Ultimate Nursing Bundle

The paper, the waves, and a 5-step routine to use on every strip

The impulse starts in the SA node: every P wave is followed by a QRS

Narrow-complex tachycardias that start above the ventricles

Wide QRS (≥0.12 s): the impulse starts in the ventricles

No pulse = start CPR. Then ask one question: shockable or not?

A delay or block between the atria (P) and the ventricles (QRS)

Based on the 2025 AHA Guidelines for CPR and Emergency Cardiovascular Care

2025 AHA/ACC High Blood Pressure Guideline

2022 AHA/ACC/HFSA Heart Failure Guideline

Unstable angina, NSTEMI and STEMI (2025 ACC/AHA ACS Guideline)

Angina types, lipid targets and lipid-lowering drugs

Ischemic vs. hemorrhagic, thrombolytics, and nursing priorities

Interpret any ABG in four steps

Devices, safety, and spotting hypoxia early

GOLD 2025: chronic airflow limitation that is not fully reversible

GINA 2025: chronic airway inflammation with variable, reversible obstruction

Infection, precautions, and prevention

Lung-protective settings, alarms, and preventing VAP

How the drainage system works and what to do when something goes wrong

Venous thromboembolism: prevent it, recognize it, act fast

Dating, visits, labs, supplements and warning signs

Gestational hypertension, preeclampsia, eclampsia and HELLP

Stages, cervical change, induction, and labor emergencies

NICHD definitions, categories and intrauterine resuscitation

The leading preventable cause of maternal death worldwide

Assessment, breastfeeding, mastitis and mood

Screening and management; bleeding in the first and second half

The first hours and days

Normal ranges, pain scales and safe medication dosing

Acyanotic vs. cyanotic, and what the nurse watches for

2025 AHA Pediatric Basic Life Support

Bronchiolitis, croup, epiglottitis and foreign bodies

Comfort, safe antipyretic use, and rehydration

A genetic disease of thick secretions, now transformed by CFTR modulators

Principles and the US routine childhood schedule (CDC/AAP)

Reversal agents and therapeutic ranges you're expected to know

Classes, side effects, and what to teach

Diuretics, antiarrhythmics, nitrates and vasoactive infusions

Prevent clots, stop clot growth, or dissolve clots

Types, mixing, injecting, and handling hypoglycemia

ADA Standards of Care 2025

Beta-lactams, vancomycin, aminoglycosides and fluoroquinolones

Including tuberculosis drugs

SSRIs, SNRIs, bupropion, TCAs and MAOIs

Including ADHD medications

Acetaminophen, NSAIDs, aspirin and opioids

Inhalers, biologics, and cold and cough products

Acid, nausea, motility, bowels and the liver

Thyroid, corticosteroids, gout and bone

Seizures, Parkinson's, myasthenia gravis and dementia

Where small mistakes cause big harm

CDC standard and transmission-based precautions

Falls, restraints, fire, seizures and medication safety

Normal findings and what the abnormal ones mean

Adult reference ranges (each lab's own ranges vary slightly: use yours)

Choosing fluids, spotting complications, and central-line care

NPIAP staging, Braden scale, and wound healing

Diets, dysphagia, and enteral tube feeding

Urinary catheters, CAUTI prevention, enemas and ostomy care

Before, during and after surgery

Who to see first, and who can do what

Principles, consent, privacy, documentation and reporting

KDIGO definitions, causes and nursing care

Hemodialysis, peritoneal dialysis and transplant nursing

Common urinary problems

Reflux, peptic ulcer disease, bleeding and dumping syndrome

IBD, diverticulitis, appendicitis, bowel obstruction and colorectal screening

Acute and chronic pancreatitis, cholecystitis

Complications of liver disease and the hepatitis viruses

Hyperglycemic crises (2024 ADA/EASD consensus) and long-term care

Hypo- and hyperthyroidism, crises, and thyroid surgery

Addison's, Cushing's, pheochromocytoma, SIADH and diabetes insipidus

Glasgow Coma Scale, pupils, and protecting the brain

Seizure types, status epilepticus, and CNS infection

Level of injury, shock, and autonomic dysreflexia

MS, myasthenia gravis, Guillain-Barré, Parkinson's and ALS

Neurovascular checks and preventing complications

OA vs. RA, hip and knee replacement, canes, crutches and walkers

Types of anemia, and managing sickle cell crises

Leukemia, lymphoma, myeloma, hemophilia and platelet disorders

Chemotherapy and radiation safety, side effects, emergencies and screening

HIV, lupus, anaphylaxis and transplant rejection

Depth, size, fluid resuscitation and the phases of burn care

Infections, infestations, chronic skin disease and skin cancer

Cataracts, glaucoma, retinal problems, hearing and balance

Types of shock and the Surviving Sepsis Campaign hour-1 bundle

What helps, what blocks, and defense mechanisms

Levels of anxiety and nursing care

Recognizing depression, treatment options, and assessing suicide risk

Mania, hypomania and depression

Symptoms, responding to hallucinations and delusions, and treatment

Alcohol, opioids, stimulants and nicotine

Medical risks in eating disorders, and approaches for personality disorders

Safety, patient rights and reporting

Telling them apart, and caring for cognition

The numbers you need memorized, and three ways to set up any problem

Tablets, liquids, injections and weight-based doses

mL/h, drops per minute, infusion times and dose-based drips

Safe dose ranges, body surface area, maintenance fluids and intake and output