Nursing Care Plan (NCP) for Asthma / Childhood Asthma
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Study Tools For Nursing Care Plan (NCP) for Asthma / Childhood Asthma
Asthma Medications (Cheatsheet)
Asthma Implementation and Education (Picmonic)
Asthma Assessment (Picmonic)
Example Care Plan_Asthma (Childhood Asthma) (Cheatsheet)
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Outline
Lesson Objective for Nursing Care Plan (NCP) for Asthma / Childhood Asthma
What is Asthma?
Asthma is a condition where a person’s airways (the tubes that carry air in and out of the lungs) get inflamed and narrow. It’s like a straw that gets squeezed, making it hard to blow air through. This makes it difficult to breathe.
Childhood Asthma:
It’s the same as adult asthma but in kids. Kids might find it hard to play or do sports because of their asthma. It’s important to know what triggers a child’s asthma so they can avoid it.
Triggers:
Things like pollen, dust, smoke, or even cold air can trigger asthma. It’s like these triggers make the airways even more squeezed and irritated.
Symptoms:
Wheezing (a whistling sound when breathing), coughing, and feeling short of breath. Sometimes the chest may feel tight, like it’s hard to get air in.
Upon completion of this care plan, nursing students will be able to:
- Understand the pathophysiology of Childhood Asthma, including the inflammatory processes and airway hyperresponsiveness involved.
- Conduct a thorough nursing assessment of a child with asthma, identifying triggers, symptoms, and risk factors.
- Formulate and prioritize nursing diagnoses tailored to address acute exacerbations, long-term management, and preventive measures for childhood asthma.
- Develop evidence-based nursing interventions to manage acute asthma episodes, promote medication adherence, and educate children and caregivers on asthma self-management.
- Implement pediatric-focused assessment skills, such as monitoring respiratory status, assessing inhaler technique, and recognizing signs of respiratory distress in children.
Pathophysiology of Nursing Care Plan (NCP) for Asthma / Childhood Asthma
Childhood asthma is a chronic inflammatory disorder of the airways that involves complex interactions between genetic, environmental, and immune factors. Here’s a simplified breakdown:
- Airway Inflammation:
- Triggers: Exposure to allergens or irritants, such as pollen, pet dander, or tobacco smoke, initiates an immune response in the airways.
- Inflammatory Cells: Inflammatory cells, particularly mast cells and eosinophils, become activated, releasing inflammatory mediators.
- Bronchoconstriction:
- Smooth Muscle Constriction: Inflammatory mediators cause smooth muscle constriction in the bronchioles, leading to the narrowing of the airways.
- Airway Hyperresponsiveness: The airways become overly sensitive, reacting to various stimuli with increased bronchoconstriction.
- Mucus Production:
- Goblet Cell Activation: In response to inflammation, goblet cells in the airways produce excess mucus.
- Airway Obstruction: Increased mucus and bronchoconstriction contribute to airway obstruction.
- Airway Remodeling:
- Chronic Inflammation: Persistent inflammation over time can lead to structural changes in the airways, known as airway remodeling.
- Submucosal Gland Hypertrophy: Increased size and number of submucosal glands contribute to long-term airway changes.
- Triggers and Exacerbations:
- Environmental Triggers: Exposure to environmental triggers, such as respiratory infections, exercise, or stress, can exacerbate asthma symptoms.
- Acute Exacerbations: The combination of inflammation, bronchoconstriction, and mucus production can result in acute exacerbations or asthma attacks.
Etiology for Nursing Care Plan (NCP) for Asthma / Childhood Asthma
While the exact cause of asthma is unknown, it is believed to be somewhat hereditary. Certain triggers can cause the worsening of symptoms, known as “asthma attacks”. Allergies are one of the most common triggers for asthma including dust, pollen, pet dander, and mold. Other triggers and lung irritants include smoke and perfume. Exercising, breathing cold air, or having a respiratory infection can also cause attacks.
Desired Outcome for Nursing Care Plan (NCP) for Asthma / Childhood Asthma
Desired Outcomes:
- Asthma Symptom Control:
- Short-Term Goal: Achieve immediate relief and control of acute asthma symptoms.
- Interventions: Administer bronchodilators and anti-inflammatory medications as prescribed. Monitor respiratory status regularly.
- Reduced Frequency of Asthma Exacerbations:
- Intermediate-Term Goal: Decrease the frequency and severity of asthma exacerbations.
- Interventions: Develop and implement an asthma action plan with the child and caregivers. Provide education on trigger avoidance.
- Optimized Respiratory Function:
- Short-Term and Long-Term Goals: Improve and maintain optimal respiratory function.
- Interventions: Monitor peak flow measurements regularly. Educate on proper inhaler technique and encourage adherence to prescribed medications.
- Enhanced Medication Adherence:
- Intermediate-Term Goal: Ensure consistent adherence to prescribed asthma medications.
- Interventions: Provide education on the importance of medication adherence. Collaborate with the child and caregivers to address barriers to adherence.
- Effective Asthma Management Skills:
- Long-Term Goal: Develop and demonstrate effective asthma management skills.
- Interventions: Conduct regular education sessions on recognizing early signs of asthma exacerbations, proper inhaler use, and self-management strategies.
Asthma / Childhood Asthma Nursing Care Plan
Subjective Data:
- Tightness or pain in the chest
- Symptoms that are worse at night
- Frequent headaches
- Feeling weak or tired (especially later into an asthma attack)
Objective Data:
- Wheezing
- Cough
- Bronchospasms
- Tachypnea
- Tachycardia
- Retractions
- Dark circles under the eyes
- Tripod positioning
Nursing Assessment for Asthma / Childhood Asthma
- Respiratory Assessment
- Observe the child’s breathing pattern. Look for signs of difficulty breathing, like fast breathing (tachypnea), use of accessory muscles (muscles in the neck or between the ribs working hard to breathe), or wheezing sounds when breathing out.
- Listen to Lung Sounds
- Use a stethoscope to listen to the lungs. Wheezing (a high-pitched whistling sound), especially on exhalation, is a common finding in asthma.
- Check for Coughing
- Note if the child has a persistent cough, which may worsen at night or during exercise. The cough can be dry or may produce mucus.
- Observe for Chest Tightness
- Ask the child if they feel any tightness or pressure in their chest, which is a common symptom of asthma.
- Assess for Shortness of Breath
- Look for signs that the child is having trouble breathing or feels short of breath, especially after physical activity or during certain times (like at night).
- Identify Triggers
- Determine if there are any specific triggers that seem to worsen the child’s asthma, such as allergens (dust, pollen), irritants (smoke, strong odors), cold air, or exercise.
- Review Past Medical History
- Check if there is a history of asthma or allergies in the family. Also, review the child’s past medical history for any previous asthma attacks or hospitalizations.
- Assess Medication Use
- Inquire about any asthma medications the child is taking, such as quick-relief inhalers (like albuterol) or long-term control medications. Check how often they are using these medications and if they are using them correctly.
- Note Any Allergic Reactions
- Look for signs of allergies (like runny nose, itchy eyes, skin rashes) that can be associated with asthma.
- Monitor Peak Flow Readings
- If the child uses a peak flow meter (a device that measures how well air moves out of the lungs), review their readings. A lower reading than usual can indicate worsening asthma.
- Evaluate Activity Tolerance
- Assess if the child’s asthma is affecting their ability to participate in normal activities or play.
Nursing Interventions and Rationales Nursing Care Plan (NCP) for Asthma / Childhood Asthma
- Assess respiratory status
- Get a baseline to determine the effectiveness of interventions and course of treatment.
- During attacks, the patient will have tachypnea, wheezing and labored breathing, nasal flaring, and/or retractions
- Monitor peak flow rates in children over 5 years old. Pulmonary function testing
- In asthma, patients can inhale, but it is more difficult to exhale the air taken in. A peak flow meter measures the lungs’ ability to expel air and regular use can help recognize the signs of an attack before symptoms begin.
- Peak flow testing can help determine if treatment is working.
- Routine pulmonary function testing helps determine the course and progression of the disease
- Assess the patient’s level of anxiety and provide relaxation techniques
- Being unable to breathe causes anxiety which, in turn, causes even more constriction of the airways. Help the patient to learn coping and relaxation techniques to control breathing and help reduce the severity of the attack.
- Position upright
- Patients will need to sit upright to promote lung expansion and make air flow easier. Patients may often be found in the tripod position.
- Administer medications via nebulizer
- Bronchodilators and corticosteroids can help reduce inflammation and swelling which makes breathing difficult. A nebulizer works well to deliver an adequate amount of medication into the lungs.
- Educate patient and parents/caregivers on how and when to use medications and rescue inhalers (age-appropriate)
- Depending on the child’s age, an inhaler may be required for acute symptoms and before and after exercise. Demonstrate use of inhaler with spacer for children over 5 years old.
- Assist parents and providers in the creation of an Asthma Action Plan for school or daycare
- An asthma action plan helps the parents, school, and daycare providers to understand and control asthma in children.
- This plan outlines the patient’s known triggers and how to manage symptoms that arise. If the patient must take maintenance or rescue medications during school hours, this plan outlines the importance of that treatment and how to administer those medications.
- Provide education for patients/parents regarding the use of maintenance medications and how to recognize and avoid triggers
- Depending on the child’s age, the patient may use oral maintenance medications or daily inhalers. Proper use of these devices helps maximize the effectiveness of treatment.
- Help the patient to understand what triggers asthma attacks and how to avoid those situations.
- Help parents understand that lifestyle and environmental changes may be made, including pets in the home and exposure to cigarette smoke. Wash patient’s sheets/linens weekly to kill and prevent dust mites.
- Encourage routine immunizations to help prevent diseases that may make asthma worse.
Evaluation for Nursing Care Plan (NCP) for Asthma / Childhood Asthma
- Asthma Symptom Control:
- Expected Outcome: Immediate relief and control of acute asthma symptoms.
- Evaluation Criteria: Compare pre- and post-treatment respiratory assessments. Assess the child’s ability to articulate symptom improvement.
- Frequency of Asthma Exacerbations:
- Expected Outcome: Decreased frequency and severity of asthma exacerbations.
- Evaluation Criteria: Review asthma action plan documentation. Analyze the number and severity of exacerbations over time.
- Optimized Respiratory Function:
- Expected Outcome: Improved and maintained optimal respiratory function.
- Evaluation Criteria: Monitor peak flow measurements regularly. Compare current measurements with baseline values. Evaluate the child’s ability to perform daily activities without respiratory distress.
- Medication Adherence:
- Expected Outcome: Consistent adherence to prescribed asthma medications.
- Evaluation Criteria: Use medication logs and self-reports to assess adherence. Address any identified barriers to adherence.
- Effective Asthma Management Skills:
- Expected Outcome: Demonstration of effective asthma management skills.
- Evaluation Criteria: Observe the child and caregivers performing proper inhaler techniques. Conduct knowledge assessments to measure understanding of asthma management principles.
- Normal Physical Activity and Play:
- Expected Outcome: Ability to engage in normal physical activities and play.
- Evaluation Criteria: Assess the child’s participation in physical activities. Interview the child and caregivers about any perceived limitations.
- Regular Pediatric Check-ups:
- Expected Outcome: Regular follow-up pediatric appointments.
- Evaluation Criteria: Review attendance records for pediatric check-ups. Assess any adjustments made to the care plan based on evolving needs.
References
- https://www.webmd.com/asthma/children-asthma#1
- https://www.mayoclinic.org/diseases-conditions/childhood-asthma/in-depth/asthma-in-children/art-20044376
- https://kidshealth.org/en/parents/asthma-mgmt.html
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Transcript
We are going to create a care plan focusing on childhood asthma. Some of the patho behind childhood asthma, asthma is a chronic inflammation of the airways and it causes difficulty in breathing in about 6 million children across the country. The lining of the lungs gets inflamed, It starts to tighten, the smooth muscles contract, and air is not easily passed. Some of the things we want to consider as nurses is we want to do a good assessment of the respiratory status. We want to monitor those vital signs, focusing primarily on the heart rate and the oxygen saturation. We want to assess anxiety levels, administer some respiratory medications, such as steroids and inhalers, and we want to make sure we educate the parents and the patient on the proper use of rescue inhalers. Our desired outcome is for the patient to have adequate, uh, air exchange in the good respiratory status. The patients and the caregiver should be able to demonstrate how to use a nebulizer or an inhaler, and to manage the disease at home.
So, when you have a patient that comes in and presents with asthma, there are a few things that they’re going to say. One of the things that they are going to complain of is chest tightness. So, their chest is going to be really tight. They’re going to have some symptoms that typically are worse at night. Uh, they’re going to have a lot of headaches and they are also going to feel very weak and tired, especially, uh, as the asthma attack, uh, progresses. What we’re going to hear when we walk in and see the patient is we’re going to hear wheezing. We’re going to hear a lot of wheezing. Uh, the patient’s going to cough. We’re going to assess maybe some Bronchospasms.
Again, the breathing rate is going to be way up. So they’re going to have a respiratory rate well over a 20, they’re going to have tachycardia. You may see some retractions. They’re going to have some dark circles under eye, and they’re going to also get into the tripod positioning to kind of assist them with breathing a little better. So, some things that we can focus on as nurses, the first thing we want to do is we want to assess, remember assessment. We can get a lot of good information, so we’re going to assess and we’re going to get their baseline. So, when we do our assessment, we’re going to really focus on those lung sounds. Uh, again, the patient can have tachypnea, uh, wheezing, so, we want to make sure that we are able to see that and document that as, as it is. We want to make sure that we position this patient upright. Positioning is something that can really help open those lungs, expand those lungs and get that air moving.
Uh, patients again, tend to tripod when they are having some difficulty breathing, so if we position them upright, we can definitely keep that airflow going. We want to administer any medications that are ordered. So Bronchodilators, such as albuterol. It just helps reduce that inflammation kind of open up that airway and relax those contracted bronchial passageways. Um, we want to make sure that we use the nebulizer to deliver that medication into the lungs. The next thing we want to do is we want to assess the patient’s level of anxiety. When a person can’t breathe, they are anxious and that will drive up the respiratory rate. So, it’ll make the respiratory rate even higher and it will just make it more difficult to bring air into the lungs. We can kind of help them with some relaxing coping techniques, just calming their mind, some guided relaxation techniques. Okay. And finally, we want to make sure that we educate the parents. Education is key here. We want to educate the parents on the proper use of inhalers because any child that’s five years or older, we want to make sure that we use a spacer. I, so that way we can get all of the inhaler medication, uh, into the lungs properly.
Okay. So the key points for childhood asthma, remember it is a chronic inflammation of the airways and it makes it very difficult to breathe. Uh, some things that the patient is going to complain about is tightness of the chest, headaches, weakness. What we’re going to notice is we’re going to notice some objective data. We’re going to notice some wheezing, uh, increased heart rate, increased respiratory rate. They may have a cough as well as, uh, they may tripod. Asthma in school, the most important thing for parents to do, is to have a respiratory asthma action plan. This includes making sure that they have, uh, adequate inhalers at the school and what to do in case of an asthma attack outside of the home. It’s often exacerbated by activity, so, uh, kids playing at the playground tend to have asthma attacks. The next thing that we really want to focus on is we want to make sure we get a good respiratory assessment. Respiratory assessment frequently is going to ensure that we catch something that can go wrong. Remember, when the patient no longer wheezes, that’s an ominous sign because that just indicates that there’s no respiratory airflow, and that’s a respiratory emergency.
We love you guys. Go out and be your best self today and that’s always, happy nursing.
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Hyperemesis Gravidarum for Certified Emergency Nursing (CEN)
Hyperglycemia Management Nursing Mnemonic (Dry and Hot – Insulin Shot)
Hypovolemic Shock Case Study (OB sim) (60 min)
Incompetent Cervix
Infections in Pregnancy
Initial Care of the Newborn (APGAR)
Inserting a Foley (Urinary Catheter) – Female
Intra Uterine Device – Potential Problems Nursing Mnemonic (PAINS)
Isotonic Solutions (IV solutions)
Labor Progression Case Study (45 min)
Leopold Maneuvers
Lung Surfactant
Lung Surfactant for Newborns
Magnesium Sulfate
Magnesium Sulfate
Magnesium Sulfate (MgSO4) Nursing Considerations
Magnesium Sulfate in Pregnancy
Mastitis
Maternal Risk Factors
Mechanisms of Labor
Meconium Aspiration
Meds for Postpartum Hemorrhage (PPH)
Meds for PPH (postpartum hemorrhage)
Menstrual Cycle
Methylergonovine (Methergine) Nursing Considerations
Newborn of HIV+ Mother
Newborn Physical Exam
Newborn Reflexes
Nifedipine (Procardia) Nursing Considerations
Nursing Care Plan (NCP) for Abortion, Spontaneous Abortion, Miscarriage
Nursing Care Plan (NCP) for Abruptio Placentae / Placental abruption
Nursing Care Plan (NCP) for Chorioamnionitis
Nursing Care Plan (NCP) for Diabetes Mellitus (DM)
Nursing Care Plan (NCP) for Dystocia
Nursing Care Plan (NCP) for Ectopic Pregnancy
Nursing Care Plan (NCP) for Gestational Diabetes (GDM)
Nursing Care Plan (NCP) for Gestational Hypertension, Preeclampsia, Eclampsia
Nursing Care Plan (NCP) for Hyperemesis Gravidarum
Nursing Care Plan (NCP) for Hypertension (HTN)
Nursing Care Plan (NCP) for Incompetent Cervix
Nursing Care Plan (NCP) for Mastitis
Nursing Care Plan (NCP) for Maternal-Fetal Dyad Using GTPAL
Nursing Care Plan (NCP) for Meconium Aspiration
Nursing Care Plan (NCP) for Neonatal Jaundice | Hyperbilirubinemia
Nursing Care Plan (NCP) for Newborns
Nursing Care Plan (NCP) for Placenta Previa
Nursing Care Plan (NCP) for Postpartum Hemorrhage (PPH)
Nursing Care Plan (NCP) for Premature Rupture of Membranes (PROM) / Preterm Premature Rupture of Membranes (PPROM)
Nursing Care Plan (NCP) for Preterm Labor / Premature Labor
Nursing Care Plan (NCP) for Process of Labor
Nursing Care Plan (NCP) for Transient Tachypnea of Newborn
Nursing Care Plan for (NCP) Fetal Alcohol Syndrome (FAS)
Nursing Care Plan for Newborn Reflexes
Nursing Case Study for Maternal Newborn
Nutrition Assessments
Nutrition in Pregnancy
Nutritional Requirements
OB (Labor) Nurse Report to OB (Postpartum) Nurses
OB Course Introduction
OB Non-Stress Test Results Nursing Mnemonic (NNN)
OB Pharm and What Drugs You HAVE to Know – Live Tutoring Archive
Obstetric Trauma for Certified Emergency Nursing (CEN)
Obstetrical Procedures
Opioid Analgesics in Pregnancy
Oral Birth Control Pills – Serious Complications Nursing Mnemonic (Aches)
Oxytocin (Pitocin) Nursing Considerations
Pediatric Vital Signs (VS)
Physiological Changes
Phytonadione (Vitamin K)
Phytonadione (Vitamin K) for Newborn
Placenta Previa
Placenta Previa for Certified Emergency Nursing (CEN)
Possible Infections During Pregnancy Nursing Mnemonic (TORCH)
Post-Partum Assessment Nursing Mnemonic (BUBBLE)
Postpartum Discomforts
Postpartum Hematoma
Postpartum Hemorrhage (PPH)
Postpartum Interventions
Postpartum Physiological Maternal Changes
Postpartum Thrombophlebitis
Precipitous Labor
Preeclampsia (45 min)
Preeclampsia, Eclampsia, and HELLP Syndrome for Certified Emergency Nursing (CEN)
Preeclampsia: Signs, Symptoms, Nursing Care, and Magnesium Sulfate
Pregnancy Labs
Pregnancy Outcomes Nursing Mnemonic (GTPAL)
Preload and Afterload
Premature Rupture of the Membranes (PROM)
Preterm Labor
Preterm Labor for Certified Emergency Nursing (CEN)
Probable Signs of Pregnancy Nursing Mnemonic (CHOP BUGS)
Process of Labor
Process of Labor – Mom Nursing Mnemonic (4 P’s)
Process of Labor – Baby Nursing Mnemonic (ALPPPS)
Process of Labor – Live Tutoring Archive
Process of Labor 2 – Live Tutoring Archive
Prolapsed Umbilical Cord
Promethazine (Phenergan) Nursing Considerations
Prostaglandins
Prostaglandins in Pregnancy
Protein (PROT) Lab Values
Retinopathy of Prematurity (ROP)
Rh Immune Globulin (Rhogam)
Rh Immune Globulin in Pregnancy
Signs of Pregnancy – Live Tutoring Archive
Signs of Pregnancy (Presumptive, Probable, Positive)
Spironolactone (Aldactone) Nursing Considerations
Stages of Fetal Development Nursing Mnemonic (Proficiently Expanding Fetus)
Subinvolution
Terbutaline (Brethine) Nursing Considerations
Threatened/Spontaneous Abortion for Certified Emergency Nursing (CEN)
Tips & Advice for Newborns (Neonatal IV Insertion)
Tocolytics
Tocolytics
Top 5 Misunderstood OB Concepts – Live Tutoring Archive
Transient Tachypnea of Newborn
Umbilical Cord Vasculature Nursing Mnemonic (2A1V)
Uterine Stimulants (Oxytocin, Pitocin)
Uterine Stimulants (Oxytocin, Pitocin) Nursing Considerations
VEAL CHOP Nursing Mnemonic (Fetal Accelerations and Decelerations) (VEAL CHOP)
What the Heck is Antepartum Testing? – Live Tutoring Archive
Abdomen (Abdominal) Assessment
ABG (Arterial Blood Gas) Interpretation-The Basics
ABG (Arterial Blood Gas) Oxygenation
ABGs Nursing Normal Lab Values
ABGs Tic-Tac-Toe interpretation Method
Acetaminophen (Tylenol) Nursing Considerations
Acute Bronchitis
Acute Otitis Media (AOM)
Airborne Precaution Diseases Nursing Mnemonic (MTV)
Albuterol (Ventolin) Nursing Considerations
Alveoli & Atelectasis
Amoxicillin (Amoxil) Nursing Considerations
Anti-Infective – Antivirals
Anti-Infective – Macrolides
Anti-Infective – Penicillins and Cephalosporins
Anti-Infective – Fluoroquinolones
Appendicitis
Appendicitis – Assessment Nursing Mnemonic (PAINS)
Appendicitis Case Study (Peds) (30 min)
Appendicitis for Certified Emergency Nursing (CEN)
Assessment of a Burn Nursing Mnemonic (SCALD)
Asthma
Asthma Concept Map
Asthma management Nursing Mnemonic (ASTHMA)
Attention Deficit Hyperactivity Disorder (ADHD)
Autism Spectrum Disorders
Base Excess & Deficit
Bisacodyl (Dulcolax) Nursing Considerations
Blood Brain Barrier (BBB)
Blood Type O Nursing Mnemonic (Universally Odd)
Bronchiolitis and Respiratory Syncytial Virus (RSV)
Bronchodilators
Bupropion (Wellbutrin) Nursing Considerations
Burn Injuries
Burn Injury Case Study (60 min)
Burns for Certified Emergency Nursing (CEN)
Cardiac Glycosides
Care of the Pediatric Patient
Casting & Splinting
Cefaclor (Ceclor) Nursing Considerations
Celiac Disease
Cerebral Palsy (CP)
Cimetidine (Tagamet) Nursing Considerations
Ciprofloxacin (Cipro) Nursing Considerations
Cleft Lip and Palate
Cleft Lip Repair – Post Op Care Nursing Mnemonic (CLEFT LIP)
Clubfoot
Congenital Heart Defects (CHD)
Conjunctivitis
Constipation and Encopresis (Incontinence)
Corticosteroids
Coumarins
Cyanotic Defects Nursing Mnemonic (The 4 T’s)
Cystic Fibrosis (CF)
Day in the Life of a NICU Nurse
Day in the Life of a Peds (Pediatric) Nurse
Defects of Decreased Pulmonary Blood Flow
Defects of Increased Pulmonary Blood Flow
Dehydration
Diarrhea – Treatment Nursing Mnemonic (BRAT)
Digoxin (Lanoxin) Nursing Considerations
Diphenhydramine (Benadryl) Nursing Considerations
Diphenoxylate-Atropine (Lomotil) Nursing Considerations
Eczema
EENT Assessment
Enuresis
Epiglottitis
Epiglottitis – Signs and Symptoms Nursing Mnemonic (AIR RAID)
Epispadias and Hypospadias
Famotidine (Pepcid) Nursing Considerations
Fever
Fever Case Study (Pediatric) (30 min)
Flu Symptoms Nursing Mnemonic (FACTS)
Fluid Compartments
Fluid Pressures
Fluid Shifts (Ascites) (Pleural Effusion)
Fluid Volume Deficit
Fluticasone (Flonase) Nursing Considerations
Gas Exchange
Gentamicin (Garamycin) Nursing Considerations
Glucose Lab Values
Gluten Free Diet Nursing Mnemonic (BROW)
Guaifenesin (Mucinex) Nursing Considerations
Heart Sounds Nursing Mnemonic (APE To Man – All People Enjoy Time Magazine)
Hematocrit (Hct) Lab Values
Hemoglobin (Hbg) Lab Values
Hemophilia
Hierarchy of O2 Delivery
Hydrocephalus
Hypoxia – Signs and Symptoms (in Pediatrics) Nursing Mnemonic (FINES)
Ibuprofen (Motrin) Nursing Considerations
Immunizations (Vaccinations)
Imperforate Anus
Impetigo
Indomethacin (Indocin) Nursing Considerations
Influenza – Flu
Integumentary (Skin) Assessment
Intussusception
Intussusception for Certified Emergency Nursing (CEN)
Iron Deficiency Anemia
Isolation Precaution Types (PPE)
Isolation Precautions (MRSA, C. Difficile, Meningitis, Pertussis, Tuberculosis, Neutropenia)
Lactulose (Generlac) Nursing Considerations
Leukemia
Levels of Consciousness (LOC)
Levetiracetam (Keppra) Nursing Considerations
Lung Sounds
Marfan Syndrome
Meningitis
Meningitis Assessment Findings Nursing Mnemonic (FAN LIPS)
Meningitis for Certified Emergency Nursing (CEN)
Methylphenidate (Concerta) Nursing Considerations
Mixed (Cardiac) Heart Defects
Mumps
Nephroblastoma
Nephrotic Syndrome
Nephrotic Syndrome Case Study (Peds) (45 min)
Neuro Assessment
NSAIDs
Nursing Care Plan (NCP) for Acute Bronchitis
Nursing Care Plan (NCP) for Appendicitis
Nursing Care Plan (NCP) for Asthma
Nursing Care Plan (NCP) for Asthma / Childhood Asthma
Nursing Care Plan (NCP) for Attention Deficit Hyperactivity Disorder (ADHD)
Nursing Care Plan (NCP) for Bronchiolitis / Respiratory Syncytial Virus (RSV)
Nursing Care Plan (NCP) for Burn Injury (First, Second, Third degree)
Nursing Care Plan (NCP) for Celiac Disease
Nursing Care Plan (NCP) for Cerebral Palsy (CP)
Nursing Care Plan (NCP) for Cleft Lip / Cleft Palate
Nursing Care Plan (NCP) for Clubfoot
Nursing Care Plan (NCP) for Congenital Heart Defects
Nursing Care Plan (NCP) for Constipation / Encopresis
Nursing Care Plan (NCP) for Cystic Fibrosis
Nursing Care Plan (NCP) for Decreased Cardiac Output
Nursing Care Plan (NCP) for Dehydration & Fever
Nursing Care Plan (NCP) for Eczema (Infantile or Childhood) / Atopic Dermatitis
Nursing Care Plan (NCP) for Enuresis / Bedwetting
Nursing Care Plan (NCP) for Epiglottitis
Nursing Care Plan (NCP) for Fluid Volume Deficit
Nursing Care Plan (NCP) for Hemophilia
Nursing Care Plan (NCP) for Hydrocephalus
Nursing Care Plan (NCP) for Impaired Gas Exchange
Nursing Care Plan (NCP) for Imperforate Anus
Nursing Care Plan (NCP) for Impetigo
Nursing Care Plan (NCP) for Infective Conjunctivitis / Pink Eye
Nursing Care Plan (NCP) for Influenza
Nursing Care Plan (NCP) for Intussusception
Nursing Care Plan (NCP) for Marfan Syndrome
Nursing Care Plan (NCP) for Meningitis
Nursing Care Plan (NCP) for Mumps
Nursing Care Plan (NCP) for Neural Tube Defect, Spina Bifida
Nursing Care Plan (NCP) for Omphalocele
Nursing Care Plan (NCP) for Otitis Media / Acute Otitis Media (AOM)
Nursing Care Plan (NCP) for Pediculosis Capitis / Head Lice
Nursing Care Plan (NCP) for Pertussis / Whooping Cough
Nursing Care Plan (NCP) for Phenylketonuria (PKU)
Nursing Care Plan (NCP) for Reye’s Syndrome
Nursing Care Plan (NCP) for Rheumatic Fever
Nursing Care Plan (NCP) for Rubeola – Measles
Nursing Care Plan (NCP) for Scoliosis
Nursing Care Plan (NCP) for Sickle Cell Anemia
Nursing Care Plan (NCP) for Tonsillitis
Nursing Care Plan (NCP) for Varicella / Chickenpox
Nursing Care Plan (NCP) for Vomiting / Diarrhea
Nursing Care Plan for (NCP) Autism Spectrum Disorder
Nursing Case Study for Pediatric Asthma
Obstructive Heart (Cardiac) Defects
Ocular Infections (Conjunctivitis, Iritis) for Certified Emergency Nursing (CEN)
Omphalocele
Opioid Analgesics
Pancrelipase (Pancreaze) Nursing Considerations
Pediatric Bronchiolitis Labs
Pediatric Gastrointestinal Dysfunction – Diarrhea
Pediatric Oncology Basics
Pediatrics Course Introduction
Pediculosis Capitis
Pertussis – Whooping Cough
Phenylketonuria
Phenytoin (Dilantin) Nursing Considerations
Platelets (PLT) Lab Values
Pneumonia
Promotion and Evaluation of Normal Elimination Nursing Mnemonic (POOPER SCOOP)
Pulmonary Function Test
Red Blood Cell (RBC) Lab Values
Respiratory Acidosis (interpretation and nursing interventions)
Reye’s Syndrome
Reyes Syndrome Case Study (Peds) (45 min)
Rheumatic Fever
ROME – ABG (Arterial Blood Gas) Interpretation
Rubeola – Measles
Salmeterol (Serevent) Nursing Considerations
Scoliosis
Selegiline (Eldepyrl) Nursing Considerations
Sickle Cell Anemia
Spina Bifida – Neural Tube Defect (NTD)
Steroids – Side Effects Nursing Mnemonic (6 S’s)
Stoma Care (Colostomy bag)
Strabismus
Sudden Infant Death Syndrome (SIDS)
Sympathomimetics (Alpha (Clonodine) & Beta (Albuterol) Agonists)
Thorax and Lungs Assessment
Tonsillitis
Topical Medications
Tracheal Esophageal Fistula – Sign and Symptoms Nursing Mnemonic (The 3 C’s)
Transient Incontinence – Common Causes Nursing Mnemonic (P-DIAPERS)
Treatment of Sickle Cell Nursing Mnemonic (HOP to the hospital)
Umbilical Hernia
Vaccine-Preventable Diseases (Measles, Mumps, Pertussis, Chicken Pox, Diphtheria) for Certified Emergency Nursing (CEN)
Varicella – Chickenpox
Varicella Case Study (Peds) (30 min)
Vitals (VS) and Assessment
Vomiting
White Blood Cell (WBC) Lab Values
X-Ray (Xray)
ADLs (Activity of Daily Living) Nursing Mnemonic (BATTED)
Emotions and Motivation
Growth & Development Theories
Maslow’s Hierarchy of Needs in Nursing
Psychological Disorders
State of Consciousness
Stress and Crisis