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In this Advanced Med-Surg review, we break down burn injuries, including the causes, classification, and severity of burns. This episode covers burn depth, total body surface area (TBSA) calculations, and early recognition of inhalation injury and burn shock. We also review the phases of burn care, priority nursing interventions during the emergent phase, fluid resuscitation, wound management, infection prevention, and long-term rehabilitation. This focused review helps nursing students understand burn physiology and apply critical nursing priorities in burn management.Source:All information in this podcast is based on ATI Advanced Medical-Surgical Nursing, Chapter 76: Burns.

In this Advanced Med-Surg review, we break down kidney transplantation for clients with end-stage kidney disease. This episode covers indications for transplant, donor matching and tissue compatibility, priority preoperative preparation, and critical postoperative nursing care. We also review key complications such as organ rejection, infection, renal artery stenosis, and thrombosis, along with essential patient education and lifelong immunosuppressive therapy. This focused review helps nursing students understand transplant physiology, recognize complications early, and apply safe evidence-based nursing care.Source:All information in this podcast is based on ATI Advanced Medical-Surgical Nursing, Chapter 60: Kidney Transplant.

In this Advanced Med-Surg review, we break down the two major types of dialysis: hemodialysis and peritoneal dialysis. This episode covers indications, vascular access care, dialysis complications such as disequilibrium syndrome and hypotension, and key nursing responsibilities before, during, and after treatment. We also review peritonitis prevention, glucose monitoring, protein loss, and patient education for home dialysis. This focused, exam-ready episode helps nursing students connect renal failure pathophysiology to safe dialysis management and complication prevention.

In this Advanced Med-Surg review, we break down renal laboratory tests and diagnostic procedures used to evaluate kidney function. This episode covers creatinine, BUN, urinalysis, and 24-hour urine collections, along with imaging studies such as KUB, CT scan, MRI, ultrasound, cystoscopy, renal biopsy, and excretory urography. Emphasis is placed on nursing responsibilities before and after each procedure, including contrast precautions, biopsy monitoring, and prevention of complications like hemorrhage and acute kidney injury. This focused review helps nursing students connect renal pathophysiology to safe, evidence-based patient care.

In this Advanced Med-Surg episode, we review shock as a life-threatening state of inadequate tissue perfusion and organ dysfunction. We break down the four major types of shock—cardiogenic, hypovolemic, obstructive, and distributive—along with stages of progression, key assessment findings, laboratory changes, and priority nursing interventions. This episode also covers hemodynamic monitoring, medication management, and critical complications such as MODS and DIC to strengthen rapid-response clinical judgment.Source:All information in this podcast is based on ATI Advanced Medical-Surgical Nursing, Chapter 38.

This Week 6 Advanced Med-Surg episode focuses on liver dysfunction and gastrointestinal complications, with emphasis on inflammation, fibrosis progression, portal hypertension, and metabolic consequences of hepatic failure. Key topics include viral hepatitis (A–E), chronic hepatitis progression, cirrhosis, ascites, esophageal varices, hepatic encephalopathy, portal hypertension management, pancreatitis, and enteral versus parenteral nutrition interventions that stabilize fluid balance, prevent bleeding, reduce ammonia levels, and support metabolic recovery in acute and chronic conditions.Source: Week 6 Advanced Med-Surg Lecture – Hepatitis, Cirrhosis, Portal Hypertension, Pancreatitis, and Nutrition Support

In this focused review, we examine hepatitis and cirrhosis, including inflammatory liver injury, viral transmission patterns, progression to chronic disease, and permanent hepatic scarring. This episode reviews the major types of viral hepatitis (A, B, C, D, and E), routes of transmission, laboratory interpretation, and liver biopsy care. Emphasis is placed on recognizing jaundice, dark urine, clay-colored stools, elevated liver enzymes, and infectious risk. The episode also explores cirrhosis pathophysiology, portal hypertension, ascites, varices, hepatic encephalopathy, and liver failure. Nursing priorities related to fluid management, ammonia reduction, bleeding precautions, medication safety, transplantation monitoring, and complication recognition are discussed to strengthen clinical judgment and safe patient care.Source: All information in this podcast is based on ATI Advanced Medical-Surgical Nursing, Chapter 56.

In this focused review, we examine acute and chronic pancreatitis, including pancreatic autodigestion, inflammatory mechanisms, and life-threatening complications. This episode reviews risk factors such as gallstones and alcohol use, classic assessment findings including severe epigastric pain radiating to the back, laboratory interpretation of elevated amylase and lipase levels, and diagnostic imaging. Emphasis is placed on recognizing Cullen’s and Grey Turner’s signs, monitoring for hypocalcemia and hyperglycemia, understanding NPO management and pancreatic rest, and preventing complications such as hypovolemia, pseudocyst formation, respiratory compromise, and multisystem organ failure. Nursing care priorities, medication management, nutritional therapy, and patient education are discussed to strengthen clinical judgment and safe patient care.Source: All information in this podcast is based on ATI Advanced Medical-Surgical Nursing, Chapter 55.

In this focused review, we examine cholecystitis and cholelithiasis, including the formation of gallstones, biliary obstruction, inflammation of the gallbladder, and potential complications such as pancreatitis and peritonitis. This episode reviews risk factors, assessment findings, laboratory interpretation, diagnostic testing, medication therapy, surgical management, and postoperative care. Emphasis is placed on recognizing Murphy’s sign, differentiating acute and chronic manifestations, identifying laboratory indicators of bile duct obstruction, and understanding care of T-tubes and drainage systems. Nursing care related to pain management, bile acid therapy, dietary modifications, and complication monitoring is discussed to support clinical judgment and safe patient care.Source: All information in this podcast is based on ATI Advanced Medical-Surgical Nursing, Chapter 54.

In this focused review, we examine acute and chronic inflammatory bowel diseases, including appendicitis, peritonitis, gastroenteritis, ulcerative colitis, Crohn’s disease, and diverticulitis. This episode reviews pathophysiology, risk factors, assessment findings, laboratory interpretation, diagnostic testing, medication management, nursing priorities, surgical interventions, and potential complications. Emphasis is placed on differentiating ulcerative colitis from Crohn’s disease, recognizing signs of peritonitis and toxic megacolon, identifying fluid and electrolyte imbalances, and understanding immunosuppressive and biologic therapies. Nursing care related to nutritional support, infection monitoring, medication safety, and postoperative management is discussed to support clinical judgment and safe patient care.Source: All information in this podcast is based on ATI Advanced Medical-Surgical Nursing, Chapter 53.

In this focused review, we examine noninflammatory bowel disorders, including hernias, irritable bowel syndrome (IBS), intestinal obstruction, hemorrhoids, and bowel cancers. This episode reviews pathophysiology, risk factors, assessment findings, diagnostic testing, medication management, nursing priorities, and potential complications. Special emphasis is placed on recognizing signs of strangulated hernia, differentiating mechanical and nonmechanical bowel obstruction, identifying metabolic imbalances associated with small versus large bowel obstruction, and understanding IBS subtypes and treatment options. Nursing care for nasogastric decompression, fluid and electrolyte management, and surgical intervention is discussed to support clinical judgment and safe patient care.Source: All information in this podcast is based on ATI Advanced Medical-Surgical Nursing, Chapter 52.

In this focused review, we explore acute and chronic gastritis, including erosive and nonerosive forms. We break down pathophysiology related to COX inhibition, prostaglandin loss, H. pylori infection, NSAID use, alcohol exposure, and autoimmune causes. This episode reviews risk factors, clinical manifestations, diagnostic testing, medication management, nursing priorities, and complications such as gastric bleeding, gastric outlet obstruction, dehydration, and pernicious anemia. Emphasis is placed on recognizing signs of hemorrhage, understanding vitamin B12 deficiency related to intrinsic factor loss, and applying safe medication teaching. This review supports clinical judgment and exam preparation for nursing students caring for clients with inflammatory gastric disorders.Source: All information in this podcast is based on ATI Advanced Medical-Surgical Nursing, Chapter 51.

In this focused review, we explore major esophageal disorders including GERD, hiatal hernia, and esophageal varices. We’ll break down pathophysiology, risk factors, clinical manifestations, diagnostic testing, medication management, and life-saving interventions for acute variceal bleeding. This episode emphasizes clinical judgment, complication recognition, and patient education to help nursing students prepare for exam questions and real-world care of clients with esophageal conditions.Source: All information in this podcast is based on ATI Advanced Medical-Surgical Nursing, Chapter 49.

In this comprehensive review, we break down key gastrointestinal therapeutic procedures including enteral feedings, total parenteral nutrition (TPN), paracentesis, nasogastric decompression, bariatric surgery, and ostomies. We’ll focus on indications, nursing responsibilities, complication prevention, and patient education. This episode strengthens clinical judgment by connecting procedures to real-world safety priorities, fluid and electrolyte monitoring, infection prevention, and long-term management strategies.Source: All information in this podcast is based on ATI Advanced Medical-Surgical Nursing, Chapter 48.

In this focused review, we break down common gastrointestinal diagnostic procedures, including liver function tests, fecal occult blood testing, endoscopy (colonoscopy, EGD, ERCP), capsule endoscopy, sigmoidoscopy, and GI series imaging. We’ll cover indications, nursing considerations, client preparation, postprocedure care, and recognition of complications such as hemorrhage, aspiration, and perforation. This episode helps nursing students strengthen clinical judgment and prepare for exam questions related to GI diagnostics and patient education.Source: All information in this podcast is based on ATI Advanced Medical-Surgical Nursing, Chapter 47.

This Week 5 Advanced Med-Surg episode focuses on endocrine regulation and metabolic disorders, with emphasis on hormonal balance, glucose control, and adrenal function. Key topics include diabetes mellitus management, diabetic ketoacidosis (DKA), hyperglycemic hyperosmolar state (HHS), thyroid disorders, Cushing’s syndrome, Addison’s disease, and nursing interventions that stabilize glucose, fluid balance, and hormonal responses in acute and chronic conditions.Source: Week 5 Advanced Med-Surg Lecture – Endocrine Disorders and Metabolic RegulationClinical gear I actually used:Red folder https://amzn.to/3O3dRqRSheet protectors https://amzn.to/3NF6FBdHand sanitizer https://amzn.to/4rgy62XPenlight https://amzn.to/4qzr0GEStudent badge (vertical) https://amzn.to/4qBMLFLBadge cards (vertical) https://amzn.to/4qF5wblStudent badge (horizontal) https://amzn.to/4jZFIV2Badge cards (horizontal) https://amzn.to/4sWxcdkFoldable clipboard https://amzn.to/4jUwvNyPen/pencil combo https://amzn.to/4k4ZcaYClinical report notepad https://amzn.to/3ZxaET2Mini sharpies https://amzn.to/4bXP5CqMini highlighters https://amzn.to/4pUp9LDLittmann stethoscope https://amzn.to/4reKtMRLevel Up RN flashcards https://amzn.to/4qJ3CXo

In this Advanced Med-Surg review, we break down two life-threatening diabetic emergencies: diabetic ketoacidosis (DKA) and hyperglycemic hyperosmolar state (HHS). This episode highlights key differences in pathophysiology, assessment findings, laboratory values, and priority nursing interventions, including fluid resuscitation, IV insulin therapy, electrolyte management, and prevention of cerebral edema. We also review client education strategies to prevent recurrence and recognize early warning signs. This focused, exam-ready review helps nursing students confidently differentiate DKA from HHS and prioritize rapid, evidence-based care.Source: All information in this podcast is based on ATI Advanced Medical-Surgical Nursing, Chapter 84.Clinical gear I actually used:Red folder https://amzn.to/3O3dRqRSheet protectors https://amzn.to/3NF6FBdHand sanitizer https://amzn.to/4rgy62XPenlight https://amzn.to/4qzr0GEStudent badge (vertical) https://amzn.to/4qBMLFLBadge cards (vertical) https://amzn.to/4qF5wblStudent badge (horizontal) https://amzn.to/4jZFIV2Badge cards (horizontal) https://amzn.to/4sWxcdkFoldable clipboard https://amzn.to/4jUwvNyPen/pencil combo https://amzn.to/4k4ZcaYClinical report notepad https://amzn.to/3ZxaET2Mini sharpies https://amzn.to/4bXP5CqMini highlighters https://amzn.to/4pUp9LDLittmann stethoscope https://amzn.to/4reKtMRLevel Up RN flashcards https://amzn.to/4qJ3CXo

This episode reviews diabetes mellitus with a focus on type 1 and type 2 pathophysiology, screening guidelines, and long-term management. We break down diagnostic criteria, insulin types and timing, oral and non-insulin injectables, and safe medication administration. You’ll also hear a clear review of hypoglycemia and hyperglycemia recognition, sick-day management, foot care, nutrition planning, and prevention of major complications including neuropathy, nephropathy, retinopathy, and cardiovascular disease. This is a practical, exam-ready overview designed to strengthen clinical judgment and patient education skills.Source: All information in this podcast is based on ATI Advanced Medical-Surgical Nursing, Chapter 83.Clinical gear I actually used:Red folder https://amzn.to/3O3dRqRSheet protectors https://amzn.to/3NF6FBdHand sanitizer https://amzn.to/4rgy62XPenlight https://amzn.to/4qzr0GEStudent badge (vertical) https://amzn.to/4qBMLFLBadge cards (vertical) https://amzn.to/4qF5wblStudent badge (horizontal) https://amzn.to/4jZFIV2Badge cards (horizontal) https://amzn.to/4sWxcdkFoldable clipboard https://amzn.to/4jUwvNyPen/pencil combo https://amzn.to/4k4ZcaYClinical report notepad https://amzn.to/3ZxaET2Mini sharpies https://amzn.to/4bXP5CqMini highlighters https://amzn.to/4pUp9LDLittmann stethoscope https://amzn.to/4reKtMRLevel Up RN flashcards https://amzn.to/4qJ3CXo

This episode reviews Addison’s disease and acute adrenal insufficiency, focusing on the pathophysiology of decreased cortisol and aldosterone and how this impacts fluid balance, electrolytes, and blood pressure. We break down primary vs. secondary causes, key lab findings, ACTH stimulation testing, and priority nursing interventions to prevent circulatory shock. You’ll also hear a focused review of Addisonian crisis management, including IV fluids, hydrocortisone, and hyperkalemia treatment.Source: All information in this podcast is based on ATI Advanced Medical-Surgical Nursing, Chapter 82.

In this Advanced Med-Surg episode, we review Cushing’s disease and Cushing’s syndrome, focusing on hypercortisolism and its widespread systemic effects. We break down endogenous versus exogenous causes, classic assessment findings such as moon face and buffalo hump, key laboratory abnormalities, and priority nursing interventions. This episode also covers medication management, surgical options, and life-threatening complications like adrenal crisis to help you confidently apply exam-ready clinical judgment.Source: All information in this podcast is based on ATI Advanced Medical-Surgical Nursing, Chapter 81.

In this Advanced Med-Surg review, we break down hypothyroidism, including primary, secondary, and tertiary causes, expected clinical findings, and key laboratory changes in T3, T4, and TSH. This episode highlights priority nursing assessments, thyroid hormone replacement therapy with levothyroxine, and patient education for safe lifelong management. We also review myxedema coma, a life-threatening complication requiring rapid recognition and critical care intervention. This focused review prepares nursing students to identify hypothyroidism early, prevent complications, and apply safe, evidence-based care.Source:All information in this podcast is based on ATI Advanced Medical-Surgical Nursing, Chapter 80.

In this Advanced Med-Surg episode, we review hyperthyroidism, with a focus on Graves disease, assessment findings, diagnostic testing, and evidence-based nursing management. We cover medication therapy, radioactive iodine treatment, thyroidectomy care, and priority interventions for life-threatening complications such as thyroid storm and airway obstruction. This concise, exam-focused review strengthens clinical judgment and prepares nursing students to safely manage clients with hyperthyroid disorders.Source: All information in this podcast is based on ATI Advanced Medical-Surgical Nursing, Chapter 79

In this Advanced Med-Surg episode, we review pituitary disorders affecting both the anterior and posterior lobes. Topics include acromegaly, diabetes insipidus (DI), and syndrome of inappropriate antidiuretic hormone (SIADH), with emphasis on hormone regulation, assessment findings, diagnostic testing, and priority nursing interventions. We break down growth hormone excess, ADH imbalance, fluid and electrolyte disturbances, and postoperative care following hypophysectomy. This focused review strengthens clinical judgment and prepares nursing students to recognize endocrine instability and prevent life-threatening complications.Source: All information in this podcast is based on ATI Advanced Medical-Surgical Nursing, Chapter 78

In this Advanced Med-Surg episode, we review endocrine diagnostic procedures used to evaluate hormone excess, deficiency, and receptor dysfunction. Topics include posterior pituitary testing for diabetes insipidus and SIADH, adrenal cortex and medulla testing for Cushing’s disease, Addison’s disease, and pheochromocytoma, carbohydrate metabolism studies such as fasting glucose, glucose tolerance testing, and HbA1c, and thyroid function testing including TSH, T3, T4, and thyroid scans. Emphasis is placed on nursing preparation, monitoring, interpretation of results, and prevention of complications. This episode provides a focused, exam-ready review to strengthen clinical judgment in endocrine assessment.Source: All information in this podcast is based on ATI Advanced Medical-Surgical Nursing, Chapter 77

This Week 4 Advanced Med-Surg and Critical Care episode focuses on intracranial regulation, neurologic injury, and mobility, with an emphasis on preventing secondary brain and spinal cord damage. We review key neurologic diagnostic procedures, intracranial pressure physiology, and evidence-based nursing interventions used to maintain cerebral perfusion and control ICP. The episode also covers acute neurologic conditions such as meningitis, head injury, stroke, and spinal cord injury, along with strategies to prevent complications related to immobility. This review highlights how proactive nursing care directly impacts neurologic outcomes in high-acuity settings.Source: Week 4 Advanced Med-Surg Lecture: Intracranial Regulation and Mobility

This episode reviews musculoskeletal trauma with a focus on fractures, immobilization, traction, and orthopedic complications. Topics include fracture classification, neurovascular assessment, casting and traction care, and high-risk complications such as compartment syndrome, fat embolism, and osteomyelitis. Designed for nursing students preparing for exams and clinical practice in Advanced Medical-Surgical Nursing.Source: All information in this podcast is based on ATI Advanced Medical-Surgical Nursing, Chapter 72

In this Advanced Med-Surg episode, we review spinal cord injuries, including their classification by level and completeness of injury and the resulting effects on motor, sensory, autonomic, and respiratory function. We’ll explain the differences between cervical, thoracic, lumbar, and sacral injuries, with emphasis on high cervical injuries and their impact on ventilation and hemodynamic stability. The episode reviews key risk factors, expected assessment findings, and priority nursing assessments, including early recognition of spinal shock and neurogenic shock.Source: All information in this podcast is based on ATI Advanced Medical-Surgical Nursing, Chapter 17

In this Advanced Med-Surg episode, we review stroke, a medical emergency caused by disrupted cerebral blood flow from ischemia or hemorrhage. We’ll break down the two major classifications of stroke, with emphasis on ischemic strokes as the most common type and the urgency of rapid CT imaging to determine eligibility for thrombolytic therapy. The episode reviews key risk factors and stroke prevention strategies, including hypertension control, diabetes management, smoking cessation, and the FAST method for recognizing early warning signs.You’ll hear expected neurologic findings based on the affected hemisphere, including aphasia, hemiparesis, visual field changes, neglect, and impaired coordination. Priority nursing care focuses on immediate stabilization, frequent neuro checks, airway and oxygenation support, blood glucose monitoring, seizure precautions, and prevention of increased intracranial pressure. Ongoing nursing management includes dysphagia screening and safe-feeding strategies, communication support, mobility and skin protection, VTE prevention, and psychosocial care. The episode also reviews key medications and procedures used in stroke management and secondary prevention, including alteplase, antiplatelets, anticoagulants, statins, thrombectomy, and carotid interventions. This review provides an exam-ready framework to help nursing students prioritize care and prevent complications such as aspiration pneumonia and injury related to unilateral neglect.Source: All information in this podcast is based on ATI Advanced Medical-Surgical Nursing, Chapter 16

In this Advanced Med-Surg episode, we review head injuries, including open and closed head trauma and their classification as mild, moderate, or severe based on Glasgow Coma Scale findings. We’ll cover major types of brain injury such as concussion, contusion, diffuse axonal injury, and intracranial hemorrhage, along with associated risk factors and expected clinical manifestations. The episode emphasizes priority nursing assessments, early recognition of increased intracranial pressure, and critical interventions to maintain airway, oxygenation, and cerebral perfusion. Nursing management related to cervical spine stabilization, diagnostic testing, medication therapy, and prevention of complications such as brain herniation, seizures, and fluid-electrolyte imbalances is highlighted throughout. This focused review helps nursing students apply clinical judgment and prioritize care for clients with traumatic head injuries.Source: All information in this podcast is based on ATI Advanced Medical-Surgical Nursing, Chapter 15

In this Advanced Med-Surg episode, we review meningitis, an acute inflammation of the meninges that can become life-threatening without rapid intervention. We’ll differentiate viral, fungal, and bacterial meningitis, review key risk factors and classic assessment findings, and discuss diagnostic priorities such as cerebrospinal fluid analysis. Nursing responsibilities including isolation and droplet precautions, early recognition of increased intracranial pressure, medication management, and prevention of complications like SIADH and septic shock are emphasized throughout. This episode provides a focused, exam-ready review to help nursing students safely assess and manage clients with meningitis.Source: All information in this podcast is based on ATI Advanced Medical-Surgical Nursing, Chapter 6

In this Advanced Med-Surg episode, we review ATI Chapter 4, which focuses on neurologic diagnostic procedures used to assess brain structure, cerebral blood flow, electrical activity, and overall neurologic function. This episode walks through common neurologic assessments and imaging studies, including cerebral angiography, CT scans, EEGs, Glasgow Coma Scale scoring, lumbar punctures, MRI, PET and SPECT scans, and radiographic imaging. Emphasis is placed on nursing responsibilities before, during, and after each procedure, including informed consent, patient preparation, safety considerations, and complication monitoring. You’ll hear detailed explanations of contrast use, sedation considerations, positioning, and post-procedure assessments, as well as key patient education points that frequently appear on exams. This review is designed to help nursing students confidently prepare patients for neurologic procedures, recognize complications early, and apply evidence-based nursing care in both acute and diagnostic settings.Source: All information in this podcast is based on ATI Advanced Medical-Surgical Nursing, Chapter 4

In this Week 3 episode, we break down alterations in cardiac function with a focused review of perfusion and its impact on critically ill patients. The discussion walks through core cardiovascular concepts including cardiac output, preload, afterload, and mean arterial pressure, then builds into clinical applications such as hemodynamic monitoring, angiography, and invasive cardiovascular procedures. You’ll hear a clear review of dysrhythmia recognition, ECG interpretation, cardioversion and defibrillation, pacemakers and ICDs, and the nursing priorities surrounding acute coronary syndromes. The episode also connects coronary artery disease, myocardial infarction, aneurysms, and aortic dissections to real-world assessment findings, diagnostics, and evidence-based nursing interventions. This review is designed to reinforce clinical judgment, prioritization, and safety for managing patients with compromised cardiac perfusion in high-acuity settings.All information sourced from: Alterations to Cardiac Function – Week 3 Lecture (ATI-aligned course content)

In this Advanced Med-Surg episode, we review ATI Chapter 39, which focuses on aneurysms and aortic dissections, including their pathophysiology, risk factors, and clinical management. We’ll review the differences between aneurysms, which involve dilation of the arterial wall, and dissections, which result from a tear in the inner lining of the vessel. The episode highlights major risk factors such as hypertension and atherosclerosis, along with key assessment findings that may signal impending rupture. You’ll also hear an overview of diagnostic imaging, including CT scans and ultrasound, used to monitor aneurysm size and progression. Nursing priorities related to strict blood pressure control, pain management, and preparation for surgical repair using grafts are emphasized throughout. This episode provides an exam-focused review to help nursing students recognize vascular emergencies early and apply evidence-based interventions to prevent catastrophic complications.Source: All information in this podcast is based on ATI Advanced Medical-Surgical Nursing, Chapter 39

In this Advanced Med-Surg episode, we review ATI Chapter 30, which focuses on pacemakers and implantable cardioverter/defibrillators (ICDs) used to manage cardiac rhythm disturbances. We’ll review the purpose and function of temporary and permanent pacing devices, including pulse generators, leads, and sensing mechanisms. The episode emphasizes key nursing responsibilities such as monitoring cardiac rhythms for pacer spikes and capture, assessing surgical sites for infection or hematoma, and identifying device malfunction. You’ll also hear essential patient education topics, including activity restrictions, incision care, and precautions related to magnetic fields and electronic devices. This episode provides an exam-ready review to help nursing students safely monitor, manage, and educate patients with cardiac pacing and defibrillation devices.Source: All information in this podcast is based on ATI Advanced Medical-Surgical Nursing, Chapter 30

In this Advanced Med-Surg episode, we review ATI Chapter 29, which focuses on electrocardiography and the nursing management of cardiac dysrhythmias. We’ll break down how ECGs are used to monitor the heart’s electrical activity and identify ischemia, injury, and rhythm disturbances. The episode reviews common cardiac monitoring methods, including bedside ECG monitoring, continuous telemetry, and Holter monitoring, with emphasis on appropriate lead placement and rhythm interpretation. You’ll also hear an overview of life-threatening dysrhythmias and the emergency interventions required to manage them, including defibrillation, synchronized cardioversion, and the use of temporary or permanent pacemakers. Priority nursing responsibilities such as rhythm recognition, patient safety, and rapid intervention are emphasized throughout. This episode provides an exam-ready review to help nursing students confidently monitor cardiac rhythms and respond to dysrhythmias in acute care settings.Source: All information in this podcast is based on ATI Advanced Medical-Surgical Nursing, Chapter 29

In this Advanced Med-Surg episode, we review ATI Chapter 28, which focuses on cardiovascular diagnostic and therapeutic procedures used to assess cardiac function, perfusion, and hemodynamic stability. We’ll review key diagnostic tools such as cardiac enzyme testing, echocardiograms, and stress testing, with an emphasis on what abnormal findings indicate and how nurses monitor patients before and after testing. The episode also covers invasive and noninvasive hemodynamic monitoring, as well as angiography to evaluate coronary circulation and vascular blockages. You’ll hear an overview of therapeutic access devices, including vascular access devices such as PICC lines and implanted ports, along with essential nursing responsibilities related to insertion, maintenance, and complication prevention. This episode provides a focused, exam-ready review to help nursing students safely manage cardiovascular procedures and apply evidence-based cardiac care.Source: All information in this podcast is based on ATI Advanced Medical-Surgical Nursing, Chapter 28

In this Advanced Med-Surg Week 2 lecture review, we take a deeper dive into the respiratory system and the advanced nursing care required to maintain effective oxygenation and ventilation. This episode focuses on how gas exchange is assessed through arterial blood gases and oxygen saturation monitoring, and how those findings guide clinical decision-making. We’ll review escalating levels of respiratory support, including oxygen therapy, non-invasive ventilation such as CPAP and BiPAP, and mechanical ventilation for patients in respiratory failure.You’ll also hear a focused discussion on critical nursing responsibilities, including chest tube management, prevention of ventilator-associated pneumonia through consistent oral care, and the safe use and titration of sedation to support ventilated patients. Emphasis is placed on recognizing early signs of respiratory deterioration, preventing complications, and applying evidence-based interventions in high-acuity settings. This episode is designed to help nursing students connect Week 2 lecture concepts with real-world critical care practice and exam expectations.Source: All information in this podcast is based on Week 2 Advanced Med-Surg Lecture Notes

In this Week 1 Advanced Med-Surg episode, we break down the core concepts introduced in the first lecture and connect them directly to high-yield ATI content reviewed throughout the week. This episode focuses on emergency nursing priorities, including triage systems, rapid decision-making, and the primary survey using the ABCDE framework to identify and intervene in life-threatening conditions. We’ll walk through critical emergencies such as heat- and cold-related injuries, submersion injuries, bites, stings, and poisonings, with an emphasis on early stabilization before definitive diagnosis.You’ll also hear an integrated review of respiratory and cardiac emergencies, including ventilation versus oxygenation, chest trauma, cardiac rhythms, and ACLS priorities. Key physiologic concepts such as shock, mean arterial pressure, fluid shifts, acid-base balance, and electrolyte disturbances are explained in a clinical, exam-focused way. The episode concludes with an introduction to critical care nursing concepts, including vasopressor use, hemodynamic monitoring, and the importance of combining technology with hands-on assessment. This episode is designed to help nursing students understand how Week 1 lecture content forms the foundation for advanced clinical judgment in high-acuity settings.Source: All information in this podcast is based on Week 1 Advanced Med-Surg Lecture Notes 

In this Advanced Med-Surg episode, we review ATI Chapter 46, which focuses on acid-base imbalances and how the body maintains physiologic homeostasis through chemical, respiratory, and renal buffering systems. We’ll break down the mechanisms of compensation, explaining how the lungs regulate carbon dioxide and how the kidneys manage bicarbonate to stabilize arterial pH. The episode reviews the four primary acid-base disorders—respiratory acidosis, respiratory alkalosis, metabolic acidosis, and metabolic alkalosis—highlighting their causes, clinical manifestations, and priority nursing interventions. You’ll also hear a step-by-step approach to interpreting arterial blood gas results to accurately identify each imbalance. Potential complications, including respiratory arrest, dysrhythmias, and altered level of consciousness, are emphasized throughout. This episode provides an exam-ready framework to help nursing students assess, monitor, and manage acid-base disturbances safely and effectively.Source: All information in this podcast is based on ATI Advanced Medical-Surgical Nursing, Chapter 46

In this Advanced Med-Surg episode, we review ATI Chapter 27, which focuses on respiratory failure and related critical conditions, including acute respiratory failure, acute respiratory distress syndrome (ARDS), and SARS-CoV-2–associated respiratory complications. We’ll review key pathophysiologic changes that impair gas exchange, along with major risk factors such as advanced age, chronic illness, and prolonged hypoxemia. The episode emphasizes priority diagnostic findings, including arterial blood gas interpretation and imaging studies. You’ll also hear an in-depth review of nursing interventions such as mechanical ventilation strategies, PEEP management, patient positioning, and the use of medications including neuromuscular blockers and antivirals. Potential complications such as barotrauma, ventilator-associated infections, and hemodynamic instability are addressed throughout. This episode provides an exam-focused review to help nursing students recognize respiratory failure early and deliver safe, evidence-based critical care.Source: All information in this podcast is based on ATI Advanced Medical-Surgical Nursing, Chapter 27

In this Advanced Med-Surg episode, we review ATI Chapter 26, which focuses on the assessment and management of acute thoracic injuries, including pneumothorax, hemothorax, and flail chest. We’ll review how trauma or underlying pathology can lead to lung collapse, impaired ventilation, or chest wall instability, with particular emphasis on the rapid recognition and treatment of tension pneumothorax. The episode highlights priority nursing assessments such as respiratory distress, asymmetrical chest movement, diminished or absent breath sounds, and changes in oxygenation. You’ll also hear an overview of key medical and nursing interventions, including chest tube placement, thoracentesis, mechanical ventilation, and pain management strategies using analgesics and sedatives. Patient-centered care and discharge education are emphasized to support recovery and prevent complications. This episode provides an exam-ready review to help nursing students recognize life-threatening thoracic conditions and deliver timely, evidence-based care.Source: All information in this podcast is based on ATI Advanced Medical-Surgical Nursing, Chapter 26

In this Advanced Med-Surg episode, we review ATI Chapter 25, which focuses on the assessment and management of pulmonary embolism, a life-threatening cardiovascular and respiratory emergency. We’ll review major risk factors such as surgery, prolonged immobility, pregnancy, and hypercoagulable states, with special attention to increased risk in older adults and certain post-COVID patients. The episode covers priority diagnostic studies including CT pulmonary angiography and ventilation–perfusion scans, along with key laboratory findings. You’ll also hear an overview of pharmacologic management with anticoagulants and thrombolytic therapy, as well as nursing responsibilities related to oxygen administration, respiratory and hemodynamic monitoring, and prevention of bleeding complications. Preventive strategies, patient education, and advanced interventions such as embolectomy are emphasized throughout. This episode provides an exam-ready review to help nursing students recognize pulmonary embolism early and deliver safe, evidence-based care.Source: All information in this podcast is based on ATI Advanced Medical-Surgical Nursing, Chapter 25

In this Advanced Med-Surg episode, we review ATI Chapter 20, which focuses on respiratory management and the use of mechanical ventilation to support oxygenation and airway patency. We’ll break down supplemental oxygen delivery systems, including nasal cannulas, simple masks, nonrebreather masks, and Venturi masks, with an emphasis on appropriate selection and nursing monitoring. The episode also covers advanced airway management, including endotracheal intubation and mechanical ventilation, reviewing common ventilator modes, settings, and alarms. You’ll hear priority nursing actions related to recognizing early and late signs of respiratory distress, preventing complications such as oxygen toxicity, skin breakdown, and ventilator-associated infections, and ensuring patient safety in both acute and chronic care settings. This episode provides a clear, exam-focused review to help nursing students manage respiratory failure and deliver evidence-based respiratory care.Source: All information in this podcast is based on ATI Advanced Medical-Surgical Nursing, Chapter 20

In this Advanced Med-Surg episode, we review ATI Chapter 19, which focuses on chest tube insertion and the ongoing nursing management required to maintain effective lung expansion. We’ll break down the purpose of chest tubes and how they restore normal intrathoracic pressure by removing air, blood, or fluid from the pleural space. The episode reviews the components and function of three-chamber drainage systems, including collection chambers, water seals, and suction control. You’ll also hear key nursing responsibilities related to patient safety, such as maintaining proper system positioning, monitoring for air leaks, assessing drainage, and identifying complications. The episode concludes with nursing considerations for chest tube insertion, troubleshooting, and safe removal. This review provides a clear, exam-focused approach to chest tube management and patient monitoring.Source: All information in this podcast is based on ATI Advanced Medical-Surgical Nursing, Chapter 19

In this Advanced Med-Surg episode, we review ATI Chapter 18, which focuses on respiratory diagnostic and therapeutic procedures used to evaluate lung function and airway integrity. We’ll walk through key diagnostic tests such as pulmonary function testing and arterial blood gas analysis, including how results are interpreted and what abnormal findings may indicate. The episode also covers invasive procedures like bronchoscopy and thoracentesis, with an emphasis on nursing responsibilities before, during, and after each intervention. You’ll hear priority safety considerations, including informed consent, monitoring for complications such as pneumothorax, and essential patient education. This episode provides a clear, exam-focused review to help nursing students apply evidence-based care and ensure patient safety during respiratory procedures.Source: All information in this podcast is based on ATI Advanced Medical-Surgical Nursing, Chapter 18

In this Advanced Med-Surg episode, we review ATI Chapter 3, which focuses on the principles and management strategies essential to emergency nursing practice. We’ll walk through the triage process, including three-level and five-level systems, and how nurses prioritize care based on acuity and available resources. The episode emphasizes the primary survey using the ABCDE framework to rapidly identify and manage life-threatening conditions. You’ll also hear an overview of emergency care management for environmental injuries, toxic exposures, cardiac emergencies, and psychiatric crises, along with the role of standard precautions and evidence-based interventions. This episode provides a focused, exam-ready review to help nursing students strengthen clinical judgment and deliver safe, effective care in high-pressure emergency settings.Source: All information in this podcast is based on ATI Advanced Medical-Surgical Nursing, Chapter 3

In this Pediatrics final review episode, we bring together high-yield pediatric nursing concepts across multiple body systems to support exam preparation and clinical readiness. We’ll review priority assessment findings, diagnostic indicators, and emergency interventions for gastrointestinal, renal, and neurologic conditions, including appendicitis, meningitis, and increased intracranial pressure. You’ll also hear key nursing safety considerations such as seizure precautions, cast care, prevention of skin infections, and early recognition of compartment syndrome. Developmental considerations and nutritional needs for infants, toddlers, and school-age children are integrated throughout to reinforce age-appropriate care. This episode provides a comprehensive, exam-focused review designed to help nursing students identify life-threatening complications and apply evidence-based pediatric nursing interventions with confidence.Source: All information in this podcast is based on Pediatric Nursing Final Review Study Guide

In this Pediatrics episode, we walk through Chapter 28, which focuses on endocrine dysfunction in infants, children, and adolescents and how hormonal imbalances affect growth, metabolism, fluid balance, and development. We’ll review disorders of the pituitary, thyroid, adrenal, parathyroid, and pancreatic glands, including growth hormone abnormalities, precocious puberty, diabetes insipidus, SIADH, hypothyroidism, hyperthyroidism, and disorders of calcium regulation. You’ll also hear an overview of key assessment findings, diagnostic studies, and nursing priorities such as growth monitoring, fluid and electrolyte management, medication administration, and family education. This episode provides a detailed, exam-focused review to help nursing students recognize endocrine disorders early and provide safe, developmentally appropriate care.Source: All information in this podcast is based on Wong’s Essentials of Pediatric Nursing, Chapter 28  

In this Pediatrics episode, we walk through Chapter 27, which focuses on cerebral dysfunction in infants and children and the impact of neurologic injury on consciousness, intracranial pressure, and overall neurologic function. We’ll review normal brain physiology, causes of increased intracranial pressure, and early versus late signs of neurologic deterioration across different age groups. You’ll also hear an overview of neurologic assessment, including level of consciousness, pupil response, motor function, posturing, and use of tools such as the pediatric Glasgow Coma Scale. Nursing priorities related to airway management, prevention of secondary brain injury, intracranial pressure monitoring, and family support are emphasized throughout. This episode provides a detailed, exam-focused review to help nursing students recognize cerebral compromise and deliver safe, evidence-based pediatric neurologic care.Source: All information in this podcast is based on Wong’s Essentials of Pediatric Nursing, Chapter 27  

In this Pediatrics episode, we walk through Chapter 26, which focuses on genitourinary dysfunction in infants and children, including disorders affecting the kidneys, ureters, bladder, and urethra. We’ll review assessment of renal and urinary function, common laboratory and diagnostic studies, and key nursing responsibilities such as intake and output monitoring, blood pressure assessment, and specimen collection. You’ll also hear an overview of common genitourinary conditions, including urinary tract infections, vesicoureteral reflux, obstructive uropathies, and congenital anomalies such as hypospadias, cryptorchidism, and bladder exstrophy. This episode provides a detailed, exam-focused review to help nursing students recognize genitourinary disorders and apply appropriate nursing care to protect renal function and support children and their families.Source: All information in this podcast is based on Wong’s Essentials of Pediatric Nursing, Chapter 26