Nursing Care Plan (NCP) for Benign Prostatic Hyperplasia (BPH)
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Study Tools For Nursing Care Plan (NCP) for Benign Prostatic Hyperplasia (BPH)
Benign Prostatic Hyperplasia (BPH) Interventions (Picmonic)
Benign Prostatic Hyperplasia (BPH) Assessment (Picmonic)
Benign Prostatic Hyperplasia Pathochart (Cheatsheet)
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Outline
Lesson Objective for Nursing Care Plan on Benign Prostatic Hyperplasia (BPH)
- Understanding BPH Pathophysiology:
- Comprehend the underlying pathophysiological mechanisms of Benign Prostatic Hyperplasia, including the enlargement of the prostate gland and its impact on urinary function.
- Identifying Risk Factors and Contributing Factors:
- Recognize the risk factors associated with BPH, such as age and family history, and understand contributing factors like hormonal changes. This knowledge is essential for targeted interventions and preventive measures.
- Competency in Assessment Techniques:
- Develop proficiency in assessing individuals with BPH, including conducting thorough urological assessments, evaluating urinary symptoms, and utilizing diagnostic tools such as prostate-specific antigen (PSA) tests and imaging studies.
- Implementing Holistic Care Strategies:
- Implement holistic care strategies addressing the physical, emotional, and psychosocial aspects of individuals with BPH. This involves understanding the impact of urinary symptoms on quality of life and incorporating patient-centered approaches to care.
- Educating Patients on Self-Management:
- Equip patients with knowledge and skills for self-management of BPH symptoms. Provide education on lifestyle modifications, medication management, and the importance of regular follow-up to empower individuals in managing their condition effectively.
Pathophysiology of Benign Prostatic Hyperplasia (BPH)
- Prostate Gland Enlargement:
- BPH is characterized by the non-malignant enlargement of the prostate gland, primarily due to hormonal changes, particularly an increase in dihydrotestosterone (DHT) levels.
- Nodular Growth of Prostatic Tissue:
- As BPH progresses, nodular growth occurs within the prostate tissue, leading to the compression of the urethra. This growth primarily affects the periurethral zone of the prostate.
- Obstruction of Urinary Flow:
- The enlarged prostate compresses the urethra, causing obstruction to the normal flow of urine. This obstruction results in various lower urinary tract symptoms (LUTS), such as hesitancy, frequency, urgency, and incomplete emptying.
- Smooth Muscle Contraction:
- Smooth muscle contraction within the prostate and bladder neck contributes to increased resistance to urine flow. This dynamic component of BPH further exacerbates obstructive symptoms.
- Impact on Bladder Function:
- Chronic obstruction and increased pressure during urination can lead to changes in bladder function. Over time, this may result in detrusor muscle hypertrophy, reduced bladder compliance, and, in severe cases, potential complications such as urinary retention.
Etiology of Benign Prostatic Hyperplasia (BPH)
- Aging Process:
- The primary risk factor for BPH is advancing age. As men age, hormonal changes, particularly an increase in dihydrotestosterone (DHT), contribute to the development and progression of prostate gland enlargement.
- Hormonal Imbalances:
- Hormonal fluctuations, specifically an imbalance between estrogen and testosterone levels, play a role in the development of BPH. An increased ratio of estrogen to testosterone is associated with prostatic growth.
- Family History:
- Individuals with a family history of BPH are at an elevated risk. Genetic factors and shared environmental influences contribute to the hereditary component of the condition.
- Race and Ethnicity:
- Studies suggest that race and ethnicity may influence the prevalence of BPH, with a higher incidence among African-American men. However, the exact reasons for these disparities are not fully understood.
- Lifestyle Factors:
- Certain lifestyle factors, such as obesity and lack of physical activity, may contribute to the development of BPH. Maintaining a healthy lifestyle, including regular exercise and a balanced diet, may help mitigate these risk factors.
Desired Outcome for Benign Prostatic Hyperplasia (BPH) Nursing Care Plan
- Improved Urinary Function:
- Enhance urinary flow and reduce obstructive symptoms to achieve more efficient and comfortable voiding for the patient.
- Minimized Lower Urinary Tract Symptoms (LUTS):
- Alleviate bothersome symptoms such as hesitancy, urgency, frequency, and incomplete emptying to enhance the patient’s overall quality of life.
- Prevention of Complications:
- Prevent complications associated with BPH, such as acute urinary retention, urinary tract infections (UTIs), and renal damage, through proactive management and early intervention.
- Patient Education and Empowerment:
- Educate the patient about BPH, its management, and the importance of adherence to medications and lifestyle modifications. Empower the patient to actively participate in their care and make informed decisions.
- Optimized Quality of Life:
- Improve the patient’s overall well-being by addressing symptoms, providing emotional support, and promoting a holistic approach to care that considers the individual’s physical, mental, and social aspects.
Benign Prostatic Hyperplasia (BPH) Nursing Care Plan
Subjective Data:
- Frequent/urgent need to urinate, especially at night
- Difficulty urinating or weak urine stream
- Inability to empty the bladder
- Dribbling urine after voiding
- Incontinence
Objective Data:
- Elevated PSA
- Enlarged prostate on exam or ultrasound
- Inability to pass catheter through urethra
Nursing Assessment for Benign Prostatic Hyperplasia (BPH)
- Medical History:
- Obtain a detailed medical history, including the onset and progression of urinary symptoms, any previous diagnoses or treatments for BPH, and the presence of comorbidities.
- Urinary Symptoms Assessment:
- Evaluate specific urinary symptoms such as hesitancy, urgency, frequency, nocturia, weak stream, and incomplete emptying. Use a validated tool, such as the International Prostate Symptom Score (IPSS), to quantify symptom severity.
- Physical Examination:
- Perform a thorough physical examination with a focus on the genitourinary system. Assess the size and consistency of the prostate gland through digital rectal examination (DRE) to identify any signs of enlargement, nodularity, or tenderness.
- Urinary Retention Assessment:
- Assess for signs and symptoms of urinary retention, including pain, distension, and palpable bladder. Evaluate post-void residual (PVR) volume to determine if there is incomplete emptying.
- Laboratory Tests:
- Order laboratory tests, including a urinalysis, to assess for the presence of urinary tract infections (UTIs) or hematuria. Measure prostate-specific antigen (PSA) levels to rule out prostate cancer and guide treatment decisions.
- Voiding Diary:
- Instruct the patient to maintain a voiding diary to document the frequency, urgency, and volume of urination. This diary provides valuable information about the pattern of symptoms and aids in treatment planning.
- Quality of Life Assessment:
- Utilize standardized tools, such as the Quality of Life Assessment of International Prostate Symptom Score (IPSS-QoL), to assess the impact of BPH symptoms on the patient’s overall quality of life.
- Psychosocial Assessment:
- Evaluate the patient’s psychosocial well-being, addressing any emotional or psychological impact related to BPH symptoms. Assess coping mechanisms, support systems, and the patient’s ability to adhere to treatment plans.
Implementation for Benign Prostatic Hyperplasia (BPH)
- Pharmacological Interventions:
- Administer prescribed medications such as alpha-blockers (e.g., tamsulosin) or 5-alpha reductase inhibitors (e.g., finasteride) as directed. Educate the patient on the purpose, potential side effects, and proper administration of medications.
- Patient Education:
- Provide detailed education on lifestyle modifications, including dietary changes (e.g., limiting caffeine and alcohol intake), fluid management, and the importance of regular physical activity. Emphasize the significance of adhering to medication regimens.
- Monitoring and Symptom Assessment:
- Implement a regular monitoring schedule to assess the effectiveness of pharmacological interventions and identify any adverse reactions. Use standardized tools, such as the IPSS, to track changes in urinary symptoms over time.
- Monitor patient intake and output to ensure adequate fluid balance, even if the patient voids small amounts frequently. Utilize bladder scanning and other tools to rule out urinary retention.
- Collaboration with Urologist:
- Facilitate communication and collaboration between the patient and the urologist. Schedule follow-up appointments and tests as recommended by the urologist to monitor disease progression and adjust treatment plans as needed.
- Urology may need to be consulted to insert foley catheters during hospital stays for patients with BPH if nurses encounter resistance during insertion.
- Supportive Measures:
- Implement supportive measures, such as recommending pelvic floor exercises (Kegel exercises) to improve bladder emptying and strengthen pelvic muscles. Encourage behavioral interventions for managing urinary symptoms, including timed voiding and double voiding.
Nursing Interventions and Rationales
- Assess and palpate suprapubic area
Assess for bladder distention to suggest fluid retention
- Monitor vital signs
Observe for signs of hypertension and infection. Urinary retention may lead to infection which can be evidenced by fever. Fluid retention puts stress on the kidneys and heart and may increase blood pressure and heart rate.
- Monitor I & O
Monitor frequency of urination and volume, paying attention to characteristics of urine. Dark, malodorous or bloody urine may indicate further complications.
- Encouraged increased fluids if indicated.** limit fluids initially if urinary retention is an issue **
Recommend 3000 mL fluid daily to promote flushing and circulation of fluid through kidneys, bladder and ureters.
- Monitor labs / diagnostic tests
- Prostate Specific Antigen (PSA)
- Digital Rectal Exam (DRE)
- PSA- a protein produced by the prostate. Elevations in this blood test may indicate enlargement or inflammation of the prostate.
- DRE- this physical exam may be performed if BPH is suspected by inserting a gloved finger into the rectum to palpate the prostate and assess for abnormalities in size and shape.
- Administer medications and educate patient of proper use
- Alpha-adrenergic antagonists (tamsulosin) – relaxes the smooth muscle of the prostate to allow optimal urine flow
- Antispasmodics- (oxybutynin) relieves muscle spasms that restrict the urethra
- Antibiotics/antibacterials- may be given prophylactically as indicated to prevent bacterial infection
- Insert indwelling catheter as indicated per facility protocol
Indwelling catheter may be required to bypass the prostate and allow urine to flow freely, eliminating fluid retention in the bladder.
- Nutrition and lifestyle education
Excess weight can affect the hormone balance in the body. Maintaining a healthy weight through diet and exercise can help lower the risk of developing BPH.
Evaluation for Benign Prostatic Hyperplasia (BPH)
- Symptom Improvement:
- Assess the patient’s reported changes in urinary symptoms, including frequency, urgency, and nocturia. Utilize standardized tools like the IPSS to quantitatively measure improvements and adjust interventions accordingly.
- Medication Adherence:
- Evaluate the patient’s adherence to prescribed medications by reviewing medication logs or conducting interviews. Address any barriers or concerns regarding medication compliance and provide additional education if needed.
- Quality of Life Measures:
- Use quality-of-life assessments to gauge the impact of BPH symptoms on the patient’s overall well-being. Assess improvements in daily activities, sleep patterns, and emotional well-being following the implementation of the care plan.
- Collaboration with Urologist:
- Review communication and collaboration with the urologist. Assess the effectiveness of the collaborative efforts in managing BPH, including timely follow-up appointments, test results, and adjustments to the treatment plan.
- Patient Satisfaction:
- Solicit feedback from the patient regarding their satisfaction with the care plan. Assess their understanding of the condition, treatment options, and the effectiveness of the nursing interventions in addressing their concerns.
References
- https://www.urologyhealth.org/urologic-conditions/benign-prostatic-hyperplasia-(bph)/treatment/medical-therapies
- https://www.webmd.com/men/prostate-enlargement-bph/what-is-bph#1
- https://www.mayoclinic.org/diseases-conditions/benign-prostatic-hyperplasia/symptoms-causes/syc-20370087
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Transcript
In this care plan, we will explore benign prostatic hyperplasia or BPH.
So, in this BPH care plan, we will talk about the desired outcome, the subjective and objective data along with the nursing interventions and rationales.
So, BPH is a common condition in men. This is encountered in the aging cycle of men that causes the enlargement of the prostate gland that surrounds the urethra. This causes pressure on that urethra causing difficulty urinating, frequency and a weak urine stream. So, this can be caused by hormonal imbalances of androgen and estrogen. This is what’s believed to be responsible for that growth of the prostate gland. Our desired outcome is that we want to alleviate the urinary symptoms. We want to restore normal urinary function and prevent complications.
So, let’s take a look at our care plan for BPH. So, let’s draw a prostate gland here, and this is our urethra, then up here, would be our bladder. So, remember this prostate is pushing against that urethra. So, that’s narrowing that passageway, making it more difficult for urine to get through. So, we’re going to have more urine sitting in the bladder. So, this patient might feel some frequency or urgency because the bladder has still got urine in it, right, but it’s difficult to urinate because of that pressure pushing up against the urethra. They’re going to notice a weak stream and probably some dribbling after they’ve void. This is the opening here. Um, they might even experience some incontinence. This can be really frustrating because they feel like they have to pee all the time and each time they pee, it’s small small amounts.
Now let’s take a look at the objective data. So, the patient will have elevated PSA levels. This stands for prostate specific antigen. So, PSA is actually normally produced by this prostate gland, but when levels are higher than normal, the patient may have BPH or even prostate cancer. An enlarged prostate will be felt by exam or seen in an ultrasound. Placing a catheter in a man that has BPH is super hard. As you can imagine, if we’re trying to push this catheter through, it’s very, very narrow here. It’s going to be very difficult to get through.
Now, let’s take a look at our nursing interventions for BPH. So, you’re going to want to assess and palpate the area where their bladder would be and just feel if there’s any bladder distension and if it does feel full, you might want to use a bladder scanner to see how much urine is still in the bladder. A catheter might be needed to drain the bladder as ordered by the doctor.
But as I said before, it could be difficult to put it in. So, you’re going to want to monitor the patient’s vital signs, observe for signs of hypertension and infection.
So, remember everything’s connected. So we’ve got our kidneys, we’ve got our ureters, we’ve got our bladder, and then we’ve got our urethra. Here’s the prostate gland in our man and it’s putting pressure on that urethra. So, fluid is getting kind of backed up, right? It’s having a really hard time getting through here. So, instead it’s kind of getting backed up, which is going to affect our kidneys, which in turn will affect our heart and can increase our blood pressure and heart rate, putting a lot of stress on all those organs. So, you’ll want to monitor the patient’s intake and output amounts. Keep an eye on the frequency of urination and the amount of urine each time. Look at the characteristics of the urine, such as the color. So, you’re going to want to encourage increased fluids if indicated, because this is going to help promote the flushing and circulation of fluid through those kidneys, the bladder and the ureters. So, we usually recommend about 3000 mls of fluid a day, but if fluid retention is an issue, you might have to limit fluids initially.
So, you will monitor the patient’s labs and diagnostic test to determine if there is enlargement of the prostate gland. Remember, this will show as an elevated PSA level. The doctor might also want to perform a digital rectal exam and this is performed by putting a gloved finger into the rectum, to palpate the prostate and assess for abnormalities in the size and shape of the prostate gland. So, you will administer medications to the patient and educate the patient on the proper use. So, Alpha adrenergic antagonists, such as tamsulosin are used to help relax the smooth muscle of the prostate gland that will allow optimal urine flow. Antispasmodics, such as oxybutynin are also used to relieve muscle spasms that restrict that urethra, antibiotics or antibacterials may also be needed to treat any kind of infection that might have brewed because of that backflow of urine. So, you’re going to want to provide nutrition and lifestyle education to this patient and all your patients, because excess weight can affect the hormone balance in the body and increase the risk of BPH.
We love you guys. Now, go out and be your best self today and as always, happy nursing!
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Hypertonic Solutions (IV solutions)
Hypocalcemia – Definition, Signs and Symptoms Nursing Mnemonic (CATS)
Hypoglycemia
Hypoglycemia – Signs and Symptoms Nursing Mnemonic (TIRED)
Hypoglycemia Management Nursing Mnemonic (Cool and Clammy – Give ‘Em Candy)
Hypoglycemia symptoms Nursing Mnemonic (DIRE)
Hypokalemia – Signs and Symptoms Nursing Mnemonic (6 L’s)
Hyponatremia- Definition, Signs and Symptoms Nursing Mnemonic (SALT LOSS)
Hypoparathyroidism
Hypothermia (Thermoregulation)
Hypotonic Solutions (IV solutions)
Hypoxia – Signs and Symptoms Nursing Mnemonic (RAT BED)
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)