Nursing Care Plan (NCP) for Seizures

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Study Tools For Nursing Care Plan (NCP) for Seizures

Seizure Precautions (Picmonic)
Seizure Interventions (Picmonic)
Types of Seizures (Picmonic)
Seizure Pathochart (Cheatsheet)
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Outline

Lesson Objective for Nursing Care Plan (NCP) for Seizures

 

What is a Seizure?

 

A seizure is like an electrical storm in the brain. Normally, brain cells communicate through controlled electrical signals, but during a seizure, these signals become abnormal and excessive, leading to sudden, temporary changes in behavior, movement, feeling, or consciousness.

 

Types of Seizures:

 

Generalized Seizures: Affect the whole brain. For example, tonic-clonic seizures, where the body stiffens and jerks.

Focal Seizures: Start in just one part of the brain. They might cause twitching or a change in sensation or emotions.

 

What Causes Seizures?

 

They can be caused by various things, like epilepsy, head injuries, certain illnesses, or even high fevers (especially in children).

 

Symptoms:

 

  • Can vary widely, from blank staring, muscle stiffness, and jerking movements, to loss of consciousness or awareness.
  • After a seizure, a person might feel confused or tired.

 

Upon completion of this care plan, nursing students will be able to:

 

  • Understand the pathophysiology of Seizures, including the mechanisms that lead to abnormal electrical activity in the brain.
  • Conduct a thorough nursing assessment, identifying seizure triggers, aura, and associated signs and symptoms.
  • Formulate and prioritize nursing diagnoses, addressing both the immediate management of seizures and the long-term care of individuals with epilepsy.
  • Develop evidence-based nursing interventions, focusing on seizure prevention, safety measures, and patient education.
  • Educate patients and caregivers on seizure management, including medication adherence, lifestyle modifications, and appropriate emergency responses.

Pathophysiology of Seizures

 

Seizures happen when there’s too much electrical activity in the brain. Imagine your brain as a busy city with lots of streets and cars. Normally, everything runs smoothly, but sometimes the traffic lights go haywire.

 

  • Nerve Excitement:
    • Blocked Roads: Some roads (or pathways) in the brain get blocked, making it hard for signals to move smoothly.
    • Confused Signals: Signals between nerve cells can get mixed up because the traffic lights (or chemicals in the brain) aren’t working as they should.
  • Everyone Starts Moving Together:
    • Neighborhood Chaos: When one area of the brain gets too excited, it’s like all the neighbors start doing the same thing at the same time.
    • Spread of Excitement: This excitement can spread quickly to other areas, causing a seizure where the brain’s signals go a bit wild.
  • Problems with the Brain’s “Blueprint”:
    • Brain Construction Issues: Sometimes, the brain’s construction has some problems, like bumps in the roads or areas that aren’t developed properly.
    • Genetic Factors: Some people are born with a higher chance of having seizures because it runs in their families or their brain’s construction is a bit different.
  • Other Factors:
    • Low Energy or Imbalances: If the brain doesn’t get enough energy or if certain chemicals are imbalanced, it can cause trouble with the traffic lights and lead to seizures.
  • Substance Issues:
    • Withdrawal Trouble: Suddenly stopping certain medications or substances, like alcohol or certain drugs, can also cause the brain to act up.

Etiology of Seizures

 

Understanding why seizures occur is crucial for nursing students working with patients experiencing these events. Think of the brain as a complex system, and seizures as disruptions in its normal functioning. Here’s a simplified breakdown of the potential causes:

 

  • Genetic Factors:
    • Familial Predisposition: Individuals with a family history of seizures may have a genetic predisposition.
    • Genetic Coding: Certain genetic codes may influence the likelihood of experiencing seizures.
  • Structural Brain Variances:
    • Congenital Variances: Structural differences in the brain present at birth may contribute.
    • Neural Pathways: Variations in neural pathways could lead to abnormal signal propagation.
  • Disturbances in Neural Traffic:
    • Signal Interruptions: Disruptions in the normal flow of signals between neurons may occur.
    • Hyperexcitability: Some areas of the brain may become overly excited, leading to cascading effects.
  • Metabolic and Chemical Imbalances:
    • Energy Deprivation: Insufficient energy supply to the brain can result in glitches.
    • Neurotransmitter Imbalances: Disturbances in the balance of neurotransmitters may affect signal transmission.
  • Substance-Related Factors:
    • Abrupt Cessation: Suddenly stopping certain medications or substances can induce seizures.

Desired Outcome for Nursing Care Plan (NCP) for Seizures

 

  • Seizure Control:
    • Short-Term Goal: Achieve immediate control and termination of the seizure episode.
    • Interventions: Administer prescribed antiepileptic medications promptly. Ensure a safe environment to prevent injury during the seizure.
  • Reduced Frequency of Seizures:
    • Intermediate-Term Goal: Decrease the frequency and intensity of seizures over time.
    • Interventions: Optimize medication adherence. Collaborate with the healthcare team to adjust medications as needed.
  • Improved Quality of Life:
    • Long-Term Goal: Enhance overall quality of life by minimizing the impact of seizures on daily activities.
    • Interventions: Provide ongoing education on lifestyle modifications, stress management, and coping strategies.
  • Medication Adherence:
    • Intermediate-Term Goal: Ensure consistent adherence to prescribed antiepileptic medications.
    • Interventions: Conduct regular medication reviews, address concerns or side effects, and utilize strategies to support adherence.
  • Seizure-Free Periods:
    • Long-Term Goal: Achieve extended periods without seizures.
    • Interventions: Continuously assess and adjust the care plan. Collaborate with neurologists to explore alternative or adjunct therapies.
  • Optimized Neurological Function:
    • Long-Term Goal: Preserve and optimize neurological function.
    • Interventions: Regularly monitor cognitive function. Collaborate with neurology specialists for comprehensive neurological assessments.

Seizures Nursing Care Plan

 

Subjective Data:

  • Loss of awareness
  • Confusion
  • Pt may report aura before the seizure
  • A postictal state (drowsiness, nausea, vomiting, headache)

Objective Data:

  • Rhythmic twitching
  • Stiff contraction
  • Loss of consciousness
  • Staring off blankly
  • Repetitive behavior (lip smacking, laughing)

Nursing Assessment for Seizures

 

  • Seizure History:
    • Frequency and Duration: Determine how often seizures occur and how long they typically last.
    • Aura or Warning Signs: Explore if there are any warning signs or auras before a seizure.
  • Current Seizure Episode:
    • Observations: Document the sequence of events during the current seizure, including any unusual movements, changes in consciousness, or postictal phases.
    • Triggers: Identify potential triggers such as stress, lack of sleep, or specific stimuli.
  • Medical History:
    • Underlying Conditions: Assess for any underlying medical conditions, neurological disorders, or structural brain abnormalities.
    • Medication History: Review current and past medications, including antiepileptic drugs, and assess adherence.
  • Neurological Examination:
    • Cognitive Function: Evaluate the patient’s cognitive function, memory, and attention.
    • Motor Function: Assess for any motor deficits, weakness, or abnormalities.
  • Medication Adherence:
    • Current Medications: Review the patient’s current antiepileptic medications, dosages, and frequency.
    • Barriers to Adherence: Identify any barriers to medication adherence, such as side effects or forgetfulness.
  • Seizure Triggers and Patterns:
    • Identify Triggers: Explore potential triggers, including stressors, lack of sleep, or specific environmental factors.
    • Pattern Recognition: Note any patterns in the occurrence of seizures, such as time of day or specific situations.
  • Psychosocial Assessment:
    • Emotional Well-being: Explore the patient’s emotional well-being, addressing any anxiety, depression, or stigma related to seizures.
    • Social Support: Assess the availability of social support, including family and community resources.

Nursing Interventions and Rationales

 

  • Initiate seizure precautions for patients at risk for seizures.
    • Suction set up and working
    • Ambu-bag in room
    • Padding side rails
    • All side rails up

 

Seizures frequently happen without warning, therefore we must ensure safety in case it occurs. Once one begins, it’s too late to try to implement the safety precautions

 

  • Maintain airway

 

During a seizure, the patient may not be able to maintain their airway, or they may not be able to handle their oral secretions and aspirate.

 

  • Maintain safety during any seizure activity
    • Turn pt to the side
    • NOTHING in mouth
    • Do NOT restrain

 

  • Patients may vomit during a seizure, therefore turning them to their side can help to prevent aspiration (in addition to having suction available).
  • Putting things in the mouth can cause the patient injury as they tend to clench their teeth during seizures
  • Restraining the patient may cause injury because of the unpredictable muscle movements

 

  • Assess, monitor, and document seizure activity

 

It is essential to know the precipitating factors, what happened during the seizure (rhythmic twitching and specific location), and the specific timing (30 seconds vs. 2 minutes vs. 6 minutes) – you must be as specific as possible to enable the medical team to make appropriate clinical decisions.

 

  • Administer antiepileptics (PRN and scheduled) medications per orders

 

Many patients with seizures, or who are at risk will have scheduled antiepileptic medications. They must receive these promptly, as ordered. Also, be aware of your PRN antiepileptics and when to administer them (typically for seizures lasting longer than 2 minutes)

 

  • Reevaluate any medications that may lower the seizure threshold (some antibiotics, antidepressants, narcotics, and many more may do this)

 

We want to do all we can to prevent seizures from occurring, therefore the healthcare team must evaluate meds that may increase the seizure risk and closely look at them to decide if the benefit is worth the risk, or if an alternative is available that does not lower the seizure threshold

 

  • Educate patient and family on hospital procedures, and when to notify staff

 

Some patients with a history of seizures can tell when one is coming on, which is helpful to communicate to the nurse. Also, it’s helpful to let them know what you as the nurse will do when/if a seizure occurs so that they are prepared mentally and emotionally, as it can be somewhat scary for families to witness and patients to experience.

 

  • Provide emotional support

 

Seizures are serious and upsetting to witness. The more empathy and support you can provide patients and loved ones, the better.

 

  • Help the patient develop a seizure action plan for after discharge

 

The patient and family need to know what to do should a seizure occur at home. Not all seizures are emergencies. They should know what to do to keep the patient safe and when to call 911:

  • Cyanosis or not breathing
  • Back-to-back seizures
  • Seizure lasting > 5 minutes

Evaluation for Nursing Care Plan (NCP) for Seizures

 

  • Seizure Control:
    • Expected Outcome: Immediate control and termination of the seizure episode.
    • Evaluation Criteria: Compare the patient’s response to interventions during seizures with baseline episodes. Assess the effectiveness of antiepileptic medications.
  • Frequency of Seizures:
    • Expected Outcome: Decreased frequency and intensity of seizures.
    • Evaluation Criteria: Compare the number and severity of seizures over time. Analyze patterns and note any improvement or exacerbation.
  • Medication Adherence:
    • Expected Outcome: Consistent adherence to prescribed antiepileptic medications.
    • Evaluation Criteria: Monitor medication adherence through patient self-report and medication records. Address any identified barriers to adherence.
  • Seizure-Free Periods:
    • Expected Outcome: Extended periods without seizures.
    • Evaluation Criteria: Monitor for seizure-free intervals. Adjust the care plan based on the frequency and duration of seizure-free periods.
  • Neurological Function:
    • Expected Outcome: Preserved and optimized neurological function.
    • Evaluation Criteria: Regularly assess cognitive function, motor skills, and neurological status. Collaborate with neurology specialists for comprehensive evaluations.


References

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Transcript

Today, we’re going to talk about seizures for our nursing care Plan. First, we have to collect the information, so we are going to gather that data. Remember, we have subjective and objective data. Our subjective data is what the client’s reporting. Maybe they are saying that they feel more confused than normal, if they’re aware of that. Maybe they have an aura that occurs before a seizure occurs, that one is coming, or maybe they have experienced that postictal state where they’re super drowsy and tired. They have had some nausea and vomiting with that, or a headache.

 

Our objective data are things that we’ve observed. So let’s say we actually see the seizure. You see either twitching happening, you see those convulsions, so, you know it’s a seizure. Remember all kinds of different seizures can happen. You could have that blank stare occur on your patient, or they have a loss of consciousness. Just any of those,you know, tightness, those contractions that they have, the stiffness, or maybe even an EEG is done showing brain waves that show that a seizure is occurring. Those are going to be our objective data. 

 

So next, we’re going to look at the information. We are going to diagnose and prioritize by analyzing the information. So what’s the problem? Well, the patient is seizing and that is a safety risk, right? Huge safety risk. What needs to be improved? What can we do? So, we could do medications to help this seizure stop, whatever it may be, as soon as possible. Really, we want to minimize any damage, anything we can do to minimize damage, which would be things like our seizure precautions that we can put patients on. So, like padded side rails, those kinds of things, having suction available, or an ambu bag, and that will help improve our outcomes. Then what’s our priority? So for me with seizures, the biggest thing if they’re seizing is going to be patient safety is our priority, as well as getting it to stop, right? We want to stop that seizure from happening. 

 

Alright, so now we’re going to plan, implement and evaluate. This is our asking, how, how do we know it was a problem? Well, this is where you kind of are linking your data together. All those symptoms that objective data and subjective data that we gathered, you’re linking it to this. That’s how we knew it was a problem. The patient sees an aura, whatever it may be, that’s how we knew, and how are we going to address it? Well, hopefully they have an anti-epileptic drug ordered. Those anti-seizure medications that we can give to stop the seizure from happening. We can put the patient on those seizure precautions and this will help to keep the patient safe during a seizure. Then, how would I know it gets better? Well, they remain safe during a seizure, or depending on what’s happening with this patient, the seizure stops, then we would know that it got better. 

 

Alright, so onto the translation. So these are our high-level nursing concepts where you’re really concise. So for me, our concepts would be safety, I would go with coping and comfort because more so for the family, which they are patient to when this situation occurs, it can be super scary. So, just allowing for coping and comfort and helping that family through this, and then patient education, of course, always a good one. Alright, so now we have to go in and we transcribe, this is where you’re going to put those problems, those priorities. You’re going to link your data together that told you what the problem was. We are going to intervene. This is the why, why are we intervening, and then, what do we expect to see happen? 

 

So, here our priorities are safety, comfort, coping and patient education. Next is objective data, subjective data. The patient said they had an aura coming on. So we know this patient’s about to cease, so we can intervene. We would intervene by padding the side rails, turning the patient because remember, the patients can vomit a lot. They have nausea and vomiting. They can vomit during the seizure. We don’t want them to aspirate, so turning them on the side, having suction available and an ambu bag to keep our good airway, and oxygenate the patient. These are interventions that we can do, all of our seizure precautions. 

 

Now our rationale. So why, well, this is going to, we’re going to do this, and it is going to provide safety for that client, and then our expected outcome. So our expected outcome is that the patient will remain safe during the seizure. Okay, our comfort and coping. Our data we have, the patient maybe has a lack of understanding of what’s happening, or maybe they’re scared. We want interventions to be empathetic, right? It’s scary. Just listening to the patient, helping them feel supported about it, and then helping them devise a seizure action plan could be an intervention, because when a patient feels prepared for something, or the family feels prepared, it helps give them that confidence. 

 

Onto our rationale. So, why are we doing this? Well, it’s going to help them feel supported, and then having a plan will help them feel comforted. The expected outcome is for them to have that plan and feel supported. Next, our patient education. Perhaps it’s on epileptic medications, they need education on that. They need education on the aura, like who to call for help when a seizure is coming, what to do when they get that aura. Our intervention here is going to be, we’re going to educate on the medications and when to take, and of course, if there’s any drug interaction that could happen with those medications. We also want them to notify if they have that aura, so that they can go ahead and take medication, or know when to take it. Usually, if the seizures last more than like two minutes, we would give medication to the family. To know that, will be important. Then also, if they or somebody that has epilepsy, then they might be given medication to be taken daily, so they need to know about that. They need to know when to take that med. 

 

Our rationale, so we’ll understand when to take the meds, like we said, and how these meds are going to interact with other drugs, foods, anything that could cause an interaction and then the aura so that they are aware, this is going to give them the reason. Why we want them to know is, we want them to be aware of seizures coming, so that they know when to medicate themselves. Our expected outcomes. So, with our education, usually we can let them verbalize or demonstrate that the education has been successful, that they have an understanding. 

 

Alright guys, let’s look at our key points. So, we have to collect information. This is going to be our assessment data, that subjective and objective data. We want to analyze that information, which is going to allow for diagnosing and prioritizing our tasks, ask how and this is how we are going to plan, implement and evaluate. It’s going to help us do all that. Translate, so concise terms, those concepts, and then transcribe, describe whatever form you prefer, whatever works for you, just to lay it all out and link everything together. 

 

Alright guys, thanks for listening to this. Check out all the care plans that we have available for you to look at on NURSING.com. We love you. Now, go out and be your best selves today and as always, happy nursing!

 

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Ferrous Sulfate (Iron) Nursing Considerations
Fibrin Degradation Products (FDP) Lab Values
Fibrinogen Lab Values
Fibromyalgia
Fluid Volume Overload
Fractures
Free T4 (Thyroxine) Lab Values
Fundamentals Course Introduction
Gabapentin (Neurontin) Nursing Considerations
Gastritis
Gastrointestinal (GI) Bleed Concept Map
General Anesthesia
General Assessment (Physical assessment)
Genitourinary (GU) Assessment
Genitourinary Course Introduction
GERD (Gastroesophageal Reflux Disease)
GERD causes Nursing Mnemonic (Reflux Is Probably Mean)
Glaucoma
Glipizide (Glucotrol) Nursing Considerations
Global Symptoms for Brain Tumors Nursing Mnemonic (HAS)
Glucagon (GlucaGen) Nursing Considerations
Gout Case Study (45 min)
Hb (Hepatitis) Vaccine
Head/Neck Assessment
Health Assessment Course Introduction
Hearing Loss
Heart (Cardiac) and Great Vessels Assessment
Heart (Cardiac) Failure Module Intro
Heart (Cardiac) Failure Therapeutic Management
Heart (Cardiac) Sound Locations and Auscultation
Heart Failure – Live Tutoring Archive
Heart Failure – Right Sided Nursing Mnemonic (HEAD)
Heart Failure 2 – Live Tutoring Archive
Heart Failure Case Study (45 min)
Heart Failure-Left-Sided Nursing Mnemonic (CHOP)
Heart Failure-Origin Nursing Mnemonic (Left – Lung|Right – Rest)
Hematology Module Intro
Hematology/Oncology/Immunology Course Introduction
Hemodialysis (Renal Dialysis)
Hemorrhagic Stroke Risk Factors Nursing Mnemonic (HATS)
Heparin (Hep-Lock) Nursing Considerations
Hepatitis B Virus (HBV) Lab Values
Hiatal Hernia
Hiatal Hernia Symptoms Nursing Mnemonic (Her Belly Really Hurts Following Dinner)
High Pressure Vent Alarms Nursing Mnemonic (Kings Eat Big Cakes)
Histamine 1 Receptor Blockers
Histamine 2 Receptor Blockers
HMG-CoA Reductase Inhibitors (Statins)
Hydralazine
Hygiene
Hypercalcemia – Signs and Symptoms Nursing Mnemonic (GROANS, MOANS, BONES, STONES, OVERTONES)
Hyperglycaemic Hyperosmolar Non-ketotic syndrome (HHNS)
Hypernatremia – Signs and Symptoms 2 Nursing Mnemonic (FRIED)
Hypernatremia – Signs and Symptoms 2 Nursing Mnemonic (SWINE)
Hypernatremia – Signs and Symptoms 3 Nursing Mnemonic (SALT)
Hypertension – Nursing care Nursing Mnemonic (DIURETIC)
Hypertension (HTN) Concept Map
Hypertension- Complications Nursing Mnemonic (The 4 C’s)
Hypertensive Crisis Case Study (45 min)
Hyperthermia (Thermoregulation)
Hyperthyroidism Case Study (75 min)
Hypertonic Solutions (IV solutions)
Hypocalcemia – Definition, Signs and Symptoms Nursing Mnemonic (CATS)
Hypoglycemia
Hypoglycemia – Signs and Symptoms Nursing Mnemonic (TIRED)
Hypoglycemia Management Nursing Mnemonic (Cool and Clammy – Give ‘Em Candy)
Hypoglycemia symptoms Nursing Mnemonic (DIRE)
Hypokalemia – Signs and Symptoms Nursing Mnemonic (6 L’s)
Hyponatremia- Definition, Signs and Symptoms Nursing Mnemonic (SALT LOSS)
Hypoparathyroidism
Hypothermia (Thermoregulation)
Hypotonic Solutions (IV solutions)
Hypoxia – Signs and Symptoms Nursing Mnemonic (RAT BED)
ICU Nurse Report to OR (Operating)Team
Immunology Module Intro
Impulse Transmission
Inflammatory Bowel Disease Case Study (45 min)
Informed Consent
Inserting a Foley (Urinary Catheter) – Male
Inserting an NG (Nasogastric) Tube
Insulin
Insulin – Intermediate Acting (NPH) Nursing Considerations
Insulin – Long Acting (Lantus) Nursing Considerations
Insulin – Mixtures (70/30)
Insulin – Rapid Acting (Novolog, Humalog) Nursing Considerations
Insulin – Short Acting (Regular) Nursing Considerations
Insulin Mnemonic (Ready, Set, Inject, Love)
Intake and Output (I&O)
Integumentary (Skin) Course Introduction
Integumentary (Skin) Important Points
Integumentary (Skin) Module Intro
Interventional Radiology
Interventions for Aphasia Nursing Mnemonic (PROP)
Intracranial Pressure ICP
Intraoperative (Intraop) Complications
Intraoperative Nursing Priorities
Intraoperative Positioning
Intrarenal Causes of Acute Kidney Injury Nursing Mnemonic (TONIC)
Intro to Health Assessment
Introduction to Health Assessment
Intubation in the OR
Iodine Nursing Considerations
Ionized Calcium Lab Values
Iron (Fe) Lab Values
Ischemic (CVA) Stroke Labs
Isoniazid (Niazid) Nursing Considerations
IV Complications (infiltration, phlebitis, hematoma, extravasation, air embolism)
Kidney Cancer
Lactate Dehydrogenase (LDH) Lab Values
Lactic Acid
Leukemia
Leukemia – Signs and Symptoms Nursing Mnemonic (ANT)
Leukemia Case Study (60 min)
Levels of consciousness Nursing Mnemonic (Never Carry Dirty Socks Or Smelly Clothes)
Levofloxacin (Levaquin) Nursing Considerations
Levothyroxine (Synthroid)
Lidocaine (Xylocaine) Nursing Considerations
Lidocaine Toxicity – Signs and Symptoms Nursing Mnemonic (SAMS)
Linen Change
Lipase Lab Values
Lisinopril (Prinivil) Nursing Considerations
Live Bedside Report Medsurg (Medical surgical)
Liver Cancer
Liver/Gallbladder Module Intro
Local Anesthesia
Loperamide (Imodium) Nursing Considerations
Losartan (Cozaar) Nursing Considerations
Low Pressure Vent Alarms Nursing Mnemonic (Cake Everyday)
Lower Gastrointestinal (GI) Module Intro
Lung Cancer
Lung Diseases Module Intro
Lymphatic Assessment
Lymphoma
Lymphoma – Signs and Symptoms Nursing Mnemonic (NURSE For Pete’s Sake)
Macular Degeneration
Magnetic Resonance Imaging (MRI)
Malignant Hyperthermia
Mammogram
Management of Glomerulonephritis Nursing Mnemonic (Please Help Deliver Diuretics)
Management of Lyme Disease Nursing Mnemonic (BAR)
Management of Pressure Ulcers (Pressure Injuries) Nursing Mnemonic (SKIN)
Mechanical Aids
Medication Classess for IBD Nursing Mnemonic (Sometimes I Can’t Answer)
Medications for Pancreatitis Nursing Mnemonic (Please Make Tummy Better)
Medications to Prevent Seizures Nursing Mnemonic (Pretty Little Liars Forever)
Melanoma
Meniere’s Disease
Meperidine (Demerol) Nursing Considerations
Meropenem (Merrem) Nursing Considerations
Metabolic & Endocrine Module Intro
Metabolic Acidosis (interpretation and nursing diagnosis)
Metabolic/Endocrine Course Introduction
Metformin (Glucophage) Nursing Considerations
Methylprednisolone (Solu-Medrol) Nursing Considerations
Metoclopramide (Reglan) Nursing Considerations
Metoprolol (Toprol XL) Nursing Considerations
Metronidazole (Flagyl) Nursing Considerations
MI Surgical Intervention
Migraines
Miscellaneous Nerve Disorders
Mobility & Assistive Devices
Moderate Sedation
Montelukast (Singulair) Nursing Considerations
Morphine (MS Contin) Nursing Considerations
Multiple Myeloma
Multiple Sclerosis Symptoms Nursing Mnemonic (DEMYELINATION)
Murmur locations Nursing Mnemonic (hARD ASS MRS. MSD)
Musculoskeletal Assessment
Musculoskeletal Course Introduction
Musculoskeletal Module Intro
Myocardial Infarction (MI) Case Study (45 min)
Myocardial Infarction Nursing Mnemonic (MONATAS)
Naproxen (Aleve) Nursing Considerations
Nasal Disorders
Neostigmine (Prostigmin) Nursing Considerations
Nephrotic Syndrome Case Study (Peds) (45 min)
Neuro A&P Module Intro
Neuro Anatomy
Neuro Assessment Module Intro
Neuro Course Introduction
Neuro Disorders Module Intro
Neuro Trauma Module Intro
Neurological Fractures
NG (Nasogastric)Tube Management
Nitro Compounds
Nitroglycerin (Nitrostat) Nursing Considerations
Nitroprusside (Nitropress) Nursing Considerations
Norepinephrine (Levophed) Nursing Considerations
NRSNG Live | So You Want to be a Surgical Nurse?
Nuclear Medicine
Nursing Care and Pathophysiology for Acquired Immune Deficiency Syndrome (AIDS)
Nursing Care and Pathophysiology for Anaphylaxis
Nursing Care and Pathophysiology for Anemia
Nursing Care and Pathophysiology for Aortic Aneurysm
Nursing Care and Pathophysiology for Appendicitis
Nursing Care and Pathophysiology for Arterial Disorders
Nursing Care and Pathophysiology for Asthma
Nursing Care and Pathophysiology for Cardiogenic Shock
Nursing Care and Pathophysiology for Cardiomyopathy
Nursing Care and Pathophysiology for Chlamydia (STI)
Nursing Care and Pathophysiology for Cholecystitis
Nursing Care and Pathophysiology for Cirrhosis (Liver Disease, Hepatic encephalopathy, Portal Hypertension, Esophageal Varices)
Nursing Care and Pathophysiology for Compartment Syndrome
Nursing Care and Pathophysiology for Crohn’s Disease
Nursing Care and Pathophysiology for Cushings Syndrome
Nursing Care and Pathophysiology for Diabetes Insipidus (DI)
Nursing Care and Pathophysiology for Disseminated Intravascular Coagulation (DIC)
Nursing Care and Pathophysiology for Distributive Shock
Nursing Care and Pathophysiology for Diverticulosis – Diverticulitis
Nursing Care and Pathophysiology for Endometriosis
Nursing Care and Pathophysiology for Epididymitis
Nursing Care and Pathophysiology for Gonorrhea (STI)
Nursing Care and Pathophysiology for Gout
Nursing Care and Pathophysiology for Hashimoto’s Thyroiditis
Nursing Care and Pathophysiology for Heart Failure (CHF)
Nursing Care and Pathophysiology for Hemorrhagic Stroke (CVA)
Nursing Care and Pathophysiology for Hemorrhoids
Nursing Care and Pathophysiology for Hepatitis (Liver Disease)
Nursing Care and Pathophysiology for Herpes Simplex (HSV, STI)
Nursing Care and Pathophysiology for Herpes Zoster – Shingles
Nursing Care and Pathophysiology for Human Papilloma Virus (HPV STI)
Nursing Care and Pathophysiology for Hyperparathyroidism
Nursing Care and Pathophysiology for Hyperthyroidism
Nursing Care and Pathophysiology for Hypothyroidism
Nursing Care and Pathophysiology for Hypovolemic Shock
Nursing Care and Pathophysiology for Inflammatory Bowel Disease (IBD)
Nursing Care and Pathophysiology for Influenza (Flu)
Nursing Care and Pathophysiology for Ischemic Stroke (CVA)
Nursing Care and Pathophysiology for Lyme Disease
Nursing Care and Pathophysiology for Male Infertility
Nursing Care and Pathophysiology for Meningitis
Nursing Care and Pathophysiology for Menopause
Nursing Care and Pathophysiology for Multiple Sclerosis (MS)
Nursing Care and Pathophysiology for Myasthenia Gravis
Nursing Care and Pathophysiology for Osteomyelitis
Nursing Care and Pathophysiology for Pancreatitis
Nursing Care and Pathophysiology for Parkinsons
Nursing Care and Pathophysiology for Pelvic Inflammatory Disease (PID)
Nursing Care and Pathophysiology for Peptic Ulcer Disease (PUD)
Nursing Care and Pathophysiology for Pneumothorax & Hemothorax
Nursing Care and Pathophysiology for Polycystic Ovarian Syndrome (PCOS)
Nursing Care and Pathophysiology for Psoriasis
Nursing Care and Pathophysiology for Pulmonary Edema
Nursing Care and Pathophysiology for Pulmonary Embolism
Nursing Care and Pathophysiology for Rhabdomyolysis
Nursing Care and Pathophysiology for Rheumatoid Arthritis (RA)
Nursing Care and Pathophysiology for Scleroderma
Nursing Care and Pathophysiology for Seizure
Nursing Care and Pathophysiology for Sepsis
Nursing Care and Pathophysiology for SIADH (Syndrome of Inappropriate antidiuretic Hormone Secretion)
Nursing Care and Pathophysiology for Sickle Cell Anemia
Nursing Care and Pathophysiology for SIRS & MODS
Nursing Care and Pathophysiology for Syphilis (STI)
Nursing Care and Pathophysiology for Testicular Torsion
Nursing Care and Pathophysiology for Thrombophlebitis (clot)
Nursing Care and Pathophysiology for Tuberculosis (TB)
Nursing Care and Pathophysiology for Ulcerative Colitis(UC)
Nursing Care and Pathophysiology for Valve Disorders
Nursing Care and Pathophysiology of Acute Kidney (Renal) Injury (AKI)
Nursing Care and Pathophysiology of Acute Respiratory Distress Syndrome (ARDS)
Nursing Care and Pathophysiology of Angina
Nursing Care and Pathophysiology of BPH (Benign Prostatic Hyperplasia)
Nursing Care and Pathophysiology of Chronic Kidney (Renal) Disease (CKD)
Nursing Care and Pathophysiology of COPD (Chronic Obstructive Pulmonary Disease)
Nursing Care and Pathophysiology of Coronary Artery Disease (CAD)
Nursing Care and Pathophysiology of Diabetes Mellitus (DM)
Nursing Care and Pathophysiology of Diabetic Ketoacidosis (DKA)
Nursing Care and Pathophysiology of Endocarditis and Pericarditis
Nursing Care and Pathophysiology of Glomerulonephritis
Nursing Care and Pathophysiology of Hypertension (HTN)
Nursing Care and Pathophysiology of Myocardial Infarction (MI)
Nursing Care and Pathophysiology of Myocarditis
Nursing Care and Pathophysiology of Nephrotic Syndrome
Nursing Care and Pathophysiology of Osteoarthritis (OA)
Nursing Care and Pathophysiology of Osteoporosis
Nursing Care and Pathophysiology of Pneumonia
Nursing Care and Pathophysiology of Renal Calculi (Kidney Stones)
Nursing Care and Pathophysiology of Urinary Tract Infection (UTI)
Nursing Care Plan (NCP) & Interventions for Increased Intracranial Pressure (ICP)
Nursing Care Plan (NCP) for Abdominal Pain
Nursing Care Plan (NCP) for Acquired Immune Deficiency Syndrome (AIDS)
Nursing Care Plan (NCP) for Activity Intolerance
Nursing Care Plan (NCP) for Acute Bronchitis
Nursing Care Plan (NCP) for Acute Kidney Injury
Nursing Care Plan (NCP) for Acute Pain
Nursing Care Plan (NCP) for Acute Respiratory Distress Syndrome
Nursing Care Plan (NCP) for Addison’s Disease (Primary Adrenal Insufficiency)
Nursing Care Plan (NCP) for Anaphylaxis
Nursing Care Plan (NCP) for Anemia
Nursing Care Plan (NCP) for Angina
Nursing Care Plan (NCP) for Aortic Aneurysm
Nursing Care Plan (NCP) for Arterial Disorders
Nursing Care Plan (NCP) for Aspiration
Nursing Care Plan (NCP) for Asthma / Childhood Asthma
Nursing Care Plan (NCP) for Atrial Fibrillation (AFib)
Nursing Care Plan (NCP) for Bell’s Palsy
Nursing Care Plan (NCP) for Benign Prostatic Hyperplasia (BPH)
Nursing Care Plan (NCP) for Bladder Cancer
Nursing Care Plan (NCP) for Blunt Chest Trauma
Nursing Care Plan (NCP) for Bone Cancer (Osteosarcoma, Chondrosarcoma, and Ewing Sarcoma)
Nursing Care Plan (NCP) for Bowel Obstruction
Nursing Care Plan (NCP) for Brain Tumors
Nursing Care Plan (NCP) for Breast Cancer
Nursing Care Plan (NCP) for Bronchoscopy (Procedure)
Nursing Care Plan (NCP) for Cardiogenic Shock
Nursing Care Plan (NCP) for Cardiomyopathy
Nursing Care Plan (NCP) for Cellulitis
Nursing Care Plan (NCP) for Cervical Cancer
Nursing Care Plan (NCP) for Cholecystitis
Nursing Care Plan (NCP) for Chronic Kidney Disease
Nursing Care Plan (NCP) for Chronic Obstructive Pulmonary Disease (COPD)
Nursing Care Plan (NCP) for Colorectal Cancer (Colon Cancer)
Nursing Care Plan (NCP) for Congestive Heart Failure (CHF)
Nursing Care Plan (NCP) for Cushing’s Disease
Nursing Care Plan (NCP) for Dementia
Nursing Care Plan (NCP) for Diabetes
Nursing Care Plan (NCP) for Diabetes Insipidus
Nursing Care Plan (NCP) for Diabetic Ketoacidosis (DKA)
Nursing Care Plan (NCP) for Disseminated Intravascular Coagulation (DIC)
Nursing Care Plan (NCP) for Diverticulosis / Diverticulitis
Nursing Care Plan (NCP) for Emphysema
Nursing Care Plan (NCP) for Encephalopathy
Nursing Care Plan (NCP) for Endocarditis
Nursing Care Plan (NCP) for Enuresis / Bedwetting
Nursing Care Plan (NCP) for Epididymitis
Nursing Care Plan (NCP) for Gastroesophageal Reflux Disease (GERD)
Nursing Care Plan (NCP) for GI (Gastrointestinal) Bleed
Nursing Care Plan (NCP) for Glaucoma
Nursing Care Plan (NCP) for Glomerulonephritis
Nursing Care Plan (NCP) for Gout / Gouty Arthritis
Nursing Care Plan (NCP) for Guillain-Barre
Nursing Care Plan (NCP) for Hashimoto’s Thyroiditis
Nursing Care Plan (NCP) for Heart Valve Disorders
Nursing Care Plan (NCP) for Hepatitis
Nursing Care Plan (NCP) for Herpes Zoster – Shingles
Nursing Care Plan (NCP) for Hydrocephalus
Nursing Care Plan (NCP) for Hyperosmolar Hyperglycemic Nonketotic Syndrome (HHNS)
Nursing Care Plan (NCP) for Hyperparathyroidism
Nursing Care Plan (NCP) for Hyperthermia (Thermoregulation)
Nursing Care Plan (NCP) for Hyperthyroidism
Nursing Care Plan (NCP) for Hypoglycemia
Nursing Care Plan (NCP) for Hypoparathyroidism
Nursing Care Plan (NCP) for Hypothyroidism
Nursing Care Plan (NCP) for Hypovolemic Shock
Nursing Care Plan (NCP) for Impetigo
Nursing Care Plan (NCP) for Inflammatory Bowel Disease (Ulcerative Colitis / Crohn’s Disease)
Nursing Care Plan (NCP) for Kidney Cancer
Nursing Care Plan (NCP) for Leukemia
Nursing Care Plan (NCP) for Lung Cancer
Nursing Care Plan (NCP) for Lyme Disease
Nursing Care Plan (NCP) for Lymphoma (Hodgkin’s, Non-Hodgkin’s)
Nursing Care Plan (NCP) for Meniere’s Disease
Nursing Care Plan (NCP) for Multiple Sclerosis (MS)
Nursing Care Plan (NCP) for Mumps
Nursing Care Plan (NCP) for Myasthenia Gravis (MG)
Nursing Care Plan (NCP) for Myocardial Infarction (MI)
Nursing Care Plan (NCP) for Nephrotic Syndrome
Nursing Care Plan (NCP) for Neutropenia
Nursing Care Plan (NCP) for Nutrition Imbalance
Nursing Care Plan (NCP) for Osteoarthritis (OA), Degenerative Joint Disease
Nursing Care Plan (NCP) for Osteoporosis
Nursing Care Plan (NCP) for Ovarian Cancer
Nursing Care Plan (NCP) for Pancreatitis
Nursing Care Plan (NCP) for Parkinson’s Disease
Nursing Care Plan (NCP) for Peptic Ulcer Disease (PUD)
Nursing Care Plan (NCP) for Pericarditis
Nursing Care Plan (NCP) for Pneumonia
Nursing Care Plan (NCP) for Pneumothorax/Hemothorax
Nursing Care Plan (NCP) for Polycystic Ovarian Syndrome (PCOS)
Nursing Care Plan (NCP) for Pressure Ulcer / Decubitus Ulcer (Pressure Injury)
Nursing Care Plan (NCP) for Prostate Cancer
Nursing Care Plan (NCP) for Psoriasis
Nursing Care Plan (NCP) for Pulmonary Embolism
Nursing Care Plan (NCP) for Renal Calculi
Nursing Care Plan (NCP) for Respiratory Failure
Nursing Care Plan (NCP) for Restrictive Lung Diseases
Nursing Care Plan (NCP) for Rhabdomyolysis
Nursing Care Plan (NCP) for Rheumatoid Arthritis (RA)
Nursing Care Plan (NCP) for Risk for Fall
Nursing Care Plan (NCP) for Rubeola – Measles
Nursing Care Plan (NCP) for Seizures
Nursing Care Plan (NCP) for Sepsis
Nursing Care Plan (NCP) for Skin cancer – Melanoma, Basal Cell Carcinoma, Squamous Cell Carcinoma
Nursing Care Plan (NCP) for Skull Fractures
Nursing Care Plan (NCP) for Spinal Cord Injury
Nursing Care Plan (NCP) for Stomach Cancer (Gastric Cancer)
Nursing Care Plan (NCP) for Stroke (CVA)
Nursing Care Plan (NCP) for Syncope (Fainting)
Nursing Care Plan (NCP) for Syndrome of Inappropriate Antidiuretic Hormone (SIADH)
Nursing Care Plan (NCP) for Systemic Lupus Erythematosus (SLE)
Nursing Care Plan (NCP) for Testicular Cancer
Nursing Care Plan (NCP) for Thoracentesis (Procedure)
Nursing Care Plan (NCP) for Thrombocytopenia
Nursing Care Plan (NCP) for Thrombophlebitis / Deep Vein Thrombosis (DVT)
Nursing Care Plan (NCP) for Thyroid Cancer
Nursing Care Plan (NCP) for Tuberculosis
Nursing Care Plan (NCP) for Urinary Tract Infection (UTI)
Nursing Care Plan (NCP) for West Nile Virus
Nursing Care Plan for (NCP) Trigeminal Neuralgia
Nursing Care Plan for Amputation
Nursing Care Plan for Chlamydia (STI)
Nursing Care Plan for Cirrhosis (Liver)
Nursing Care Plan for Compartment Syndrome
Nursing Care Plan for Coronary Artery Disease (CAD)
Nursing Care Plan for Distributive Shock
Nursing Care Plan for Endometriosis
Nursing Care Plan for Fibromyalgia
Nursing Care Plan for Fractures
Nursing Care Plan for Gastritis
Nursing Care Plan for Gonorrhea (STI)
Nursing Care Plan for Hemorrhoids
Nursing Care Plan for Herpes Simplex (HSV, STI)
Nursing Care Plan for Hiatal Hernia
Nursing Care Plan for Liver Cancer
Nursing Care Plan for Macular Degeneration
Nursing Care Plan for Myocarditis
Nursing Care Plan for Nasal Disorders
Nursing Care Plan for Osteomyelitis
Nursing Care Plan for Pelvic Inflammatory Disease (PID)
Nursing Care Plan for Pulmonary Edema
Nursing Care Plan for Restrictive Lung Diseases (Pulmonary Fibrosis, Neuromuscular Disorders)
Nursing Care Plan for Scleroderma
Nursing Care Plan for Syphilis (STI)
Nursing Care Plan for Testicular Torsion
Nursing Case Study for Acute Kidney Injury
Nursing Case Study for Breast Cancer
Nursing Case Study for Cardiogenic Shock
Nursing Case Study for Colon Cancer
Nursing Case Study for Diabetic Foot Ulcer
Nursing Case Study for Hepatitis
Nursing Case Study for Pneumonia
Nursing Case Study for Rheumatic Heart Disease
Nursing Case Study for Rheumatoid Arthritis
Nursing Case Study for Type 1 Diabetes
Nursing Skills Course Introduction
Nutrition (Diet) in Disease
Nutrition-related Diseases
Omeprazole (Prilosec) Nursing Considerations
Oncology Important Points
Oncology Module Intro
Oncology nurse
Ondansetron (Zofran) Nursing Considerations
Opioids
Osteosarcoma
Ovarian Cancer
Oxygen Delivery Module Intro
Pacemakers
Pain and Nonpharmacological Comfort Measures
Pain Assessment Questions Nursing Mnemonic (OPQRST)
Pain Assessments for Certified Perioperative Nurse (CNOR)
Pantoprazole (Protonix) Nursing Considerations
Parasympatholytics (Anticholinergics) Nursing Considerations
Patient Positioning
Patients with Communication Difficulties
Pentobarbital (Nembutal) Nursing Considerations
Peptic Ulcer Disease Case Study (60 min)
Performing Cardiac (Heart) Monitoring
Perioperative Nursing Course Introduction
Perioperative Nursing Roles
Peripheral Vascular Assessment
Peritoneal Dialysis (PD)
Phenazopyridine (Pyridium) Nursing Considerations
Phenobarbital (Luminal) Nursing Considerations
Phosphorus (PO4) Blood Test Lab Values
Pituitary Adenoma
Plant Alkaloids Topoisomerase and Mitotic Inhibitors
Pneumonia Concept Map
Pneumonia Labs
Pneumonia Risk Factors Nursing Mnemonic (VENTS)
Pneumothorax Signs and Symptoms Nursing Mnemonic (P-THORAX)
Positioning
Post-Anesthesia Recovery
Postoperative (Postop) Complications
PPE Donning & Doffing
Premature Atrial Contraction (PAC)
Premature Ventricular Contraction (PVC)
Preoperative (Preop) Education
Preoperative (Preop) Nursing Priorities
Preoperative (Preop)Assessment
Pressure Line Management
Pressure Ulcers/Pressure injuries (Braden scale)
Procalcitonin (PCT) Lab Values
Propofol (Diprivan) Nursing Considerations
Propranolol (Inderal) Nursing Considerations
Propylthiouracil (PTU) Nursing Considerations
Prostate Cancer
Prostate Nursing Mnemonic (FUN)
Prostate Specific Antigen (PSA) Lab Values
Protein in Urine Lab Values
Proton Pump Inhibitors
Pulmonary edema treatment Nursing Mnemonic (MAD DOG)
Pupil Reactions Nursing Mnemonic (PERRLA)
Radiation Cancer Treatment
Ranitidine (Zantac) Nursing Considerations
Reactivation of Herpes Zoster Nursing Mnemonic (FICA)
Reasons for a Bronchoscopy Nursing Mnemonic (Please Assess His Weird Bronchoscopy Results)
Reasons for Chest Tube Nursing Mnemonic (Don’t Ever Fail)
Red Cell Distribution Width (RDW) Lab Values
Renal (Kidney) Failure Labs
Respiratory A&P Module Intro
Respiratory Alkalosis
Respiratory Course Introduction
Respiratory Infections Module Intro
Respiratory Procedures Module Intro
Respiratory Trauma Module Intro
Restrictive Lung Disease Causes Nursing Mnemonic (PAINT)
Restrictive Lung Diseases (Pulmonary Fibrosis, Neuromuscular Disorders)
Rheumatoid Arthritis Assessment Nursing Mnemonic (RHEUMATOID)
Rifampin (Rifadin) Nursing Considerations
Risk Factors for Cholelithiasis Nursing Mnemonic (5-F’s)
Risk Factors for Osteoporosis Nursing Mnemonic (ACCESS)
Routine Neuro Assessments
Science of Nutrition
Scleroderma Symptoms Nursing Mnemonic (CREST)
Sedatives-Hypnotics
Sedatives-Hypnotics
Seizure Assessment
Seizure Causes (Epilepsy, Generalized)
Seizure Causes Nursing Mnemonic (VITAMIN)
Seizure Therapeutic Management
Seizures Case Study (45 min)
Seizures Module Intro
Sepsis Concept Map
Sepsis Labs
Septic Shock (Sepsis) Case Study (45 min)
Shock
Shock – Signs and symptoms Nursing Mnemonic (TV SPARC CUBE)
Shock Module Intro
Signs of Osteoarthritis Nursing Mnemonic (OSTEO)
Sinus Bradycardia
Sinus Tachycardia
Skin Cancer
Specialty Diets (Nutrition)
Spinal Cord Injury
Spinal Cord Injury Case Study (60 min)
Spinal Precautions & Log Rolling
Sprains and Strains – Nursing Care Nursing Mnemonic (RICE)
Stages of Hepatitis Nursing Mnemonic (PIP)
Sterile Field
Sterile Gloves
Stoke Assessments Nursing Mnemonic (FAST)
Stomach Cancer (Gastric Cancer)
Strabismus
Streptokinase (Streptase) Nursing Considerations
Stroke (CVA) Module Intro
Stroke Assessment (CVA)
Stroke Case Study (45 min)
Stroke Concept Map
Stroke Nursing Care (CVA)
Stroke Therapeutic Management (CVA)
Sucralfate (Carafate) Nursing Considerations
Supraventricular Tachycardia (SVT)
Surgical Incisions & Drain Sites
Surgical Prep
Sympatholytics (Alpha & Beta Blockers)
Symptoms of Hyperthyroidism Nursing Mnemonic (SWEATING)
Symptoms of Hypothyroidism Nursing Mnemonic (MOM’S SO TIRED)
Symptoms of Nephrotic Syndrome Nursing Mnemonic (NAPHROTIC)
Symptoms of Wernicke’s Encephalopathy Nursing Mnemonic (COAT)
Systemic Lupus Erythematosus (SLE)
TB Drugs Nursing Mnemonic (RIPE)
Tension and Cluster Headaches
Testicular Cancer
Tetracycline (Panmycin) Nursing Considerations
The 5-Minute Assessment (Physical assessment)
The Medical Team
Thoracentesis
Thrombin Inhibitors
Thrombocytopenia
Thrombolytics
Thyroid Cancer
Thyroid Stimulating Hormone (TSH) Lab Values
Thyroxine (T4) Lab Values
To Clot or Not To Clot – Anticoagulants! – Live Tutoring Archive
Total Iron Binding Capacity (TIBC) Lab Values
Toxicity Sepsis- Signs and Symptoms Nursing Mnemonic (The 6 T’s)
Trach Care
Trach Suctioning
Traction – Nursing Care Nursing Mnemonic (TRACTION)
Trauma – Assessment (Emergency) Nursing Mnemonic (ABCDEFGHI)
Triiodothyronine (T3) Lab Values
Trimethoprim-Sulfamethoxazole (Bactrim) Nursing Considerations
Troponin I (cTNL) Lab Values
Tuberculosis (TB) Case Study (60 min)
Types of Anemia Nursing Mnemonic (Always Introduce Special Patients)
Types of Hemorrhoids Nursing Mnemonic (Pie)
Ulcerative Colitis – Assessment Nursing Mnemonic (MADE 10)
Ultrasound
Understanding Blood Pressure Meds! – Live Tutoring Archive
Upper Gastrointestinal (GI) Module Intro
Urinary Elimination
Urinary Tract Infection Case Study (45 min)
Urine Culture and Sensitivity Lab Values
Using Aseptic Technique
Vancomycin (Vancocin) Nursing Considerations
Varicocele
Vascular Disease – Deep Vein Thrombosis Nursing Mnemonic (HIS Leg Might Fall off)
Vascular disease – Raynaud’s symptoms Nursing Mnemonic (COLD HAND)
Vasopressin
Vasopressin (Pitressin) Nursing Considerations
Venous Disorders (Chronic venous insufficiency, Deep venous thrombosis/DVT)
Vent Alarms
Ventilator Settings
Ventricular Fibrillation (V Fib)
Ventricular Tachycardia (V-tach)
Vessels & Fluid
Vitamin D Lab Values
Warfarin (Coumadin) Nursing Considerations
Who Needs Dialysis Nursing Mnemonic (AEIOU)
Wound Care – Assessment
Wound Care – Dressing Change
Wound Care – Selecting a Dressing
Wound Care – Wound Drains
Seizure Documentation Nursing Mnemonic (TDOC)