1. Isoproterenol (Isuprel) is the first-line medication for the heart transplant patient with symptomatic bradycardia. Atropine is not used because the Vagus...

The priority during this time is to protect healthcare workers. Wear personal protective equipment such as a mask, face shield, gown, and gloves at a minimum...

1. Airway/Alertness, Breathing, Circulation are priorities unless massive hemorrhage (MARCH mnemonic) on across-the-room. Treat the greatest life-threatening...

Based on a concept I learned years ago from Laura Gasparis Vonfrolio, PhD, RN 1. The Baby’s First Name A. Look at the pH B. If it is 7.35-7.45 (normal) then ...

#CCRN #letsgetcertified #certificationmentor #nursepassologist 1. S3 heart sound heard in heart failure and Cor pulmonale. 2. Afterload is pressure measured ...

#CCRN #CFRN #CTRN Tips 1. The primary purpose of the IABP is to increase myocardial oxygen supply while decreasing myocardial oxygen demand. It achieves its ...

What's your initial impression of Appearance, Breathing, and Circulation using the Pediatric Assessment Triangle (PAT). If there is a life-threatening proble...

1. Shock definition – insufficient oxygen to meet the metabolic demands of cells and organs resulting in inadequate tissue perfusion. a. Tissue perfusion is ...

· Rapid Response Team purpose - to improve patient outcomes by identifying and treating early clinical deterioration and providing immediate intervention for...

· Ballance's Sign - Dullness to percussion in LUQ due to coagulated blood (Splenic rupture) · Battle Sign - Bruising behind the ears from bleeding in the mas...

Cardiac Output (CO) = heart rate (HR) x stroke volume (SV) – the amount of blood ejected by left ventricle per contraction. o As heart rate increases, CO inc...

Primary Survey (ABCDE) with (FG) – Assess and Treat Emergencies/Injuries A. Airway and Alertness i. Is the child alert? AVPU assessment (Alert, responds to v...

Where were you on Tuesday, 9/11/2001? I was on a flight to Orlando for the ENA conference. My flight departed at 9:00am after the first plane flew into the tw...

Testimonials from live #CEN #TCRN #CPEN #CCRN #PCCN courses “Pam has helped me get certified for TWO certifications (CEN and TCRN)!! Everyone in the recent T...

Testimonials for PDB Nurse Education, LLC Study Guides “I used Pam’s study guides for CEN and TCRN. They are down and dirty and direct.” Diane Gammon, Alaska...

#CEN #letsgetcertified #certificationmentor #nursepassologist Cause: o Accidental ingestions of windshield wiper fluid or intentional ingestions in those who...

Etiology: Fall onto coccyx, abscess, tumor, or herniated disk leads to compression of the lumbosacral nerve roots “horse-tail”. S/S: low back pain, urinary r...

1. Burn Fluid Resuscitation · Fluids prior to calculation as starting point: o 500 ml/hour for 14 and older o 250 ml/hour for 6-13 years of age o 125 ml/hour...

1. Ruptured diaphragm – penetrating injury below the 4th ICS. S/S: peristaltic gurgling sounds in left chest, progressively scaphoid abdomen, Kehr’s sign (le...

1. Rhabdomyolysis a. S/S: myalgia (muscle pain), dark red or brown urine. b. DX: elevated CK, myoglobin, and K+ levels. c. TX: IVF’s, urine alkalization with...