Nurse-Progressive Care (PCCN) CE

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All of our activities are approved by ANCC (LVN, RN, and CNS) and all activity is reported to CE Broker and all states as required. StatPearls continuing education activities are linked to practice questions which are based on the American Association of Critical Care Nurses® content outlines. 308 authors and 8 editors have contributed to the development of the Nurse-Progressive Care (PCCN) content, which is continuously refined and updated to improve your learning experience.

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Nurse-Progressive Care (PCCN) Activities

Title Description Hours Questions
Abdominal Aortic Aneurysm An abdominal aortic aneurysm is a life-threatening condition that requires monitoring or treatment depending upon the size of the aneurysm and/or symp ... Read the Article 2 27 Activity Info
Abnormal Respirations There are multiple types of normal and abnormal respiration. They include apnea, eupnea, orthopnea, dyspnea hyperpnea, hyperventilation, hypoventilati ... Read the Article 1.25 11 Activity Info
ACE Inhibitors ACE inhibitors are a medication class used to treat and manage hypertension, which is a significant risk factor for coronary disease, heart failure, s ... Read the Article 1.5 14 Activity Info
Active Tuberculosis Active tuberculosis is a condition in which Mycobacterium tuberculosis causes infection; typically in the lungs, although many systems can be involved ... Read the Article 1.25 11 Activity Info
Activities of Daily Living Activities of daily living (ADLs) are essential and routine tasks that most young, healthy individuals can perform without assistance. The inability t ... Read the Article 1 5 Activity Info
Acute Compartment Syndrome Acute compartment syndrome is a condition in which there is increased pressure within a closed osteofascial compartment, resulting in impaired local c ... Read the Article 1.75 21 Activity Info
Acute Coronary Syndrome Acute coronary syndrome refers to a group of diseases in which blood flow to the heart is decreases. Some examples include ST-elevation myocardial inf ... Read the Article 1.25 11 Activity Info
Acute Kidney Injury Acute kidney injury, previously known as acute renal failure, denotes a sudden and often reversible reduction in the kidney function, as measured by ... Read the Article 1.5 17 Activity Info
Acute Lymphocytic Leukemia Acute lymphocytic leukemia (ALL) is a malignancy of B or T lymphoblasts characterized by uncontrolled proliferation of abnormal, immature lymphocytes ... Read the Article 1.25 9 Activity Info
Acute Myocardial Infarction Acute myocardial infarctions are one of the leading causes of death in the developed world, with prevalence approaching three million people worldwide ... Read the Article 2 30 Activity Info
Acute On Chronic Liver Failure Acute on chronic liver failure is a clinical syndrome of sudden hepatic decompensation observed in patients with pre-existing chronic liver disease. A ... Read the Article 1 7 Activity Info
Acute Pancreatitis Acute pancreatitis is the leading cause of gastrointestinal-related hospitalization in the United States, and its frequency continues to rise in the U ... Read the Article 2.25 34 Activity Info
Acute Pulmonary Embolism Acute pulmonary embolism is a common clinical condition with a variable clinical presentation, making its diagnosis challenging. This activity outline ... Read the Article 2.25 31 Activity Info
Acute Respiratory Distress Syndrome Acute respiratory distress syndrome (ARDS) is a life-threatening condition characterized by poor oxygenation and non-compliant or "stiff" lungs. The d ... Read the Article 2.25 33 Activity Info
Acute Stroke Acute strokes, also known as cerebrovascular accidents, are broadly classified as either ischemic or hemorrhagic. Acute strokes result in loss of bloo ... Read the Article 2 30 Activity Info
Addisonian Crisis An Addisonian crisis, or adrenal crisis, is a potentially life-threatening condition that results from an acute insufficiency of adrenal hormones (glu ... Read the Article 1.25 10 Activity Info
Adenosine Adenosine has uses as both a diagnostic or therapeutic agent. As a diagnostic agent, adenosine can be utilized in myocardial perfusion stress imaging ... Read the Article 1.25 9 Activity Info
Adrenal Crisis Adrenal crisis is an acute life-threatening condition precipitated by an internal or external process in the setting of known or unknown adrenal insuf ... Read the Article 1.25 10 Activity Info
Adult Dehydration Dehydration is a common condition that affects patients of all ages. Dehydration may complicate other medical problems and may cause significant illne ... Read the Article 1.25 12 Activity Info
Adverse Events Adverse events (AE) frequently occur in our medical system, and at least one in ten patients are affected. An AE is a harmful and negative outcome tha ... Read the Article 1.5 15 Activity Info
Airway Assessment A thorough, but brief, airway assessment is essential for the proper management of patients requiring advanced airway management. Indications for the ... Read the Article 1 6 Activity Info
Airway Suctioning Airway suctioning is a procedure routinely performed in inpatient and outpatient settings. It is important to maintain the patency of the natural or a ... Read the Article 1 6 Activity Info
Alcohol Withdrawal Alcohol withdrawal symptoms usually appear when an individual discontinues or reduces alcohol intake after a period of prolonged consumption. In most ... Read the Article 1.5 17 Activity Info
Aminoglycosides While aminoglycosides are an older class of medication, they continue to be clinically valuable. Aminoglycosides have a broad spectrum of activity cov ... Read the Article 1 8 Activity Info
Anaphylaxis Anaphylaxis is an acute, life-threatening hypersensitivity disorder, defined as a generalized, rapidly evolving, multi-systemic allergic reaction. Ana ... Read the Article 1.75 24 Activity Info
Anasarca Anasarca is a serious condition in which there is a generalized accumulation of fluid in the interstitial space. This accumulation of fluid occurs whe ... Read the Article 1 3 Activity Info
Anemia Of Chronic Renal Disease Anemia of chronic renal disease, also known as anemia of chronic kidney disease (CKD), is a form of normocytic, normochromic, hypoproliferative anemia ... Read the Article 1.25 9 Activity Info
Anovulatory Bleeding Abnormal uterine bleeding due to ovulatory dysfunction causes irregular and often heavy menses. This condition, if left untreated, can have a signific ... Read the Article 1 6 Activity Info
Anoxic Encephalopathy Anoxic encephalopathy, or hypoxic-ischemic brain injury, is a process that begins with the cessation of cerebral blood flow to brain tissue, which mos ... Read the Article 1.5 16 Activity Info
Anterior Myocardial Infarction Anterior myocardial infarction (AMI) is a common heart disease associated with significant mortality and morbidity. Advancement in diagnosis and treat ... Read the Article 1 7 Activity Info
Aortic Stenosis Aortic stenosis is a common valvular disorder, especially in the elderly population, causing left ventricular outflow obstruction. Etiologies include ... Read the Article 1.75 20 Activity Info
Arterial Pressure Monitoring Arterial pressure monitoring is a form of invasive blood pressure monitoring and is done through the cannulation of a peripheral artery. This form of ... Read the Article 1 6 Activity Info
Ascites Ascites is the pathologic accumulation of fluid within the peritoneal cavity. It is the most common complication of cirrhosis and occurs in about 50% ... Read the Article 1.5 15 Activity Info
Aspiration Risk Aspiration is common, even in healthy patients. Aspiration can have significant morbidity and mortality in certain circumstances. It is categorized ba ... Read the Article 1 2 Activity Info
Atelectasis The word "atelectasis" is Greek in origin; It is a combination of the Greek words atelez (Ateles) and ektasiz (ektasis) meaning "imperfect" and "expan ... Read the Article 1.25 10 Activity Info
Atherosclerosis Atherosclerosis is a chronic inflammatory disease in which there is a build up of plaques inside arteries. These plaques are principally composed of l ... Read the Article 1 7 Activity Info
Atrial Fibrillation Atrial fibrillation is the most common type of cardiac arrhythmia. It is the leading cardiac cause of stroke. Risk factors for atrial fibrillation inc ... Read the Article 2.25 31 Activity Info
Atrial Flutter Atrial flutter, a supraventricular arrhythmia, is one of the most common rhythm disturbances of the heart. It is characterized by a fast atrial rate w ... Read the Article 1.25 7 Activity Info
Atrioventricular Block Atrioventricular (AV) conduction is evaluated by assessing the relationship between the P waves and QRS complexes. Normally, there is a P wave that pr ... Read the Article 1.25 9 Activity Info
Atropine Atropine or atropine sulfate carries FDA indications for anti-sialagogue/anti-vagal effect, organophosphate/muscarinic poisoning, and bradycardia. Atr ... Read the Article 1.25 11 Activity Info
Autonomic Dysreflexia Autonomic dysreflexia is a condition that emerges after a spinal cord injury, usually when the injury has occurred above the T6 level. The higher the ... Read the Article 1.25 9 Activity Info
Bacterial Pneumonia The word "pneumonia" originates from the ancient Greek word "pneumon," which means "lung," so the word "pneumonia" becomes "lung disease." Medically i ... Read the Article 2 27 Activity Info
Barotrauma And Mechanical Ventilation Pulmonary barotrauma is a potentially life-threatening complication in patients on mechanical ventilation. It is important to recognize and quickly ac ... Read the Article 1.25 11 Activity Info
Bowel Perforation Bowel perforation results from insult or injury to the mucosa of the bowel wall caused due to a violation of the closed system. Bowel perforation can ... Read the Article 1 6 Activity Info
Brain Death Criteria Brain death accounts for about 2% of deaths in the United States and is often caused by traumatic brain injury. Criteria of Brain death determination ... Read the Article 1 5 Activity Info
Brugada Syndrome Brugada syndrome is a rare but potentially life-threatening inherited disease that predisposes patients to fatal cardiac arrhythmias. The syndrome is ... Read the Article 1 4 Activity Info
Burn Evaluation And Management Burns are injuries of the skin involving the two layers: the thin, outer epidermis and the thicker, deeper dermis. 86% of burns are caused by thermal ... Read the Article 1 7 Activity Info
Cancer Chemotherapy Chemotherapy in cancer has merged the disease course from a terminal and catastrophic result in merely all cases to a treatable and sometimes curable ... Read the Article 2 29 Activity Info
Cardiac Catheterization Risks and Complications Cardiac catheterization is one of the most widely performed cardiac procedures. In the United States, more than 1,000,000 cardiac catheterization proc ... Read the Article 1 5 Activity Info
Cardiac Tamponade Cardiac tamponade is a medical emergency that takes place when abnormal amounts of fluid accumulate in the pericardial sac compressing the heart and l ... Read the Article 1.5 14 Activity Info
Cardiogenic Pulmonary Edema Pulmonary edema refers to the accumulation of excessive fluid in the alveolar walls and alveolar spaces of the lungs. It can be a life-threatening con ... Read the Article 1.25 11 Activity Info
Cardiogenic Shock Cardiogenic shock is a primary cardiac disorder characterized by a low cardiac output state of circulatory failure that results in end-organ hypoperfu ... Read the Article 1.5 16 Activity Info
Care Of A Chest Tube There are variable practice patterns used to manage chest tubes. Care and management of the chest tube are subject to the direction of the responsible ... Read the Article 1 3 Activity Info
Carvedilol Carvedilol is a non-selective adrenergic blocker indicated for the chronic therapy of heart failure with reduced ejection fraction (HFrEF), hypertensi ... Read the Article 1 6 Activity Info
Central Line Central venous catheterization (CVC) is a procedure frequently required in acute or critical care resuscitation. Indications include patients with mul ... Read the Article 1 5 Activity Info
Central Line Management Central venous access is required for many hospitalized patients. Placement of central line catheters is done for many reasons, including inadequate p ... Read the Article 1 4 Activity Info
Cerebrovascular Disease A stroke, or cerebrovascular accident, is an emergency medical condition characterized by an acute compromise of the cerebral perfusion or vasculature ... Read the Article 1.25 8 Activity Info
Cervical Injury Cervical spine injuries, although uncommon, can result in significant and long-term disability. The cervical spine encompasses seven vertebrae and ser ... Read the Article 1 7 Activity Info
Chest Tube A chest tube, also known as a thoracostomy tube, is a flexible tube that can be inserted through the chest wall and into the pleural space. This activ ... Read the Article 1 6 Activity Info
Choking Choking or foreign body airway obstruction occurs when an object partially or completely obstructs the passage of air exchange between the upper airwa ... Read the Article 1 4 Activity Info
Chronic Headaches Chronic headaches occur for at least 15 days of a month for at least three months. There are a variety of causes and ways to manage this condition. Th ... Read the Article 1.25 9 Activity Info
Chronic Obstructive Pulmonary Disease Chronic obstructive lung disease is a lung disease characterized by lung airflow limitation and can be from exposure to harmful substances. It is a co ... Read the Article 2.25 37 Activity Info
Chronic Pancreatitis Chronic pancreatitis is a progressive inflammatory disorder that leads to irreversible destruction of exocrine and endocrine pancreatic parenchyma cau ... Read the Article 1.5 14 Activity Info
Chronic Renal Failure Chronic kidney disease (CKD) is defined as the presence of kidney damage or an estimated glomerular filtration rate (eGFR) less than 60 ml/min per 1.7 ... Read the Article 1.75 21 Activity Info
Clear Liquid Diet A clear liquid diet is a specific dietary plan that only includes liquids that are fully transparent at room temperature. Some items that may be allow ... Read the Article 1 4 Activity Info
Clonus Clonus is a rhythmic oscillating stretch reflex that is related to upper motor neuron lesions. Therefore, clonus is generally accompanied by hyperrefl ... Read the Article 1 7 Activity Info
Clostridium Difficile Clostridium difficile is a gram-positive bacterium that is the cause most implicated in antibiotic-associated diarrhea. The emergence of a newer hyper ... Read the Article 1.5 17 Activity Info
Colon Cancer Colorectal cancer (CRC) is the third most common diagnosis and second deadliest malignancy for both sexes combined. The incidence of new cases and mor ... Read the Article 1.5 13 Activity Info
Colostomy Care Colostomy care, as the name suggests, is an all-encompassing term referring to colostomy management, from its creation to peristomal skin management, ... Read the Article 1.25 8 Activity Info
Congestive Heart Failure Heart failure is a complex clinical syndrome in which the heart is unable to pump enough blood to meet the requirements of the body. It results from a ... Read the Article 2.5 39 Activity Info
Congestive Heart Failure And Pulmonary Edema Heart failure is a growing public health problem and is now the most common cause of hospitalizations in the U.S. among patients 65 years and older. T ... Read the Article 1.5 15 Activity Info
Constrictive-Effusive Pericarditis Constrictive pericarditis involves scarring and loss of elasticity of the pericardium surrounding the heart, leading to impaired filling. Effusive-con ... Read the Article 1 6 Activity Info
Continuous Positive Airway Pressure Continuous positive airway pressure (CPAP) is a type of positive airway pressure that is used to deliver a set pressure to the airways that is maintai ... Read the Article 1 5 Activity Info
Crystalloid Fluids Crystalloid fluids are a subset of intravenous solutions that are frequently used in the clinical setting. Crystalloid fluids are the first choice for ... Read the Article 1.25 8 Activity Info
Decubitus Ulcer Decubitus ulcers are skin or soft tissue injuries that form due to prolonged pressure exerted over specific areas of the body. They should receive pro ... Read the Article 1.5 18 Activity Info
Deep Venous Thrombosis Of The Lower Extremity A deep-vein thrombosis (DVT) is a blood clot that forms within the deep veins usually of the leg but can occur in the veins of the arms and the mesent ... Read the Article 1.25 10 Activity Info
Deep Venous Thrombosis Prophylaxis Deep vein thrombosis (DVT) is the formation or presence of a thrombus in the deep veins. DVT occurs mostly in the lower extremities and to a lesser ex ... Read the Article 1 7 Activity Info
Delirium Delirium, also known as the acute confusional state, is a clinical syndrome that usually develops in the elderly. It is characterized by an alteration ... Read the Article 1.75 20 Activity Info
Delirium Tremens Alcohol abuse is a common condition that has been associated with severe impairments in social functioning and medical problems. As high as 20% of the ... Read the Article 1 7 Activity Info
Dementia Dementia describes an overall decline in memory and other thinking skills severe enough to reduce a person's ability to perform everyday activities. I ... Read the Article 2 26 Activity Info
Diabetes Insipidus Diabetes insipidus (DI) is a disease process that results in either decreased release of antidiuretic hormone (ADH, also known as vasopressin or AVP) ... Read the Article 1.5 17 Activity Info
Diabetes Mellitus Diabetes mellitus (DM) is a disease of inadequate control of blood levels of glucose. It has many subclassifications, including type 1, type 2, maturi ... Read the Article 2 26 Activity Info
Difficult Foley Catheterization Urinary catheterization is a common clinical intervention to ensure adequate urinary drainage when patients cannot void effectively. When a urinary ca ... Read the Article 1.25 8 Activity Info
Digoxin Digoxin is a medication used to manage and treat heart failure and certain arrhythmias, and abortion. It is in the cardiac glycoside class of drugs. T ... Read the Article 1.75 23 Activity Info
Digoxin Toxicity Digoxin is a cardiac glycoside derived from the foxglove plant (digitalis species). It has inotropic effects and is utilized in the management of syst ... Read the Article 1.25 10 Activity Info
Electrical Burns Electrical injuries are when high-energy current travels through the body due to contact with an electrical source. Injuries occur due to either the f ... Read the Article 1 6 Activity Info
Empyema Empyema is defined as a collection of pus in the pleural cavity, gram-positive, or culture from the pleural fluid. Empyema is usually associated with ... Read the Article 1.25 11 Activity Info
End of Life Care Unlike other conditions and life experiences, which only affect a certain percentage of the world’s population, the end-of-life is a stage in the proc ... Read the Article 2.5 36 Activity Info
End-Stage Renal Disease More than 500,000 people in the United States live with end-stage renal disease (ESRD). The development of chronic kidney disease (CKD) and its progre ... Read the Article 1.5 14 Activity Info
Eptifibatide Eptifibatide is a glycoprotein IIb/IIIa class platelet inhibitor drug used to reduce ischemic cardiac events in specific patient populations. This act ... Read the Article 1 5 Activity Info
Ethanol Ethanol is an alcohol by chemical composition, used in the management and treatment of methanol/ethylene glycol toxicity. Ethanol has also been used e ... Read the Article 1 4 Activity Info
Excited Delirium Delirium is understood as a complex neuropsychiatric syndrome that is characterized by disturbances in consciousness, orientation, memory, thought, pe ... Read the Article 1.25 8 Activity Info
Fat Embolism Fat embolism (FE) and fat embolism syndrome (FES) are a clinical phenomenon that are characterized by systemic dissemination of fat emboli within the ... Read the Article 1.25 7 Activity Info
Feeding Tube Feeding tubes are tubes inserted into the gastrointestinal tract to provide a patient with enteral nutrition or for decompression. Tubes come in a var ... Read the Article 1 4 Activity Info
Femur Immobilization The need to immobilize the femur is primarily due to fractures and dislocations. Each of these injuries dictates a specific immobilization and stabili ... Read the Article 1 5 Activity Info
Flail Chest Flail chest is a traumatic condition of the thorax. It may occur when 3 or more ribs are broken in at least 2 places. It is considered a clinical diag ... Read the Article 1 7 Activity Info
Flumazenil Flumazenil is a benzodiazepine antagonist. The primary FDA-approved clinical uses for flumazenil include reversal agent for benzodiazepine overdose an ... Read the Article 1 7 Activity Info
Gait Disturbances Gait disturbances are described as any deviations from normal walking or gait. These disturbances stem from numerous etiologies. Due to their differen ... Read the Article 1 7 Activity Info
Gastric Ulcer Gastric ulcers are a break in the mucosa of the stomach lining that penetrates through the muscularis mucosa and extends more than 5 mm in diameter. W ... Read the Article 1.5 17 Activity Info
Gastroparesis Gastroparesis is an uncommon condition in the community that can be associated with significant morbidity, healthcare burden and could have poor outco ... Read the Article 1 6 Activity Info
Graves Disease Graves' disease is the most common cause of hyperthyroidism. It is a disorder with systemic manifestations that primarily affect heart, skeletal muscl ... Read the Article 1.5 13 Activity Info
Guillain Barre Syndrome Guillain-Barre syndrome (GBS) is a rare but serious post-infectious immune-mediated neuropathy. It results from the autoimmune destruction of nerves i ... Read the Article 1.75 21 Activity Info
Hand Hygiene Handwashing practices in the patient care setting began in the early 19th century. The practice evolved over the years with evidential proof of its va ... Read the Article 1 4 Activity Info
Hemorrhagic Shock Shock refers to the inadequate perfusion of tissues due to the imbalance between oxygen demand of tissues and the body’s ability to supply it. Classic ... Read the Article 1.75 20 Activity Info
Hemorrhagic Stroke Hemorrhagic stroke is due to bleeding into the brain by the rupture of a blood vessel. Hemorrhagic stroke may be further subdivided into intracerebral ... Read the Article 1.5 14 Activity Info
Hemothorax Hemothorax is a collection of blood in the space between the visceral and parietal pleura (pleural space). The clinical findings in such patients incl ... Read the Article 1.25 12 Activity Info
Heparin Induced Thrombocytopenia Heparin-induced thrombocytopenia (HIT) is a severe complication that can occur in patients exposed to any form or amount of heparin products. A fall i ... Read the Article 1.5 16 Activity Info
Hepatic Cirrhosis Cirrhosis is characterized by fibrosis and nodule formation of the liver secondary to chronic injury, leading to alteration of the normal lobular orga ... Read the Article 1.75 21 Activity Info
Hepatitis C Hepatitis C virus (HCV) is a major public health problem affecting 185 million people worldwide. The percentage of people who are seropositive for ant ... Read the Article 1.75 24 Activity Info
High Altitude Pulmonary Edema High altitude pulmonary edema (HAPE) is a severe form of high-altitude illness that, if left untreated, can lead to mortality in 50 percent of affecte ... Read the Article 1.25 8 Activity Info
High Anion Gap Metabolic Acidosis High anion gap metabolic acidosis (HAGMA) is a type of metabolic acidosis. Differentiation of acidosis into a particular subtype, whether high anion g ... Read the Article 1 5 Activity Info
HMG-CoA Reductase Inhibitors HMG-CoA reductase inhibitors (statins) are lipid-lowering medications used in the primary and secondary prevention of coronary heart disease. This act ... Read the Article 1.25 11 Activity Info
Hydrocodone Hydrocodone is a schedule II semi-synthetic opioid medication used to treat pain. Hydrocodone is also an antitussive indicated for cough in adults. In ... Read the Article 1 5 Activity Info
Hypercapnea Hypercapnia is the increase in partial pressure of carbon dioxide (PaCO2) above 45 mmHg. Carbon dioxide is a metabolic product of the many cellular pr ... Read the Article 1 3 Activity Info
Hyperkalemia Hyperkalemia is defined as a serum or plasma potassium level above the upper limits of normal, usually greater than 5.0 mEq/L to 5.5 mEq/L. While mild ... Read the Article 1.25 12 Activity Info
Hypernatremia The human body maintains sodium and water homeostasis by concentrating the urine secondary to the action of antidiuretic hormone (ADH) and increased f ... Read the Article 1 5 Activity Info
Hypertensive Encephalopathy Hypertensive encephalopathy is a less commonly encountered type of hypertensive emergency, highlighted by mental status changes and severely elevated ... Read the Article 1 5 Activity Info
Hyperthyroidism The thyroid gland is a bilobed structure located in the anterior aspect of the trachea between the cricoid cartilage and the suprasternal notch. Each ... Read the Article 1.75 23 Activity Info
Hypoglycemia Hypoglycemia is often defined by a plasma glucose concentration below 70 mg/dL; however, signs and symptoms may not occur until plasma glucose concent ... Read the Article 1.5 17 Activity Info
Hypothyroidism Hypothyroidism results from low levels of thyroid hormone with varied etiology and manifestations. The drug of choice for the treatment of hypothyroid ... Read the Article 2 25 Activity Info
Hypovolemic Shock Patients with hypovolemic shock have severe hypovolemia with decreased peripheral perfusion. If left untreated, these patients can develop ischemic in ... Read the Article 1 7 Activity Info
Ileostomy An ileostomy is a procedure in which the lumen of the ileum, part of the small bowel, is brought through the abdominal wall via a surgically-created o ... Read the Article 1 7 Activity Info
Inappropriate Medical Abbreviations Use of medical abbreviations in medicine is not new. Since the development of mainstream medicine nearly 200 years ago, abbreviations have been used. ... Read the Article 1 4 Activity Info
Inferior Myocardial Infarction Without timely treatment, coronary artery occlusion results in decreased perfusion to the myocardium, resulting in myocardial ischemia followed by my ... Read the Article 1.25 10 Activity Info
Inotropes And Vasopressors Vasopressors and inotropes are medications used to create vasoconstriction or increase cardiac contractility, respectively, in patients with shock. Th ... Read the Article 1.25 8 Activity Info
Insulin Resistance Insulin resistance is identified as an impaired biologic response to insulin stimulation of target tissues, primarily the liver, muscle, and adipose t ... Read the Article 1.25 11 Activity Info
Internal Jugular Vein Central Venous Access If an ultrasound machine is not immediately available and central venous access via the right jugular vein is required, a simple three-finger techniqu ... Read the Article 1 6 Activity Info
Intertrigo Intertrigo is a superficial inflammatory skin condition of the skin's flexural surfaces, prompted or irritated by warm temperatures, friction, moistur ... Read the Article 1 5 Activity Info
Intrathecal Morphine Morphine is an opioid administered for acute and chronic pain conditions. The advantage of intrathecal (IT) morphine over intravenous (IV), oral (PO), ... Read the Article 1 6 Activity Info
Ischemic Stroke Cerebrovascular accidents, commonly known as strokes, are prevalent across patient populations and can be a significant cause of morbidity and mortali ... Read the Article 1.5 14 Activity Info
Lactulose Lactulose is used in preventing and treating clinical portal-systemic encephalopathy. Its chief mechanism of action is by decreasing the intestinal pr ... Read the Article 1 6 Activity Info
Laparoscopic Cholecystectomy Laparoscopic cholecystectomy is a minimally invasive surgical procedure used for the removal of a diseased gallbladder. Since the early 1990s, this te ... Read the Article 1.25 10 Activity Info
Left Bundle Branch Block Left bundle branch block (LBBB) is a common electrocardiographic (ECG) abnormality seen in patients whose normal cardiac conduction down both anterior ... Read the Article 1 5 Activity Info
Mannitol Mannitol can be used for the reduction of intracranial pressure and brain mass, to reduce intraocular pressure if this is not achievable by other mean ... Read the Article 1.25 11 Activity Info
Medical Ethics Familiarity with ethical principles on a basic level is necessary to practice medicine. However, most healthcare providers are unable to explain how o ... Read the Article 2.5 36 Activity Info
Medication Dispensing Errors And Prevention Close to 6,800 prescription medications and countless over-the-counter drugs are available in the United States. To further complicate a practitioner' ... Read the Article 2.25 33 Activity Info
Mitral Regurgitation Mitral regurgitation (MR) is caused by the retrograde flow of blood from the left ventricle (LV) into the left atrium (LA) through the mitral valve (M ... Read the Article 1.5 16 Activity Info
Mitral Valve Prolapse Mitral valve prolapse (MVP), also known as floppy mitral valve syndrome, systolic click-murmur syndrome, and billowing mitral leaflets, is valvular he ... Read the Article 1.25 9 Activity Info
Myocardial Infarction Myocardial infarction (MI), colloquially known as "heart attack," is caused by decreased or complete cessation of blood flow to a portion of the myoca ... Read the Article 1.25 12 Activity Info
Myxedema Myxedema coma is a rare fatal condition as a result of long-standing hypothyroidism with loss of the adaptive mechanism to maintain homeostasis. Hypot ... Read the Article 1.25 12 Activity Info
Naloxone Over the past two decades, the rate of overdose from opiates has increased significantly. Opiate misuse is associated with enormous morbidity and mort ... Read the Article 1.25 7 Activity Info
Nasogastric Tube Nasogastric tubes are part of the standard of care in treating intestinal obstruction and can also be used to provide nutritional support. They are mo ... Read the Article 1.25 11 Activity Info
Needlestick Needlestick injuries are frequent occurrences in healthcare settings and can lead to serious complications. While the introduction of universal precau ... Read the Article 1.5 15 Activity Info
Neurogenic Pulmonary Edema Neurogenic pulmonary edema (NPE) is a clinical condition arises as acute respiratory distress taking place in conjunction with severe neurological dam ... Read the Article 1 5 Activity Info
Nicotinic Acid Deficiency Dietary deficiency of niacin results in pellagra. It is characterized by dermatitis, diarrhea, dementia, and eventually death if not treated by giving ... Read the Article 1.25 10 Activity Info
Noncardiogenic Pulmonary Edema Noncardiogenic pulmonary edema is a disease process that results in acute hypoxia secondary to a rapid deterioration in respiratory status. The diseas ... Read the Article 1 6 Activity Info
Norepinephrine Untreated hypotension can be a significant cause of morbidity and mortality. Norepinephrine is a first-line agent for hypotension that does not respon ... Read the Article 1 6 Activity Info
Nosocomial Pneumonia Nosocomial pneumonia or hospital-acquired pneumonia (HAP) is defined as pneumonia that occurs 48 hours or more after hospital admission and not incuba ... Read the Article 1.25 11 Activity Info
Ondansetron Ondansetron is one of the medications most commonly used for empiric treatment. Ondansetron has extreme utility as an antiemetic drug, and it is effec ... Read the Article 1 7 Activity Info
Opioid Antagonists Opioid receptor antagonists block one or more of the opioid receptors in the central or peripheral nervous system. Opioid receptors are specific trans ... Read the Article 1.25 9 Activity Info
Opioid Toxicity Opioids and opiates together comprise a class of medications widely used primarily to control severe pain. If first-line agents are not effective in c ... Read the Article 1.5 15 Activity Info
Orthostatic Hypotension Orthostatic hypotension is defined as a sudden drop in blood pressure upon standing from a sitting or supine position. Clinically, this is diagnosed b ... Read the Article 1.5 17 Activity Info
Oxazepam Oxazepam is a short-acting benzodiazepine used to treat alcohol withdrawal, management of anxiety disorders, and tension. This activity will highligh ... Read the Article 1 5 Activity Info
Oxygen Administration Oxygen administration may be initiated for a variety of reasons. Increased metabolic demand, maintenance of oxygenation while providing anesthesia, su ... Read the Article 1.25 8 Activity Info
Oxygen Saturation Oxygen saturation is an essential element of patient care. Oxygen is tightly regulated within the body because hypoxemia can lead to many acute advers ... Read the Article 1 3 Activity Info
Pain Assessment There are multiple tools used to help assess a patient's pain. These tools can be used to assess multiple types of pain, ranging from nociceptive pain ... Read the Article 1.5 15 Activity Info
Palliative Care The World Health Organization characterizes the field of palliative care as a form of specialized medical care which aims to optimize the quality of l ... Read the Article 2.25 34 Activity Info
Paroxysmal Atrial Fibrillation Atrial fibrillation (AF) causes an irregularly irregular heart rhythm. AF is the most common sustained arrhythmia characterized by disorganized, rapid ... Read the Article 1.25 8 Activity Info
Patient Controlled Analgesia Patient-controlled analgesia is used to treat acute, chronic, postoperative, and labor pain. A variety of medications can be used for patient-controll ... Read the Article 1.25 12 Activity Info
Patient Restraint and Seclusion Patient restraint and seclusion is a controversial yet necessary aspect of medicine. Restraint encompasses both physical and chemical procedures. This ... Read the Article 1 6 Activity Info
Percutaneous Central Catheter The ability to obtain venous access in the inpatient and outpatient setting is one of the most fundamental, yet, crucial components for a large number ... Read the Article 1 5 Activity Info
Percutaneous Transluminal Coronary Angioplasty Percutaneous transluminal coronary angioplasty (PTCA) also called percutaneous coronary intervention (PCI) is a minimally invasive procedure to open b ... Read the Article 1.25 8 Activity Info
Pericarditis Pericarditis is inflammation of the pericardial sac and is the most common pathologic process involving the pericardium. Temporally, it may be further ... Read the Article 1.5 15 Activity Info
Peripheral Arterial Disease Peripheral arterial disease (PAD) is a circulatory problem causing a reduced blood flow through the arteries. This typically reduces blood flow to the ... Read the Article 1.75 22 Activity Info
Peripheral Line Placement Peripheral intravenous (IV) lines, catheters or cannulas are indwelling single-lumen plastic conduits that allow fluids, medications and other therapi ... Read the Article 1 3 Activity Info
Pharyngitis Pharyngitis is the inflammation of the mucous membranes of the oropharynx. In most cases, it is caused by an infection, either bacterial or viral. Oth ... Read the Article 1 7 Activity Info
Pleural Effusion Pleural effusion is the accumulation of fluid in between the parietal and visceral pleura, called the pleural cavity. It can occur by itself or can be ... Read the Article 1.25 8 Activity Info
Pneumonia In An Immunocompromised Patient Pneumonia is a common clinical condition. It results from an infectious inflammatory process that involves the lung parenchyma and results in the impa ... Read the Article 1 6 Activity Info
Positive Pressure Ventilation Positive pressure ventilation describes the process of either using a mask or, more commonly, a ventilator to deliver breaths and to decrease the work ... Read the Article 1 5 Activity Info
Postictal Seizure State The postictal state is a period that begins when a seizure subsides and ends when the patient returns to baseline. It typically lasts between 5 and 30 ... Read the Article 1 5 Activity Info
Postoperative Fever Postoperative fever is defined as a temperature higher than 38 C (or greater than 100.4 F) on two consecutive postoperative days or higher than 39 C ( ... Read the Article 1 6 Activity Info
Premature Ventricular Contraction During a premature ventricular contraction (PVC), the heartbeat is initiated by the Purkinje fibers rather than the SA node. Given that a PVC occurs b ... Read the Article 1 6 Activity Info
Presbycusis Presbycusis refers to bilateral age-related hearing loss. In literal terms, presbycusis means 'old hearing' or 'elder hearing. It is the most common c ... Read the Article 1 6 Activity Info
Pressure Injury Pressure injuries are formed when pressure causes localized damage to underlying skin and soft tissue. These skin and soft tissue injuries remain a si ... Read the Article 1.75 21 Activity Info
Prevention of Inappropriate Self-Extraction of Foley Catheters Prevention of painful, traumatic Foley catheter removals and early identification of catheter mal-positioning can minimize pain, urinary tract infecti ... Read the Article 1 4 Activity Info
Procedural Sedation Procedural sedation permits the safe performance of procedures that a patient cannot tolerate in the fully conscious state. Through this activity, th ... Read the Article 1 5 Activity Info
Promethazine Promethazine is a medication used to manage and treat allergic conditions, nausea and vomiting, motion sickness, and sedation. It also has off-label u ... Read the Article 1 8 Activity Info
Propranolol Propranolol can be used to ameliorate the sympathetic response in angina, tachyarrhythmias, prevention of acute ischemic attacks, migraine prophylaxis ... Read the Article 1.25 10 Activity Info
Propylthiouracil (PTU) Propylthiouracil is an anti-thyroid drug used in the management of Graves disease and hyperthyroidism. This activity will highlight the mechanism of a ... Read the Article 1.25 9 Activity Info
Pulmonary Artery Catheterization Pulmonary artery catheterization is a diagnostic procedure in which an intravascular catheter is inserted through a central vein, such as the femoral, ... Read the Article 1.25 8 Activity Info
Pulmonary Capillary Wedge Pressure Pulmonary capillary wedge pressure (PCWP) is frequently used to assess left ventricular filling, represent left atrial pressure, and assess mitral val ... Read the Article 1 5 Activity Info
Red Man Syndrome Red man syndrome (RMS) is an anaphylactoid reaction caused by the rapid infusion of the glycopeptide antibiotic vancomycin. RMS consists of a pruritic ... Read the Article 1.25 8 Activity Info
Renal Failure The term renal failure denotes inability of the kidneys to perform excretory function leading to retention of nitrogenous waste products from the bloo ... Read the Article 1 7 Activity Info
Respiratory Acidosis Respiratory acidosis typically occurs due to failure of ventilation and accumulation of carbon dioxide. The primary disturbance is an elevated arteria ... Read the Article 1.25 9 Activity Info
Respiratory Failure Respiratory failure happens when the respiratory system fails to maintain gas exchange and is classified into type 1 and type 2 according to blood gas ... Read the Article 1.25 12 Activity Info
Septic Shock Sepsis syndromes span a clinical continuum with variable prognoses. Septic shock, the most severe complication of sepsis, carries a high mortality. Se ... Read the Article 1.75 20 Activity Info
Sexual Assault Clothing Collection and Documentation Medical management should be the first and top priority in caring for sexual assault victims. After the patient is clinically stable, proper assault p ... Read the Article 1.25 8 Activity Info
Shock Shock is a life-threatening manifestation of circulatory failure. Circulatory shock leads to cellular and tissue hypoxia resulting in cellular death ... Read the Article 1.25 8 Activity Info
Sinus Bradycardia Sinus bradycardia is a cardiac rhythm with appropriate cardiac muscular depolarization initiating from the sinus node and a rate of fewer than 60 beat ... Read the Article 1 4 Activity Info
Sleep Deprivation Sleep loss from various causes is very common and often missed by physicians as a treatable health problem. There are strong associations with serious ... Read the Article 1 5 Activity Info
Spinal Cord Injuries Spinal cord injury (SCI) is a serious medical condition, which often results in severe morbidity and permanent disability. It occurs when the axons of ... Read the Article 1.75 25 Activity Info
Splenectomy Splenectomy is mainly performed for hematological disorders along with traumatic injuries. Splenectomy can be performed via the open traditional lapar ... Read the Article 1.25 8 Activity Info
Status Epilepticus Status epilepticus is a neurological emergency requiring immediate evaluation and management to prevent significant morbidity or mortality. Previously ... Read the Article 1.25 9 Activity Info
Strangulated Hernia Hernias are abnormal bulges or openings in the fascia of the abdominal wall. These defects can be present in any area of the abdominal wall fascia whe ... Read the Article 1 5 Activity Info
Supraventricular Tachycardia Supraventricular tachycardia (SVT) is a dysrhythmia originating at or above the atrioventricular (AV) node and is defined by a narrow complex (QRS &lt ... Read the Article 1.5 17 Activity Info
Surgical Airway Suctioning Airway suctioning refers to the collective measures that are used for clearing the airway of a patient. It involves suctioning, clearing secretions, a ... Read the Article 1 2 Activity Info
Synchronized Intermittent Mandatory Ventilation Synchronized intermittent mandatory ventilation (SIMV) is a type of volume control mode of ventilation. With this mode, the ventilator will deliver a ... Read the Article 1 4 Activity Info
Syncope Syncope is a transient loss of consciousness and postural tone followed by spontaneous recovery. While there are numerous classification schemes used ... Read the Article 1.25 13 Activity Info
Syndrome of Inappropriate Antidiuretic Hormone Secretion Syndrome of inappropriate antidiuretic hormone ADH release (SIADH) is a condition defined by the unsuppressed release of antidiuretic hormone (ADH) fr ... Read the Article 1.25 11 Activity Info
Tardive Dyskinesia Tardive dyskinesia is a syndrome that includes a group of iatrogenic movement disorders caused by the blockade of dopamine receptors. The movement dis ... Read the Article 1.25 11 Activity Info
Tension Pneumothorax Pneumothorax is when air collects in between the parietal and viscera pleurae resulting in lung collapse. It can happen secondary to trauma (traumatic ... Read the Article 2 26 Activity Info
Terazosin Terazosin is a medication used in the management and treatment of benign prostatic hyperplasia and essential hypertension. Terazosin is a long-acting, ... Read the Article 1 7 Activity Info
Termination of Life Support Termination of life support is an important intervention that every physician needs to be aware of, as any patient who has reached an ‘end-of-life’ st ... Read the Article 1 7 Activity Info
Tetracycline Tetracyclines (tetracycline, doxycycline, minocycline, tigecycline) are a class of medication used to manage and treat various bacterial infections. T ... Read the Article 1 5 Activity Info
Theophylline Theophylline is a medication used to treat asthma and chronic obstructive pulmonary disease as a second-line drug. It is a bronchodilator. This activi ... Read the Article 1 4 Activity Info
Thrombolytic Therapy Thrombolytics or fibrinolytics are a group of medications used in the management and treatment of dissolving intravascular clots. They are in the plas ... Read the Article 1.25 8 Activity Info
Torsade de Pointes Torsades de Pointes is a type of polymorphic ventricular tachycardia characterized on electrocardiogram by oscillatory changes in amplitude of the QRS ... Read the Article 1.5 18 Activity Info
Total Parenteral Nutrition Total parenteral nutrition is a medication used in the management and treatment of malnourishment. It is in the nutrition class of drugs. This activit ... Read the Article 1.75 21 Activity Info
Toxic Megacolon Toxic megacolon is a rare, but potentially deadly complication of colonic inflammation. It is defined as a nonobstructive dilation of the colon, which ... Read the Article 1.25 11 Activity Info
Tracheostomy A tracheostomy (or tracheotomy, while there are technical differences, these terms are colloquially used interchangeably. For the purposes of this art ... Read the Article 1.5 14 Activity Info
Tracheostomy Tube Change Tracheostomy is a procedure where an artificial airway is established surgically or percutaneously in the cervical trachea. This activity describes th ... Read the Article 1 2 Activity Info
Transfusion Reactions Transfusion reactions are adverse events associated with the transfusion of whole blood or one of its components. They range in severity from minor to ... Read the Article 1.5 15 Activity Info
Ultrasound Guided Intravenous Access At least 150 to 200 million peripheral intravenous (PIV) catheters are placed each year in the United States, and up to 80 percent of patients receive ... Read the Article 1 6 Activity Info
Universal Precautions Universal precautions were introduced by the Centers for Disease Control (CDC) in 1985, mostly in response to the human immunodeficiency virus (HIV) e ... Read the Article 1 7 Activity Info
Unstable Angina Unstable angina is chest discomfort or pain caused by an insufficient flow of blood and oxygen to the heart. It is part of the acute coronary syndrome ... Read the Article 1.25 12 Activity Info
Vancomycin Vancomycin is a medication used in the treatment of serious Gram-positive bacterial infections. It is in the cell wall synthesis inhibitor class of an ... Read the Article 1 7 Activity Info
Vascular Tunneled Central Catheter Access In contrast to non-tunneled central venous catheters (CVCs), subcutaneously tunneled CVCs travel under the skin, away from the point of venous entry, ... Read the Article 1.25 7 Activity Info
Ventricular Fibrillation Arrhythmias originating from the ventricular myocardium or His-Purkinje system are grouped under ventricular arrhythmia (VA). This includes a subset o ... Read the Article 1.25 10 Activity Info
Verapamil The Food and Drug Administration (FDA) approved indications for verapamil include angina (chronic stable, vasospastic or Prinzmetal variant), unstable ... Read the Article 2 28 Activity Info
Vitamin B1 Thiamine Deficiency Thiamine, or vitamin B1, was the first vitamin identified to be identified. It functions as a catalyst in the generation of energy through decarboxyla ... Read the Article 1.25 8 Activity Info
Warfarin Warfarin is a medication used in the prophylaxis and treatment of venous thrombosis and thromboembolic events. It is in the anticoagulant class of dru ... Read the Article 2 26 Activity Info
Warfarin Drug Interactions Warfarin has FDA approval for the prophylaxis and treatment of venous thrombosis and its complications, such as a pulmonary embolus. It is also indica ... Read the Article 1.25 9 Activity Info
Wheezing Wheezing is the symptomatic manifestation of any disease process that causes airway obstruction. Wheezing is commonly experienced by people who have a ... Read the Article 1 5 Activity Info
Wound Pressure Injury Management Pressure injuries have been given various names over the last several years, including pressure ulcers, decubitus ulcers, or bed sores. Pressure injur ... Read the Article 1.25 10 Activity Info

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