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Preeclampsia, Eclampsia, and HELLP Syndrome for Certified Emergency Nursing (CEN)

Preeclampsia, Eclampsia, and HELLP Syndrome for Certified Emergency Nursing (CEN)

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Preeclampsia, Eclampsia, and HELLP Syndrome

Definition/Etiology:

Preeclampsia usually presents >34 weeks, and is characterized by new-onset hypertension/proteinuria or hypertension/end-organ dysfunction.

During pregnancy, HTN is SBP >140 or DBP >90. Severe HTN is SBP >160 or DBP>110.

Eclampsia is a new-onset tonic-clonic seizure or coma in a patient with preeclampsia who does not already have another neurological cause for seizures.

HELLP is a syndrome in pregnant or post-partum women who develop Hemolysis, Elevated Liver enzymes, and Low Platelets. Symptoms usually resolve at birth, which is commonly preterm. Complications are usually related to bleeding.

There is some overlap between pre-eclampsia, eclampsia, and HELLP, but it is not a continuum.

Pathophysiology:

Preeclampsia and eclampsia are caused by abnormal development of blood vessels in the placenta.

Cause of seizures and development of eclampsia is unclear. It can also occur in the first/second week post-partum.

Pathogenesis of HELLP is unclear. Patients develop small clots in small vessels, causing acute kidney injury and liver injury. It can be similar to DIC (disseminated intravascular coagulopathy).

Clinical Presentation:

Preeclampsia/Eclampsia:

Headache
Altered mental status
Visual changes
Pulmonary edema (dyspnea, orthopnea, pink/frothy sputum)
Hyper-reflexia
Oliguria
Seizure (in eclampsia)
Fetal bradycardia is common after maternal seizure

HELLP:

Rapid onset, usually late 2nd trimester, but sometimes can be post-partum
RUQ/epigastric pain
Elevated AST/ALT
Nausea/vomiting
Occasional jaundice/ascites
>140/90 in 85% of cases
Proteinuria in 85% of cases

HELLP mortality related to:

Placental abruption
Liver hematoma
Acute kidney injury
DIC develops in 21% of cases

Collaborative Management:

Testing:

CMP, coags, CBC, type/cross
Peripheral blood smear (looks for fragmented RBCs)
Urinalysis with micro
Fetal monitoring
Fetal ultrasound
Uterine ultrasound
Liver ultrasound
Chest x-ray

Medications:

Labetalol drip to manage BP
Low-dose aspirin can sometimes prevent preeclampsia.
Magnesium drip to prevent seizures and for fetal neuroprotection

HELLP:

Monitor RUQ pain, which could indicate hepatic rupture. Can radiate to back and shoulder.
Monitor for hypovolemic shock (hypotension with tachycardia).
Surgical team experienced in liver trauma

Eclampsia:

Neuro consult
Maternal oxygen if seizing
Brain MRI
EEG

Evaluation | Patient Monitoring | Education:

Monitor for hypovolemic shock
Continuous maternal cardiac monitor
Fetal heart rate monitor
Serial labs
Protect from trauma in seizure
Continuous oxygen saturation monitoring
Maternal oxygen PRN

Linchpins: (Key Points)

Delivery is the cornerstone of treatment.
HELLP can develop DIC.
Preeclampsia can look like heart failure.
Add maternal oxygen during seizures.

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Transcript

For more great CEN prep, got to the link below to purchase the “Emergency Nursing Examination Review” book by Dr. Laura Gasparis Vonfrolio RN, PHD
https://greatnurses.com/

References:

August, P. (2022, August 29). Preeclampsia: Clinical features and diagnosis. UpToDate. https://www.uptodate.com/contents/preeclampsia-clinical-features-and-diagnosis
Norwitz, E. R. (2022, October 13). Eclampsia. UpToDate. https://www.uptodate.com/contents/eclampsia
Norwitz, E. R. (2022, August 10). Preeclampsia: Antepartum management and timing of delivery. UpToDate. https://www.uptodate.com/contents/preeclampsia-antepartum-management-and-timing-of-delivery
Sibai, B. M. (2022, April 6). HELLP syndrome: Hemolysis, elevated liver enzymes and low platelets. UpToDate. https://www.uptodate.com/contents/hellp-syndrome-hemolysis-elevated-liver-enzymes-and-low-platelets

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Ground Zero

Concepts Covered:

Study Plan Lessons

Communicating with Other Nurses

Conflict Management (Patient, Perioperative Team, Family) for Certified Perioperative Nurse (CNOR)

Day in the Life of a Labor Nurse

Day in the Life of a Med-surg Nurse

Day in the Life of a NICU Nurse

Day in the Life of a Postpartum Nurse

Day in the Life of an ICU (Intensive Care Unit) Nurse

Day in the Life of an Operating Room Nurse

Delegation and Personnel Management for Certified Perioperative Nurse (CNOR)

Delegation of Tasks to Assistive Personnel for Certified Emergency Nursing (CEN)

HCIR Management (Healthcare Industry Representative) for Certified Perioperative Nurse (CNOR)

Interdisciplinary Team Participation for Certified Perioperative Nurse (CNOR)

Joint Commission

MSN (Masters) vs. DNP (Doctorate)

Patient Consent for Treatment for Certified Emergency Nursing (CEN)

Patient Education

Patient Satisfaction for Certified Emergency Nursing (CEN)

SBAR Practice Scenarios

Shift change and Patient handoff

The Medical Team

Time Management

Transition To Practice

Age and Culturally Appropriate Health Assessment Techniques for Certified Perioperative Nurse (CNOR)

Care of Vulnerable Populations

Child Abuse/Neglect – Warning Signs Nursing Mnemonic (CHILD ABUSE)

Communicable Diseases

Community Health Nursing Theories

Continuity of Care

Levels of Prevention

Giving the Best Patient Education

Health Promotion Assessments

Health Promotion & Disease Prevention

High-Risk Behaviors

High Risk Behavior Nursing Mnemonic (HEADSS)

Health Promotion Model

Patient Education

Planning Community Health Interventions Nursing Mnemonic (PRECEDE-PROCEED)

Technology & Informatics

12 Points to Answering Pharmacology Questions

6 Rights of Medication Administration

ACLS (Advanced cardiac life support) Drugs

Adenosine (Adenocard) Nursing Considerations

Amiodarone (Pacerone) Nursing Considerations

Anesthetic Agents

Anti-Infective – Antifungals

Anti-Platelet Aggregate

Antianxiety Meds

Antidepressants

Atenolol (Tenormin) Nursing Considerations

Atropine (Atropen) Nursing Considerations

Bariatric: IV Insertion

Basics of Calculations

Benztropine (Cogentin) Nursing Considerations

Bisacodyl (Dulcolax) Nursing Considerations

Buspirone (Buspar) Nursing Considerations

Carbidopa-Levodopa (Sinemet) Nursing Considerations

Cefdinir (Omnicef) Nursing Considerations

Celecoxib (Celebrex) Nursing Considerations

Codeine (Paveral) Nursing Considerations

Combative: IV Insertion

Complex Calculations (Dosage Calculations/Med Math)

Cyclosporine (Sandimmune) Nursing Considerations

Dark Skin: IV Insertion

Dimensional Analysis Nursing (Dosage Calculations/Med Math)

Diphenoxylate-Atropine (Lomotil) Nursing Considerations

Drawing Blood from the IV

Drawing Up Meds

Drug Interactions Nursing Mnemonic (These Drugs Can Interact)

Eye Prophylaxis for Newborn

Fentanyl (Duragesic) Nursing Considerations

Geriatric: IV Insertion

Giving Medication Through An IV Set Port

Glipizide (Glucotrol) Nursing Considerations

Guaifenesin (Mucinex) Nursing Considerations

Hanging an IV Piggyback

How to Remove (discontinue) an IV

How to Secure an IV (chevron, transparent dressing)

Hydrocodone-Acetaminophen (Vicodin, Lortab) Nursing Considerations

Hydromorphone (Dilaudid) Nursing Considerations

Injectable Medications

Insulin – Long Acting (Lantus) Nursing Considerations

Insulin – Mixtures (70/30)

Interactive Pharmacology Practice

Interactive Practice Drip Calculations

IV Catheter Selection (gauge, color)

IV Complications (infiltration, phlebitis, hematoma, extravasation, air embolism)

IV Drip Administration & Safety Checks

IV Drip Therapy – Medications Used for Drips

IV Infusions (Solutions)

IV Insertion Angle

IV Insertion Course Introduction

IV Placement Start To Finish (How to Start an IV)

IV Pump Management

IV Push Medications

Ketorolac (Toradol) Nursing Considerations

Labeling (Medications, Solutions, Containers) for Certified Perioperative Nurse (CNOR)

Lidocaine (Xylocaine) Nursing Considerations

Magnesium Sulfate

Magnesium Sulfate in Pregnancy

Maintenance of the IV

Mannitol (Osmitrol) Nursing Considerations

Medication Errors

Medication Reconciliation Review for Certified Perioperative Nurse (CNOR)

Medications in Ampules

Meds for Postpartum Hemorrhage (PPH)

Meperidine (Demerol) Nursing Considerations

Methadone (Methadose) Nursing Considerations

Methylergonovine (Methergine) Nursing Considerations

Metoclopramide (Reglan) Nursing Considerations

Montelukast (Singulair) Nursing Considerations

Mood Stabilizers

Nalbuphine (Nubain) Nursing Considerations

Neostigmine (Prostigmin) Nursing Considerations

NG Tube Med Administration (Nasogastric)

NG Tube Medication Administration

Nitro Compounds

NRSNG Live | The S.O.C.K Method for Mastering Nursing Pharmacology and Never Forgetting a Medication Again

Nystatin (Mycostatin) Nursing Considerations

OB Pharm and What Drugs You HAVE to Know – Live Tutoring Archive

Olanzapine (Zyprexa) Nursing Considerations

Opioid Analgesics in Pregnancy

Oral Medications

Oxycodone (OxyContin) Nursing Considerations

Pain Management for the Older Adult – Live Tutoring Archive

Pain Management Meds – Live Tutoring Archive

Parasympathomimetics (Cholinergics) Nursing Considerations

Patient Controlled Analgesia (PCA)

Pediatric Dosage Calculations

Pentobarbital (Nembutal) Nursing Considerations

Pharmacodynamics

Pharmacokinetics

Pharmacokinetics Nursing Mnemonic (ADME)

Pharmacology Course Introduction

Phenobarbital (Luminal) Nursing Considerations

Phytonadione (Vitamin K) for Newborn

Pill Crushing & Cutting

Procainamide (Pronestyl) Nursing Considerations

Propofol (Diprivan) Nursing Considerations

Quetiapine (Seroquel) Nursing Considerations

Ranitidine (Zantac) Nursing Considerations

Rh Immune Globulin in Pregnancy

Sedatives-Hypnotics

Sedatives-Hypnotics

Selecting THE vein

Spiking & Priming IV Bags

Streptokinase (Streptase) Nursing Considerations

Struggling with Dimensional Analysis? – Live Tutoring Archive

SubQ Injections

Supplies Needed

Tattoos IV Insertion

The SOCK Method – C

The SOCK Method – K

The SOCK Method – O

The SOCK Method – Overview

The SOCK Method – S

The SOCK Method of Pharmacology 1 – Live Tutoring Archive

The SOCK Method of Pharmacology 2 – Live Tutoring Archive

The SOCK Method of Pharmacology 3 – Live Tutoring Archive

Tips & Advice for Newborns (Neonatal IV Insertion)

Tips & Advice for Pediatric IV

Understanding All The IV Set Ports

Using Aseptic Technique

Verapamil (Calan) Nursing Considerations

Acids & Bases (acid base balance)

05.03 Jaundice for CCRN Review

Abortion in Nursing: Spontaneous, Induced, and Missed

Abruptio Placenta for Certified Emergency Nursing (CEN)

Abruptio Placentae (Placental abruption)

Acyclovir (Zovirax) Nursing Considerations

Addicted Newborn

Adult Vital Signs (VS)

Alpha-fetoprotein (AFP) Lab Values

Ampicillin (Omnipen) Nursing Considerations

Anemia in Pregnancy

Antepartum Testing

Antepartum Testing Case Study (45 min)

Anti-Infective – Aminoglycosides

Anti-Infective – Lincosamide

Aspiration for Certified Emergency Nursing (CEN)

Behind The Red Line – Live Tutoring Archive

Betamethasone and Dexamethasone

Betamethasone and Dexamethasone in Pregnancy

Bicarbonate (HCO3) Lab Values

Blood Glucose Monitoring

Blood Transfusions (Administration)

Body System Assessments

Butorphanol (Stadol) Nursing Considerations

Cardiac (Heart) Disease in Pregnancy

Causes of Chorioamnionitis Nursing Mnemonic (Pregnancies Are Very Interesting)

Causes of Labor Dystocia Nursing Mnemonic (Having Extremely Frustrating Labor)

Causes of Postpartum Hemorrhage Nursing Mnemonic (4 T’s)

Certified Nurse Midwife

Chorioamnionitis

Clindamycin (Cleocin) Nursing Considerations

Congestive Heart Failure (CHF) Labs

Day in the Life of a Labor Nurse

Day in the Life of a Postpartum Nurse

Dexamethasone (Decadron) Nursing Considerations

Direct Bilirubin (Conjugated) Lab Values

Discomforts of Pregnancy

Disseminated Intravascular Coagulation (DIC)

Diuretics (Loop, Potassium Sparing, Thiazide, Furosemide/Lasix)

Ectopic Pregnancy

Ectopic Pregnancy Case Study (30 min)

Ectopic Pregnancy for Certified Emergency Nursing (CEN)

Emergent Delivery (OB) (30 min)

Emergent Delivery for Certified Emergency Nursing (CEN)

Episiotomy – Evaluation of Healing Nursing Mnemonic (REEDA)

Erythroblastosis Fetalis

Eye Prophylaxis for Newborn

Eye Prophylaxis for Newborn (Erythromycin)

Factors That Can Put a Pregnancy at Risk Nursing Mnemonic (RIBCAGE)

Family Planning & Contraception

Family Planning & Signs of Pregnancy – Live Tutoring Archive

Fertilization and Implantation

Fetal Alcohol Syndrome (FAS)

Fetal Circulation

Fetal Development

Fetal Distress Interventions Nursing Mnemonic (Stop MOAN)

Fetal Environment

Fetal Heart Monitoring (FHM)

Fetal Heart Monitoring Like A Pro – Live Tutoring Archive

Fetal Heart Monitoring Like A Pro 2 – Live Tutoring Archive

Fetal Wellbeing Assessment Tests Nursing Mnemonic (ALONE)

Fundal Height Assessment for Nurses

Furosemide (Lasix) Nursing Considerations

Gestation & Nägele’s Rule: Estimating Due Dates

Gestational Diabetes (GDM)

Gestational Diabetes and Why YOU Should Know About It – Live Tutoring Archive

Gestational HTN (Hypertension)

Glucagon Lab Values

Glucose Tolerance Test (GTT) Lab Values

Gravidity and Parity (G&Ps, GTPAL)

HELLP Syndrome – Signs and Symptoms Nursing Mnemonic (HELLP)

Hematomas in OB Nursing: Causes, Symptoms, and Nursing Care

Hemoglobin A1c (HbA1C)

Hemorrhage (Postpartum Bleeding) for Certified Emergency Nursing (CEN)

Hepatitis B Vaccine for Newborns

Homocysteine (HCY) Lab Values

Hydatidiform Mole (Molar pregnancy)

Hydralazine (Apresoline) Nursing Considerations

Hydrochlorothiazide (Hydrodiuril) Nursing Considerations

Hyperbilirubinemia (Jaundice)

Hyperemesis Gravidarum

Hyperemesis Gravidarum for Certified Emergency Nursing (CEN)

Hyperglycemia Management Nursing Mnemonic (Dry and Hot – Insulin Shot)

Hypovolemic Shock Case Study (OB sim) (60 min)

Incompetent Cervix

Infections in Pregnancy

Initial Care of the Newborn (APGAR)

Inserting a Foley (Urinary Catheter) – Female

Intra Uterine Device – Potential Problems Nursing Mnemonic (PAINS)

Isotonic Solutions (IV solutions)

Labor Progression Case Study (45 min)

Leopold Maneuvers

Lung Surfactant

Lung Surfactant for Newborns

Magnesium Sulfate

Magnesium Sulfate

Magnesium Sulfate (MgSO4) Nursing Considerations

Magnesium Sulfate in Pregnancy

Maternal Risk Factors

Mechanisms of Labor

Meconium Aspiration

Meds for Postpartum Hemorrhage (PPH)

Meds for PPH (postpartum hemorrhage)

Menstrual Cycle

Methylergonovine (Methergine) Nursing Considerations

Newborn of HIV+ Mother

Newborn Physical Exam

Newborn Reflexes

Nifedipine (Procardia) Nursing Considerations

Nursing Care Plan (NCP) for Abortion, Spontaneous Abortion, Miscarriage

Nursing Care Plan (NCP) for Abruptio Placentae / Placental abruption

Nursing Care Plan (NCP) for Chorioamnionitis

Nursing Care Plan (NCP) for Diabetes Mellitus (DM)

Nursing Care Plan (NCP) for Dystocia

Nursing Care Plan (NCP) for Ectopic Pregnancy

Nursing Care Plan (NCP) for Gestational Diabetes (GDM)

Nursing Care Plan (NCP) for Gestational Hypertension, Preeclampsia, Eclampsia

Nursing Care Plan (NCP) for Hyperemesis Gravidarum

Nursing Care Plan (NCP) for Hypertension (HTN)

Nursing Care Plan (NCP) for Incompetent Cervix

Nursing Care Plan (NCP) for Mastitis

Nursing Care Plan (NCP) for Maternal-Fetal Dyad Using GTPAL

Nursing Care Plan (NCP) for Meconium Aspiration

Nursing Care Plan (NCP) for Neonatal Jaundice | Hyperbilirubinemia

Nursing Care Plan (NCP) for Newborns

Nursing Care Plan (NCP) for Placenta Previa

Nursing Care Plan (NCP) for Postpartum Hemorrhage (PPH)

Nursing Care Plan (NCP) for Premature Rupture of Membranes (PROM) / Preterm Premature Rupture of Membranes (PPROM)

Nursing Care Plan (NCP) for Preterm Labor / Premature Labor

Nursing Care Plan (NCP) for Process of Labor

Nursing Care Plan (NCP) for Transient Tachypnea of Newborn

Nursing Care Plan for (NCP) Fetal Alcohol Syndrome (FAS)

Nursing Care Plan for Newborn Reflexes

Nursing Case Study for Maternal Newborn

Nutrition Assessments

Nutrition in Pregnancy

Nutritional Requirements

OB (Labor) Nurse Report to OB (Postpartum) Nurses

OB Course Introduction

OB Non-Stress Test Results Nursing Mnemonic (NNN)

OB Pharm and What Drugs You HAVE to Know – Live Tutoring Archive

Obstetric Trauma for Certified Emergency Nursing (CEN)

Obstetrical Procedures

Opioid Analgesics in Pregnancy

Oral Birth Control Pills – Serious Complications Nursing Mnemonic (Aches)

Oxytocin (Pitocin) Nursing Considerations

Pediatric Vital Signs (VS)

Physiological Changes

Phytonadione (Vitamin K)

Phytonadione (Vitamin K) for Newborn

Placenta Previa

Placenta Previa for Certified Emergency Nursing (CEN)

Possible Infections During Pregnancy Nursing Mnemonic (TORCH)

Post-Partum Assessment Nursing Mnemonic (BUBBLE)

Postpartum Discomforts

Postpartum Hematoma

Postpartum Hemorrhage (PPH)

Postpartum Interventions

Postpartum Physiological Maternal Changes

Postpartum Thrombophlebitis

Precipitous Labor

Preeclampsia (45 min)

Preeclampsia, Eclampsia, and HELLP Syndrome for Certified Emergency Nursing (CEN)

Preeclampsia: Signs, Symptoms, Nursing Care, and Magnesium Sulfate

Pregnancy Outcomes Nursing Mnemonic (GTPAL)

Preload and Afterload

Premature Rupture of the Membranes (PROM)

Preterm Labor for Certified Emergency Nursing (CEN)

Probable Signs of Pregnancy Nursing Mnemonic (CHOP BUGS)

Process of Labor

Process of Labor – Mom Nursing Mnemonic (4 P’s)

Process of Labor – Baby Nursing Mnemonic (ALPPPS)

Process of Labor – Live Tutoring Archive

Process of Labor 2 – Live Tutoring Archive

Prolapsed Umbilical Cord

Promethazine (Phenergan) Nursing Considerations

Prostaglandins in Pregnancy

Protein (PROT) Lab Values

Retinopathy of Prematurity (ROP)

Rh Immune Globulin (Rhogam)

Rh Immune Globulin in Pregnancy

Signs of Pregnancy – Live Tutoring Archive

Signs of Pregnancy (Presumptive, Probable, Positive)

Spironolactone (Aldactone) Nursing Considerations

Stages of Fetal Development Nursing Mnemonic (Proficiently Expanding Fetus)

Terbutaline (Brethine) Nursing Considerations

Threatened/Spontaneous Abortion for Certified Emergency Nursing (CEN)

Tips & Advice for Newborns (Neonatal IV Insertion)

Top 5 Misunderstood OB Concepts – Live Tutoring Archive

Transient Tachypnea of Newborn

Umbilical Cord Vasculature Nursing Mnemonic (2A1V)

Uterine Stimulants (Oxytocin, Pitocin)

Uterine Stimulants (Oxytocin, Pitocin) Nursing Considerations

VEAL CHOP Nursing Mnemonic (Fetal Accelerations and Decelerations) (VEAL CHOP)

What the Heck is Antepartum Testing? – Live Tutoring Archive

Abdomen (Abdominal) Assessment

ABG (Arterial Blood Gas) Interpretation-The Basics

ABG (Arterial Blood Gas) Oxygenation

ABGs Nursing Normal Lab Values

ABGs Tic-Tac-Toe interpretation Method

Acetaminophen (Tylenol) Nursing Considerations

Acute Bronchitis

Acute Otitis Media (AOM)

Airborne Precaution Diseases Nursing Mnemonic (MTV)

Albuterol (Ventolin) Nursing Considerations

Alveoli & Atelectasis

Amoxicillin (Amoxil) Nursing Considerations

Anti-Infective – Antivirals

Anti-Infective – Macrolides

Anti-Infective – Penicillins and Cephalosporins

Anti-Infective – Fluoroquinolones

Appendicitis – Assessment Nursing Mnemonic (PAINS)

Appendicitis Case Study (Peds) (30 min)

Appendicitis for Certified Emergency Nursing (CEN)

Assessment of a Burn Nursing Mnemonic (SCALD)

Asthma Concept Map

Asthma management Nursing Mnemonic (ASTHMA)

Attention Deficit Hyperactivity Disorder (ADHD)

Autism Spectrum Disorders

Base Excess & Deficit

Bisacodyl (Dulcolax) Nursing Considerations

Blood Brain Barrier (BBB)

Blood Type O Nursing Mnemonic (Universally Odd)

Bronchiolitis and Respiratory Syncytial Virus (RSV)

Bronchodilators

Bupropion (Wellbutrin) Nursing Considerations

Burn Injury Case Study (60 min)

Burns for Certified Emergency Nursing (CEN)

Cardiac Glycosides

Care of the Pediatric Patient

Casting & Splinting

Cefaclor (Ceclor) Nursing Considerations

Cerebral Palsy (CP)

Cimetidine (Tagamet) Nursing Considerations

Ciprofloxacin (Cipro) Nursing Considerations

Cleft Lip and Palate

Cleft Lip Repair – Post Op Care Nursing Mnemonic (CLEFT LIP)

Congenital Heart Defects (CHD)

Constipation and Encopresis (Incontinence)

Corticosteroids

Cyanotic Defects Nursing Mnemonic (The 4 T’s)

Cystic Fibrosis (CF)

Day in the Life of a NICU Nurse

Day in the Life of a Peds (Pediatric) Nurse

Defects of Decreased Pulmonary Blood Flow

Defects of Increased Pulmonary Blood Flow

Diarrhea – Treatment Nursing Mnemonic (BRAT)

Digoxin (Lanoxin) Nursing Considerations

Diphenhydramine (Benadryl) Nursing Considerations

Diphenoxylate-Atropine (Lomotil) Nursing Considerations

EENT Assessment

Epiglottitis – Signs and Symptoms Nursing Mnemonic (AIR RAID)

Epispadias and Hypospadias

Famotidine (Pepcid) Nursing Considerations

Fever Case Study (Pediatric) (30 min)

Flu Symptoms Nursing Mnemonic (FACTS)

Fluid Compartments

Fluid Pressures

Fluid Shifts (Ascites) (Pleural Effusion)

Fluid Volume Deficit

Fluticasone (Flonase) Nursing Considerations

Gentamicin (Garamycin) Nursing Considerations

Glucose Lab Values

Gluten Free Diet Nursing Mnemonic (BROW)

Guaifenesin (Mucinex) Nursing Considerations

Heart Sounds Nursing Mnemonic (APE To Man – All People Enjoy Time Magazine)

Hematocrit (Hct) Lab Values

Hemoglobin (Hbg) Lab Values

Hierarchy of O2 Delivery

Hypoxia – Signs and Symptoms (in Pediatrics) Nursing Mnemonic (FINES)

Ibuprofen (Motrin) Nursing Considerations

Immunizations (Vaccinations)

Imperforate Anus

Indomethacin (Indocin) Nursing Considerations

Influenza – Flu

Integumentary (Skin) Assessment

Intussusception

Intussusception for Certified Emergency Nursing (CEN)

Iron Deficiency Anemia

Isolation Precaution Types (PPE)

Isolation Precautions (MRSA, C. Difficile, Meningitis, Pertussis, Tuberculosis, Neutropenia)

Lactulose (Generlac) Nursing Considerations

Levels of Consciousness (LOC)

Levetiracetam (Keppra) Nursing Considerations

Marfan Syndrome

Meningitis Assessment Findings Nursing Mnemonic (FAN LIPS)

Meningitis for Certified Emergency Nursing (CEN)

Methylphenidate (Concerta) Nursing Considerations

Mixed (Cardiac) Heart Defects

Nephrotic Syndrome

Nephrotic Syndrome Case Study (Peds) (45 min)

Neuro Assessment

Nursing Care Plan (NCP) for Acute Bronchitis

Nursing Care Plan (NCP) for Appendicitis

Nursing Care Plan (NCP) for Asthma

Nursing Care Plan (NCP) for Asthma / Childhood Asthma

Nursing Care Plan (NCP) for Attention Deficit Hyperactivity Disorder (ADHD)

Nursing Care Plan (NCP) for Bronchiolitis / Respiratory Syncytial Virus (RSV)

Nursing Care Plan (NCP) for Burn Injury (First, Second, Third degree)

Nursing Care Plan (NCP) for Celiac Disease

Nursing Care Plan (NCP) for Cerebral Palsy (CP)

Nursing Care Plan (NCP) for Cleft Lip / Cleft Palate

Nursing Care Plan (NCP) for Clubfoot

Nursing Care Plan (NCP) for Congenital Heart Defects

Nursing Care Plan (NCP) for Constipation / Encopresis

Nursing Care Plan (NCP) for Cystic Fibrosis

Nursing Care Plan (NCP) for Decreased Cardiac Output

Nursing Care Plan (NCP) for Dehydration & Fever

Nursing Care Plan (NCP) for Eczema (Infantile or Childhood) / Atopic Dermatitis

Nursing Care Plan (NCP) for Enuresis / Bedwetting

Nursing Care Plan (NCP) for Epiglottitis

Nursing Care Plan (NCP) for Fluid Volume Deficit

Nursing Care Plan (NCP) for Hemophilia

Nursing Care Plan (NCP) for Hydrocephalus

Nursing Care Plan (NCP) for Impaired Gas Exchange

Nursing Care Plan (NCP) for Imperforate Anus

Nursing Care Plan (NCP) for Impetigo

Nursing Care Plan (NCP) for Infective Conjunctivitis / Pink Eye

Nursing Care Plan (NCP) for Influenza

Nursing Care Plan (NCP) for Intussusception

Nursing Care Plan (NCP) for Marfan Syndrome

Nursing Care Plan (NCP) for Meningitis

Nursing Care Plan (NCP) for Mumps

Nursing Care Plan (NCP) for Neural Tube Defect, Spina Bifida

Nursing Care Plan (NCP) for Omphalocele

Nursing Care Plan (NCP) for Otitis Media / Acute Otitis Media (AOM)

Nursing Care Plan (NCP) for Pediculosis Capitis / Head Lice

Nursing Care Plan (NCP) for Pertussis / Whooping Cough

Nursing Care Plan (NCP) for Phenylketonuria (PKU)

Nursing Care Plan (NCP) for Reye’s Syndrome

Nursing Care Plan (NCP) for Rheumatic Fever

Nursing Care Plan (NCP) for Rubeola – Measles

Nursing Care Plan (NCP) for Scoliosis

Nursing Care Plan (NCP) for Sickle Cell Anemia

Nursing Care Plan (NCP) for Tonsillitis

Nursing Care Plan (NCP) for Varicella / Chickenpox

Nursing Care Plan (NCP) for Vomiting / Diarrhea

Nursing Care Plan for (NCP) Autism Spectrum Disorder

Nursing Case Study for Pediatric Asthma

Obstructive Heart (Cardiac) Defects

Ocular Infections (Conjunctivitis, Iritis) for Certified Emergency Nursing (CEN)

Opioid Analgesics

Pancrelipase (Pancreaze) Nursing Considerations

Pediatric Bronchiolitis Labs

Pediatric Gastrointestinal Dysfunction – Diarrhea

Pediatric Oncology Basics

Pediatrics Course Introduction

Pediculosis Capitis

Pertussis – Whooping Cough

Phenylketonuria

Phenytoin (Dilantin) Nursing Considerations

Platelets (PLT) Lab Values

Promotion and Evaluation of Normal Elimination Nursing Mnemonic (POOPER SCOOP)

Pulmonary Function Test

Red Blood Cell (RBC) Lab Values

Respiratory Acidosis (interpretation and nursing interventions)

Reye’s Syndrome

Reyes Syndrome Case Study (Peds) (45 min)

Rheumatic Fever

ROME – ABG (Arterial Blood Gas) Interpretation

Rubeola – Measles

Salmeterol (Serevent) Nursing Considerations

Selegiline (Eldepyrl) Nursing Considerations

Sickle Cell Anemia

Spina Bifida – Neural Tube Defect (NTD)

Steroids – Side Effects Nursing Mnemonic (6 S’s)

Stoma Care (Colostomy bag)

Sudden Infant Death Syndrome (SIDS)

Sympathomimetics (Alpha (Clonodine) & Beta (Albuterol) Agonists)

Thorax and Lungs Assessment

Topical Medications

Tracheal Esophageal Fistula – Sign and Symptoms Nursing Mnemonic (The 3 C’s)

Transient Incontinence – Common Causes Nursing Mnemonic (P-DIAPERS)

Treatment of Sickle Cell Nursing Mnemonic (HOP to the hospital)

Umbilical Hernia

Vaccine-Preventable Diseases (Measles, Mumps, Pertussis, Chicken Pox, Diphtheria) for Certified Emergency Nursing (CEN)

Varicella – Chickenpox

Varicella Case Study (Peds) (30 min)

Vitals (VS) and Assessment

White Blood Cell (WBC) Lab Values

ADLs (Activity of Daily Living) Nursing Mnemonic (BATTED)

Emotions and Motivation

Growth & Development Theories

Maslow’s Hierarchy of Needs in Nursing

Psychological Disorders

State of Consciousness

Stress and Crisis