Decelerations) (VEAL CHOP)
What the Heck is Antepartum Testing? – Live Tutoring Archive
Abdomen (Abdominal) Assessment
ABG (Arterial Blood Gas) Interpretation-The Basics
ABG (Arterial Blood Gas) Oxygenation
ABGs Nursing Normal Lab Values
ABGs Tic-Tac-Toe interpretation Method
Acetaminophen (Tylenol) Nursing Considerations
Acute Bronchitis
Acute Otitis Media (AOM)
Airborne Precaution Diseases Nursing Mnemonic (MTV)
Albuterol (Ventolin) Nursing Considerations
Alveoli & Atelectasis
Amoxicillin (Amoxil) Nursing Considerations
Anti-Infective – Antivirals
Anti-Infective – Macrolides
Anti-Infective – Penicillins and Cephalosporins
Anti-Infective – Fluoroquinolones
Appendicitis
Appendicitis – Assessment Nursing Mnemonic (PAINS)
Appendicitis Case Study (Peds) (30 min)
Appendicitis for Certified Emergency Nursing (CEN)
Assessment of a Burn Nursing Mnemonic (SCALD)
Asthma
Asthma Concept Map
Asthma management Nursing Mnemonic (ASTHMA)
Attention Deficit Hyperactivity Disorder (ADHD)
Autism Spectrum Disorders
Base Excess & Deficit
Bisacodyl (Dulcolax) Nursing Considerations
Blood Brain Barrier (BBB)
Blood Type O Nursing Mnemonic (Universally Odd)
Bronchiolitis and Respiratory Syncytial Virus (RSV)
Bronchodilators
Bupropion (Wellbutrin) Nursing Considerations
Burn Injuries
Burn Injury Case Study (60 min)
Burns for Certified Emergency Nursing (CEN)
Cardiac Glycosides
Care of the Pediatric Patient
Casting & Splinting
Cefaclor (Ceclor) Nursing Considerations
Celiac Disease
Cerebral Palsy (CP)
Cimetidine (Tagamet) Nursing Considerations
Ciprofloxacin (Cipro) Nursing Considerations
Cleft Lip and Palate
Cleft Lip Repair – Post Op Care Nursing Mnemonic (CLEFT LIP)
Clubfoot
Congenital Heart Defects (CHD)
Conjunctivitis
Constipation and Encopresis (Incontinence)
Corticosteroids
Coumarins
Cyanotic Defects Nursing Mnemonic (The 4 T’s)
Cystic Fibrosis (CF)
Day in the Life of a NICU Nurse
Day in the Life of a Peds (Pediatric) Nurse
Defects of Decreased Pulmonary Blood Flow
Defects of Increased Pulmonary Blood Flow
Dehydration
Diarrhea – Treatment Nursing Mnemonic (BRAT)
Digoxin (Lanoxin) Nursing Considerations
Diphenhydramine (Benadryl) Nursing Considerations
Diphenoxylate-Atropine (Lomotil) Nursing Considerations
Eczema
EENT Assessment
Enuresis
Epiglottitis
Epiglottitis – Signs and Symptoms Nursing Mnemonic (AIR RAID)
Epispadias and Hypospadias
Famotidine (Pepcid) Nursing Considerations
Fever
Fever Case Study (Pediatric) (30 min)
Flu Symptoms Nursing Mnemonic (FACTS)
Fluid Compartments
Fluid Pressures
Fluid Shifts (Ascites) (Pleural Effusion)
Fluid Volume Deficit
Fluticasone (Flonase) Nursing Considerations
Gas Exchange
Gentamicin (Garamycin) Nursing Considerations
Glucose Lab Values
Gluten Free Diet Nursing Mnemonic (BROW)
Guaifenesin (Mucinex) Nursing Considerations
Heart Sounds Nursing Mnemonic (APE To Man – All People Enjoy Time Magazine)
Hematocrit (Hct) Lab Values
Hemoglobin (Hbg) Lab Values
Hemophilia
Hierarchy of O2 Delivery
Hydrocephalus
Hypoxia – Signs and Symptoms (in Pediatrics) Nursing Mnemonic (FINES)
Ibuprofen (Motrin) Nursing Considerations
Immunizations (Vaccinations)
Imperforate Anus
Impetigo
Indomethacin (Indocin) Nursing Considerations
Influenza – Flu
Integumentary (Skin) Assessment
Intussusception
Intussusception for Certified Emergency Nursing (CEN)
Iron Deficiency Anemia
Isolation Precaution Types (PPE)
Isolation Precautions (MRSA, C. Difficile, Meningitis, Pertussis, Tuberculosis, Neutropenia)
Lactulose (Generlac) Nursing Considerations
Leukemia
Levels of Consciousness (LOC)
Levetiracetam (Keppra) Nursing Considerations
Lung Sounds
Marfan Syndrome
Meningitis
Meningitis Assessment Findings Nursing Mnemonic (FAN LIPS)
Meningitis for Certified Emergency Nursing (CEN)
Methylphenidate (Concerta) Nursing Considerations
Mixed (Cardiac) Heart Defects
Mumps
Nephroblastoma
Nephrotic Syndrome
Nephrotic Syndrome Case Study (Peds) (45 min)
Neuro Assessment
NSAIDs
Nursing Care Plan (NCP) for Acute Bronchitis
Nursing Care Plan (NCP) for Appendicitis
Nursing Care Plan (NCP) for Asthma
Nursing Care Plan (NCP) for Asthma / Childhood Asthma
Nursing Care Plan (NCP) for Attention Deficit Hyperactivity Disorder (ADHD)
Nursing Care Plan (NCP) for Bronchiolitis / Respiratory Syncytial Virus (RSV)
Nursing Care Plan (NCP) for Burn Injury (First, Second, Third degree)
Nursing Care Plan (NCP) for Celiac Disease
Nursing Care Plan (NCP) for Cerebral Palsy (CP)
Nursing Care Plan (NCP) for Cleft Lip / Cleft Palate
Nursing Care Plan (NCP) for Clubfoot
Nursing Care Plan (NCP) for Congenital Heart Defects
Nursing Care Plan (NCP) for Constipation / Encopresis
Nursing Care Plan (NCP) for Cystic Fibrosis
Nursing Care Plan (NCP) for Decreased Cardiac Output
Nursing Care Plan (NCP) for Dehydration & Fever
Nursing Care Plan (NCP) for Eczema (Infantile or Childhood) / Atopic Dermatitis
Nursing Care Plan (NCP) for Enuresis / Bedwetting
Nursing Care Plan (NCP) for Epiglottitis
Nursing Care Plan (NCP) for Fluid Volume Deficit
Nursing Care Plan (NCP) for Hemophilia
Nursing Care Plan (NCP) for Hydrocephalus
Nursing Care Plan (NCP) for Impaired Gas Exchange
Nursing Care Plan (NCP) for Imperforate Anus
Nursing Care Plan (NCP) for Impetigo
Nursing Care Plan (NCP) for Infective Conjunctivitis / Pink Eye
Nursing Care Plan (NCP) for Influenza
Nursing Care Plan (NCP) for Intussusception
Nursing Care Plan (NCP) for Marfan Syndrome
Nursing Care Plan (NCP) for Meningitis
Nursing Care Plan (NCP) for Mumps
Nursing Care Plan (NCP) for Neural Tube Defect, Spina Bifida
Nursing Care Plan (NCP) for Omphalocele
Nursing Care Plan (NCP) for Otitis Media / Acute Otitis Media (AOM)
Nursing Care Plan (NCP) for Pediculosis Capitis / Head Lice
Nursing Care Plan (NCP) for Pertussis / Whooping Cough
Nursing Care Plan (NCP) for Phenylketonuria (PKU)
Nursing Care Plan (NCP) for Reye’s Syndrome
Nursing Care Plan (NCP) for Rheumatic Fever
Nursing Care Plan (NCP) for Rubeola – Measles
Nursing Care Plan (NCP) for Scoliosis
Nursing Care Plan (NCP) for Sickle Cell Anemia
Nursing Care Plan (NCP) for Tonsillitis
Nursing Care Plan (NCP) for Varicella / Chickenpox
Nursing Care Plan (NCP) for Vomiting / Diarrhea
Nursing Care Plan for (NCP) Autism Spectrum Disorder
Nursing Case Study for Pediatric Asthma
Obstructive Heart (Cardiac) Defects
Ocular Infections (Conjunctivitis, Iritis) for Certified Emergency Nursing (CEN)
Omphalocele
Opioid Analgesics
Pancrelipase (Pancreaze) Nursing Considerations
Pediatric Bronchiolitis Labs
Pediatric Gastrointestinal Dysfunction – Diarrhea
Pediatric Oncology Basics
Pediatrics Course Introduction
Pediculosis Capitis
Pertussis – Whooping Cough
Phenylketonuria
Phenytoin (Dilantin) Nursing Considerations
Platelets (PLT) Lab Values
Pneumonia
Promotion and Evaluation of Normal Elimination Nursing Mnemonic (POOPER SCOOP)
Pulmonary Function Test
Red Blood Cell (RBC) Lab Values
Respiratory Acidosis (interpretation and nursing interventions)
Reye’s Syndrome
Reyes Syndrome Case Study (Peds) (45 min)
Rheumatic Fever
ROME – ABG (Arterial Blood Gas) Interpretation
Rubeola – Measles
Salmeterol (Serevent) Nursing Considerations
Scoliosis
Selegiline (Eldepyrl) Nursing Considerations
Sickle Cell Anemia
Spina Bifida – Neural Tube Defect (NTD)
Steroids – Side Effects Nursing Mnemonic (6 S’s)
Stoma Care (Colostomy bag)
Strabismus
Sudden Infant Death Syndrome (SIDS)
Sympathomimetics (Alpha (Clonodine) & Beta (Albuterol) Agonists)
Thorax and Lungs Assessment
Tonsillitis
Topical Medications
Tracheal Esophageal Fistula – Sign and Symptoms Nursing Mnemonic (The 3 C’s)
Transient Incontinence – Common Causes Nursing Mnemonic (P-DIAPERS)
Treatment of Sickle Cell Nursing Mnemonic (HOP to the hospital)
Umbilical Hernia
Vaccine-Preventable Diseases (Measles, Mumps, Pertussis, Chicken Pox, Diphtheria) for Certified Emergency Nursing (CEN)
Varicella – Chickenpox
Varicella Case Study (Peds) (30 min)
Vitals (VS) and Assessment
Vomiting
White Blood Cell (WBC) Lab Values
X-Ray (Xray)
ADLs (Activity of Daily Living) Nursing Mnemonic (BATTED)
Emotions and Motivation
Growth & Development Theories
Maslow’s Hierarchy of Needs in Nursing
Psychological Disorders
State of Consciousness
Stress and Crisis