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Nursing Care Plan (NCP) for Myocardial Infarction (MI)

Nursing Care Plan (NCP) for Myocardial Infarction (MI)

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Miriam Wahrman
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Outline
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Additional Lessons

Study Tools For Nursing Care Plan (NCP) for Myocardial Infarction (MI)

Myocardial Infarction Interventions (Picmonic)
Myocardial Infarction Assessment (Picmonic)
Inferior MI (Cheatsheet)
Anterior MI (Cheatsheet)
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Outline

Lesson Objective for Nursing Care Plan (NCP) for Myocardial Infarction (MI)

 

  • Understand the Pathophysiology of Myocardial Infarction:
    • Identify the underlying mechanisms leading to myocardial infarction, including atherosclerosis, plaque rupture, and coronary artery occlusion.
    • Recognize the consequences of ischemia and necrosis on cardiac function.
  • Assessment and Diagnosis:
    • Learn the clinical manifestations of myocardial infarction, including chest pain, shortness of breath, diaphoresis, and nausea.
    • Understand the diagnostic criteria and laboratory tests used to confirm and assess the extent of myocardial infarction.
  • Pharmacological Interventions:
    • Explore the pharmacological treatments commonly used in managing myocardial infarction, such as antiplatelet agents, beta-blockers, and thrombolytics.
    • Understand the rationale behind medication choices and potential side effects.
  • Cardiac Monitoring and Complication Prevention:
    • Comprehend the importance of continuous cardiac monitoring in the acute phase.
    • Learn strategies to prevent complications, such as arrhythmias, heart failure, and cardiogenic shock.
  • Patient Education and Rehabilitation:
    • Develop effective patient education strategies regarding medication adherence, lifestyle modifications, and symptom recognition.
    • Emphasize the importance of cardiac rehabilitation and long-term management to prevent future events.

Pathophysiology of Myocardial Infarction 

 

  • Atherosclerosis Development:
    • Atherosclerosis, the buildup of fatty plaques within coronary arteries, initiates the pathophysiological process.
    • Plaques consist of cholesterol, inflammatory cells, and other substances, leading to arterial narrowing and reduced blood flow.
  • Plaque Rupture or Erosion:
    • Plaques may rupture or erode, exposing the underlying tissue to the bloodstream.
    • This triggers platelet activation and aggregation, forming a blood clot (thrombus) at the site of rupture.
  • Coronary Artery Occlusion:
    • The formed thrombus can partially or completely occlude the coronary artery.
    • Occlusion results in reduced oxygen and nutrient supply to the heart muscle (myocardium).
  • Ischemia and Myocardial Infarction:
    • The compromised blood supply causes myocardial ischemia (inadequate oxygenation) in the affected area.
    • If blood flow is not restored promptly, irreversible damage occurs, leading to myocardial infarction (death of heart muscle cells).
  • Inflammatory Response and Scar Formation:
    • Following myocardial infarction, an inflammatory response is initiated, involving immune cells.
    • Scar tissue forms in the damaged area as part of the healing process, but this tissue lacks the contractile properties of normal myocardium, impacting cardiac function.

 Etiology (Causes) of Myocardial Infarction

  • Atherosclerosis:
    • Primary cause of myocardial infarction.
    • Gradual buildup of fatty deposits (plaques) within coronary arteries.
    • Plaques may rupture or erode, leading to thrombus formation and subsequent occlusion of blood vessels.
  • Coronary Artery Disease (CAD):
    • CAD is a major contributing factor.
    • Conditions such as hypertension, hyperlipidemia, and diabetes mellitus increase the risk of atherosclerosis and coronary artery narrowing.
  • Thrombosis:
    • Formation of blood clots (thrombi) within coronary arteries.
    • Thrombosis can result from plaque rupture, endothelial injury, or conditions that promote abnormal blood clotting.
  • Coronary Vasospasm:
    • Sudden, intense contraction of coronary arteries.
    • Can occur spontaneously or be triggered by drug use, stress, or other factors.
    • Vasospasm leads to temporary or prolonged reduction of blood flow to the myocardium, causing ischemia and potential infarction.
  • Risk Factors:
    • Smoking: Increases atherosclerosis and promotes clot formation.
    • Hypertension: Raises the workload on the heart and contributes to arterial damage.
    • Diabetes: Accelerates atherosclerosis and impairs blood vessel function.
    • Hyperlipidemia: Elevated levels of cholesterol contribute to plaque formation.
    • Family History: Genetic predisposition may increase susceptibility to CAD and myocardial infarction.

Desired Outcomes of Nursing Care Plan for Myocardial Infarction 

  • Restoration of Coronary Blood Flow:
    • Prompt and effective interventions, such as percutaneous coronary intervention (PCI) or thrombolytic therapy, aim to restore blood flow to the affected coronary arteries.
    • Timely reperfusion helps minimize myocardial damage and preserves cardiac function.
  • Pain Relief and Symptom Resolution:
    • Adequate pain management to relieve chest pain and discomfort associated with myocardial infarction.
    • Resolution of other symptoms, such as shortness of breath, nausea, and diaphoresis.
  • Preservation of Cardiac Function:
    • Minimization of myocardial damage to preserve overall cardiac function.
    • Prevention of complications such as heart failure, arrhythmias, and cardiogenic shock.
  • Prevention of Recurrent Events:
    • Implementation of secondary prevention measures to reduce the risk of future cardiovascular events.
    • Medication adherence, lifestyle modifications, and ongoing medical management contribute to long-term prevention.
  • Psychosocial and Emotional Well-Being:
    • Addressing the emotional impact of myocardial infarction, including anxiety and fear.
    • Providing support, education, and resources to enhance coping mechanisms and overall psychosocial well-being.

Myocardial Infarction (MI) Nursing Care Plan

 

Subjective Data:

  • Chest Pain
  • Chest Pressure/Squeezing
  • PQRST pain assessment
    • P- provoke, precipitate, palliate
    • Q- quality
    • R- radiate
    • S- severity, symptoms
    • T- time
  • Patient may report a feeling of impending doom
  • Shortness of Breath

Objective Data:

  • ST elevation on the ECG- Called an STEMI
  • Decreased oxygenation
  • Signs of left ventricular failure such as crackles in the lungs or S3 heart sound
  • Tachycardia (Bradycardia can be seen if patient is having an inferior MI)
  • Elevated Cardiac Enzymes

Nursing Assessment for Myocardial Infarction

 

  • Chest Pain Assessment:
    • Thorough assessment of chest pain characteristics, including location, intensity, quality, radiation, and duration.
    • Use of a pain scale to quantify pain levels and monitor changes over time.
  • Vital Signs Monitoring:
    • Continuous monitoring of vital signs, including heart rate, blood pressure, respiratory rate, and oxygen saturation.
    • Regular assessments to detect signs of hemodynamic instability.
  • Cardiac Monitoring:
    • Continuous electrocardiogram (ECG) monitoring to identify and monitor changes in cardiac rhythm and ST-segment deviations.
    • Prompt recognition of arrhythmias or ischemic changes.
  • Symptom Assessment:
    • Evaluation of associated symptoms such as shortness of breath, nausea, vomiting, diaphoresis, and lightheadedness.
    • Documentation of the onset and progression of symptoms.
  • Past Medical History:
    • Review of the patient’s medical history, with a focus on cardiovascular risk factors, previous cardiac events, and comorbid conditions (e.g., hypertension, diabetes).
  • Medication History:
    • Documentation of current medications, including anticoagulants, antiplatelet agents, beta-blockers, and other relevant cardiovascular medications.
    • Identification of any known drug allergies.
  • Physical Examination:
    • Thorough cardiovascular examination, including assessment of heart sounds, peripheral pulses, and signs of heart failure (e.g., jugular venous distention, peripheral edema).
    • Inspection and palpation of the chest for signs of trauma, deformities, or surgical scars.
  • Psychosocial Assessment:
    • Evaluation of the patient’s emotional well-being and psychological response to the event.
    • Identification of stressors, anxiety, and coping mechanisms.
    • Assessment of the patient’s support system and understanding of the diagnosis.

Nursing Implementation of Managing Myocardial Infarction

 

  • Emergency Interventions:
    • Activate Rapid Response: Initiate emergency response protocols promptly to ensure a rapid and coordinated team response.
    • Administer Medications: Provide prescribed medications urgently, including aspirin, nitroglycerin, and, if indicated, thrombolytics or antiplatelet agents.
  • Ongoing Cardiac Monitoring:
    • Continuous ECG Monitoring: Maintain continuous electrocardiogram (ECG) monitoring to detect any changes in cardiac rhythm or ST-segment deviations.
    • Hemodynamic Monitoring: Monitor vital signs and hemodynamic parameters regularly to identify signs of hemodynamic instability.
  • Pain Management:
    • Administer Analgesics: Provide appropriate analgesics, such as morphine, to alleviate chest pain and discomfort.
    • Evaluate Pain Relief: Assess the effectiveness of pain management interventions and adjust as needed.
  • Collaborative Interventions:
    • Coordinate Reperfusion Therapy: Collaborate with the healthcare team to facilitate reperfusion therapy, such as percutaneous coronary intervention (PCI) or thrombolytic therapy.
    • Manage Complications: Address and manage complications promptly, including arrhythmias, heart failure, or cardiogenic shock.
  • Patient Education and Support:
    • Educate on Medication Regimen: Provide clear explanations of prescribed medications, their purposes, and potential side effects.
    • Discuss Lifestyle Modifications: Offer guidance on lifestyle changes, including diet, exercise, smoking cessation, and stress management.
    • Facilitate Emotional Support: Address the emotional impact of myocardial infarction, providing emotional support and resources for coping.

Nursing Interventions and Rationales

 

  • MONA:
    • Morphine
    • Oxygen
    • Nitroglycerin
    • Aspirin (ASA)

    *note – this is only a mnemonic and not the correct order of administration – see rationale for details*

  Initial treatment for acute coronary syndrome.

  • Morphine: given ONLY if aspirin and nitroglycerin do not relieve chest pain. Initial dose is 2-4 mg IV.
  • Oxygen: helps for you to remember to check oxygenation for chest pain – if under 94% or if patient is short of breath give 2L NC initially. Administer oxygen only when clinically relevant.
  • Nitroglycerin: This is the initial medication given, along with aspirin. This medication dilates the blood vessels to help allow any blood flow that might be impeded. Give 0.4 mg sublingual tab, wait 5 minutes, if the chest pain is not relieved administer another dose. This can happen 3 times total. Monitor a patient’s blood pressure, hold for a systolic BP of less than 90 mmHg.
  • Aspirin: given to thin the blood and decrease mortality risk. A total of 4 baby aspirin (81 mg each) can be given for a total of 324 mg, or a single 325 mg dose.
  • 12-Lead ECGIf initial 12-lead ECG indicates inferior MI, do a right-sided 12-lead ECG.
  Assess a 12 lead ECG immediately on anyone complaining of chest pain to determine if an ST elevated MI is occurring. If it is-Take the patient to the cath lab STAT! If the ECG is a normal sinus or otherwise non-concerning rhythm, place them on a 3 or 5 lead cardiac monitor for frequent re-assessing. Right sided 12 lead ECG shows the right side of the heart to assess for right ventricular ischemia. **Inferior MI’s need to be treated differently!**
  • 3 or 5 Lead monitoring
  No matter the outcome of the 12 lead ECG, placing a patient on a form of cardiac monitoring is key. You are worried about a worsening condition such as cardiac arrest.
  • Cardiac Catheterization with Percutaneous Coronary Intervention (PCI)
  A patient who has an ST elevated MI (STEMI) will be rushed to the cath lab so they can locate the clot and place a stent to regain blood flow to the heart. A patient may also go to the cath lab without having a STEMI, and they may still find a clot. Most NON-STEMI’s are treated without catheterization.
  • BP Monitoring
    • The measurement is determined by the doctor, who is determining this based on evidence based research married with patient factors.
    • It can be measured by the systolic BP or the Mean Arterial Pressure (MAP).
    • This can also be monitored by an arterial line.
  This is important because the higher the blood pressure, the more pressure is on a clot. It isn’t out of the question for someone to have more than one clot, and increased pressure could break free a clot lodge itself somewhere else either in the heart, lungs, brain, or extremity.
  • Heparin

  This is an anticoagulant that prevents clots.

  • Monitor aPTT or Anti-Xa Q6H to adjust and maintain therapeutic levels.

For STEMI

  • Bolus: 60 units/kg (max 4,000 units)
  • Continuous infusion: 12 units/kg/hr
  • -Adjust according to your organization’s nomogram (Q6H- based on results of aPPT or Anti-Xa)

For N-STEMI

  • Bolus: 60-70 units/kg (max 5,000 units)
  • Continuous Infusion: 12-15 units/kg/hr
  • -Adjust according to your organization’s nomogram (Q6H- based on results of aPPT or Anti-Xa)
  • Insert Large Bore IV and draw initial Cardiac Enzymes

  IV access is important for administration of medications, possible interventions if angina worsens, and any scans that may be needed to rule out thrombosis. Cardiac enzymes further serve to rule out Myocardial Infarction and can give an indication to the extent of myocardial damage.

  • Troponin I
  • CK
  • CK-MB
  • Myoglobin
  • Monitor Cardiac Enzymes:
    • Troponin I
    • Creatine Kinase-MB (CKMB)

  The values of these enzymes are based on your institutional laboratory technique. If they are elevated it indicates that the cardiac muscle is stressed out or injured.

  • Troponin I is an enzyme that helps the interaction of myosin and actin in the cardiac muscle. When necrosis of the myocyte happens, the contents of the cell eventually will be released into the bloodstream.
    • Troponin can become elevated 2-4 hours after in ischemic cardiac event and can stay elevated for up to 14 days.
  • Creatine Kinase MB: This enzyme is found in the cardiac muscle cells and catalyses the conversion of ATP into ADP giving your cells energy to contract. When the cardiac muscle cells are damaged the enzyme is eventually released into the bloodstream.
    • CKMB levels should be checked at admission, and then every 8 hours afterwards.

Evaluation for Nursing Care Plan (NCP) for Myocardial Infarction (MI)

 

  • Cardiovascular Stability:
    • Evaluate the patient’s cardiovascular status for stability in vital signs and absence of dysrhythmias.
  • Pain Relief:
    • Assess the effectiveness of pain management interventions.
    • Ensure the patient’s comfort and relief from chest pain.
  • Medication Efficacy:
    • Monitor the patient’s response to medications, adjusting doses as needed.
    • Evaluate for any adverse effects.
  • Complication Prevention:
    • Assess for the prevention or early identification of complications such as heart failure or cardiogenic shock.
  • Patient Understanding:
    • Evaluate the patient’s understanding of the condition, treatment plan, and the importance of ongoing care and lifestyle modifications.

References

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Transcript

Hey guys, in this lesson, we are going to take a look at the care plan for myocardial infarction or MI. So in this lesson, we will talk about the pathophysiology and etiology of an MI. We’ll also take a look at subjective and objective data your patient may present with as well as nursing interventions and rationales for this issue. 

 

So myocardial Infarction is cardiac muscle tissue death from lack of blood flow, which is super important because blood carries nutrients and oxygen to the cells. If this doesn’t occur, cell necrosis occurs. So, this causes them an MI, including narrowing or occlusion of cardiac vessels, DVT that has broken off or is an embolus and it lands in the heart. So, the desired outcome would be reperfusion to cardiac muscle and return of cardiac muscle functionality. 

 

Let’s take a look at some of the subjective and objective data that your patient with an MI may present with. Now, remember subjective data are going to be things that are based on your patient’s opinions or feelings. So for an MI, this may include chest pain or chest pressure and squeezing, and feeling of impending doom, or shortness of breath. 

 

So guys for objective data, be sure to do a pain assessment. For example, the PQRST assessment for pain objective data can include ST elevation on the EKG and this is called a STEMI, decreased oxygenation, signs of left ventricular failure like crackles in the lungs or S3 heart sounds, tachycardia, elevated cardiac enzymes, or with an inferior MI, bradycardia can be seen. 

 

Let’s take a look at the nursing interventions included with the MI care plan. Mona, which stands for medicine, for pain, oxygen, nitroglycerin, and aspirin, is the initial treatment for acute coronary syndrome. Remember, Mona is not the correct order of administration, just an easy way to remember the components of this treatment. So, I just want to mention that “M” used to be for morphine, if both aspirin and nitroglycerin did not relieve the chest pain, but morphine isn’t really used anymore as it increases mortality. So, for the “M” in Mona, think medicine, because some type of medicine will be given for pain. Now, oxygen reminds you to check oxygenation for chest pain. If the patient is short of breath, or has a SAT of less than 94%, you’re going to apply two liters of nasal cannula, but remember, only administer oxygen if clinically necessary.

 

Nitroglycerin is the initial medication that is given along with aspirin. Nitroglycerin works as a dilator to help a low blood flow that might be disrupted. So, you’re going to give 0.4 milligram sublingual, wait five minutes, and if chest pain isn’t relieved, administer another dose, but no more than three doses. Make sure the patient’s blood pressure is being monitored and hold the dose if the systolic blood pressure is less than 90 millimeters of mercury. Aspirin is given because it decreases mortality by thinning the patient’s blood. A single dose of 325 milligrams can be given, or for baby aspirin, which are 81 milligrams each, can be given a total of 324 milligrams. Also a 12 lead EKG should be completed immediately on anyone who is complaining of chest pain to determine if there is an ST elevated MI occurring. 

 

If it is, this patient needs to go to the cath lab stat. Now, if the 12 lead is normal sinus or a rhythm that is not of concern, place the patient on a three or five lead cardiac monitor to frequently assess, because we are most definitely worried about a worsening condition or cardiac arrest. Also, a right-sided 12 lead EKG shows the right side of the heart to assess for right ventricular ischemia. Remember, inferior MI’s need to be treated differently. 

 

I already mentioned that if the patient has a STEMI, they must be taken to the cath lab quickly to locate the clot and have a stent placed to regain blood flow to the heart. I also want to mention that it is definitely possible for the patient to go to the cath lab without having a STEMI and a clot may still be located, although most non STEMI’s are treated without catheterization. Patients who are coming in must definitely have their BP monitored closely. The values or limits are going to be determined by the provider. It’s measured by the MAP, or mean arterial pressure, or systolic BP within the arterial line. And, why is this important? Well, the higher the blood pressure, the more pressure on a blood clot, and it isn’t terribly uncommon for a patient to have more than one clot, which could definitely break free with a high blood pressure. 

 

Heparin is an important intervention as this drug is an anticoagulant, and breaks up clots, as well as prevents them. With heparin administration, something like a PTT needs to be monitored every six hours to adjust the dose to keep the levels therapeutic. For a STEMI, there are different values such as 60 unit per kilo bolus is given with a max of 4,000 units and then a continuous fusion of 12 units per kilo/ per hour. For a non-STEMI a 60 to 70 unit per kilos bolus is given with a max of 5,000 units and then a continuous infusion of 12 to 15 units per kilo/ per hour. Remember to always follow your facility’s protocol. 

 

IV access is critical to administer medications and also to draw initial cardiac enzymes, which are important to rule out an MI and can also indicate how much damage has occurred. Not only do we draw cardiac enzymes, but they also need to be monitored. Troponin 1 is an enzyme that helps with the interaction of myosin and actin in the cardiac muscle. So, Troponin can become elevated two to four hours after an ischemic event and can stay elevated for up to 14 days. When we talk about CK-MB, this is an enzyme that is found in cardiac muscle, so when cardiac muscle cells are damaged, this enzyme is released into the bloodstream. CK-MB should be measured at admission and then every eight hours after. 

 

Here’s a look at the completed care plan for an MI. Let’s do a quick review. An MI occurs from cardiac muscle tissue death from lack of blood flow. Causes include narrowing of cardiac vessels, DVT, or an embolus. Subjective data includes chest pain, pressure, squeezing, impending doom, and shortness of breath. Objective data includes ST Elevation, decreased O2, crackles, being tachycardic, and elevated cardiac enzymes. Nursing interventions include a 12 lead EKG, Mona or medicine for pain, oxygen, nitroglycerin, aspirin, starting a large bore IV, and drawing initial cardiac enzymes. BP monitoring and the continuation of monitoring of cardiac enzymes is important in managing the patient. Also, preparing for the cath lab If a STEMI is present. Following your facility’s nomogram for heparin administration and adjustment is critical. 

 

Alright guys, that is it on this care plan. We love you guys. Now, go out and be your best self today and as always, happy nursing!

 

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Positioning (Pressure Injury Prevention and Tourniquet Safety) for Certified Perioperative Nurse (CNOR)
Positioning
Pneumothorax Signs and Symptoms Nursing Mnemonic (P-THORAX)
Pneumothorax for Certified Emergency Nursing (CEN)
Pneumonia Risk Factors Nursing Mnemonic (VENTS)
Pneumonia Labs
Pneumonia Concept Map
Pleural Space Complications (Pneumothorax, Hemothorax, Pleural Effusion, Empyema, Chylothorax) for Progressive Care Certified Nurse (PCCN)
Pleural Effusion for Certified Emergency Nursing (CEN)
Plant Alkaloids Topoisomerase and Mitotic Inhibitors
Phosphorus (PO4) Blood Test Lab Values
Phenobarbital (Luminal) Nursing Considerations
Phenazopyridine (Pyridium) Nursing Considerations
Pharmacological Patient Response Evaluation for Certified Perioperative Nurse (CNOR)
Peritonitis for Certified Emergency Nursing (CEN)
Peritoneal Dialysis (PD)
Peripheral Vascular Assessment
Pericardial Tamponade for Certified Emergency Nursing (CEN)
Performing Cardiac (Heart) Monitoring
Pentobarbital (Nembutal) Nursing Considerations
Patients with Communication Difficulties
Patient Status Evaluation (Transfer of Care) for Certified Perioperative Nurse (CNOR)
Patient Rights Advocacy for Certified Perioperative Nurse (CNOR)
Patient Records and Care Documentation for Certified Perioperative Nurse (CNOR)
Patient Positioning (Performance) for Certified Perioperative Nurse (CNOR)
Patient Positioning
Patient and Personal Safety (Environmental Hazard Monitoring) for Certified Perioperative Nurse (CNOR)
Patient and Healthcare Team Safety (Disasters, Environmental Hazards) for Certified Perioperative Nurse (CNOR)
Patient and Family Teaching (Per Procedure) for Certified Perioperative Nurse (CNOR)
Parasympatholytics (Anticholinergics) Nursing Considerations
Pantoprazole (Protonix) Nursing Considerations
Pancreatitis for Certified Emergency Nursing (CEN)
Pancreatitis For PCCN for Progressive Care Certified Nurse (PCCN)
Pain Management and Procedural Sedation for Certified Emergency Nursing (CEN)
Pain Assessments for Certified Perioperative Nurse (CNOR)
Pain Assessment Questions Nursing Mnemonic (OPQRST)
Pain and Nonpharmacological Comfort Measures
Pain (Acute, Chronic) for Progressive Care Certified Nurse (PCCN)
Pacemakers
Oxygen Delivery Module Intro
Opioids
Ondansetron (Zofran) Nursing Considerations
Omeprazole (Prilosec) Nursing Considerations
Obstruction for Certified Emergency Nursing (CEN)
Obstructions for Certified Emergency Nursing (CEN)
Nutrition-related Diseases
Nutrition (Diet) in Disease
Nursing Skills Course Introduction
Nursing Case Study for Rheumatoid Arthritis
Nursing Case Study for Type 1 Diabetes
Nursing Case Study for Rheumatic Heart Disease
Nursing Case Study for Pneumonia
Nursing Case Study for Hepatitis
Nursing Case Study for Cardiogenic Shock
Nursing Case Study for Acute Kidney Injury
Nursing Care Plan for Syphilis (STI)
Nursing Care Plan for Restrictive Lung Diseases (Pulmonary Fibrosis, Neuromuscular Disorders)
Nursing Care Plan for Pulmonary Edema
Nursing Care Plan for Pelvic Inflammatory Disease (PID)
Nursing Care Plan for Macular Degeneration
Nursing Care Plan for Gastritis
Nursing Care Plan for Fractures
Nursing Care Plan for Fibromyalgia
Nursing Care Plan for Distributive Shock
Nursing Care Plan for Coronary Artery Disease (CAD)
Nursing Care Plan for Compartment Syndrome
Nursing Care Plan for Cirrhosis (Liver)
Nursing Care Plan for (NCP) Trigeminal Neuralgia
Nursing Care Plan (NCP) for Urinary Tract Infection (UTI)
Nursing Care Plan (NCP) for Tuberculosis
Nursing Care Plan (NCP) for Thrombophlebitis / Deep Vein Thrombosis (DVT)
Nursing Care Plan (NCP) for Thrombocytopenia
Nursing Care Plan (NCP) for Thoracentesis (Procedure)
Nursing Care Plan (NCP) for Syndrome of Inappropriate Antidiuretic Hormone (SIADH)
Nursing Care Plan (NCP) for Syncope (Fainting)
Nursing Care Plan (NCP) for Stroke (CVA)
Nursing Care Plan (NCP) for Spinal Cord Injury
Nursing Care Plan (NCP) for Sepsis
Nursing Care Plan (NCP) for Risk for Fall
Nursing Care Plan (NCP) for Rheumatoid Arthritis (RA)
Nursing Care Plan (NCP) for Restrictive Lung Diseases
Nursing Care Plan (NCP) for Respiratory Failure
Nursing Care Plan (NCP) for Pulmonary Embolism
Nursing Care Plan (NCP) for Psoriasis
Nursing Care Plan (NCP) for Pressure Ulcer / Decubitus Ulcer (Pressure Injury)
Nursing Care Plan (NCP) for Pneumothorax/Hemothorax
Nursing Care Plan (NCP) for Pneumonia
Nursing Care Plan (NCP) for Pericarditis
Nursing Care Plan (NCP) for Parkinson’s Disease
Nursing Care Plan (NCP) for Pancreatitis
Nursing Care Plan (NCP) for Osteoporosis
Nursing Care Plan (NCP) for Osteoarthritis (OA), Degenerative Joint Disease
Nursing Care Plan (NCP) for Nutrition Imbalance
Nursing Care Plan (NCP) for Neutropenia
Nursing Care Plan (NCP) for Myocardial Infarction (MI)
Nursing Care Plan (NCP) for Myasthenia Gravis (MG)
Nursing Care Plan (NCP) for Multiple Sclerosis (MS)
Nursing Care Plan (NCP) for Meniere’s Disease
Nursing Care Plan (NCP) for Lymphoma (Hodgkin’s, Non-Hodgkin’s)
Nursing Care Plan (NCP) for Inflammatory Bowel Disease (Ulcerative Colitis / Crohn’s Disease)
Nursing Care Plan (NCP) for Impetigo
Nursing Care Plan (NCP) for Hypovolemic Shock
Nursing Care Plan (NCP) for Hypothyroidism
Nursing Care Plan (NCP) for Hypoparathyroidism
Nursing Care Plan (NCP) for Hypoglycemia
Nursing Care Plan (NCP) for Hyperthyroidism
Nursing Care Plan (NCP) for Hyperthermia (Thermoregulation)
Nursing Care Plan (NCP) for Hyperparathyroidism
Nursing Care Plan (NCP) for Hydrocephalus
Nursing Care Plan (NCP) for Herpes Zoster – Shingles
Nursing Care Plan (NCP) for Hepatitis
Nursing Care Plan (NCP) for Heart Valve Disorders
Nursing Care Plan (NCP) for Hashimoto’s Thyroiditis
Nursing Care Plan (NCP) for Guillain-Barre
Nursing Care Plan (NCP) for Glomerulonephritis
Nursing Care Plan (NCP) for Glaucoma
Nursing Care Plan (NCP) for GI (Gastrointestinal) Bleed
Nursing Care Plan (NCP) for Gastroesophageal Reflux Disease (GERD)
Nursing Care Plan (NCP) for Enuresis / Bedwetting
Nursing Care Plan (NCP) for Encephalopathy
Nursing Care Plan (NCP) for Emphysema
Nursing Care Plan (NCP) for Diverticulosis / Diverticulitis
Nursing Care Plan (NCP) for Disseminated Intravascular Coagulation (DIC)
Nursing Care Plan (NCP) for Diabetic Ketoacidosis (DKA)
Nursing Care Plan (NCP) for Diabetes Insipidus
Nursing Care Plan (NCP) for Diabetes
Nursing Care Plan (NCP) for Dementia
Nursing Care Plan (NCP) for Cushing’s Disease
Nursing Care Plan (NCP) for Congestive Heart Failure (CHF)
Nursing Care Plan (NCP) for Chronic Obstructive Pulmonary Disease (COPD)
Nursing Care Plan (NCP) for Chronic Kidney Disease
Nursing Care Plan (NCP) for Cellulitis
Nursing Care Plan (NCP) for Cardiomyopathy
Nursing Care Plan (NCP) for Cardiogenic Shock
Nursing Care Plan (NCP) for Bowel Obstruction
Nursing Care Plan (NCP) for Blunt Chest Trauma
Nursing Care Plan (NCP) for Benign Prostatic Hyperplasia (BPH)
Nursing Care Plan (NCP) for Bell’s Palsy
Nursing Care Plan (NCP) for Atrial Fibrillation (AFib)
Nursing Care Plan (NCP) for Asthma / Childhood Asthma
Nursing Care Plan (NCP) for Aspiration
Nursing Care Plan (NCP) for Angina
Nursing Care Plan (NCP) for Anemia
Nursing Care Plan (NCP) for Anaphylaxis
Nursing Care Plan (NCP) for Addison’s Disease (Primary Adrenal Insufficiency)
Nursing Care Plan (NCP) for Acute Respiratory Distress Syndrome
Nursing Care Plan (NCP) for Acute Pain
Nursing Care Plan (NCP) for Acute Kidney Injury
Nursing Care Plan (NCP) for Acute Bronchitis
Nursing Care Plan (NCP) for Activity Intolerance
Nursing Care Plan (NCP) for Acquired Immune Deficiency Syndrome (AIDS)
Nursing Care Plan (NCP) for Abdominal Pain
Nursing Care Plan (NCP) & Interventions for Increased Intracranial Pressure (ICP)
Nursing Care and Pathophysiology of Urinary Tract Infection (UTI)
Nursing Care and Pathophysiology of Pneumonia
Nursing Care and Pathophysiology of Osteoporosis
Nursing Care and Pathophysiology of Osteoarthritis (OA)
Nursing Care and Pathophysiology of Nephrotic Syndrome
Nursing Care and Pathophysiology of Myocarditis
Nursing Care and Pathophysiology of Myocardial Infarction (MI)
Nursing Care and Pathophysiology of Hypertension (HTN)
Nursing Care and Pathophysiology of Glomerulonephritis
Nursing Care and Pathophysiology of Diabetic Ketoacidosis (DKA)
Nursing Care and Pathophysiology of Diabetes Mellitus (DM)
Nursing Care and Pathophysiology of Coronary Artery Disease (CAD)
Nursing Care and Pathophysiology of COPD (Chronic Obstructive Pulmonary Disease)
Nursing Care and Pathophysiology of Chronic Kidney (Renal) Disease (CKD)
Nursing Care and Pathophysiology of BPH (Benign Prostatic Hyperplasia)
Nursing Care and Pathophysiology of Angina
Nursing Care and Pathophysiology of Acute Respiratory Distress Syndrome (ARDS)
Nursing Care and Pathophysiology of Acute Kidney (Renal) Injury (AKI)
Nursing Care and Pathophysiology for Valve Disorders
Nursing Care and Pathophysiology for Ulcerative Colitis(UC)
Nursing Care and Pathophysiology for Tuberculosis (TB)
Nursing Care and Pathophysiology for Thrombophlebitis (clot)
Nursing Care and Pathophysiology for Syphilis (STI)
Nursing Care and Pathophysiology for SIRS & MODS
Nursing Care and Pathophysiology for Sickle Cell Anemia
Nursing Care and Pathophysiology for SIADH (Syndrome of Inappropriate antidiuretic Hormone Secretion)
Nursing Care and Pathophysiology for Sepsis
Nursing Care and Pathophysiology for Rheumatoid Arthritis (RA)
Nursing Care and Pathophysiology for Pulmonary Embolism
Nursing Care and Pathophysiology for Pulmonary Edema
Nursing Care and Pathophysiology for Psoriasis
Nursing Care and Pathophysiology for Polycystic Ovarian Syndrome (PCOS)
Nursing Care and Pathophysiology for Pneumothorax & Hemothorax
Nursing Care and Pathophysiology for Parkinsons
Nursing Care and Pathophysiology for Pancreatitis
Nursing Care and Pathophysiology for Myasthenia Gravis
Nursing Care and Pathophysiology for Multiple Sclerosis (MS)
Nursing Care and Pathophysiology for Meningitis
Nursing Care and Pathophysiology for Ischemic Stroke (CVA)
Nursing Care and Pathophysiology for Influenza (Flu)
Nursing Care and Pathophysiology for Inflammatory Bowel Disease (IBD)
Nursing Care and Pathophysiology for Hypovolemic Shock
Nursing Care and Pathophysiology for Hypothyroidism
Nursing Care and Pathophysiology for Hyperparathyroidism
Nursing Care and Pathophysiology for Human Papilloma Virus (HPV STI)
Nursing Care and Pathophysiology for Herpes Zoster – Shingles
Nursing Care and Pathophysiology for Hepatitis (Liver Disease)
Nursing Care and Pathophysiology for Hemorrhagic Stroke (CVA)
Nursing Care and Pathophysiology for Heart Failure (CHF)
Nursing Care and Pathophysiology for Hashimoto’s Thyroiditis
Nursing Care and Pathophysiology for Diverticulosis – Diverticulitis
Nursing Care and Pathophysiology for Distributive Shock
Nursing Care and Pathophysiology for Disseminated Intravascular Coagulation (DIC)
Nursing Care and Pathophysiology for Diabetes Insipidus (DI)
Nursing Care and Pathophysiology for Cushings Syndrome
Nursing Care and Pathophysiology for Crohn’s Disease
Nursing Care and Pathophysiology for Cirrhosis (Liver Disease, Hepatic encephalopathy, Portal Hypertension, Esophageal Varices)
Nursing Care and Pathophysiology for Compartment Syndrome
Nursing Care and Pathophysiology for Cardiogenic Shock
Nursing Care and Pathophysiology for Asthma
Nursing Care and Pathophysiology for Arterial Disorders
Nursing Care and Pathophysiology for Aortic Aneurysm
Nursing Care and Pathophysiology for Anemia
Nursing Care and Pathophysiology for Anaphylaxis
Nursing Care and Pathophysiology for Acquired Immune Deficiency Syndrome (AIDS)
Nuclear Medicine
Norepinephrine (Levophed) Nursing Considerations
Noncardiac Pulmonary Edema for Certified Emergency Nursing (CEN)
Nitroprusside (Nitropress) Nursing Considerations
Nitroglycerin (Nitrostat) Nursing Considerations
Nitro Compounds
NG (Nasogastric)Tube Management
Neurological Fractures
Neurological Disorders (Multiple Sclerosis, Myasthenia Gravis, Guillain-Barré Syndrome) for Certified Emergency Nursing (CEN)
Neurogenic Shock for Certified Emergency Nursing (CEN)
Neostigmine (Prostigmin) Nursing Considerations
Naproxen (Aleve) Nursing Considerations
Myocardial Infarction Nursing Mnemonic (MONATAS)
Myocardial Infarction (MI) Case Study (45 min)
Musculoskeletal Course Introduction
Musculoskeletal Assessment
Murmur locations Nursing Mnemonic (hARD ASS MRS. MSD)
Multiple Sclerosis Symptoms Nursing Mnemonic (DEMYELINATION)
Morphine (MS Contin) Nursing Considerations
Moderate Sedation
Mobility & Assistive Devices
Miscellaneous Nerve Disorders
Minimally-Invasive Thoracic Surgery (VATS) for Progressive Care Certified Nurse (PCCN)
Migraines
MI Surgical Intervention
Metronidazole (Flagyl) Nursing Considerations
Metoprolol (Toprol XL) Nursing Considerations
Metoclopramide (Reglan) Nursing Considerations
Methylprednisolone (Solu-Medrol) Nursing Considerations
Metformin (Glucophage) Nursing Considerations
Metabolic/Endocrine Course Introduction
Metabolic Acidosis (interpretation and nursing diagnosis)
Metabolic & Endocrine Module Intro
Meropenem (Merrem) Nursing Considerations
Meperidine (Demerol) Nursing Considerations
Meningitis for Certified Emergency Nursing (CEN)
Meniere’s Disease
Medication Classess for IBD Nursing Mnemonic (Sometimes I Can’t Answer)
Mechanical Aids
Management of Pressure Ulcers (Pressure Injuries) Nursing Mnemonic (SKIN)
Malignant Hyperthermia (MH) Nursing Interventions for Certified Perioperative Nurse (CNOR)
Malignant Hyperthermia
Magnetic Resonance Imaging (MRI)
Macular Degeneration
Lymphoma – Signs and Symptoms Nursing Mnemonic (NURSE For Pete’s Sake)
Lymphoma
Lymphatic Assessment
Lung Diseases Module Intro
Lower Gastrointestinal (GI) Module Intro
Low Pressure Vent Alarms Nursing Mnemonic (Cake Everyday)
Losartan (Cozaar) Nursing Considerations
Loperamide (Imodium) Nursing Considerations
Local Anesthetic Systemic Toxicity (LAST) Nursing Interventions for Certified Perioperative Nurse (CNOR)
Local Anesthesia
Liver/Gallbladder Module Intro
Live Bedside Report Medsurg (Medical surgical)
Lisinopril (Prinivil) Nursing Considerations
Lipase Lab Values
Linen Change
Lidocaine Toxicity – Signs and Symptoms Nursing Mnemonic (SAMS)
Lidocaine (Xylocaine) Nursing Considerations
Levothyroxine (Synthroid)
Levofloxacin (Levaquin) Nursing Considerations
Levels of consciousness Nursing Mnemonic (Never Carry Dirty Socks Or Smelly Clothes)
Lactic Acid
Lactate Dehydrogenase (LDH) Lab Values
Lacerations for Certified Emergency Nursing (CEN)
IV Complications (infiltration, phlebitis, hematoma, extravasation, air embolism)
Isoniazid (Niazid) Nursing Considerations
Ischemic Bowel for Progressive Care Certified Nurse (PCCN)
Ischemic (CVA) Stroke Labs
Iron (Fe) Lab Values
Ionized Calcium Lab Values
Iodine Nursing Considerations
Intubation in the OR
Introduction to Health Assessment
Intro to Health Assessment
Intrarenal Causes of Acute Kidney Injury Nursing Mnemonic (TONIC)
Intraoperative Positioning
Intraoperative Nursing Priorities
Intraoperative (Intraop) Complications
Intracranial Pressure ICP
Interventions for Aphasia Nursing Mnemonic (PROP)
Interdisciplinary Team Participation for Certified Perioperative Nurse (CNOR)
Interdisciplinary Team Member Functions for Certified Perioperative Nurse (CNOR)
Interdisciplinary Healthcare Team Collaboration for Certified Perioperative Nurse (CNOR)
Integumentary (Skin) Important Points
Integumentary (Skin) Module Intro
Integumentary (Skin) Course Introduction
Intake and Output (I&O)
Insulin Mnemonic (Ready, Set, Inject, Love)
Insulin – Short Acting (Regular) Nursing Considerations
Insulin – Rapid Acting (Novolog, Humalog) Nursing Considerations
Insulin – Mixtures (70/30)
Insulin – Long Acting (Lantus) Nursing Considerations
Insulin – Intermediate Acting (NPH) Nursing Considerations
Insulin
Inserting an NG (Nasogastric) Tube
Inserting a Foley (Urinary Catheter) – Male
Informed Consent
Influenza for Certified Emergency Nursing (CEN)
Inflammatory Bowel Disease Case Study (45 min)
Infectious Diseases: Influenza for Progressive Care Certified Nurse (PCCN)
Individualized Physical Assessments for Certified Perioperative Nurse (CNOR)
Increased Intraocular Pressure for Certified Emergency Nursing (CEN)
Impulse Transmission
Implant Verification and Availability for Certified Perioperative Nurse (CNOR)
Implant Records and Tracking for Certified Perioperative Nurse (CNOR)
Implant Preparation for Certified Perioperative Nurse (CNOR)
Impaired or Disruptive Behavior Reporting (Interdisciplinary Healthcare Team) for Certified Perioperative Nurse (CNOR)
Immunology Module Intro
Immunocompromise (HIV and AIDS, Oncology and Chemotherapy, Transplant Patient) for Certified Emergency Nursing (CEN)
Hypoxia – Signs and Symptoms Nursing Mnemonic (RAT BED)
Hypovolemic and Distributive Shock for Certified Emergency Nursing (CEN)
Hypotonic Solutions (IV solutions)
Hypothermia (Thermoregulation)
Hypoparathyroidism
Hyponatremia- Definition, Signs and Symptoms Nursing Mnemonic (SALT LOSS)
Hypokalemia – Signs and Symptoms Nursing Mnemonic (6 L’s)
Hypoglycemia symptoms Nursing Mnemonic (DIRE)
Hypoglycemia Management Nursing Mnemonic (Cool and Clammy – Give ‘Em Candy)
Hypoglycemia for Progressive Care Certified Nurse (PCCN)
Hypoglycemia – Signs and Symptoms Nursing Mnemonic (TIRED)
Hypoglycemia
Hypocalcemia – Definition, Signs and Symptoms Nursing Mnemonic (CATS)
Hypertonic Solutions (IV solutions)
Hyperthyroidism Case Study (75 min)
Hyperthermia (Thermoregulation)
Hypertensive Crisis Case Study (45 min)
Hypertension- Complications Nursing Mnemonic (The 4 C’s)
Hypertension (Uncontrolled) and Hypertensive Crisis for Progressive Care Certified Nurse (PCCN)
Hypertension (HTN) Concept Map
Hypertension – Nursing care Nursing Mnemonic (DIURETIC)
Hypernatremia – Signs and Symptoms 3 Nursing Mnemonic (SALT)
Hypernatremia – Signs and Symptoms 2 Nursing Mnemonic (SWINE)
Hypernatremia – Signs and Symptoms 2 Nursing Mnemonic (FRIED)
Hyperglycemia for Progressive Care Certified Nurse (PCCN)
Hyperglycaemic Hyperosmolar Non-ketotic syndrome (HHNS)
Hypercalcemia – Signs and Symptoms Nursing Mnemonic (GROANS, MOANS, BONES, STONES, OVERTONES)
Hygiene
Hydralazine
HMG-CoA Reductase Inhibitors (Statins)
Histamine 2 Receptor Blockers
Histamine 1 Receptor Blockers
High Pressure Vent Alarms Nursing Mnemonic (Kings Eat Big Cakes)
Hepatitis for Certified Emergency Nursing (CEN)
Hepatitis B Virus (HBV) Lab Values
Hepatic Disorders (Cirrhosis, Hepatitis, Portal Hypertension) for Progressive Care Certified Nurse (PCCN)
Heparin (Hep-Lock) Nursing Considerations
Hemorrhagic Stroke Risk Factors Nursing Mnemonic (HATS)
Hemorrhagic Fevers for Certified Emergency Nursing (CEN)
Hemorrhage Nursing Interventions for Certified Perioperative Nurse (CNOR)
Hemodialysis (Renal Dialysis)
Hematology/Oncology/Immunology Course Introduction
Hematology Module Intro
Hematologic Disorders for Certified Emergency Nursing (CEN)
Heart Failure-Left-Sided Nursing Mnemonic (CHOP)
Heart Failure-Origin Nursing Mnemonic (Left – Lung|Right – Rest)
Heat Temperature-related Emergencies for Certified Emergency Nursing (CEN)
Heart Failure for Certified Emergency Nursing (CEN)
Heart Failure Case Study (45 min)
Heart Failure 2 – Live Tutoring Archive
Heart Failure (Acute Exacerbations, Chronic) for Progressive Care Certified Nurse (PCCN)
Heart (Cardiac) Sound Locations and Auscultation
Heart (Cardiac) Failure Therapeutic Management
Heart (Cardiac) Failure Module Intro
Heart (Cardiac) and Great Vessels Assessment
Healthcare-Acquired Infections: Surgical Site Infections (SSI) for Progressive Care Certified Nurse (PCCN)
Hearing Loss
Healthcare-Acquired Infections: Catheter-Associated Bloodstream Infections (CAUTI) for Progressive Care Certified Nurse (PCCN)
Healthcare Team Member Supervision and Education for Certified Perioperative Nurse (CNOR)
Health Assessment Course Introduction
Head/Neck Assessment
Hb (Hepatitis) Vaccine
Hazardous Material Handling and Disposition (Chemo, Radioactive) for Certified Perioperative Nurse (CNOR)
Hand Hygiene Guideline Adherence for Certified Perioperative Nurse (CNOR)
Glucagon (GlucaGen) Nursing Considerations
Glipizide (Glucotrol) Nursing Considerations
Glaucoma
GI Infections (C. difficile) for Progressive Care Certified Nurse (PCCN)
GI Bleed (Upper, Lower) for Progressive Care Certified Nurse (PCCN)
GERD causes Nursing Mnemonic (Reflux Is Probably Mean)
GERD (Gastroesophageal Reflux Disease)
Genitourinary Infections for Certified Emergency Nursing (CEN)
Genitourinary Course Introduction
Genitourinary Trauma for Certified Emergency Nursing (CEN)
Genitourinary (GU) Assessment
General Assessment (Physical assessment)
General Anesthesia
Gastrointestinal (GI) Bleed Concept Map
Gastritis
Gabapentin (Neurontin) Nursing Considerations
Fundamentals Course Introduction
Functional Issues (Immobility, Falls, Gait Disorders) for Progressive Care Certified Nurse (PCCN)
Functional GI Disorders (Obstruction, Ileus, Diabetic Gastroparesis, Gastroesophageal Reflux, Irritable Bowel Syndrome) for Progressive Care Certified Nurse (PCCN)
Free T4 (Thyroxine) Lab Values
Fluid Volume Overload
Fibromyalgia
Fibrinogen Lab Values
Fibrin Degradation Products (FDP) Lab Values
Ferrous Sulfate (Iron) Nursing Considerations
Fentanyl (Duragesic) Nursing Considerations
Explant Preparation (Final Disposition) for Certified Perioperative Nurse (CNOR)
Ethical and Professional Standards for Certified Perioperative Nurse (CNOR)
Essential NCLEX Meds by Class
Esophageal Varices for Certified Emergency Nursing (CEN)
Erythromycin (Erythrocin) Nursing Considerations
Erythrocyte Sedimentation Rate (ESR) Lab Values
Equipment Utilization (Manufacturers Recommendations) for Certified Perioperative Nurse (CNOR)
Epoetin Alfa
Epoetin (Epogen) Nursing Considerations
Epinephrine (EpiPen) Nursing Considerations
Environmental Stewardship (Waste Minimization) for Certified Perioperative Nurse (CNOR)
Environmental Factor Control for Certified Perioperative Nurse (CNOR)
Environmental Cleaning (Spills, Room Turnover, Terminal Cleaning) for Certified Perioperative Nurse (CNOR)
Envenomation Emergencies for Certified Emergency Nursing (CEN)
Enteral & Parenteral Nutrition (Diet, TPN)
Enoxaparin (Lovenox) Nursing Considerations
Endoscopy & EGD
End-Stage Renal Disease (ESRD) for Progressive Care Certified Nurse (PCCN)
Encephalopathy (Hypoxic-ischemic, Metabolic, Infectious, Hepatic) for Progressive Care Certified Nurse (PCCN)
Encephalopathies
Enalapril (Vasotec) Nursing Considerations
Emergency Situation Identification for Certified Perioperative Nurse (CNOR)
EENT Medications
EENT Course Introduction
Echocardiogram (Cardiac Echo)
Dysrhythmias Labs
Dysrhythmias for Certified Emergency Nursing (CEN)
Drugs that Cause SJS Nursing Mnemonic (I C NASA)
Dopamine (Inotropin) Nursing Considerations
Dobutamine (Dobutrex) Nursing Considerations
DKA Treatment Nursing Mnemonic (KING UFC)
Diverticulitis for Certified Emergency Nursing (CEN)
Diverticulitis Complications Nursing Mnemonic (Please Fix His Abscess SOon)
Disseminated Intravascular Coagulation Case Study (60 min)
Disease Specific Medications
Discharge Planning for Certified Emergency Nursing (CEN)
Discharge (DC) Teaching After Surgery
Different Dressings
Diltiazem (Cardizem) Nursing Considerations
Dialysis & Other Renal Points
Diagnostic Criteria for Lupus Nursing Mnemonic (SOAP BRAIN MD)
Diabetic Ketoacidosis for Progressive Care Certified Nurse (PCCN)
Diabetic Ketoacidosis (DKA) Case Study (45 min)
Diabetes Mellitus Type 1- Signs & Symptoms Nursing Mnemonic (The 3 P’s)
Diabetes Mellitus for Progressive Care Certified Nurse (PCCN)
Diabetes Mellitus & Those Dang Blood Sugars! – Live Tutoring Archive
Diabetes Mellitus Case Study (45 min)
Diabetes Mellitus (DM) Module Intro
Diabetes Management
Diabetes Insipidus Nursing Mnemonic (DDD)
Diabetes Insipidus Case Study (60 min)
Dementia and Alzheimers
Delegation and Personnel Management for Certified Perioperative Nurse (CNOR)
Decrease ICP Nursing Mnemonic (Craniums Excite Me)
Day in the Life of a Med-surg Nurse
D-Dimer (DDI) Lab Values
Cyclosporine (Sandimmune) Nursing Considerations
Cyclic Citrullinated Peptide (CCP) Lab Values
Cushings Assessment Nursing Mnemonic (STRESSED)
Cushing’s Syndrome Case Study (60 min)
Cultures
CT & MR Angiography
Crohn’s Morphology and Symptoms Nursing Mnemonic (CHRISTMAS)
Critical Thinking to Facilitate Patient Care for Certified Perioperative Nurse (CNOR)
Creatinine Clearance Lab Values
Creatine Phosphokinase (CPK) Lab Values
Cranial Nerve Mnemonic 02 Nursing Mnemonic (Oh Oh Oh To Touch And Feel Very Good Velvet AH!)
Cortisone (Cortone) Nursing Considerations
Cortisol Lab Vales
Coronavirus (COVID-19) Nursing Care and General Information
Coronary Circulation
Coronary Artery Disease Concept Map
Coronary Arteries – Location Nursing Mnemonic (I have a RIGHT to CAMP if you LEFT off the AC)
Cor Pulmonale – Signs & Symptoms Nursing Mnemonic (Please Read His Text)
COPD management Nursing Mnemonic (COPD)
COPD Exacerbation for Progressive Care Certified Nurse (PCCN)
COPD Concept Map
COPD (Chronic Obstructive Pulmonary Disease) Labs
Congestive Heart Failure Concept Map
Confirming Patient Identity (Patient Identifiers) for Certified Perioperative Nurse (CNOR)
Confirmation of Correct Procedure (Operative Site, Side, Site Marking) for Certified Perioperative Nurse (CNOR)
Complications of Thoracentesis Nursing Mnemonic (Patients Sometimes Bleed Internally)
Complications of Immobility
Compartment Syndrome for Certified Emergency Nursing (CEN)
Communication of Patient Outcomes (Continuum of Care) for Certified Perioperative Nurse (CNOR)
Common Signs of Parkinson’s Nursing Mnemonic (SMART)
Comfort Provisions (Behavioral Response to Procedure) for Certified Perioperative Nurse (CNOR)
Colonoscopy
Cold Temperature-related Emergencies for Certified Emergency Nursing (CEN)
Coagulopathies, Medication-Induced (Coumadin, Platelet Inhibitors, Heparin, HIT) for Progressive Care Certified Nurse (PCCN)
Coagulation Studies (PT, PTT, INR)
Clopidogrel (Plavix) Nursing Considerations
Cirrhosis Complications Nursing Mnemonic (Please Bring Happy Energy)
Cirrhosis for Certified Emergency Nursing (CEN)
Cirrhosis Case Study (45 min)
Circulatory Checks (5 P’s) Nursing Mnemonic (The 5 P’s)
Chronic Obstructive Pulmonary Disease (COPD) for Certified Emergency Nursing (CEN)
Chronic Renal (Kidney) Module Intro
Chronic Kidney Disease (CKD) Case Study (45 min)
CHF Treatment Nursing Mnemonic (UNLOAD FAST)
Chest Tube Management Case Study (60 min)
Chest Tube Management
Chest Tube Management
Chest Tube Assessment Nursing Mnemonic (Two AA’s)
Cerebral Perfusion Pressure CPP
Cerebral Perfusion Pressure Case Study (60 min)
Cephalexin (Keflex) Nursing Considerations
Central Line Dressing Change
Celecoxib (Celebrex) Nursing Considerations
Causes of Dyspnea Nursing Mnemonic (The 6 P’s)
Causes of Pancreatitis Nursing Mnemonic (BAD HITS)
Causes of Anaphylaxis Nursing Mnemonic (Many Boys Love Food)
Cataracts
Cardiovascular Disorders (CVD) Module Intro
Cardiovascular Angiography
Cardiogenic Shock For PCCN for Progressive Care Certified Nurse (PCCN)
Cardiogenic Shock and Obstructive Shock for Certified Emergency Nursing (CEN)
Cardiac/Vascular Catheterization (Diagnostic, Interventional) for Progressive Care Certified Nurse (PCCN)
Cardiac Valves Blood Flow Nursing Mnemonic (Toilet Paper my Ass)
Cardiac Tamponade for Progressive Care Certified Nurse (PCCN)
Cardiac Surgery (Post-ICU Care) for Progressive Care Certified Nurse (PCCN)
Cardiac Stress Test
Cardiac Labs – What and When to Use Them 2 – Live Tutoring Archive
Cardiac Labs – What and When to Use Them – Live Tutoring Archive
Cardiac Course Introduction
Cardiac Arrest Nursing Interventions for Certified Perioperative Nurse (CNOR)
Cardiac Anatomy
Cardiac A&P Module Intro
Cardiac (Heart) Enzymes
Carbon Dioxide (Co2) Lab Values
Carbidopa-Levodopa (Sinemet) Nursing Considerations
Captopril (Capoten) Nursing Considerations
Canes Nursing Mnemonic (COAL)
Calcium Channel Blockers
Calcium Carbonate (Tums) Nursing Considerations
Calcium Acetate (PhosLo) Nursing Considerations
C. Difficile for Certified Emergency Nursing (CEN)
C-Reactive Protein (CRP) Lab Values
Burns for Certified Emergency Nursing (CEN)
Burn Injuries
Brain Natriuretic Peptide (BNP) Lab Values
Brain Death v. Comatose
BPH Symptoms Nursing Mnemonic (FUN WISE)
Bowel Perforation for Certified Emergency Nursing (CEN)
Bowel Obstruction Concept Map
Body Mechanics (Utilization) for Certified Perioperative Nurse (CNOR)
Blunt Chest Trauma
Blood Salvage Transfusion Anticipation for Certified Perioperative Nurse (CNOR)
Blood Flow Through The Heart
Bleeding Precautions Nursing Mnemonic (RANDI)
Bleeding for Certified Emergency Nursing (CEN)
Bleeding Complications (Minor) Nursing Mnemonic (BEEP)
Bismuth Subsalicylate (Pepto-Bismol) Nursing Considerations
Biopsy
Biohazard Material Handling and Disposition (Blood, Microbiology, Creutzfeldt-Jakob Disease) for Certified Perioperative Nurse (CNOR)
Beta Hydroxy (BHB) Lab Values
Benztropine (Cogentin) Nursing Considerations
Bed Bath
Barriers to Health Assessment
Barrier Material Selection (Procedure-Specific) for Certified Perioperative Nurse (CNOR)
Bariatric: IV Insertion
Bariatric Surgeries
Barbiturates
Bacterial Endocarditis – Symptoms Nursing Mnemonic (Be Joan Of Arc)
Azithromycin (Zithromax) Nursing Considerations
AV Blocks Dysrhythmias for Progressive Care Certified Nurse (PCCN)
Atrial Flutter
Atrial Fibrillation (A Fib)
Atrial Dysrhythmias for Progressive Care Certified Nurse (PCCN)
Atorvastatin (Lipitor) Nursing Considerations
Atenolol (Tenormin) Nursing Considerations
Asthma for Certified Emergency Nursing (CEN)
Asthma (Severe) for Progressive Care Certified Nurse (PCCN)
Assessment of Guillain-Barre Syndrome Nursing Mnemonic (GBS=PAID)
Assessment for Myasthenic Crisis Nursing Mnemonic (BRISH)
ASA (Aspirin) Nursing Considerations
Artificial Airways
ARDS causes Nursing Mnemonic (GUT PASS)
ARDS Case Study (60 min)
Aortic Stenosis Symptoms Nursing Mnemonic (SAD)
Aortic Aneurysm – Thoracic signs Nursing Mnemonic (PEE BADS)
Aortic Aneurysm – Management Nursing Mnemonic (CRAM)
Antinuclear Antibody Lab Values
Antineoplastics
Antimetabolites
Antidiabetic Agents
Anticonvulsants
Anti-Platelet Aggregate
Anti-Infective – Antitubercular
Anti-Infective – Tetracyclines
Anti-Infective – Sulfonamides
Anti-Infective – Glycopeptide
Anti-Infective – Carbapenems
Anti Tumor Antibiotics
Anion Gap Acidosis 1 Nursing Mnemonic (KULT)
Anion Gap Acidosis 2 Nursing Mnemonic (MUDPILES)
Anion Gap
Angiotensin Receptor Blockers
Aneurysm and Dissection for Certified Emergency Nursing (CEN)
Anesthetic Agents
Anesthetic Agents
Aneurysm (Dissecting, Repair) for Progressive Care Certified Nurse (PCCN)
Anesthesia Management Assistance for Certified Perioperative Nurse (CNOR)
Anemia for Progressive Care Certified Nurse (PCCN)
Amputation for Certified Emergency Nursing (CEN)
Anaphylaxis Nursing Interventions for Certified Perioperative Nurse (CNOR)
Amputation Concept Map
Amputation
Amlodipine (Norvasc) Nursing Considerations
Amitriptyline (Elavil) Nursing Considerations
Altered Mental Status Nursing Mnemonic (AEIOU TIPS)
Alteplase (tPA, Activase) Nursing Considerations
Altered Mental Status- Delirium and Dementia for Progressive Care Certified Nurse (PCCN)
Alkylating Agents
Alkaline Phosphatase (ALK PHOS) Lab Values
Alendronate (Fosamax) Nursing Considerations
Alanine Aminotransferase (ALT) Lab Values
Airway Suctioning
AIDS Case Study (45 min)
Age and Culturally Appropriate Health Assessment Techniques for Certified Perioperative Nurse (CNOR)
Advanced Directive and DNR Status Confirmation for Certified Perioperative Nurse (CNOR)
Advance Directives
Adrenal Gland Hormones Nursing Mnemonic (The 3 S’s)
Adrenal and Thyroid Disorder Emergencies for Certified Emergency Nursing (CEN)
Admissions, Discharges, and Transfers
Adjunct Neuro Assessments
Addisons Disease
Addisons Assessment Nursing Mnemonic (STEROID)
Acute Respiratory Distress Syndrome (ARDS) for Progressive Care Certified Nurse (PCCN)
Acute Renal (Kidney) Module Intro
Acute Kidney Injury Case Study (60 min)
Acute Inflammatory Disease (Myocarditis, Endocarditis, Pericarditis) for Progressive Care Certified Nurse (PCCN)
Acute Coronary Syndromes (MI-ST and Non ST, Unstable Angina) for Progressive Care Certified Nurse (PCCN)
Acute Abdomen for Certified Emergency Nursing (CEN)
ACE (angiotensin-converting enzyme) Inhibitors
Accountability and Assistance for Personal Limitations for Certified Perioperative Nurse (CNOR)
Absolute Reticulocyte Count (ARC) Lab Values
Absolute Neutrophil Count (ANC) Lab Values
3rd Degree AV Heart Block (Complete Heart Block)
2nd Degree AV Heart Block Type 2 (Mobitz II)
2nd Degree AV Heart Block Type 1 (Mobitz I, Wenckebach)
1st Degree AV Heart Block
10.04 Pulmonary Question Review for CCRN Review
07.10 Neurologic Review questions for CCRN Review
07.09 Meningitis for CCRN Review
06.05 Wide Complex Tachycardia for CCRN Review
06.04 Differentiating Ectopy and Aberrancy for CCRN Review
05.05 GI Practice Questions for CCRN Review
05.02 Liver Overview and Disease for CCRN Review
05.01 Pancreatitis and Large Bowel Obstruction for CCRN Review
03.04 DKA vs HHNK for CCRN Review
03.05 Endocrine Practice Questions for CCRN Review
03.03 Hypoglycemia for CCRN Review
03.02 Diabetes Insipidus for CCRN Review
03.01 Syndrome of Inappropriate Antidiuretic hormone (SIADH) for CCRN Review
02.18 Cardiovascular Practice Questions for CCRN Review
02.17 Septic Shock for CCRN Review
02.16 Cardiogenic Shock for CCRN Review
02.15 Hypovolemic Shock for CCRN Review
02.14 Shock Stages for CCRN Review
02.13 Myocardial Infarction – Anterior Septal Wall for CCRN Review
02.02 Cardiomyopathy for CCRN Review
02.06 Heart Murmurs for CCRN Review
02.08 Cardiac Catheterization & Acute Coronary Syndrome for CCRN Review
02.12 Myocardial Infarction- Inferior Wall for CCRN Review