Nursing Care Plan (NCP) for Marfan Syndrome
You're watching a preview. 300,000+ students are watching the full lesson.
Master
To Master a topic you must score > 80% on the lesson quiz.
Take Quiz
Included In This Lesson
Study Tools For Nursing Care Plan (NCP) for Marfan Syndrome
Marfan Syndrome Pathochart (Cheatsheet)
Example Care Plan_Marfan Syndrome (Cheatsheet)
Blank Nursing Care Plan_CS (Cheatsheet)
NURSING.com students have a 99.25% NCLEX pass rate.
Outline
Lesson Objectives for Marfan Syndrome
- Understanding Marfan Syndrome:
- Define Marfan Syndrome, including its genetic basis and the impact it has on connective tissue. Understand the inheritance pattern and the involvement of the FBN1 gene.
- Recognition of Clinical Manifestations:
- Identify the clinical manifestations associated with Marfan Syndrome, encompassing cardiovascular, musculoskeletal, and ocular abnormalities. Recognize the variability in presentation and the importance of early detection.
- Genetic Counseling and Education:
- Explore the role of genetic counseling in Marfan Syndrome, providing education to individuals and families about the genetic basis, inheritance risks, and potential implications for future generations. Emphasize the importance of early diagnosis and intervention.
- Collaborative Multidisciplinary Care:
- Understand the necessity for a multidisciplinary approach to care, involving cardiology, orthopedics, ophthalmology, and other specialties. Recognize the collaborative efforts required to manage the diverse manifestations and complications associated with Marfan Syndrome.
- Promoting Quality of Life and Well-being:
- Focus on strategies to enhance the quality of life for individuals with Marfan Syndrome, including lifestyle modifications, regular monitoring, and psychological support. Emphasize the importance of self-management and adherence to recommended interventions.
Pathophysiology of Marfan Syndrome
- Genetic Mutation:
- Marfan Syndrome is primarily caused by mutations in the FBN1 gene, which encodes fibrillin-1, a crucial protein in the formation of connective tissue.
- Connective Tissue Abnormalities:
- The FBN1 gene mutation leads to the production of abnormal fibrillin-1, disrupting the structure and function of connective tissue throughout the body.
- Weakened Structural Support:
- The altered fibrillin-1 affects the integrity of elastic fibers in connective tissues, resulting in weakened support for various organs and structures, including the heart, blood vessels, bones, joints, and eyes.
- Cardiovascular Involvement:
- The most critical manifestation is in the cardiovascular system, where weakened connective tissue can lead to aortic aneurysms, aortic dissections, and other cardiovascular complications.
- Multi-Organ Impact:
- Marfan Syndrome can affect multiple organ systems, causing skeletal abnormalities such as long limbs and joint laxity, ocular issues like lens dislocation, and potential complications in the lungs, skin, and nervous system.
Etiology of Marfan Syndrome
- Genetic Inheritance:
- Marfan Syndrome is primarily an autosomal dominant genetic disorder, meaning an individual only needs to inherit one copy of the mutated FBN1 gene from either parent to develop the condition.
- FBN1 Gene Mutation:
- The etiology is linked to mutations in the FBN1 gene located on chromosome 15. This gene provides instructions for producing fibrillin-1, a protein crucial for the formation of elastic fibers in connective tissue.
- Spontaneous Mutations:
- In some cases, individuals may develop Marfan Syndrome due to spontaneous mutations in the FBN1 gene. These cases are not inherited from parents but arise de novo.
- Variable Expressivity:
- The clinical presentation of Marfan Syndrome can vary widely even among individuals with the same genetic mutation. This phenomenon, known as variable expressivity, adds complexity to the understanding of the disorder’s etiology.
- Genetic Testing:
- Etiological confirmation often involves genetic testing to identify mutations in the FBN1 gene. Family history, clinical assessment, and molecular testing play crucial roles in diagnosing the genetic basis of Marfan Syndrome.
Desired Outcome for Marfan Syndrome
- Optimal Quality of Life:
- The primary goal is to enhance the patient’s overall quality of life by managing symptoms, preventing complications, and promoting physical and emotional well-being.
- Cardiovascular Health Stability:
- Achieve and maintain cardiovascular health by managing aortic dilation and reducing the risk of life-threatening complications such as aortic dissection or rupture.
- Joint Function and Mobility:
- Preserve joint function and mobility through a combination of medical management, physical therapy, and lifestyle modifications to address musculoskeletal manifestations.
- Normal Growth and Development (Pediatric Patients):
- Ensure normal growth and development in pediatric patients through early intervention, monitoring, and appropriate medical management to address potential complications related to bone overgrowth and skeletal abnormalities.
- Psychosocial Well-being:
- Address psychosocial aspects by providing counseling and support to individuals and families, helping them cope with the emotional and social challenges associated with living with Marfan Syndrome.
Marfan Syndrome Nursing Care Plan
Subjective Data:
- Difficulty seeing objects at a distance (nearsightedness)
- Foot pain
- Back pain
Objective Data:
- Disproportionately long arms, legs and fingers
- Tall and thin body type
- Curved spine (scoliosis)
- Flexible joints
- Flat feet
- Crowded teeth
- Stretch marks on skin (not related to weight changes)
- Heart murmur
- Retracted or protruding sternum
Nursing Assessment for Marfan Syndrome
- Medical History:
- Obtain a comprehensive medical history, including family history of Marfan Syndrome or related connective tissue disorders.
- Physical Examination:
- Conduct a thorough physical examination, with emphasis on assessing the musculoskeletal system, including evaluation of joint flexibility, chest deformities, and scoliosis.
- Cardiovascular Assessment:
- Monitor cardiovascular status, focusing on auscultation for murmurs, assessing blood pressure, and monitoring for signs of aortic dilation or dissection.
- Ophthalmic Examination:
- Collaborate with ophthalmologists to perform regular eye exams, checking for lens dislocation, myopia, and other ocular manifestations of Marfan Syndrome.
- Pulmonary Assessment:
- Evaluate respiratory function, especially in cases of severe scoliosis, to assess potential respiratory complications.
- Skin Examination:
- Examine the skin for striae atrophicae (stretch marks), which may indicate connective tissue weakness, and for any signs of skin abnormalities.
- Psychosocial Assessment:
- Assess the patient’s psychosocial well-being, addressing any concerns related to body image, self-esteem, and coping with a chronic condition.
- Developmental Assessment (Pediatric Patients):
- Monitor growth and development in pediatric patients, addressing any concerns related to delayed growth, bone overgrowth, or developmental milestones.
Implementation for Marfan Syndrome
- Collaborative Care:
- Facilitate a multidisciplinary approach involving healthcare providers from various specialties, including cardiology, ophthalmology, and orthopedics, to address the diverse needs of individuals with Marfan Syndrome.
- Medication Management:
- Administer medications as prescribed, focusing on medications that may help manage cardiovascular complications or alleviate specific symptoms associated with Marfan Syndrome.
- Patient Education:
- Provide comprehensive education to the patient and their family regarding the nature of Marfan Syndrome, potential complications, and the importance of adherence to treatment plans. Emphasize the need for regular follow-up appointments.
- Orthopedic Interventions:
- Coordinate with orthopedic specialists to implement interventions such as bracing or surgical procedures to address musculoskeletal issues, scoliosis, or other orthopedic complications.
- Cardiovascular Monitoring:
- Implement a regular monitoring schedule for cardiovascular health, including echocardiograms and other relevant tests. Educate the patient on the signs and symptoms of aortic dissection and the importance of seeking immediate medical attention if such symptoms arise.
Nursing Interventions and Rationales
- Perform complete physical assessment
Get a baseline of data, note retractions or protrusion of sternum.
- Assess and monitor vital signs
Get a baseline and monitor for elevated BP and heart rate that may indicate aortic injury or damage.
- Auscultate heart and lung sounds
Listen for murmurs, leaky valves and abnormal breath sounds to determine progression of condition.
- Obtain 12-lead EKG and echocardiogram as appropriate
Monitor for signs of cardiac involvement, disease progression and determine cardiac function.
- Assess vision using Snellen chart
Patients often have extreme nearsightedness. Assess for degree of vision impairment and make recommendations for ophthalmologist.
- Monitor x-rays, CT, MRI
Monitor for bone and joint deformities or malformations and monitor for spine curvature (scoliosis) to determine if braces, splints or other appliances are necessary.
- Assess ROM and perform ROM exercises (AROM, PROM)
Assess and monitor flexibility and range of motion as exercises are important for maintaining strength and mobility.
- Cluster care and provide rest periods
Patients may have fatigue or an intolerance to activity due to medications or cardiac involvement of the condition. Provide periods of rest to promote normalized blood pressure and prevent injury.
- Administer medications appropriately and monitor for side effects
- Beta blockers
- Calcium channel blockers
- Angiotensin receptor blocker
Medications are given to reduce the blood pressure and relieve the force of pressure on the aorta. The first-line medication is a beta blocker, but calcium channel blockers or angiotensin receptor blockers may be used in patients who are unable to tolerate beta blockers.
- Provide pre- and post- operative care as appropriate
Surgery may be required to stabilize or correct aorta or valve issues. Other surgeries may be to repair or treat sternum problems from retraction or protrusion or for eye surgeries to repair retina or lens displacement.
Provide appropriate care and education before and after surgery as required.
- Provide patient and parent education for safety and nutrition
- Help relieve anxiety about the condition and promote safe activities.
- Patients should avoid high risk activities and contact sports to prevent injury.
- A balanced low-sodium diet is encouraged to protect the heart and reduce blood pressure.
- Provide patient education and support for self-image issues
Especially in the adolescent and teen years, patients are often self-conscious about appearance.
Help them to find beauty in themselves and offer information about resources and peer groups to build confidence and promote self-esteem.
Evaluation for Marfan Syndrome
- Cardiovascular Health:
- Assess the effectiveness of cardiovascular interventions by monitoring parameters such as aortic size and function through regular echocardiograms. Evaluate whether prescribed medications are effectively managing cardiovascular risks.
- Musculoskeletal Function:
- Evaluate the impact of orthopedic interventions on musculoskeletal health, assessing improvements in mobility, reduction in joint pain, and any changes in the progression of skeletal deformities.
- Patient Education:
- Measure the patient’s understanding of Marfan Syndrome, its complications, and the importance of adhering to the prescribed treatment plan. Assess the patient’s ability to recognize and respond to symptoms of potential complications.
- Psychosocial Well-being:
- Evaluate the patient’s psychosocial well-being by assessing their coping mechanisms, emotional health, and quality of life. Address any concerns related to body image, mental health, or social interactions.
- Overall Functional Status:
- Assess the patient’s overall functional status by considering improvements or stability in daily activities, school/work performance, and participation in social or recreational activities. Evaluate the impact of interventions on the patient’s ability to lead a fulfilling life.
References
- https://www.marfan.org/about/marfan
- https://www.mayoclinic.org/diseases-conditions/marfan-syndrome/diagnosis-treatment/drc-20350787
- https://www.webmd.com/heart-disease/guide/marfan-syndrome#1
Unlock the Complete Study System
Used by 300,000+ nursing students. 99.25% NCLEX pass rate.
- Full lesson outlines
- NCLEX simulator (SIMCLEX)
- 6,500+ practice questions
- 2,000+ lesson videos
- 300+ cheatsheets
200% NCLEX Pass Guarantee.
No Contract. Cancel Anytime.
Transcript
This is the nursing care plan for Marfan syndrome. The pathophysiology behind Marfan; it’s a genetic condition where the proteins that make up the connective tissue that supports the heart, blood vessels, and other vital organs is weakened. So some nursing considerations that we want to think of: we want to monitor and manage their blood pressure; we want to do EKG monitoring, preferably 12 lead; and we want to assess their vision with the snellen chart. The desired outcome for this patient is that this patient will have optimal cardiac output with adequate tissue perfusion. We also want to make sure that this patient is safe and remains free from injury. So Marfan syndrome, this patient has a few things that they are going to complain about. First, they have difficulties seeing at a distance. So that is near-sightedness.
They’re going to be very nearsighted. They’re going to also complain of foot pain and back pain. Some things that we are going to observe, some objective data that we can pull from the patient. It’s pretty typical for those with Marfan syndrome, they’re going to have some disproportionately long arms and legs and fingers. They’re going to be tall and their body’s going to be very thin. They’re going to have a curved spine. So that is called scoliosis. They’re also going to have very flexible joints. A lot of those with Marfan syndrome are what we call double-jointed. They’re going to have very flat feet. They can present with crowded teeth, stretch marks on the skin. They oftentimes have a heart murmur, and they’ll have a retracted or protruding sternum. So what are some things that we can do, uh, or intervene? How can we intervene with this? Well, let’s do an assessment. Assessment is always good, so we can gather the information we need. We want to perform a complete physical assessment, as well as auscultate the heart and lung sounds. This will help to get baseline data. We’re going to note any retractions, any protrusions in the sternum. We’re going to listen. We’re also going to check for murmurs in the heart leaky valves or any abnormal breath sounds to determine the progression of this condition. Next we’re going to do a good assessment of their eyes because this is a connective tissue disorder. They oftentimes present with, uh, extreme near-sightedness. So we’re going to assess their vision using the Snellen vision chart. We’re going to assess the degree of vision impairment and make any appropriate recommendations for the Ophthalmologist.
There are medications that we want to administer, but we also want to make sure that we monitor for these side effects. These are primarily aimed at controlling their blood pressure. So we’re going to administer beta-blockers, calcium channel blockers and angiotensin receptor blockers. We want to make sure that we control their blood pressure and relieve the force of the blood on the aorta. The first-line medication is the beta-blocker, but calcium channel blockers and angiotensin receptor blockers may be used in patients who are able to tolerate beta-blockers. We want to obtain a 12 lead EKG and an echocardiogram as appropriate. This is to monitor for cardiac involvement. We want to look for signs of the disease progression, and we want to determine cardiac function.
We want to assess range of motion and perform a range of motion exercises. This is to assess and monitor the flexibility and range of motion and exercises. They’re very important for maintaining strength and mobility. The next thing that we could do is we want to provide patient and parent education for safety and nutrition. Patients, specifically those with Marfan syndrome, want to avoid high risk activities and context sports. We want to prevent injury. Finally, we want to monitor any diagnostics. So x-rays and CT scans. The CT scans and x-rays of the mouth and eyes. And the reason why we want to do that is we want to monitor for bone and joint deformities or malformations. Okay.
So the key points, these are the key points. Remember Marfan syndrome is a disorder where the connective tissue that supports the heart blood vessel and other vital organs is weakened. Some subjective data: What is the patient going to say? The patient is going to say that maybe they can’t see at a far distance. They’re very, near-sighted, they’re going to complain of pain in their foot or back. Some things that we’re going to see are the hallmark signs of Marfan syndrome. We’re going to see a tall, thin body, a curved spine or scoliosis. We’re going to see flexible joints, flat feet. They may have a heart murmur when we listen and we’re going to notice a retracted sternum. Our goal is to minimize the complications. So we’re going to do some good BP management. We’re going to manage this, the blood pressure, and we’re going to treat it. Elevated blood pressure and elevated heart rate may indicate aortic injury or damage we’re going to do frequent assessments.
The patient is at risk for cardiac issues, such as an aortic aneurysm. So we’re going to assess any new or developing murmurs. I just want to let you all know, uh, leave you with this quote here. So I thought I saw this and I thought that this would be really good for you all in nursing school. The best way to gain self-confidence is to do what you are afraid to do. Not everybody can go through this journey. Nursing school is very difficult, and I know that maybe that last test was not your best test, but just know that as long as you utilize your resources and you just keep looking forward to your end goal, your end goal is to get the NCLEX pass. Don’t feel like a failure. Just embrace this journey on your way to becoming a registered nurse. So as always, we love you guys; go out and be your best self today, and, as always, happy nursing.
Study Faster with Full Video Transcripts
99.25% NCLEX Pass Rate vs 88.8% National Average
- Full lesson outlines
- NCLEX simulator (SIMCLEX)
- 6,500+ practice questions
- 2,000+ lesson videos
- 300+ cheatsheets
200% NCLEX Pass Guarantee.
No Contract. Cancel Anytime.
🎉 Special Offer 🎉
Nursing School Doesn't Have To Be So Hard
Go from discouraged and stressed to motivated and passionate
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
- Factors Influencing Community Health
- 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
The SOCK Method – S
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