Nursing Care Plan (NCP) for Thrombophlebitis / Deep Vein Thrombosis (DVT)

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Lesson Objective for Thrombophlebitis/Deep Vein Thrombosis (DVT) Nursing Care Plan:

Upon completion of this nursing care plan for Thrombophlebitis/Deep Vein Thrombosis (DVT), nursing students will be able to:

  • Understand the Pathophysiology:
    • Develop a comprehensive understanding of the pathophysiology of thrombophlebitis/DVT, including the formation, risk factors, and potential complications of blood clots within deep veins.
  • Recognize Clinical Manifestations:
    • Recognize and differentiate the clinical manifestations of thrombophlebitis/DVT, including localized pain, swelling, erythema, and potential systemic complications such as pulmonary embolism.
  • Implement Preventive Measures:
    • Acquire proficiency in implementing preventive measures to reduce the risk of thrombophlebitis/DVT, including early ambulation, compression stockings, and pharmacological prophylaxis in high-risk populations.
  • Provide Thrombosis Management:
    • Develop skills in managing thrombophlebitis/DVT, including the administration of anticoagulant therapy, monitoring laboratory values, and collaborating with the healthcare team to prevent clot extension and recurrence.
  • Educate Patients on Self-Care:
    • Educate individuals on self-care practices, signs of thrombophlebitis/DVT, and the importance of adherence to prescribed medications. Empower patients to recognize and report symptoms promptly.

Pathophysiology of Thrombophlebitis/Deep Vein Thrombosis (DVT):

  • Blood Clot Formation:
    • Thrombophlebitis/DVT involves the formation of blood clots (thrombi) within deep veins, commonly in the lower extremities. These clots may obstruct blood flow and pose the risk of embolization.
  • Endothelial Injury or Dysfunction:
    • The process often begins with endothelial injury or dysfunction, which may result from trauma, surgery, inflammation, or other factors. Damaged endothelial surfaces can initiate the clotting cascade.
  • Stasis of Blood Flow:
    • Stasis of blood flow, often associated with prolonged immobility, contributes to the development of clots. Reduced circulation allows blood to pool, creating an environment favorable for clot formation.
  • Hypercoagulability:
    • Conditions that increase blood coagulability, such as genetic predispositions, certain medications, and underlying medical conditions, contribute to the hypercoagulable state, increasing the likelihood of thrombosis.
  • Clot Extension and Embolization:
    • If left untreated, the clot may extend within the deep veins, posing the risk of embolization. Clots can dislodge and travel to the lungs, causing a pulmonary embolism, a serious and potentially life-threatening complication.

Etiology of Thrombophlebitis/Deep Vein Thrombosis (DVT):

  • Prolonged Immobility:
    • Prolonged periods of immobility, such as bed rest or long flights, contribute to stasis of blood flow, increasing the risk of clot formation within deep veins.
  • Surgery and Trauma:
    • Surgical procedures, particularly those involving the lower extremities or pelvis, and trauma, which can cause endothelial injury, are significant risk factors for the development of thrombophlebitis/DVT.
  • Hypercoagulable States:
    • Conditions that increase blood coagulability, such as inherited thrombophilias (e.g., Factor V Leiden mutation), antiphospholipid syndrome, and certain malignancies, contribute to the development of blood clots.
  • Medical Conditions:
    • Underlying medical conditions, including heart failure, inflammatory disorders (e.g., vasculitis), and conditions affecting blood vessels, can predispose individuals to thrombophlebitis/DVT.
  • Use of Hormonal Contraceptives:
    • The use of hormonal contraceptives, including birth control pills, hormone replacement therapy, and pregnancy, increases the risk of thrombophlebitis/DVT due to hormonal effects on blood coagulation.

Desired Outcomes for Thrombophlebitis/Deep Vein Thrombosis (DVT) Nursing Care Plan:

  • Prevention of Clot Extension:
    • Implement measures to prevent the extension of blood clots within deep veins, reducing the risk of complications such as pulmonary embolism.
  • Pain and Swelling Management:
    • Alleviate pain and swelling associated with thrombophlebitis/DVT through appropriate interventions, promoting patient comfort and mobility.
  • Prevention of Recurrence:
    • Minimize the risk of recurrence by implementing long-term preventive measures, including anticoagulant therapy, lifestyle modifications, and addressing underlying risk factors.
  • Patient Education and Empowerment:
    • Educate patients on self-care practices, signs and symptoms of thrombophlebitis/DVT, and the importance of adherence to prescribed medications. Empower patients to actively participate in their care.
  • Early Recognition of Complications:
    • Ensure early recognition of potential complications, such as pulmonary embolism, and initiate prompt interventions to prevent adverse outcomes.

Thrombophlebitis / Deep Vein Thrombosis (DVT) Nursing Care Plan

 

Subjective Data:

  • Unilateral findings on affected extremity:
  • Painful
  • Numbness
  • Tingling
  • Symptoms of Embolism
    • Lungs → Pulmonary Embolism (PE)
      • Anxiety
      • Shortness of Breath (SOB)
      • Chest Pain (CP)
    • Heart → Myocardial Infarction (MI)
      • Chest Pain (CP)
    • Brain → Stroke
      • Facial asymmetry
      • Confusion
      • One-sided deficit

Objective Data:

  • Unilateral findings on affected extremity:
  • Warmth
  • Redness
  • Swelling (firm)
  • Decreased peripheral pulse
  • Positive D-Dimer
  • Evidence of Clot on Ultrasound
  • Decreased oxygen saturation (for PE or MI)
  • Change in neurological status (for stroke or severe complications)
  • Possible Positive Homan’s Sign (pain with dorsiflexion of the foot) *caution – this maneuver may dislodge the clot*

*Note – the evidence shows that Homan’s Sign is an unreliable and nonspecific finding. It is only present in 33% of those with a DVT and should not be used as standard practice in isolation.

 

Nursing Assessment for Thrombophlebitis/Deep Vein Thrombosis (DVT):

 

  • Clinical History:
    • Obtain a detailed clinical history, including recent surgeries, trauma, prolonged periods of immobility, hormonal contraceptive use, and any personal or family history of clotting disorders.
  • Symptom Assessment:
    • Assess for symptoms of thrombophlebitis/DVT, including localized pain, swelling, erythema, and warmth in the affected extremity. Inquire about any changes in skin color or the presence of prominent superficial veins.
  • Risk Factor Evaluation:
    • Evaluate risk factors contributing to thrombophlebitis/DVT, such as obesity, smoking, advanced age, pregnancy, and underlying medical conditions. Identify factors that may exacerbate the risk.
  • Physical Examination:
    • Perform a thorough physical examination, focusing on the affected extremity. Assess for edema, tenderness, and differences in calf circumference. Palpate for cord-like structures, indicating the presence of deep vein thrombosis.
  • Neurovascular Assessment:
    • Conduct a neurovascular assessment, checking for changes in sensation, motor function, and peripheral pulses. Assess capillary refill and skin temperature to detect any compromise in blood circulation.
  • Laboratory and Imaging Studies:
    • Order appropriate laboratory studies, including D-dimer tests and imaging studies such as ultrasound, to confirm the diagnosis and determine the extent of thrombophlebitis/DVT.
  • Pulmonary Assessment:
    • Monitor for signs of pulmonary embolism, such as dyspnea, chest pain, and hemoptysis. Assess respiratory rate, and oxygen saturation, and auscultate for abnormal breath sounds.
  • Patient Education:
    • Educate the patient on the importance of adherence to prescribed anticoagulant therapy, lifestyle modifications, and the recognition of signs and symptoms requiring prompt medical attention. Provide written materials for reference.

Nursing Interventions and Rationales

  • Administer anti-coagulants as ordered
    • Heparin per IV drip or SQ is administered in the acute phase to prevent the worsening of clots or the development of new clotsEnoxaparin (Lovenox) or fondaparinux {Arixtra) SQ is administered SQ to treat or prevent blood clots. These are typically used in the inpatient setting but can be used at home.
    • Oral anti-coagulants, such as warfarin (Coumadin), rivaroxaban (Xarelto), and apixaban (Eliquis) are used as long-term therapy to prevent blood clots
  • Monitor anticoagulation labs
    • For a patient on heparin, frequent monitoring of aPTT levels is required to determine therapeutic dosing.
    • For a patient on warfarin, routine monitoring of the PT/INR levels is required to determine therapeutic dosing.
    • Routinely monitor platelet level to evaluate patient’s risk for bleedin
  • Encourage ambulation / Compression socks / SCDs (Prevention)
  The sooner you get a patient moving the less likely they are to form any more blood clots. Compression socks and SCDs encourage blood flow back to the heart and prevent blood stasis.*Caution – as soon as the patient has a confirmed DVT, all three of these should be held until an IVC filter can be placed
  • Educate about avoiding vitamin K (both supplements as well as food)
  Vitamin K works to help increase clotting, this is the opposite of what we are trying to do for this patient. The only time Vitamin K is used therapeutically is if the patient is bleeding out, in which case the treatment may be vitamin K with Fresh Frozen Plasma (FFP). Vitamin K is also the antidote for Coumadin (warfarin)
  • Continuous monitoring:
    • 3 or 5 lead cardiac monitoring
    • Pulse oximetry monitoring
  This monitors for changes in the heart and allows for quick intervention if the clot moves and is stuck in the heart. This monitors for changes in oxygenation if the clot moves to the lungs.
  • Bleeding/fall precautions because of anticoagulant therapy

  This isn’t just for in the hospital, it is also for when the patient goes home. The patient is at a major risk for bleeding out, thus educating about s/sx of internal bleeding as well as educating about fall precautions is vital.

  • GI bleeding: Dark, tarry stool (Upper GI bleed) OR bright red bloody stools (lower GI bleed)
  • Epistaxis: Nosebleeds are obvious, however, inform the patient that if they bleed through nasal packing for longer than 15 minutes they should go to the ER. Also, if they feel dizzy, faint, or are losing color in their face they should go to the ER.
  • Cuts that don’t stop bleeding: if the cut has had pressure applied for longer than 15 minutes and the gauze is being soaked through the patient should go to the ER.
  • Brain bleeds: Have patients and the people who are around them look for S/Sx such as confusion, facial droop, and one-sided weakness.

Evaluation for Thrombophlebitis/Deep Vein Thrombosis (DVT) Care Management:

 

  • Resolution of Symptoms:
    • Evaluate the resolution or improvement of symptoms associated with thrombophlebitis/DVT, including pain, swelling, and erythema. Assess the overall comfort and mobility of the patient.
  • Laboratory and Imaging Confirmation:
    • Confirm the resolution of thrombophlebitis/DVT through laboratory studies and imaging, comparing current results to baseline assessments. Ensure there is no extension of the clot or recurrence.
  • Effectiveness of Anticoagulant Therapy:
    • Monitor the effectiveness of anticoagulant therapy by assessing laboratory values, including international normalized ratio (INR), prothrombin time (PT), and activated partial thromboplastin time (aPTT). Adjust medication dosage as needed.
  • Prevention of Complications:
    • Assess for the prevention of complications, particularly pulmonary embolism. Ensure that preventive measures and interventions have been effective in minimizing the risk of adverse events.
  • Patient Adherence and Education Retention:
    • Evaluate patient adherence to prescribed medications and lifestyle modifications. Assess the retention and application of patient education on self-care practices and the recognition of signs requiring medical attention.
  • Long-Term Prevention Strategies:
    • Collaborate with the healthcare team to develop and evaluate long-term prevention strategies, including ongoing anticoagulant therapy, lifestyle modifications, and addressing underlying risk factors.


References

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Transcript

Hey everyone, we’re going to be talking about DVT, or deep vein thrombosis, and how to put this into a nursing care plan. First for our care plan, we have to collect our information. That’s our first step, our assessment pieces and gathering all our data. 

 

Our subjective data, which is that data that we get from the patient, so the assessment pieces that they give us, or things that they’re experiencing. So, for having a DVT, this patient might come to us with some information that they are having pain, some numbness, tingling in their extremity, because they have a blood clot, and Mayer, so blood flow is all messed up, maybe if it’s gotten worse and they are experiencing a PE, they could be having the shortness of breath and anxiety, or worse, they could be having a stroke from the DVT, so they might start to show some stroke symptoms. They might be experiencing some of that themselves, like the facial asymmetry, confusion, that one-sided deficit. 

 

So the objective data, or the things that the nurse observes, data collected by labs, things like that. So, for this patient with our DVT, you’re going to have the unilateral findings of the affected extremity. We might assess some warmth, redness right to that extremity as that blood flow is getting backed up, swelling, ,decreased peripheral pulses on that one side, and then how about a positive D-dimer on the lab showing us that there is a high likelihood that there’s a blood clot. 

 

Now, we have to analyze this information that we’ve collected, and this is going to help us to diagnose and prioritize. So what is the problem here? For this patient, we have a blood clot and we’ve noted there to be a swollen red calf. Let’s say for our hypothetical patient, what needs to be improved? Well, blood flow, right, and perfusion and then also just prevention, right? We want to prevent further complications.

 

These would be the things that we’ll get to, the things that we can do to help prevent further complications from happening, and then what is our priority? So, our priority is to fix the perfusion that is being blocked from that blood clot, and we can do things like anticoagulants to help fix that perfusion. 

 

Now we have to ask ourselves how, so this will be our plan, implementation, and evaluation. So, how did we know it was a problem? Well, this is where whatever data that you have on your patient, you’re going to link that data. We’ll link the data together, all those assessment findings, link it together. So we have a blockage. We see that there’s a clot, visualize a clot on a doppler, whatever it may be, but link all that data together, and that’s how we knew it was a problem. How are we going to address it? So for this client, we can give some medication to thin the blood, right? So our anticoagulate like heparin, things like that. How would I know it gets better? Well, if the blood clot is not worsening, we’re not growing a bigger clot, it hasn’t been released into the bloodstream, no new blood clots form, circulation improves and that perfusion improves. 

 

Now, we’re going to translate. This is where we come up with our high-level nursing concepts. There can be so many different ones to pick from. For this patient with DVT, we have perfusion, like we’ve mentioned, and some patient education that we can pull together for our problems and priorities. 

 

Let’s get into our transcribing. This is where you’re going to put all the pieces together for your care plan. We have perfusion, clotting, and patient education. First let’s look at our perfusion. Our signs and symptoms are subjective and objective data here okay, that’s what we’re putting in this column. So perfusion, we know it’s a problem because there’s swelling in the calf and redness. That’s noted, then how are we going to intervene? What are we going to do to fix this? 

We can give some anticoagulants. I don’t know why that’s so hard to say today, and this is going to be as prescribed or as ordered, right, because we are not just going to the Pyxis, the medstation and pulling some heparin, and we are giving it as ordered.

 

Then our rationale. So why, why is this intervention going to be helpful or why should it be helpful? Well, it’s going to thin the blood and help our perfusion. Our expected outcome. So the blood is thin and our perfusion improves. That’s what we expect to see. Alright, let’s look at clotting. So clotting, let’s say on this hypothetical patient, we have doppler confirmation that there is a clot. So what can we do? 

 

Our intervention? So for this, it’s also going to be our anticoagulants as ordered and that’s going to help reduce or prevent further clots from forming, and then surgery. Now, we’re not surgeons, we’re not performing the surgery. We are the prep people. So, we can help prep the patient for surgery. Maybe they need to have one of the filters placed, whatever it is to get rid of that clot or catch that clot, prevent it from dislodging, that the providers have decided to do, so that can help with our clotting problem. 

 

And then why? So, prophylaxis for the anti-coagulants, we’re preventing further clots from forming, we’re preventing the growth of this one clot that we have, and then surgery, just to remove that clot, catch it, or keep it from moving through the bloodstream and causing bigger problems. 

 

So, for our expected outcome, we’re going to have no additional blood clots and the clot will be dissolved or removed. 

 

So patient education. So let’s say that with our hypothetical patient, our data collected shows that this patient is a smoker, and they have some diet concerns that we can talk about. How are we going to intervene? Well, smoking cessation, right, that will help, diet, a low cholesterol diet, and the rationale behind this, is it’s going to stop the narrowing of those vessels, right? So you have your vessel and we’re not getting narrower, and improve plaque buildup there on the sides where then a clot is getting in there, and we are not having good circulation through the system. 

 

In our expected outcomes, with patient education, we expect that the patient will verbalize or demonstrate an understanding of this education. 

 

Alright guys, let’s look at our key points and review. So you’re collecting information, that’s your data, that’s your subjective and objective data. Then we’re going to analyze, and that’s how we diagnose and prioritize. We ask our how questions and that’s how we’re going to plan, implement and evaluate what we’re doing. Translating, so that’s just coming up with those concise terms, those concepts, and then we’re going to transcribe. So whatever form you prefer just to get your care plan on paper. 

 

I hope that was helpful to learn about our deep vein thrombosis and how to put that in a care plan. Check out all the care plan lessons that we have for you and the videos attached to them. We love you guys. Now, go out and be your best selves today and as always, happy nursing!

 

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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)