BossRN's 

12 week Study Plan

Week 1 Cardiology
Week 2 Respiratory
Week 3 Neurology
Week 4 Psychosocial
Week 5 Hematological and Endocrine
Week 6 Gastrointestinal
Week 7 Genitourinary and OBGYN
Week 8 Shock
Week 9 Maxillo/Facial and Ocular
Week 10 Environmental and Toxicology
Week 11 Orthopedic and Wound
Week 12 Professional Issues
 BossRN's 12 week Study Plan
How to use this guide:

Hey! This guide makes sure you touch all the 'big' topics while
studying for the CEN. I recommend you make flashcards while you
study each topic. Then when you review, all you need to do is go
through your flashcards.

I make my flashcards using my Google drive in a Google Sheet with

If you come across a topic that you are struggling with, highlight it
and make sure your review sessions are heavy in this topic.

Good luck with your journey to CEN and if you have any questions
shoot me an email through my contact page! I would love to hear
from you!

Sincerely,
Susan DuPont BSN, RN, CEN
BossRN
 Week 1: Cardiology
Day 1
Day 4
• Deep Vein Thrombosis (DVT)
• Arrhythmia's/Dysrhythmia's (Cont)
• Endocarditis
• Supraventricular Tachycardia (SVT)
• Heart failure (right and left sided)
• With Rapid Ventricular Response (RVR)
• Hypertension (HTN)
• Premature Atrial Contractions (PAC)
• Intermittent Claudication
• Premature Ventricular Contractions (PVC)
• Pacemakers/Implanted Cardiac Defibrillator
• Torsade’s de Pointes (TdP)
• Pericardial Tamponade
• Ventricular Fibrillation (V-Fib)
• Pericarditis
• Ventricular Tachycardia (V-Tach)
• Transcutaneous/Transvenous Pacing

Day 5
Day 2 • Vasoconstrictors
• Acute coronary syndrome • Epinephrine
• NON-STEMI • Dopamine
• STEMI • Phenylephrine
• Unstable Angina Day 6 (Phenyl Stick)
• Aneurysm/Dissection • Vasodilators • Vasopressin
• Arrest • Angiotensin
• Angiotensin Converting Enzyme (ACE) inhibitors (-pril)
Day 3 • Angiotensin II Recptor Blockers (ARB’s) (-Sartan)
• Arrhythmias/Dysrhythmias • Beta Blockers (-olol)
• Atrial Fibrillation (A.Fib) • Calcium Channel Blockers
• Atrial Flutter (A.Flutter) • Milrinone
• Blocks • Nitroglycerine
• Nitroprusside Day 7
• 1st Degree
• Misc. Cardiac
• 2nd Degree
Medications
• Type I (Wenckebach)
• Amiodarone
• Type II (Mobitz)
• Atropine
• 3rd Degree (Complete)
• Digoxin
• Lidocaine
• Procainamide
 Week 2: Respiratory
Day 1 Day 4
• Acute Respiratory Distress Syndrome (ARDS) • Croup
• Airway Obstruction • Epiglottitis
• Arterial Blood Gasses (ABGs) • Inhalation Injury
• Metabolic Acidosis • Intubation
• Metabolic Alkalosis • Pneumonitis
• Respiratory Acidosis • Pneumonia
• Respiratory Alkalosis
Day 5
Day 2 • Pulmonary Edema
• Aspiration • Pulmonary Embolism
• Asthma • Types of abnormal respirations
• Chest trauma • Biot’s
• Flail Chest • Kussmaul’s
• Pleural effusion
• Pneumothorax/Hemothorax Day 6
• Rib fractures • Review of Cardiac day 1
• Ruptured diaphragm
Day 7
Day 3 • Review of all topics covered so far
• Chest Tubes
• Chronic Obstructive Pulmonary Disease (COPD)
• Chronic Bronchitis
• Emphysema
 Week 3: Neurology
Day 1 Day 4
• Head Trauma/Brain Injury • Syndromes/Conditions
• Increased ICP ▪ Alzheimer’s/Dementia
• Meningitis ▪ Amyotrophic Lateral Sclerosis (ALS)
• Migraines ▪ Guillain-Barre Syndrome
• Seizures ▪ Myasthenia Gravis
• Shunt Dysfunction ▪ Multiple Sclerosis
• Temporal arteritis

Day 5
▪ Review of Cardiac day 2
Day 2
• Spinal Cord Injury
▪ Autonomic Dysreflexia
▪ Cord Compression
▪ Neurogenic Shock
▪ Poikilothermia Day 6
▪ Spinal Shock ▪ Review of Respiratory day 1

Day 3
▪ Types of Stroke/TIA
▪ Ischemic Stroke
▪ Hemorrhagic Stroke
Day 7
▪ Review of all topics covered so far
 Week 4: psychosocial
Day 1
• Abuse
• Munchausen Syndrome by Proxy
• Neglect
• Antipsychotic medications
• Neuroleptic Malignant Syndrome
• Serotonin Syndrome
Day 5
• Review Cardiac day 3
Day 2
• Anxiety/Panic Attacks
• Bereavement
• Bipolar Disorder
• Dementia Day 6
• Review Respiratory day 2

Day 3
• Depression
• Homicidal Ideation
• Mania
• Psychosis vs delirium Day 7
• Suicidal Ideation/Suicide • Review all topics covered so far

Day 4
• Schizophrenia
 Week 5: Hematological
Day 1
       &Endocrine
• Addison’s Disease
• Aldosteronism
• Allergies
• Anaphylaxis Day 4
• Anemia • Neutropenia
• Cushing’s Syndrome • Pheochromocytoma
• Diabetic Ketoacidosis (DKA) • Renal Failure (Acute/Chronic)
• Disseminated Intravascular Disease (DIC) • Thrombocytopenia
• Thrombocytosis
• Thyroid storm
Day 2
• Electrolytes Day 5
• Calcium • Sepsis
• Magnesium • Sickle-Cell
• Sodium • Systemic Inflammatory Response Syndrome (SIRS)
• Phosphorus • Von Willebrand’s Disease
• Potassium
• Fevers in immunocompromised patients
• Graves’ disease

Day 6
• Review of Cardiac day 4
Day 3
• Hemophilia (ABC)
• Hypercortisolism
• Hyperosmolar Hyperglycemic Syndrome (HHS)
• Hypoglycemia Day 7
• Hypothyroidism • Review of all topics covered so far
• Multi-Organ Dysfunction Syndrome (MODS)
• Myxedema Coma
Week 6: Gastrointestinal
Day 1
(GI)
• Gallbladder
• Cholecystitis
• Cholelithiasis (Gall Stones) Day 4
• Hernia • Stomach/esophagus
• Boerhaave’s syndrome
• Esophageal Varices
Day 2 • Gastroenteritis
• Intestinal • Gastroesophageal Reflux Disease (GERD)
• Appendicitis • Mallory-Weiss syndrome
• Bowel Obstruction • Ulcers
• Crohn’s Disease
• Diverticulitis o Gastroenteritis
• Gastrointestinal Bleeding
• Intussusception
• Irritable Bowel Syndrome (IBS)
• Signs and symptoms of abdominal trauma
• Ulcer
Day 5
• Ulcerative Colitis
• Review Cardiac day 5
Day 3
• Liver
• Cirrhosis
Day 6
• Hepatitis (A-E)
• Review Respiratory day 3
• Liver Failure
• Pancreas
• Pancreatitis
• Peritonitis Day 7
• Review all topics covered so far
 Week 7: Genitourinary /
Day 1
• Females OBGYN
• Abortion Day 4
• Abnormal Vaginal Bleeding • Males
• Abruptio placenta • Epididymitis
• Bartholin’s Cysts • Fractured Penis
• Braxton-Hicks Contractions • Orchitis
• Ectopic Pregnancy • Priapism
• Gestational Hypertension • Prostate Cancer
• Prostatitis
Day 2
• Testicular torsion
• Females
• HELLP Syndrome Day 5
• Labor • Pyelonephritis
• Ovarian Cyst • Renal Stones
• Pelvic Inflammatory Disease (PID) • Sexually Transmitted Infections/Diseases
• Placenta Previa • Chlamydia
• Pre-eclampsia/Eclampsia • Genital Herpes
• Gonorrhea
Day 3
• Syphilis
• Females
• Urinary Retention
• Precipitous Birth
• Urinary Tract Infection (UTI)
• Neonatal Resuscitation
• Newborn Assessment and care
• APGAR Day 6
• Post labor Mother assessment and care • Review Cardiac day 6
• Prolapsed Cord
• Rhogam and Methotrexate
Day 7
• Toxic Shock Syndrome
• Review all topics covered so far
• Vaginitis
 Week 8: Shock
Day 1
• Anaphylactic
• Airway Management
• Epinephrine/Benadryl/Famotidine/Solumedrol
• Cardiogenic
• Cardiac Cath/CABG
• Fluid management Day 4
• Stages of Shock
• Initial
Day 2
• Compensatory
• Hypovolemic
• Progressive
• Blood/Fluid resuscitation
• Refractory/Final
• Stages 1-4
• Neurogenic
• Sympathomimetic drugs

Day 3
• Obstructive Day 5
• Chest Tubes • Review of Cardiac day 7
• Needle Decompression
• Septic
• Antibiotic administration
• Blood Pressure Monitoring Day 6
• Fluid resuscitation • Review of Respiratory day 4
• Vasopressors

Day 7
• Review of all topics covered so far
 Week 9: Maxillofacial &
ocular Emergencies
Day 1
• Cranial Nerves I-XII
Day 4
• Ocular
• Bell’s Palsy
• Burns
• Tic Douloureux (Trigeminal Neuralgia)
• Central Retinal Artery Occlusion
• Ear
• Corneal abrasion/ulceration
• Meniere’s Disease
• Conjunctivitis
Day 2 • Eyelid/Lacrimal Lacerations
• Maxillofacial Bone • Foreign Bodies
• Mandible • Glaucoma
• Maxillary • Hyphemia
• Orbital • Iritis
• Zygomatic • Keratitis
• Neck/Throat Trauma • Retinal Detachment
• Airway Obstruction • Ruptured globe
• Combitubes
• Cricothyroidotomy Day 5
• King Airway • Review of Respiratory day 5
• Laryngeal Mask Airway (LMA)
Day 3 • Ludwig’s Angina
• Nose • Peritonsillar abscess Day 6
• Epistaxis • Tonsillitis • Review of GI/OBGYN day 3
• Foreign Body • Vincent’s Angina
• Sinusitis
• Tooth/Mouth
• Avulsed Tooth Day 7
• Fractured/Luxation Tooth • Review of all topics covered so far
• Temporomandibular Joint (TMJ) Dislocation
 Week 10: Environment /
Day 1
Toxicology 
• Animal Bites/Stings
• Chemical Ingestion/Exposure
Day 3
• Carbon Monoxide
• Herbs/Dietary Supplements
• Cyanide
• Aloe
• Hydrochloric Acid
• Dandelions
• Insecticides
• Catnip
• Organophosphates
• Celery Seed Extract
• Sulfuric Acid
• Eucommia
• Communicable Diseases
• Fish Oil
• Clostridium Difficle (C.Diff)
• Ginger
• Diphtheria
• Lavender
• Herpes Zoster (Shingles)
• Turkey Tail Mushroom
• Meningitis/Encephalitis
• Turmeric
• Mononucleosis (Mono)
• Saffron
• Valerian Root
Day 2
• Vitamin D
• Mumps
• Isolation precautions
• Pertussis (Whooping Cough)
• Airborne
• Respiratory Syncytial Virus (RSV)
• Chicken Pox
• Rubella (German Measles)
• Herpes Zoster
• Rubeola (Measles)
• Measles
• Tuberculosis (TB)
• Tuberculosis
• Varicella (Chicken Pox)
• Contact
• Contact Dermatitis
• C.Diff
• Decontamination Zones
• MDRO
• Food Poisoning
• Droplet
• Giardia
• Diptheria
• Multi-Drug Resistant Organisms (MDRO)
• Influenza
• Methicillin-Resistant Staphylococcus Aureus (MRSA)
• Meningitis
• Penicillin-Resistant Streptococcus Pneumoniae
• Mumps
• Vancomycin-Resistant Enterococcus (VRE)
• Pertussis
 Week 10: Environment /
Toxicology  Day 5
• Lice
Day 4 • Ticks
• Overdose • Maggot Infestation
• Beta Blockers • Pinworm
• Calcium Channel Blockers • Ringworm
• Digitalis • Scabies
• Ethanol/Methanol/Isopropanol/Ethylene Glycol • Tapeworm
• Heavy Metals (Arsenic, Lead, Gold, Mercury) • Poisonous Plant Ingestion
• Heparin • Aconitine
• Iron • Azalea
• Magnesium • Birthworts
• Oral Hypoglycemics • Castor Beans/Jequirity Beans
• Tricyclic Antidepressants • Elephant Ears
• Warfarin • Foxglove
• Reversal Agents • Hemlock
• Atropine • Oleander
• Benzodiazepines • Pipevines
• Calcium Chloride • Rabies
• Calcium Gluconate • Radiation Exposure/Sickness
• Dimercaprol Day 6 • Thermal Exposure
• Flumazenil • Toxidromes • Burns/Electrical Burns
• Glucagon • Anticholinergics • Degree of Burn
• Narcan • Cholinergics • Fluid resuscitation
• Octreotide • Opiates • Rule of Nines
• Pralidoxime • Sedatives/Hypnotics • Hyperthermia
• Protamine Sulfate • Sympathomimetics • Rapid cooling
• Sodium Bicarbonate • Hypothermia
• Vitamin K • Rewarming
Day 7
• Review all topics covered so far
Week 11: Orthopedic / wound
Day 1
• Abrasions
• Achilles Tendon Injuries Day 3
• Amputations • Gout
• Blast injuries • Gunshot wounds (GSW)
• Compartment Syndrome • Hematoma/Contusion
• Costochondritis • Joint Effusions
• De-gloving Injuries • Osteomyelitis
• Necrotizing Fasciitis

Day 2 Day 4
• Fracture • Nerve Assessment
• Ankle • Medial
• Calcaneous • Peroneal
• Clavicular/Scapular • Radial
• Elbow • Tibial
• Femur • Ulnar
• Forearm • Pressure Ulcers
• Monteggia’s • Puncture Wounds
• Nightstick • Sprain
• Hip • Strain
• Humerus • Tetanus
• Knee/Patella
• Pelvis
• Scaphoid Day 5
• Shoulder • Review Toxidromes from Environment/Toxicology day 6
• Tibia/Fibula
• Wrist Day 6
• Review Overdose/Reversal agents from Environment/Toxicology day 4

Day 7
• Review everything covered so far
Week 12: Professional Issues
Day 2
Day 1
• Organ and Tissue Donation
• Death
• Pain management/medication
• Disaster Management
• Adjuvants
• Emergency Medical Treatment & Labor Act (EMTALA)
• Indications
• Forensics
• Pharmacology
• Evidence collection
• Reversal agents
• SANE
• Patient’s Rights
• HIPPA
• Informed Consent

Day 3 Day 4
• Review week 1 Cardiology • Review week 1 Respiritory

Day 5 Day 6
• Review your WEAKEST topic • Review your STRONGEST topic

Day 7
• Review all topics covered