The Super Nurse Podcast

Brooke Wallace

Helping you go from nursing student to Super Nurse. Practical nursing lessons for students, new graduates, and bedside nurses who want to recognize deterioration, understand the “why,” and decide what to do first. Created and clinically reviewed by Brooke Wallace—ICU nurse, transplant coordinator, clinical instructor, and published author—each episode turns complex nursing topics into clear bedside judgment. New episodes every Tuesday and Friday. Follow now so the next lesson appears automatically in your library. 👉 Visual Learner? Watch comic book based videos at https://www.youtube.com/@SuperNurseComics 👉 Helping you become the Super Nurse you were born to be.

  1. 1d ago

    Intoxication vs Withdrawal: What Nurses Do First

    This episode explains the differences among intoxication, withdrawal, physical dependence, addiction, and substance use disorder. It then applies those concepts to alcohol, opioids, and stimulants so you can connect vital signs, pupil changes, behavior, timing, and patient history with the right nursing priorities. 👉 Watch the video on Super Nurse Comics 👉 Visit https://supernurse.ai for more practical nursing resources. You'll learn - Why intoxication and withdrawal often produce opposite clinical patterns - Early and severe signs of alcohol withdrawal, including seizures and delirium tremens - How CIWA scoring guides assessment and symptom-triggered treatment - Why benzodiazepines, thiamine, fluids, seizure precautions, and a low-stimulation environment may be anticipated - How opioid intoxication differs from opioid withdrawal—and why airway and respiratory status come first during overdose - Why stimulant withdrawal requires close mental health and suicide-risk monitoring - Warning signs of medication diversion or impairment in a healthcare professional - Why asking about the patient's last drink or dose creates a crucial bedside timeline Chapters 00:00 The bedside clues that can look like deterioration   01:32 Substance abuse and addiction at the bedside   02:04 Intoxication, withdrawal, dependence, and addiction   03:44 How addiction changes the brain's reward system   04:56 Alcohol withdrawal signs and timeline   07:12 CIWA scoring and immediate nursing priorities   09:00 Benzodiazepines, thiamine, and Wernicke's encephalopathy   10:07 Opioid intoxication, withdrawal, and treatment   11:55 Stimulant intoxication, the crash, and suicide precautions   13:56 Substance use disorder and impairment among nurses   16:44 Bedside pattern recognition and what to ask first   18:02 Recognizing stigma and protecting clinical judgment   This podcast is for educational purposes only and does not replace facility policy, clinical judgment, or medical advice. Follow your organization's protocols and consult the appropriate provider or emergency resources for patient-specific concerns. The content presented in The Super Nurse Podcast is for educational purposes only and should not be considered medical advice. The host and creators are not responsible for any clinical decisions made based on this content. Always adhere to your institution’s policies and consult appropriate healthcare professionals when making patient care decisions.

    Intoxication vs Withdrawal: What Nurses Do First
  2. 2d ago

    Addiction at the Bedside: Intoxication, Withdrawal, and Pain

    You’ll learn: How pupil size, respirations, vital signs, skin findings, and behavior help reveal common toxidromes Why routine urine drug screens may miss fentanyl, synthetic cannabinoids, and other emerging substances How physical dependence differs from addiction—and why undertreated pain must not be dismissed as “drug-seeking” What causes opioid rebound, the stimulant crash, and the escalating kindling effect of alcohol withdrawal Why severe stimulant agitation requires rapid team-based management and careful restraint decisions Why prescribed methadone or buprenorphine is generally continued during hospitalization while acute pain is treated separately Which subtle behaviors may signal medication diversion or impairment among healthcare colleagues 👉 Watch the video on Super Nurse Comics The central lesson: Treat the patient in front of you—not a label, assumption, or negative screening result. Subscribe to The Super Nurse Podcast and visit Super Nurse Comics on YouTube for more comic-based nursing education. This content is for education and does not replace clinical judgment, facility protocols, toxicology consultation, or guidance from the treating medical team. The content presented in The Super Nurse Podcast is for educational purposes only and should not be considered medical advice. The host and creators are not responsible for any clinical decisions made based on this content. Always adhere to your institution’s policies and consult appropriate healthcare professionals when making patient care decisions.

    Addiction at the Bedside: Intoxication, Withdrawal, and Pain
  3. 3d ago

    Chemo Safety For Oncology Patients: IV Pump Alarms, Spills & Patient Red Flags

    This episode breaks down practical oncology safety at the bedside—from hazardous body fluids and chemotherapy spills to IV pump alarms and treatment complications. You’ll learn how to approach high-risk situations with stronger clinical judgment, troubleshoot alarms systematically, and recognize patient red flags before they become emergencies. 👉 Watch the video on Super Nurse Comics You’ll learn - Why chemotherapy precautions continue after the infusion is complete - How proper PPE, spill kits, and waste disposal reduce occupational exposure - How to troubleshoot downstream occlusion, upstream occlusion, and air-in-line alarms - Why the patient’s condition matters more than a reassuring pump display - How proactive nursing can reduce nausea, mucositis, and radiation-related skin injury - Why a temperature of 100.4°F (38°C) can signal an emergency in a neutropenic patient - How to respond safely to a dislodged brachytherapy source - Why oncology nurses are increasingly responsible for preparing families for safe care at home   Timestamps 00:00 Why oncology nursing feels so high stakes   01:48 Today’s oncology safety priorities   02:33 Hazardous body fluids and the 48-hour precaution window   04:41 Chemotherapy PPE and oral medication safety   06:40 Spill kits, waste disposal, and accidental exposure   10:46 IV pump safety and alarm fatigue   11:29 Troubleshooting a downstream occlusion   12:23 Troubleshooting an upstream occlusion   13:07 Air-in-line alarms and safer IV priming   15:04 Silent pump errors: monitor the patient, not just the machine   16:29 Moving from reactive to proactive oncology nursing   18:07 Mucositis and safer mouth care   19:16 Radiation skin precautions   20:05 Neutropenic fever: why 100.4°F matters   22:11 Responding to a dislodged brachytherapy source   23:19 The most important oncology safety takeaways   24:49 Preparing families for cancer treatment at home   26:03 End Visit supernurse.ai for more resources that bridge the gap between nursing school and real bedside practice. *This podcast is for educational purposes only and is not a substitute for clinical judgment, institutional policy, manufacturer instructions, or guidance from the oncology and radiation-safety teams.*   The content presented in The Super Nurse Podcast is for educational purposes only and should not be considered medical advice. The host and creators are not responsible for any clinical decisions made based on this content. Always adhere to your institution’s policies and consult appropriate healthcare professionals when making patient care decisions.

    Chemo Safety For Oncology Patients: IV Pump Alarms, Spills & Patient Red Flags
  4. 4d ago

    Cancer Patient Deteriorating: Red Flags Nurses Should Catch

    Oncology nursing demands fast clinical judgment when a cancer patient begins to deteriorate. In this episode, nursing students, NCLEX candidates, and new nurses will learn how to recognize febrile neutropenia, tumor lysis syndrome, pancytopenia, chemotherapy side effects, central-line complications, and other critical cancer-care warning signs—while prioritizing safe, compassionate bedside care.  You’ll learn: Why tumor location helps predict bowel obstruction, superior vena cava syndrome, and spinal cord compression How chemotherapy causes anemia, thrombocytopenia, and neutropenia Why fever in a neutropenic patient requires immediate escalation How to recognize tumor lysis syndrome and treatment-related organ injury Essential care for mucositis, fatigue, neuropathy, and radiation-damaged skin Why vesicants require reliable venous access and careful extravasation prevention How Huber needles, sterile technique, and safe flushing protect central lines Practical chemotherapy precautions for patients and caregivers at home How hair loss and other visible changes can affect identity, privacy, and control Visual Learner? 👉 Watch the video on Super Nurse Comics Timestamps 00:00 — Why 100.4°F can signal a crisis 01:15 — Understanding the patient’s cancer story 02:43 — Cachexia and persistent warning signs 04:08 — TNM staging and tumor-related compression 05:51 — Chemotherapy and pancytopenia 07:47 — Febrile neutropenia: what nurses do first 09:24 — Kidney injury and tumor lysis syndrome 10:53 — Nausea, mucositis, and gastrointestinal toxicity 12:24 — Fatigue, neuropathy, and radiation skin care 13:43 — Vesicants, implanted ports, and Huber needles 15:31 — Central-line infection prevention and safe flushing 16:57 — Chemotherapy precautions and home spill safety 18:25 — Protecting identity, control, and dignity 19:42 — Final clinical-judgment takeaway Subscribe to The Super Nurse Podcast and watch the companion comic-based lesson on the Super Nurse Comics YouTube channel. This podcast is for nursing education only and does not replace clinical judgment, institutional policies, or guidance from a qualified healthcare professional. The content presented in The Super Nurse Podcast is for educational purposes only and should not be considered medical advice. The host and creators are not responsible for any clinical decisions made based on this content. Always adhere to your institution’s policies and consult appropriate healthcare professionals when making patient care decisions.

    Cancer Patient Deteriorating: Red Flags Nurses Should Catch
  5. 6d ago

    Oncologic Emergencies: Made Simple For Non-Oncology Nurses

    You'll learn - Why fever and subtle deterioration in an immunocompromised patient can signal neutropenic sepsis - How bruising, oozing, bleeding, thrombosis, and rapidly changing coagulation results fit the pattern of DIC - Why new or severe back pain with weakness, sensory changes, difficulty walking, or bowel and bladder dysfunction raises concern for spinal cord compression - What bowel and urinary obstruction can look like at the bedside - How facial or upper-body swelling, distended veins, headache, cough, and dyspnea point toward superior vena cava syndrome - How to distinguish the patterns associated with malignant pericardial effusion, cardiac tamponade, VTE, and pulmonary embolism - Why falling urine output, electrolyte abnormalities, dysrhythmias, muscle symptoms, confusion, or seizures may signal tumor lysis syndrome - How confusion, weakness, dehydration, constipation, polyuria, and dysrhythmias can fit hypercalcemia of malignancy - What cytokine release syndrome and ICANS can look like after CAR-T and certain immune therapies - Why a simple handwriting comparison can help reveal early neurologic change - How a focused assessment and targeted SBAR can support faster escalation - How the nursing role changes when a patient chooses comfort-focused care instead of aggressive treatment 👉 Watch the video on Super Nurse Comics Chapters 00:00 The quiet 2 a.m. oncology-floor change   02:08 Recognizing patterns instead of memorizing lists   02:26 Bone marrow suppression and pancytopenia   03:08 Neutropenic fever and sepsis   05:13 Thrombocytopenia and DIC   07:33 Spinal cord compression   09:35 Bowel and urinary obstruction   10:59 Cardiovascular oncologic emergencies   11:06 Superior vena cava syndrome   12:00 Malignant pericardial effusion and tamponade   13:06 VTE and pulmonary embolism   14:48 Metabolic oncologic emergencies   15:01 Tumor lysis syndrome   16:34 Hypercalcemia of malignancy   17:58 CAR-T therapy and cytokine release syndrome   19:52 ICANS and the handwriting assessment   20:54 The pattern-recognition recap   21:53 When a patient chooses comfort-focused care   23:08 Closing message   Continue learning Watch the companion visual lesson on Super Nurse Comics Find more nursing resources at SuperNurse.ai Follow The Super Nurse Podcast for practical lessons that connect nursing-school knowledge to real bedside judgment. The content presented in The Super Nurse Podcast is for educational purposes only and should not be considered medical advice. The host and creators are not responsible for any clinical decisions made based on this content. Always adhere to your institution’s policies and consult appropriate healthcare professionals when making patient care decisions.

    Oncologic Emergencies: Made Simple For Non-Oncology Nurses
  6. Jul 24

    Chemo and Radiation: Warning Signs Nurses Need to Catch

    You’ll learn: Why chemotherapy affects hair follicles, the GI tract, and bone marrow How anemia, thrombocytopenia, and neutropenia change nursing priorities Why fever in a neutropenic patient demands urgent escalation How nurses help manage nausea, mucositis, fatigue, and bleeding risk Essential principles for chemotherapy safety in the home How external radiation and brachytherapy precautions differ Why IV-site assessment and early recognition of extravasation matter 👉 Watch the video on Super Nurse Comics  Timestamp 00:00 Why cancer treatment feels overwhelming 01:58 How chemotherapy works 03:21 Hair loss and anticipatory guidance 04:31 Why chemotherapy causes nausea 06:52 Mucositis and gentle oral care 08:14 Bone marrow suppression and pancytopenia 10:11 Thrombocytopenia and bleeding risk 11:28 Neutropenic fever and urgent escalation 13:25 Chemotherapy safety at home 15:58 External radiation and skin protection 17:44 Brachytherapy safety 18:54 Extravasation and proactive nursing care 20:16 Immunotherapy and the future of cancer nursing Watch the companion visual lesson on the Super Nurse Comics YouTube channel: [Add episode link] Find more nursing resources at SuperNurse.ai. Follow The Super Nurse Podcast for practical lessons that connect nursing-school knowledge to real bedside judgment. This episode is for educational purposes only and does not replace clinical judgment, medication-specific guidance, facility policies, or instructions from the patient’s oncology team. The content presented in The Super Nurse Podcast is for educational purposes only and should not be considered medical advice. The host and creators are not responsible for any clinical decisions made based on this content. Always adhere to your institution’s policies and consult appropriate healthcare professionals when making patient care decisions.

    Chemo and Radiation: Warning Signs Nurses Need to Catch
  7. Jul 20

    Chemotherapy Side Effects and Nursing Care

    Chemotherapy side effects make more sense when you understand what these medications do at the cellular level. Learn how to connect the biology of cancer treatment to safer assessments, smarter interventions, and the bedside clues nurses cannot afford to miss. 👉 Watch the video on Super Nurse Comics  In this episode, we break down why traditional chemotherapy damages healthy fast-dividing cells along with cancer cells—and how that “collateral damage” explains many of the complications nurses see in practice. You'll learn: - Why chemotherapy can cause neutropenia, anemia, thrombocytopenia, alopecia, nausea, and mucositis - Why fever in a neutropenic patient demands immediate action according to the treatment plan and facility protocol - How proactive antiemetics and supportive mouth care can help patients tolerate treatment - Which renal trends matter when a medication carries a risk of nephrotoxicity - Why chemotherapy precautions continue after administration and how nurses can reduce exposure to hazardous waste - What nurses should know about vesicants, central access, implanted ports, and non-coring Huber needles - How external-beam radiation precautions differ from internal radiation safety - How targeted therapy, immunotherapy, and CAR T-cell therapy are changing cancer care - Why preserving dignity and sitting with a patient's fear are essential parts of oncology nursing The goal is not to memorize another intimidating list. It is to understand the biological “why” so your assessments and nursing priorities become logical, practical, and easier to remember. Timestamps 0:00 Why Chemotherapy Feels So Intimidating 1:11 What Nurses Will Learn 2:21 How Cancer Cells Grow 3:42 Cancer Warning Signs and Cachexia 5:14 TNM Staging and Bedside Assessment 6:12 Why Chemotherapy Causes Side Effects 6:52 Bone Marrow Suppression and Neutropenia 8:47 Nausea, Vomiting, and Mucositis 10:31 Cisplatin and Kidney Damage 11:24 The 48-Hour Chemotherapy Safety Rule 13:31 Vesicants, Central Lines, and Ports 14:44 External vs Internal Radiation 15:45 Targeted Therapy, Immunotherapy, and CAR T 16:50 Supporting the Patient Beyond the Infusion 18:22 Final Nursing Takeaways Watch the comic-book video version on the Super Nurse Comics YouTube channel, and visit SuperNurse.ai for more resources created for nursing students, new graduates, and bedside nurses. Subscribe to The Super Nurse Podcast so you never miss an episode. This content is for educational purposes only and is not a substitute for clinical judgment, institutional policy, medication-specific guidance, or consultation with the appropriate healthcare team. The content presented in The Super Nurse Podcast is for educational purposes only and should not be considered medical advice. The host and creators are not responsible for any clinical decisions made based on this content. Always adhere to your institution’s policies and consult appropriate healthcare professionals when making patient care decisions.

    Chemotherapy Side Effects and Nursing Care
3.3
out of 5
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About

Helping you go from nursing student to Super Nurse. Practical nursing lessons for students, new graduates, and bedside nurses who want to recognize deterioration, understand the “why,” and decide what to do first. Created and clinically reviewed by Brooke Wallace—ICU nurse, transplant coordinator, clinical instructor, and published author—each episode turns complex nursing topics into clear bedside judgment. New episodes every Tuesday and Friday. Follow now so the next lesson appears automatically in your library. 👉 Visual Learner? Watch comic book based videos at https://www.youtube.com/@SuperNurseComics 👉 Helping you become the Super Nurse you were born to be.

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