Nursing Care Plan (NCP) for Addison’s Disease (Primary Adrenal Insufficiency)
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Study Tools For Nursing Care Plan (NCP) for Addison’s Disease (Primary Adrenal Insufficiency)
Addison’s Disease Intervention (Picmonic)
Addison’s Disease Assessment (Picmonic)
Addisons Pathochart (Cheatsheet)
Addison’s vs. Cushing’s (Cheatsheet)
Example Care Plan_Addison’s Disease (Primary Adrenal Insufficiency) (Cheatsheet)
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Outline
Lesson Objectives for Addison’s Disease (Primary Adrenal Insufficiency) Nursing Care:
- Understanding Pathophysiology:
- Comprehend the pathophysiological mechanisms underlying Addison’s disease, including the insufficient production of adrenal hormones and its impact on systemic function.
- Recognition of Clinical Manifestations:
- Identify and recognize the clinical manifestations associated with Addison’s disease, such as fatigue, hypotension, electrolyte imbalances, and hyperpigmentation, to facilitate early detection and intervention.
- Medication Management:
- Gain proficiency in the administration and monitoring of medications, particularly glucocorticoids and mineralocorticoids, essential for hormone replacement therapy in individuals with Addison’s disease.
- Balancing Fluid and Electrolytes:
- Develop skills in assessing and maintaining fluid and electrolyte balance, recognizing the potential for hyponatremia and hyperkalemia in individuals with adrenal insufficiency.
- Patient Education and Lifestyle Management:
- Educate patients on the importance of medication adherence, symptom recognition, and lifestyle modifications, including stress management and dietary considerations, to optimize their quality of life while living with Addison’s disease.
Pathophysiology of Addison’s Disease (Primary Adrenal Insufficiency):
- Adrenal Cortex Dysfunction:
- Addison’s disease primarily results from dysfunction of the adrenal cortex, leading to insufficient production of cortisol (glucocorticoids) and aldosterone (mineralocorticoids).
- Autoimmune Destruction:
- In the majority of cases, Addison’s disease is caused by autoimmune destruction of the adrenal cortex. Autoantibodies target and damage the adrenal cells, impairing hormone synthesis.
- Tuberculosis and Infections:
- In some instances, adrenal insufficiency may result from infections, particularly tuberculosis, affecting the adrenal glands and disrupting normal hormonal production.
- Genetic Factors:
- Rarely, genetic factors may contribute to adrenal insufficiency. Inherited conditions affecting adrenal function can lead to deficient cortisol and aldosterone synthesis.
- Hemorrhage or Infarction:
- Adrenal hemorrhage or infarction, often associated with severe bacterial infections or bleeding disorders, can compromise blood supply to the adrenal glands, causing adrenal insufficiency.
Etiology of Addison’s Disease (Primary Adrenal Insufficiency):
- Autoimmune Adrenalitis:
- The most common cause of Addison’s disease is autoimmune adrenalitis, where the body’s immune system mistakenly attacks and damages the adrenal glands, leading to a gradual loss of function.
- Infections, Especially Tuberculosis:
- Infections, particularly tuberculosis, can contribute to adrenal insufficiency by causing inflammation and damage to the adrenal glands, impairing their ability to produce hormones.
- Genetic Factors:
- Genetic predisposition plays a role in some cases of Addison’s disease. Specific genetic mutations or familial patterns may increase the risk of developing adrenal insufficiency.
- Hemorrhage or Infarction:
- Adrenal hemorrhage or infarction, often associated with severe bacterial infections or bleeding disorders, can compromise blood supply to the adrenal glands, resulting in adrenal insufficiency.
- Medication-Induced Adrenal Suppression:
- Prolonged use of certain medications, such as glucocorticoids, can suppress the adrenal glands over time, leading to a state of adrenal insufficiency when the medication is discontinued abruptly.
Desired Outcome for Addison’s Disease (Primary Adrenal Insufficiency) Nursing Care:
- Stabilized Hormone Levels:
- Achieve and maintain stable cortisol and aldosterone levels within the normal range, optimizing metabolic functions and electrolyte balance.
- Symptom Management:
- Effectively manage and alleviate symptoms associated with adrenal insufficiency, such as fatigue, hypotension, weight loss, and hyperpigmentation, enhancing the patient’s overall well-being.
- Prevention of Adrenal Crisis:
- Minimize the risk of adrenal crisis by ensuring adequate hormone replacement therapy adherence, patient education, and prompt recognition of potential stressors that may precipitate crisis situations.
- Optimal Fluid and Electrolyte Balance:
- Attain and maintain optimal fluid and electrolyte balance, preventing complications such as hyponatremia and hyperkalemia commonly associated with adrenal insufficiency.
- Enhanced Quality of Life:
- Improve the patient’s quality of life by providing comprehensive care, addressing psychological aspects, and supporting lifestyle modifications, promoting independence and a sense of well-being.
Addison’s Disease (Primary Adrenal Insufficiency) Nursing Care Plan
Subjective Data:
- Fatigue
- Lower back / leg pain
- Abdominal pain
- Irritability / depression
- Reports significant weight loss
Objective Data:
- Decreased blood pressure
- Electrolyte imbalance
- Decreased sodium
- Increased potassium
- Severe vomiting, diarrhea
- Dehydration
- Loss of consciousness
Nursing Assessment for Addison’s Disease (Primary Adrenal Insufficiency):
- Medical History:
- Collect a detailed medical history, with a focus on autoimmune conditions, infections, genetic factors, and medication use, to identify potential causes and contributing factors.
- Symptom Assessment:
- Assess the patient for symptoms of adrenal insufficiency, including fatigue, weakness, weight loss, hypotension, hyperpigmentation, gastrointestinal disturbances, and salt cravings.
- Vital Signs Monitoring:
- Monitor vital signs regularly, paying close attention to blood pressure, heart rate, and temperature, as fluctuations may indicate adrenal dysfunction.
- Electrolyte Levels:
- Obtain and monitor electrolyte levels, especially sodium and potassium, to assess for imbalances that commonly occur in adrenal insufficiency.
- Blood Glucose Monitoring:
- Monitor blood glucose levels, as adrenal insufficiency can impact glucose regulation. Assess for signs of hypoglycemia or hyperglycemia.
- Stressors and Triggers:
- Identify potential stressors and triggers that may precipitate adrenal crises, such as infections, trauma, surgery, or emotional stress, to implement preventive measures.
- Skin Examination:
- Perform a thorough skin examination to assess for hyperpigmentation, a characteristic sign of adrenal insufficiency, which may indicate increased melanin production.
- Patient Education Needs:
- Assess the patient’s understanding of the condition, medication adherence, and ability to manage stress. Identify educational needs and provide information on self-care, medication management, and recognizing signs of adrenal crisis.
Outcomes for Addison’s Disease (Primary Adrenal Insufficiency) Nursing Care:
- Stable Hormonal Levels:
- Achieve and maintain stable cortisol and aldosterone levels within the normal range to support metabolic functions, blood pressure regulation, and electrolyte balance.
- Symptom Improvement:
- Witness improvement in symptoms associated with adrenal insufficiency, such as fatigue, weakness, hypotension, and gastrointestinal disturbances, contributing to enhanced patient well-being.
- Prevention of Adrenal Crisis:
- Successfully prevent adrenal crises through patient education, early recognition of stressors, and adherence to hormone replacement therapy, ensuring the avoidance of life-threatening complications.
- Optimal Fluid and Electrolyte Balance:
- Attain and sustain optimal fluid and electrolyte balance, preventing complications like hyponatremia and hyperkalemia, which are common in adrenal insufficiency.
- Enhanced Quality of Life:
- Improve the overall quality of life for individuals with Addison’s disease by addressing psychological aspects, providing ongoing support, and promoting patient empowerment and independence in managing their condition.
Nursing Interventions and Rationales
- Monitor weight
Lack of appetite due to decreased levels of cortisol may cause a significant decrease in body weight
- Encourage oral fluids
Deficiency of cortisol may lead to anorexia and impaired GI function. Encourage oral fluids to help maintain adequate sodium levels and avoid dehydration.
- Minimize stress and assist with activities / provide rest periods
Simple stress and overexertion can cause a life-threatening Addisonian crisis due to the lack of corticosteroids that help the body react to and manage stress.
- Monitor nutrition
Aldosterone deficiency causes the kidneys to excrete sodium which may result in salt cravings. Encourage patients to increase salt intake and supplements as necessary to prevent hyponatremia. Encourage patients to eat high protein / low carb snacks and meals as tolerated followed by rest periods to prevent fatigue due to hypoglycemia and to facilitate digestion.
- I & O – monitor intake and output
Monitor urine for decreased output (desired >30ml/hr), concentration, and color which may be darker
- Assess vitals; temperature, blood pressure, and heart rate – watching for orthostatic changes and hyperpyrexia
- A decrease of 15 mm Hg or more and an increase in heart rate (normal <100bpm) may indicate reduced circulation of fluids such as with dehydration
- Increased temperature may be a sign of an Addisonian crisis due to hormonal and fluid imbalance
- Monitor EKG for signs of hyperkalemia
- Lack of Aldosterone means increased sodium excretion and increased potassium retention.
- Signs of hyperkalemia will include peaked T waves and prolonged QRS complex.
- Monitor for signs of dehydration by noting mucus membranes and skin turgor
Tenting of the skin and dry mucous membranes indicate dehydration., which is common due to vomiting and anorexia.
- Administer Medications
- Kayexalate
- Cortef or Cortone
- Prednisone
- Florinef
- Kayexalate – Can be given orally or by enema to reduce potassium levels
- Cortef or Cortone and prednisone may be given orally or IV to increase cortisol levels
- Florinef – Given orally to promote replacement and retention of sodium and water
Evaluation for Addison’s Disease (Primary Adrenal Insufficiency) Nursing Care:
- Hormonal Levels:
- Monitor and evaluate cortisol and aldosterone levels regularly to ensure they remain within the target range, indicating effective hormone replacement therapy and metabolic stability.
- Symptom Resolution:
- Assess the resolution or improvement of symptoms associated with adrenal insufficiency, such as fatigue, weakness, and hypotension, indicating successful management of the condition.
- Adherence to Medication Regimen:
- Evaluate the patient’s adherence to the prescribed medication regimen, emphasizing consistent and timely administration, to ensure hormonal replacement therapy’s ongoing effectiveness.
- Prevention of Adrenal Crises:
- Review the patient’s ability to recognize and manage stressors, evaluating the effectiveness of preventive measures in avoiding adrenal crises and associated complications.
- Quality of Life Improvement:
- Assess the overall quality of life, considering physical and psychological aspects, to determine the impact of nursing interventions on enhancing the patient’s well-being and independence.
References
- https://www.mayoclinic.org/diseases-conditions/addisons-disease/symptoms-causes/syc-20350293
- https://www.niddk.nih.gov/health-information/endocrine-diseases/adrenal-insufficiency-addisons-disease
- https://www.webmd.com/a-to-z-guides/understanding-addisons-disease-treatments
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Transcript
We are going to make a care plan for Addison’s disease. Addison’s disease is when the adrenal glands, which are located above the kidneys, fail to produce an adequate amount of cortisol, aldosterone, or androgens. Some things that we want to be mindful of with taking care of these patients are EKG monitoring. We want to get frequent vital signs. We want to assess these patients for what’s called an Addisonian crisis. We would like to monitor I’s and O’s and we want to assess for dehydration. The desired outcome with Addison’s patients is to make sure we maintain adequate hormone levels for optimized ability to create energy and respond to stress. And, we want to keep those electrolytes balanced and help regulate their blood pressure. When these patients come in to see you, they are going to have a list of complaints. One of the things that they are going to tell you, some of the objective things that they’re going to say is they are going to complain about being fatigued or tired.
Okay. They’re also going to complain of pain. So they’re going to have lower back pain, leg pain, abdominal pain, or they are going to be in pain. They’re also going to be, you’re going to notice they’re going to be irritable. They are going to, uh, complain of being depressed and they are going to, uh, report significant weight loss. These patients are going to be thin. Um, these patients, when you see them and you’re going to observe them. Some of the objective things that you’re going to notice is you’re going to notice that on their vital signs, they are going to have low BP. They’re going to have decreased blood pressure. Their electrolytes are going to be way out. So you may see them with hyponatremia or low sodium, or hyperkalemia. Uh, they’re going to have high potassium. They’re also going to have severe vomiting and diarrhea.
They’re going to be losing those electrolytes that way. They’re also going to have some dehydration as well as it’s possible that they’ll have some, uh, loss of consciousness. So when, uh, caring for these patients, some things that we want to focus on, the first thing that we want to do is we want to get them hooked up to an EKG, and we want to monitor for signs of high potassium or hyperkalemia. And the reason why is because they have low aldosterone levels. And aldosterone is just a hormone that regulates sodium and potassium. It retains potassium and it loses sodium. So if aldosterone is low because of Addison’s, that means potassium is high. So low aldosterone equals high K. The next thing we want to do is we want to monitor for signs of dehydration. We want to take a look at their mucus membranes, their skin turgor.
Remember, if a patient is tense, when you assess the skin turgor, that means that they are dehydrated. And this is very common when the patient has severe diarrhea and vomiting. Following that, we want to encourage oral fluids when necessary. And we want to make sure that we monitor their ins and outs, and we want to make sure we let them know that we will need to institute some IV fluids if they are not able to take PO because of the vomiting. The low cortisol levels, uh, create a space where they’re not able to drink. Uh, they are not able to maintain their adequate sodium level and, uh, they have decreased urine output. So, their urine output is decreased. Okay. The urine will be concentrated and much darker as well. We want to make sure we administer appropriate medication. So, there’s three medications off the top that we want to think of if we want to think about Kayexalate, which is something that’s given to reduce potassium levels.
Okay, excellent. And just in K exit K exit. So the K is going out. Cortef or any type of steroid prednisone, that’s going to increase cortisol levels. And then, also Florinef. That’s also going to, uh, promote replacement and retention of sodium. So we want to make sure we keep that sodium in water. Finally, we want to keep their vitals in the front and an increased temperature can indicate an Addisonian crisis, uh, in the decreased BP can indicate dehydration. Some key points that we want to focus on when taking care of these patients. Uh, first thing, the adrenal glands, when they fail to produce an adequate amount of, uh, hormones, cortisol, aldosterone, and androgens, that’s when a patient can develop Addison’s disease. Some things that they’re going to tell you, pain, think pain, abdominal pain, leg pain, back pain. They’re going to be irritable, uh, weight loss. We’re going to notice some, uh, low BP, some hypotension, low sodium increased, uh, potassium levels. Also, they’re going to have some vomiting and diarrhea. They’re going to be dehydrated, Medications that we’re going to administer, Kayexalate to lower that K uh, Cortef have to increase that cortisol level and Florinef, enough to increase their sodium levels. We want to do EKG and frequent vitals because the EKG is going to show any arrhythmias because of the hyperkalemia, the increased potassium and a fever may indicate Addisonian crisis.
We love you guys, and we want you to go out and be your best self today. And as always, happy nursing.
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ICU Nurse Report to OR (Operating)Team
Immunology Module Intro
Impulse Transmission
Inflammatory Bowel Disease Case Study (45 min)
Informed Consent
Inserting a Foley (Urinary Catheter) – Male
Inserting an NG (Nasogastric) Tube
Insulin
Insulin – Intermediate Acting (NPH) Nursing Considerations
Insulin – Long Acting (Lantus) Nursing Considerations
Insulin – Mixtures (70/30)
Insulin – Rapid Acting (Novolog, Humalog) Nursing Considerations
Insulin – Short Acting (Regular) Nursing Considerations
Insulin Mnemonic (Ready, Set, Inject, Love)
Intake and Output (I&O)
Integumentary (Skin) Course Introduction
Integumentary (Skin) Important Points
Integumentary (Skin) Module Intro
Interventional Radiology
Interventions for Aphasia Nursing Mnemonic (PROP)
Intracranial Pressure ICP
Intraoperative (Intraop) Complications
Intraoperative Nursing Priorities
Intraoperative Positioning
Intrarenal Causes of Acute Kidney Injury Nursing Mnemonic (TONIC)
Intro to Health Assessment
Introduction to Health Assessment
Intubation in the OR
Iodine Nursing Considerations
Ionized Calcium Lab Values
Iron (Fe) Lab Values
Ischemic (CVA) Stroke Labs
Isoniazid (Niazid) Nursing Considerations
IV Complications (infiltration, phlebitis, hematoma, extravasation, air embolism)
Kidney Cancer
Lactate Dehydrogenase (LDH) Lab Values
Lactic Acid
Leukemia
Leukemia – Signs and Symptoms Nursing Mnemonic (ANT)
Leukemia Case Study (60 min)
Levels of consciousness Nursing Mnemonic (Never Carry Dirty Socks Or Smelly Clothes)
Levofloxacin (Levaquin) Nursing Considerations
Levothyroxine (Synthroid)
Lidocaine (Xylocaine) Nursing Considerations
Lidocaine Toxicity – Signs and Symptoms Nursing Mnemonic (SAMS)
Linen Change
Lipase Lab Values
Lisinopril (Prinivil) Nursing Considerations
Live Bedside Report Medsurg (Medical surgical)
Liver Cancer
Liver/Gallbladder Module Intro
Local Anesthesia
Loperamide (Imodium) Nursing Considerations
Losartan (Cozaar) Nursing Considerations
Low Pressure Vent Alarms Nursing Mnemonic (Cake Everyday)
Lower Gastrointestinal (GI) Module Intro
Lung Cancer
Lung Diseases Module Intro
Lymphatic Assessment
Lymphoma
Lymphoma – Signs and Symptoms Nursing Mnemonic (NURSE For Pete’s Sake)
Macular Degeneration
Magnetic Resonance Imaging (MRI)
Malignant Hyperthermia
Mammogram
Management of Glomerulonephritis Nursing Mnemonic (Please Help Deliver Diuretics)
Management of Lyme Disease Nursing Mnemonic (BAR)
Management of Pressure Ulcers (Pressure Injuries) Nursing Mnemonic (SKIN)
Mechanical Aids
Medication Classess for IBD Nursing Mnemonic (Sometimes I Can’t Answer)
Medications for Pancreatitis Nursing Mnemonic (Please Make Tummy Better)
Medications to Prevent Seizures Nursing Mnemonic (Pretty Little Liars Forever)
Melanoma
Meniere’s Disease
Meperidine (Demerol) Nursing Considerations
Meropenem (Merrem) Nursing Considerations
Metabolic & Endocrine Module Intro
Metabolic Acidosis (interpretation and nursing diagnosis)
Metabolic/Endocrine Course Introduction
Metformin (Glucophage) Nursing Considerations
Methylprednisolone (Solu-Medrol) Nursing Considerations
Metoclopramide (Reglan) Nursing Considerations
Metoprolol (Toprol XL) Nursing Considerations
Metronidazole (Flagyl) Nursing Considerations
MI Surgical Intervention
Migraines
Miscellaneous Nerve Disorders
Mobility & Assistive Devices
Moderate Sedation
Montelukast (Singulair) Nursing Considerations
Morphine (MS Contin) Nursing Considerations
Multiple Myeloma
Multiple Sclerosis Symptoms Nursing Mnemonic (DEMYELINATION)
Murmur locations Nursing Mnemonic (hARD ASS MRS. MSD)
Musculoskeletal Assessment
Musculoskeletal Course Introduction
Musculoskeletal Module Intro
Myocardial Infarction (MI) Case Study (45 min)
Myocardial Infarction Nursing Mnemonic (MONATAS)
Naproxen (Aleve) Nursing Considerations
Nasal Disorders
Neostigmine (Prostigmin) Nursing Considerations
Nephrotic Syndrome Case Study (Peds) (45 min)
Neuro A&P Module Intro
Neuro Anatomy
Neuro Assessment Module Intro
Neuro Course Introduction
Neuro Disorders Module Intro
Neuro Trauma Module Intro
Neurological Fractures
NG (Nasogastric)Tube Management
Nitro Compounds
Nitroglycerin (Nitrostat) Nursing Considerations
Nitroprusside (Nitropress) Nursing Considerations
Norepinephrine (Levophed) Nursing Considerations
NRSNG Live | So You Want to be a Surgical Nurse?
Nuclear Medicine
Nursing Care and Pathophysiology for Acquired Immune Deficiency Syndrome (AIDS)
Nursing Care and Pathophysiology for Anaphylaxis
Nursing Care and Pathophysiology for Anemia
Nursing Care and Pathophysiology for Aortic Aneurysm
Nursing Care and Pathophysiology for Appendicitis
Nursing Care and Pathophysiology for Arterial Disorders
Nursing Care and Pathophysiology for Asthma
Nursing Care and Pathophysiology for Cardiogenic Shock
Nursing Care and Pathophysiology for Cardiomyopathy
Nursing Care and Pathophysiology for Chlamydia (STI)
Nursing Care and Pathophysiology for Cholecystitis
Nursing Care and Pathophysiology for Cirrhosis (Liver Disease, Hepatic encephalopathy, Portal Hypertension, Esophageal Varices)
Nursing Care and Pathophysiology for Compartment Syndrome
Nursing Care and Pathophysiology for Crohn’s Disease
Nursing Care and Pathophysiology for Cushings Syndrome
Nursing Care and Pathophysiology for Diabetes Insipidus (DI)
Nursing Care and Pathophysiology for Disseminated Intravascular Coagulation (DIC)
Nursing Care and Pathophysiology for Distributive Shock
Nursing Care and Pathophysiology for Diverticulosis – Diverticulitis
Nursing Care and Pathophysiology for Endometriosis
Nursing Care and Pathophysiology for Epididymitis
Nursing Care and Pathophysiology for Gonorrhea (STI)
Nursing Care and Pathophysiology for Gout
Nursing Care and Pathophysiology for Hashimoto’s Thyroiditis
Nursing Care and Pathophysiology for Heart Failure (CHF)
Nursing Care and Pathophysiology for Hemorrhagic Stroke (CVA)
Nursing Care and Pathophysiology for Hemorrhoids
Nursing Care and Pathophysiology for Hepatitis (Liver Disease)
Nursing Care and Pathophysiology for Herpes Simplex (HSV, STI)
Nursing Care and Pathophysiology for Herpes Zoster – Shingles
Nursing Care and Pathophysiology for Human Papilloma Virus (HPV STI)
Nursing Care and Pathophysiology for Hyperparathyroidism
Nursing Care and Pathophysiology for Hyperthyroidism
Nursing Care and Pathophysiology for Hypothyroidism
Nursing Care and Pathophysiology for Hypovolemic Shock
Nursing Care and Pathophysiology for Inflammatory Bowel Disease (IBD)
Nursing Care and Pathophysiology for Influenza (Flu)
Nursing Care and Pathophysiology for Ischemic Stroke (CVA)
Nursing Care and Pathophysiology for Lyme Disease
Nursing Care and Pathophysiology for Male Infertility
Nursing Care and Pathophysiology for Meningitis
Nursing Care and Pathophysiology for Menopause
Nursing Care and Pathophysiology for Multiple Sclerosis (MS)
Nursing Care and Pathophysiology for Myasthenia Gravis
Nursing Care and Pathophysiology for Osteomyelitis
Nursing Care and Pathophysiology for Pancreatitis
Nursing Care and Pathophysiology for Parkinsons
Nursing Care and Pathophysiology for Pelvic Inflammatory Disease (PID)
Nursing Care and Pathophysiology for Peptic Ulcer Disease (PUD)
Nursing Care and Pathophysiology for Pneumothorax & Hemothorax
Nursing Care and Pathophysiology for Polycystic Ovarian Syndrome (PCOS)
Nursing Care and Pathophysiology for Psoriasis
Nursing Care and Pathophysiology for Pulmonary Edema
Nursing Care and Pathophysiology for Pulmonary Embolism
Nursing Care and Pathophysiology for Rhabdomyolysis
Nursing Care and Pathophysiology for Rheumatoid Arthritis (RA)
Nursing Care and Pathophysiology for Scleroderma
Nursing Care and Pathophysiology for Seizure
Nursing Care and Pathophysiology for Sepsis
Nursing Care and Pathophysiology for SIADH (Syndrome of Inappropriate antidiuretic Hormone Secretion)
Nursing Care and Pathophysiology for Sickle Cell Anemia
Nursing Care and Pathophysiology for SIRS & MODS
Nursing Care and Pathophysiology for Syphilis (STI)
Nursing Care and Pathophysiology for Testicular Torsion
Nursing Care and Pathophysiology for Thrombophlebitis (clot)
Nursing Care and Pathophysiology for Tuberculosis (TB)
Nursing Care and Pathophysiology for Ulcerative Colitis(UC)
Nursing Care and Pathophysiology for Valve Disorders
Nursing Care and Pathophysiology of Acute Kidney (Renal) Injury (AKI)
Nursing Care and Pathophysiology of Acute Respiratory Distress Syndrome (ARDS)
Nursing Care and Pathophysiology of Angina
Nursing Care and Pathophysiology of BPH (Benign Prostatic Hyperplasia)
Nursing Care and Pathophysiology of Chronic Kidney (Renal) Disease (CKD)
Nursing Care and Pathophysiology of COPD (Chronic Obstructive Pulmonary Disease)
Nursing Care and Pathophysiology of Coronary Artery Disease (CAD)
Nursing Care and Pathophysiology of Diabetes Mellitus (DM)
Nursing Care and Pathophysiology of Diabetic Ketoacidosis (DKA)
Nursing Care and Pathophysiology of Endocarditis and Pericarditis
Nursing Care and Pathophysiology of Glomerulonephritis
Nursing Care and Pathophysiology of Hypertension (HTN)
Nursing Care and Pathophysiology of Myocardial Infarction (MI)
Nursing Care and Pathophysiology of Myocarditis
Nursing Care and Pathophysiology of Nephrotic Syndrome
Nursing Care and Pathophysiology of Osteoarthritis (OA)
Nursing Care and Pathophysiology of Osteoporosis
Nursing Care and Pathophysiology of Pneumonia
Nursing Care and Pathophysiology of Renal Calculi (Kidney Stones)
Nursing Care and Pathophysiology of Urinary Tract Infection (UTI)
Nursing Care Plan (NCP) & Interventions for Increased Intracranial Pressure (ICP)
Nursing Care Plan (NCP) for Abdominal Pain
Nursing Care Plan (NCP) for Acquired Immune Deficiency Syndrome (AIDS)
Nursing Care Plan (NCP) for Activity Intolerance
Nursing Care Plan (NCP) for Acute Bronchitis
Nursing Care Plan (NCP) for Acute Kidney Injury
Nursing Care Plan (NCP) for Acute Pain
Nursing Care Plan (NCP) for Acute Respiratory Distress Syndrome
Nursing Care Plan (NCP) for Addison’s Disease (Primary Adrenal Insufficiency)
Nursing Care Plan (NCP) for Anaphylaxis
Nursing Care Plan (NCP) for Anemia
Nursing Care Plan (NCP) for Angina
Nursing Care Plan (NCP) for Aortic Aneurysm
Nursing Care Plan (NCP) for Arterial Disorders
Nursing Care Plan (NCP) for Aspiration
Nursing Care Plan (NCP) for Asthma / Childhood Asthma
Nursing Care Plan (NCP) for Atrial Fibrillation (AFib)
Nursing Care Plan (NCP) for Bell’s Palsy
Nursing Care Plan (NCP) for Benign Prostatic Hyperplasia (BPH)
Nursing Care Plan (NCP) for Bladder Cancer
Nursing Care Plan (NCP) for Blunt Chest Trauma
Nursing Care Plan (NCP) for Bone Cancer (Osteosarcoma, Chondrosarcoma, and Ewing Sarcoma)
Nursing Care Plan (NCP) for Bowel Obstruction
Nursing Care Plan (NCP) for Brain Tumors
Nursing Care Plan (NCP) for Breast Cancer
Nursing Care Plan (NCP) for Bronchoscopy (Procedure)
Nursing Care Plan (NCP) for Cardiogenic Shock
Nursing Care Plan (NCP) for Cardiomyopathy
Nursing Care Plan (NCP) for Cellulitis
Nursing Care Plan (NCP) for Cervical Cancer
Nursing Care Plan (NCP) for Cholecystitis
Nursing Care Plan (NCP) for Chronic Kidney Disease
Nursing Care Plan (NCP) for Chronic Obstructive Pulmonary Disease (COPD)
Nursing Care Plan (NCP) for Colorectal Cancer (Colon Cancer)
Nursing Care Plan (NCP) for Congestive Heart Failure (CHF)
Nursing Care Plan (NCP) for Cushing’s Disease
Nursing Care Plan (NCP) for Dementia
Nursing Care Plan (NCP) for Diabetes
Nursing Care Plan (NCP) for Diabetes Insipidus
Nursing Care Plan (NCP) for Diabetic Ketoacidosis (DKA)
Nursing Care Plan (NCP) for Disseminated Intravascular Coagulation (DIC)
Nursing Care Plan (NCP) for Diverticulosis / Diverticulitis
Nursing Care Plan (NCP) for Emphysema
Nursing Care Plan (NCP) for Encephalopathy
Nursing Care Plan (NCP) for Endocarditis
Nursing Care Plan (NCP) for Enuresis / Bedwetting
Nursing Care Plan (NCP) for Epididymitis
Nursing Care Plan (NCP) for Gastroesophageal Reflux Disease (GERD)
Nursing Care Plan (NCP) for GI (Gastrointestinal) Bleed
Nursing Care Plan (NCP) for Glaucoma
Nursing Care Plan (NCP) for Glomerulonephritis
Nursing Care Plan (NCP) for Gout / Gouty Arthritis
Nursing Care Plan (NCP) for Guillain-Barre
Nursing Care Plan (NCP) for Hashimoto’s Thyroiditis
Nursing Care Plan (NCP) for Heart Valve Disorders
Nursing Care Plan (NCP) for Hepatitis
Nursing Care Plan (NCP) for Herpes Zoster – Shingles
Nursing Care Plan (NCP) for Hydrocephalus
Nursing Care Plan (NCP) for Hyperosmolar Hyperglycemic Nonketotic Syndrome (HHNS)
Nursing Care Plan (NCP) for Hyperparathyroidism
Nursing Care Plan (NCP) for Hyperthermia (Thermoregulation)
Nursing Care Plan (NCP) for Hyperthyroidism
Nursing Care Plan (NCP) for Hypoglycemia
Nursing Care Plan (NCP) for Hypoparathyroidism
Nursing Care Plan (NCP) for Hypothyroidism
Nursing Care Plan (NCP) for Hypovolemic Shock
Nursing Care Plan (NCP) for Impetigo
Nursing Care Plan (NCP) for Inflammatory Bowel Disease (Ulcerative Colitis / Crohn’s Disease)
Nursing Care Plan (NCP) for Kidney Cancer
Nursing Care Plan (NCP) for Leukemia
Nursing Care Plan (NCP) for Lung Cancer
Nursing Care Plan (NCP) for Lyme Disease
Nursing Care Plan (NCP) for Lymphoma (Hodgkin’s, Non-Hodgkin’s)
Nursing Care Plan (NCP) for Meniere’s Disease
Nursing Care Plan (NCP) for Multiple Sclerosis (MS)
Nursing Care Plan (NCP) for Mumps
Nursing Care Plan (NCP) for Myasthenia Gravis (MG)
Nursing Care Plan (NCP) for Myocardial Infarction (MI)
Nursing Care Plan (NCP) for Nephrotic Syndrome
Nursing Care Plan (NCP) for Neutropenia
Nursing Care Plan (NCP) for Nutrition Imbalance
Nursing Care Plan (NCP) for Osteoarthritis (OA), Degenerative Joint Disease
Nursing Care Plan (NCP) for Osteoporosis
Nursing Care Plan (NCP) for Ovarian Cancer
Nursing Care Plan (NCP) for Pancreatitis
Nursing Care Plan (NCP) for Parkinson’s Disease
Nursing Care Plan (NCP) for Peptic Ulcer Disease (PUD)
Nursing Care Plan (NCP) for Pericarditis
Nursing Care Plan (NCP) for Pneumonia
Nursing Care Plan (NCP) for Pneumothorax/Hemothorax
Nursing Care Plan (NCP) for Polycystic Ovarian Syndrome (PCOS)
Nursing Care Plan (NCP) for Pressure Ulcer / Decubitus Ulcer (Pressure Injury)
Nursing Care Plan (NCP) for Prostate Cancer
Nursing Care Plan (NCP) for Psoriasis
Nursing Care Plan (NCP) for Pulmonary Embolism
Nursing Care Plan (NCP) for Renal Calculi
Nursing Care Plan (NCP) for Respiratory Failure
Nursing Care Plan (NCP) for Restrictive Lung Diseases
Nursing Care Plan (NCP) for Rhabdomyolysis
Nursing Care Plan (NCP) for Rheumatoid Arthritis (RA)
Nursing Care Plan (NCP) for Risk for Fall
Nursing Care Plan (NCP) for Rubeola – Measles
Nursing Care Plan (NCP) for Seizures
Nursing Care Plan (NCP) for Sepsis
Nursing Care Plan (NCP) for Skin cancer – Melanoma, Basal Cell Carcinoma, Squamous Cell Carcinoma
Nursing Care Plan (NCP) for Skull Fractures
Nursing Care Plan (NCP) for Spinal Cord Injury
Nursing Care Plan (NCP) for Stomach Cancer (Gastric Cancer)
Nursing Care Plan (NCP) for Stroke (CVA)
Nursing Care Plan (NCP) for Syncope (Fainting)
Nursing Care Plan (NCP) for Syndrome of Inappropriate Antidiuretic Hormone (SIADH)
Nursing Care Plan (NCP) for Systemic Lupus Erythematosus (SLE)
Nursing Care Plan (NCP) for Testicular Cancer
Nursing Care Plan (NCP) for Thoracentesis (Procedure)
Nursing Care Plan (NCP) for Thrombocytopenia
Nursing Care Plan (NCP) for Thrombophlebitis / Deep Vein Thrombosis (DVT)
Nursing Care Plan (NCP) for Thyroid Cancer
Nursing Care Plan (NCP) for Tuberculosis
Nursing Care Plan (NCP) for Urinary Tract Infection (UTI)
Nursing Care Plan (NCP) for West Nile Virus
Nursing Care Plan for (NCP) Trigeminal Neuralgia
Nursing Care Plan for Amputation
Nursing Care Plan for Chlamydia (STI)
Nursing Care Plan for Cirrhosis (Liver)
Nursing Care Plan for Compartment Syndrome
Nursing Care Plan for Coronary Artery Disease (CAD)
Nursing Care Plan for Distributive Shock
Nursing Care Plan for Endometriosis
Nursing Care Plan for Fibromyalgia
Nursing Care Plan for Fractures
Nursing Care Plan for Gastritis
Nursing Care Plan for Gonorrhea (STI)
Nursing Care Plan for Hemorrhoids
Nursing Care Plan for Herpes Simplex (HSV, STI)
Nursing Care Plan for Hiatal Hernia
Nursing Care Plan for Liver Cancer
Nursing Care Plan for Macular Degeneration
Nursing Care Plan for Myocarditis
Nursing Care Plan for Nasal Disorders
Nursing Care Plan for Osteomyelitis
Nursing Care Plan for Pelvic Inflammatory Disease (PID)
Nursing Care Plan for Pulmonary Edema
Nursing Care Plan for Restrictive Lung Diseases (Pulmonary Fibrosis, Neuromuscular Disorders)
Nursing Care Plan for Scleroderma
Nursing Care Plan for Syphilis (STI)
Nursing Care Plan for Testicular Torsion
Nursing Case Study for Acute Kidney Injury
Nursing Case Study for Breast Cancer
Nursing Case Study for Cardiogenic Shock
Nursing Case Study for Colon Cancer
Nursing Case Study for Diabetic Foot Ulcer
Nursing Case Study for Hepatitis
Nursing Case Study for Pneumonia
Nursing Case Study for Rheumatic Heart Disease
Nursing Case Study for Rheumatoid Arthritis
Nursing Case Study for Type 1 Diabetes
Nursing Skills Course Introduction
Nutrition (Diet) in Disease
Nutrition-related Diseases
Omeprazole (Prilosec) Nursing Considerations
Oncology Important Points
Oncology Module Intro
Oncology nurse
Ondansetron (Zofran) Nursing Considerations
Opioids
Osteosarcoma
Ovarian Cancer
Oxygen Delivery Module Intro
Pacemakers
Pain and Nonpharmacological Comfort Measures
Pain Assessment Questions Nursing Mnemonic (OPQRST)
Pain Assessments for Certified Perioperative Nurse (CNOR)
Pantoprazole (Protonix) Nursing Considerations
Parasympatholytics (Anticholinergics) Nursing Considerations
Patient Positioning
Patients with Communication Difficulties
Pentobarbital (Nembutal) Nursing Considerations
Peptic Ulcer Disease Case Study (60 min)
Performing Cardiac (Heart) Monitoring
Perioperative Nursing Course Introduction
Perioperative Nursing Roles
Peripheral Vascular Assessment
Peritoneal Dialysis (PD)
Phenazopyridine (Pyridium) Nursing Considerations
Phenobarbital (Luminal) Nursing Considerations
Phosphorus (PO4) Blood Test Lab Values
Pituitary Adenoma
Plant Alkaloids Topoisomerase and Mitotic Inhibitors
Pneumonia Concept Map
Pneumonia Labs
Pneumonia Risk Factors Nursing Mnemonic (VENTS)
Pneumothorax Signs and Symptoms Nursing Mnemonic (P-THORAX)
Positioning
Post-Anesthesia Recovery
Postoperative (Postop) Complications
PPE Donning & Doffing
Premature Atrial Contraction (PAC)
Premature Ventricular Contraction (PVC)
Preoperative (Preop) Education
Preoperative (Preop) Nursing Priorities
Preoperative (Preop)Assessment
Pressure Line Management
Pressure Ulcers/Pressure injuries (Braden scale)
Procalcitonin (PCT) Lab Values
Propofol (Diprivan) Nursing Considerations
Propranolol (Inderal) Nursing Considerations
Propylthiouracil (PTU) Nursing Considerations
Prostate Cancer
Prostate Nursing Mnemonic (FUN)
Prostate Specific Antigen (PSA) Lab Values
Protein in Urine Lab Values
Proton Pump Inhibitors
Pulmonary edema treatment Nursing Mnemonic (MAD DOG)
Pupil Reactions Nursing Mnemonic (PERRLA)
Radiation Cancer Treatment
Ranitidine (Zantac) Nursing Considerations
Reactivation of Herpes Zoster Nursing Mnemonic (FICA)
Reasons for a Bronchoscopy Nursing Mnemonic (Please Assess His Weird Bronchoscopy Results)
Reasons for Chest Tube Nursing Mnemonic (Don’t Ever Fail)
Red Cell Distribution Width (RDW) Lab Values
Renal (Kidney) Failure Labs
Respiratory A&P Module Intro
Respiratory Alkalosis
Respiratory Course Introduction
Respiratory Infections Module Intro
Respiratory Procedures Module Intro
Respiratory Trauma Module Intro
Restrictive Lung Disease Causes Nursing Mnemonic (PAINT)
Restrictive Lung Diseases (Pulmonary Fibrosis, Neuromuscular Disorders)
Rheumatoid Arthritis Assessment Nursing Mnemonic (RHEUMATOID)
Rifampin (Rifadin) Nursing Considerations
Risk Factors for Cholelithiasis Nursing Mnemonic (5-F’s)
Risk Factors for Osteoporosis Nursing Mnemonic (ACCESS)
Routine Neuro Assessments
Science of Nutrition
Scleroderma Symptoms Nursing Mnemonic (CREST)
Sedatives-Hypnotics
Sedatives-Hypnotics
Seizure Assessment
Seizure Causes (Epilepsy, Generalized)
Seizure Causes Nursing Mnemonic (VITAMIN)
Seizure Therapeutic Management
Seizures Case Study (45 min)
Seizures Module Intro
Sepsis Concept Map
Sepsis Labs
Septic Shock (Sepsis) Case Study (45 min)
Shock
Shock – Signs and symptoms Nursing Mnemonic (TV SPARC CUBE)
Shock Module Intro
Signs of Osteoarthritis Nursing Mnemonic (OSTEO)
Sinus Bradycardia
Sinus Tachycardia
Skin Cancer
Specialty Diets (Nutrition)
Spinal Cord Injury
Spinal Cord Injury Case Study (60 min)
Spinal Precautions & Log Rolling
Sprains and Strains – Nursing Care Nursing Mnemonic (RICE)
Stages of Hepatitis Nursing Mnemonic (PIP)
Sterile Field
Sterile Gloves
Stoke Assessments Nursing Mnemonic (FAST)
Stomach Cancer (Gastric Cancer)
Strabismus
Streptokinase (Streptase) Nursing Considerations
Stroke (CVA) Module Intro
Stroke Assessment (CVA)
Stroke Case Study (45 min)
Stroke Concept Map
Stroke Nursing Care (CVA)
Stroke Therapeutic Management (CVA)
Sucralfate (Carafate) Nursing Considerations
Supraventricular Tachycardia (SVT)
Surgical Incisions & Drain Sites
Surgical Prep
Sympatholytics (Alpha & Beta Blockers)
Symptoms of Hyperthyroidism Nursing Mnemonic (SWEATING)
Symptoms of Hypothyroidism Nursing Mnemonic (MOM’S SO TIRED)
Symptoms of Nephrotic Syndrome Nursing Mnemonic (NAPHROTIC)
Symptoms of Wernicke’s Encephalopathy Nursing Mnemonic (COAT)
Systemic Lupus Erythematosus (SLE)
TB Drugs Nursing Mnemonic (RIPE)
Tension and Cluster Headaches
Testicular Cancer
Tetracycline (Panmycin) Nursing Considerations
The 5-Minute Assessment (Physical assessment)
The Medical Team
Thoracentesis
Thrombin Inhibitors
Thrombocytopenia
Thrombolytics
Thyroid Cancer
Thyroid Stimulating Hormone (TSH) Lab Values
Thyroxine (T4) Lab Values
To Clot or Not To Clot – Anticoagulants! – Live Tutoring Archive
Total Iron Binding Capacity (TIBC) Lab Values
Toxicity Sepsis- Signs and Symptoms Nursing Mnemonic (The 6 T’s)
Trach Care
Trach Suctioning
Traction – Nursing Care Nursing Mnemonic (TRACTION)
Trauma – Assessment (Emergency) Nursing Mnemonic (ABCDEFGHI)
Triiodothyronine (T3) Lab Values
Trimethoprim-Sulfamethoxazole (Bactrim) Nursing Considerations
Troponin I (cTNL) Lab Values
Tuberculosis (TB) Case Study (60 min)
Types of Anemia Nursing Mnemonic (Always Introduce Special Patients)
Types of Hemorrhoids Nursing Mnemonic (Pie)
Ulcerative Colitis – Assessment Nursing Mnemonic (MADE 10)
Ultrasound
Understanding Blood Pressure Meds! – Live Tutoring Archive
Upper Gastrointestinal (GI) Module Intro
Urinary Elimination
Urinary Tract Infection Case Study (45 min)
Urine Culture and Sensitivity Lab Values
Using Aseptic Technique
Vancomycin (Vancocin) Nursing Considerations
Varicocele
Vascular Disease – Deep Vein Thrombosis Nursing Mnemonic (HIS Leg Might Fall off)
Vascular disease – Raynaud’s symptoms Nursing Mnemonic (COLD HAND)
Vasopressin
Vasopressin (Pitressin) Nursing Considerations
Venous Disorders (Chronic venous insufficiency, Deep venous thrombosis/DVT)
Vent Alarms
Ventilator Settings
Ventricular Fibrillation (V Fib)
Ventricular Tachycardia (V-tach)
Vessels & Fluid
Vitamin D Lab Values
Warfarin (Coumadin) Nursing Considerations
Who Needs Dialysis Nursing Mnemonic (AEIOU)
Wound Care – Assessment
Wound Care – Dressing Change
Wound Care – Selecting a Dressing
Wound Care – Wound Drains
Seizure Documentation Nursing Mnemonic (TDOC)