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Nursing Care Plan (NCP) for Bronchoscopy (Procedure)

Nursing Care Plan (NCP) for Bronchoscopy (Procedure)

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Study Tools For Nursing Care Plan (NCP) for Bronchoscopy (Procedure)

Example Care Plan_Bronchoscopy (Procedure) (Cheatsheet)
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Outline

Lesson Objective for Bronchoscopy

  • Understanding the Procedure:
    • Provide detailed information to the patient about the bronchoscopy procedure, including its purpose, potential benefits, and what to expect during and after the examination.
  • Preparation and Pre-procedural Care:
    • Ensure the patient comprehends and follows the necessary pre-procedural instructions, including fasting, medication adjustments, and any required laboratory tests or imaging.
  • Informed Consent:
    • Facilitate the informed consent process, ensuring the patient fully understands the risks, benefits, and alternatives to bronchoscopy before consenting to the procedure.
  • Managing Anxiety and Discomfort:
    • Develop strategies to address patient anxiety and discomfort related to the procedure, incorporating relaxation techniques and providing reassurance throughout the pre-procedural and post-procedural phases.
  • Post-procedural Care and Follow-up:
    • Educate the patient on post-bronchoscopy care, potential side effects, and the importance of following up with the healthcare provider for results and further management.

Pathophysiology of Bronchoscopy

 

  • Scope Insertion and Visualization:
    • A bronchoscope, a flexible tube with a light and camera, is inserted through the patient’s nose or mouth and down the airways, allowing direct visualization of the bronchial passages and lungs.
  • Diagnostic and Therapeutic Procedures:
    • Bronchoscopy serves both diagnostic and therapeutic purposes. It enables the collection of samples (biopsy, cytology, culture) for further examination and allows for interventions such as removing foreign bodies or placing stents.
  • Visualization of Abnormalities:
    • The procedure helps identify and assess abnormalities in the respiratory system, such as tumors, inflammation, infections, or structural issues, aiding in the diagnosis and management of respiratory conditions.
  • Pulmonary Function Assessment:
    • Bronchoscopy provides an opportunity to assess pulmonary function by evaluating airway patency, detecting obstructions, and gauging the overall health of the respiratory system.
  • Potential Complications:
    • While generally safe, bronchoscopy carries potential risks, including bleeding, infection, or respiratory compromise. Understanding the pathophysiology involves recognizing these potential complications and taking appropriate precautions to minimize risk.

Etiology of Need for Bronchoscopy

  • Diagnostic Investigation:
    • The primary reason for bronchoscopy is to investigate and diagnose various respiratory conditions, including but not limited to lung cancer, infections, pulmonary fibrosis, or persistent cough of unknown origin.
  • Evaluation of Abnormal Imaging Findings:
    • Patients with abnormal chest X-rays or CT scans may undergo bronchoscopy to obtain more detailed information about the nature and extent of the identified abnormalities.
  • Assessment of Respiratory Symptoms:
    • Individuals presenting with symptoms such as hemoptysis (coughing up blood), unexplained shortness of breath, or persistent cough may undergo bronchoscopy to identify the underlying cause.
  • Guidance for Treatment Decisions:
    • Bronchoscopy is often performed to obtain samples for histological examination, aiding in the determination of treatment strategies, especially in cases of suspected lung cancer or other pulmonary diseases.
  • Therapeutic Interventions:
    • Besides its diagnostic role, bronchoscopy can be employed for therapeutic purposes, such as removing foreign bodies, clearing airway obstructions, or placing stents to alleviate bronchial strictures.

Desired Outcome after Bronchoscopy

  • Accurate Diagnosis:
    • Achieve a precise and timely diagnosis of the underlying respiratory condition or disease, providing essential information for subsequent management.
  • Treatment Planning:
    • Facilitate the development of an effective and personalized treatment plan based on the identified pathology, ensuring optimal care and improved patient outcomes.
  • Resolution of Symptoms:
    • Alleviate or resolve respiratory symptoms such as cough, shortness of breath, or hemoptysis, contributing to an enhanced quality of life for the patient.
  • Prevention of complications:
    • The patient does not experience complications during or after the procedure, such as aspiration, pneumothorax or bleeding. 
  • Early Intervention for Lung Cancer:
    • Enable early detection of lung cancer, if present, leading to timely initiation of appropriate therapeutic measures and potentially improving long-term survival rates.
  • Patient Education and Support:
    • Provide comprehensive education to the patient regarding the diagnosis, treatment options, and potential lifestyle modifications, fostering active participation in their healthcare journey.

 

Bronchoscopy (Procedure) Nursing Care Plan

 

Subjective Data:

Indications

  • Patient reports persistent cough

Complications

  • Shortness of breath
  • Dyspnea
  • Chest tightness
  • Restless/anxious
  • Dysphagia/difficulty swallowing

Objective Data:

Indications

  • Hemoptysis
  • Abnormal findings on chest x-ray (mass/lesion)
  • Known obstruction
  • Excessive secretions, especially if thick
  • Rhonchi or crackles

Complications

  • Coughing when trying to swallow
  • Decreased SpO2
  • Increased RR
  • Hemoptysis
  • Wheezing
  • Rhonchi/Crackles

Nursing Assessment after Bronchoscopy

 

  • Respiratory Status:
    • Monitor respiratory rate, depth, and pattern to identify any changes or abnormalities post-bronchoscopy.
  • Vital Signs:
    • Continuously assess vital signs, including heart rate, blood pressure, and oxygen saturation, to detect any signs of instability.
  • Bleeding and Hemodynamic Stability:
    • Evaluate for signs of bleeding such as hemoptysis and assess hemodynamic stability to detect potential complications.
  • Pulmonary Function:
    • Monitor pulmonary function, including lung sounds and chest movement, to ensure adequate ventilation and oxygenation.
  • Pain Assessment:
    • Assess the patient’s pain level at the site of bronchoscopy or any discomfort, providing appropriate pain management interventions.
  • Level of Consciousness:
    • Evaluate the patient’s level of consciousness and orientation to detect any neurological changes or adverse reactions to medications.
  • Fluid Balance:
    • Monitor fluid intake and output to assess for imbalances or signs of dehydration, especially if the patient has received sedation.
  • Patient Education and Psychosocial Assessment:
    • Engage in patient education regarding post-procedural care, potential complications, and recovery expectations. Assess psychosocial aspects, addressing any concerns or anxiety related to the procedure.

Implementation after Bronchoscopy

 

  • Post-Procedure Monitoring:
    • Continuously monitor the patient for the initial post-procedure period, paying close attention to respiratory and hemodynamic parameters.
    • Verify the patient’s gag reflex is present before initiating oral intake, as local numbing agents may be utilized during scope insertion. 
  • Airway Management:
    • Provide appropriate airway management, ensuring the patient maintains a patent airway and administering supplemental oxygen as needed.
    • Auscultate breath sounds to detect potential pneumothorax post-procedure.
    • Monitor the patient’s secretions. Pink or blood-tinged sputum may be expectorated after the procedure. Bright red or copious amounts of sputum would be concerning.
  • Pain Management:
    • Administer prescribed pain medications as needed and assess the patient’s pain level regularly. Employ non-pharmacological interventions, such as positioning for comfort.
  • Fluid Management:
    • Maintain adequate hydration, monitoring intravenous fluids, and encouraging oral intake as tolerated to prevent dehydration.
  • Patient Education:
    • Offer detailed post-procedure instructions, including signs of complications, activity restrictions, and follow-up appointments. Ensure the patient understands and follows the recommended care plan.

Nursing Interventions and Rationales

 

  • Ensure informed consent is obtained and the patient is educated about the procedure

 

Informed consent should be obtained by the provider, including indications, risks, and possible complications of the procedure. You, the nurse, should simply ensure it is done and witness the patient’s signature.

 

  • Keep patient NPO for 6-8 hours prior to the procedure

 

The patient is at high risk for aspiration, which is increased if they have had anything to eat or drink in the last 6-8 hours. Emesis could be aspirated into their lungs.

 

  • Ensure emergency equipment available at bedside

 

As with any procedure involving the airway, emergency equipment should be kept ready at the bedside, including suction, ambu bag, and artificial/advanced airways in case of respiratory distress.

 

  • Insert IV. Administer and manage conscious sedation

 

Sedation should be given to make the patient drowsy and comfortable, but still able to follow commands. Follow facility policy and medication orders from the provider for conscious sedation administration/monitoring.

 

  • Monitor Vital Signs, LOC, Respiratory status before, during, and after procedure per facility policy.

 

  • Obtaining a baseline assessment and set of vital signs helps to know if anything has changed during or after the procedure.  
  • Monitor VS during procedure per facility guidelines for conscious sedation – being alert for possible respiratory distress.
  • Monitor vitals and LOC after procedure to ensure patient wakes up safely from conscious sedation and recovers well.

 

  • Place in High-Fowler’s position and administer supplemental O2 as needed

 

Patient is at risk for aspiration and respiratory distress post-procedure. Placing the patient in high-fowler’s position can improve oxygenation and prevent aspiration.  As patients may still be drowsy or could experience some bleeding in the lungs after the procedure, supplemental O2 can help improve oxygen levels.

 

  • NPO after procedure until gag reflex returns

 

Patients’ throats will be numb because of the numbing spray, this means they may not have a good gag reflex until 1-2 hours post-procedure. Keep NPO until gag reflex returns and patient can safely swallow – prevents aspiration.

 

  • Monitor for possible complications:
    • Bleeding
    • Bronchospasm
    • Respiratory Distress
    • Aspiration

 

  • A slight cough with specks of blood or clots is expected, bright red hemoptysis would be an emergency. Bronchospasm presents as severe dyspnea and anxiety with possible wheezing or stridor.
  • Assess for signs of aspiration or respiratory distress and intervene as needed (artificial airway, suction, O2)

 

  • Educate patient on post-procedure instructions:
    • No driving x 24 hours
    • May have cough
    • Swallow may be impaired x 1-2 hours

 

  • Sedation may impair response times or ability to safely operate a vehicle or heavy machinery.
  • A slight cough is normal but ensure gag reflex has fully returned before eating or drinking, to prevent choking or aspiration.

Evaluation after Bronchoscopy

 

  • Respiratory Status:
    • Assess the patient’s respiratory status, monitoring for signs of complications such as increased respiratory rate, decreased oxygen saturation, or difficulty breathing.
  • Pain Assessment:
    • Evaluate the patient’s pain level using a pain scale and assess the effectiveness of prescribed pain medications. Ensure the patient’s comfort and address any unresolved pain.
  • Complications and Adverse Events:
    • Evaluate for any procedural complications or adverse events, such as bleeding, infection, or pneumothorax. Promptly address and document any complications that may arise.
  • Patient Understanding:
    • Assess the patient’s understanding of post-procedure care instructions, ensuring they can articulate signs of complications and know when to seek medical attention. Provide additional education if needed.

References

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Transcript

This is the nursing care plan for the bronchoscopy procedure. So the purpose for a bronchoscopy is to visualize the airways in order to diagnose issues or remove obstructions. Indications for a bronchoscopy indicate persistent cough of unknown origin, excessive thick secretions, that the patient is unable to clear on their own, abnormal findings on a chest x-ray, coughing up blood or hemoptysis, or a lesion or mass that requires biopsy or sampling. Some nursing considerations are that we want to manage sedation. We want to monitor vital signs, draw labs and frequent respiratory assessment. The desired outcome for a patient undergoing a bronch is that we want to be able to identify the cause of symptoms and abnormal findings. We want to obtain samples as needed. And if needed, we want to clear any airway obstruction like foreign bodies, thick sputum. We want to minimize the occurrence of any possible complications. 

So the bronchoscopy procedure, this is a unique procedure, because this is really speaking on care, why a patient would come in for a bronch, and so we’re going to focus on that. Some of the subjective things that a patient will report, is they may report a persistent cough. So, let’s write that persistent cough. So, some things that we are going to, uh, maybe as a complication is there may be shortness of breath or dyspnea, which is difficulty breathing. There may be some chest tightness. They may be restless or anxious, dysphasia, which is just difficulty swallowing. There may be some hemoptysis, so bloody sputum. There may also be abnormal findings on a chest x-ray that may indicate a need for a bronchoscopy. There may be a known obstruction that could be a thick sputum. We may hear breath sounds. So breath sounds we may auscultate are ronchi, or crackles. Some other complications may be coughing when trying to swallow. So coughing when swallowing. We may see a decreased SATs. We may see increased respirations or hemoptysis. So, this patient presents with a persistent cough. We may see hemoptysis, we may see different complications, maybe a known obstruction, excessive secretions. So, what are some things that we want to do for a patient who is anticipated with all of these things that’s going on? This patient needs a bronch. So, what are we going to do? Well, first thing is we want to keep that patient NPO, nothing by mouth for at least six to eight hours prior. And the reason why is because this patient is at a high risk for aspiration. If you think about it, we are literally taking a scope to go down into the lungs, into the airway that is going to induce a choking, coughing, possible vomiting, so we want to keep them NPO, so there’s nothing to vomit. Emesis could be aspirated into their lungs. The next thing we want to do is to ensure emergency equipment is at the bedside. The reason why is because with any procedure involving the airway, we need to keep that emergency equipment at the bedside. And these things are going to include suction, ambu bag, maybe we want to do an artificial airway, such as an intubation kit or a tracheotomy kit. We want to monitor this patient for signs of respiratory distress. The next thing we want to do is we want to make sure that this patient has an IV. We want to administer and manage conscious sedation. Remember, this is not a procedure where the patient is going to be wide awake. Looking at you, talking to you. This is the procedure, what we want this patient sedated. So, because we want that sedation, we want to ensure that they are drowsy, comfortable, but if necessary, be able to follow commands. 

We want to monitor their vital signs. That includes their level of consciousness, their respiratory status before, during, and after the procedure. We are doing this so that we can get a baseline for the patient. And we get a baseline of vitals. We know if anything has changed, for example, we’re going to get those vitals. Remember, that the level of consciousness after the procedure, we want to ensure the patient wakes up safely from the sedation and recovers well. We want to make sure that they are alert as possible for any possible respiratory distress, especially as a high risk for respiratory distress. Finally, we want to make sure that we put this, you know, this is my favorite position, high Fowler’s, high Fowler’s. We want to set that patient up because this patient is at risk for aspiration of respiratory distress, post-procedure. We want to give them enough room for the chest to properly expand. Remember, patients are coming up from sedation, so they may be drowsy or could experience a bleeding of the lungs after the procedure. We want to make sure to administer any supplemental o2 as necessary to improve their oxygen levels. 

So the key points, what are some path physiology behind this? Remember the goal of the Bronch, is to visualize the airways in order to help diagnose issues or remove any obstructions. The subjective data, the patient is going to report a persistent cough. That could be one of the indicators for a Bronch. Something that we may see that may be an indicator for a Bronch is hemoptysis or bleeding, any known obstruction, thick secretions. Some things we want to do are to keep this patient in NPO. We want to keep them NPO for a procedure. This patient is at a high risk for aspiration. They should be NPO for a minimum of six to eight hours prior to the procedure. We want to do a good respiratory assessment. Remember, pre-op during the operation, and post-op complications include atelectasis, bleeding, respiratory distress, and aspiration. We love you guys here and go out and be your best self today. And as always, happy nursing.

 

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Hygiene
Hypercalcemia – Signs and Symptoms Nursing Mnemonic (GROANS, MOANS, BONES, STONES, OVERTONES)
Hyperglycaemic Hyperosmolar Non-ketotic syndrome (HHNS)
Hypernatremia – Signs and Symptoms 2 Nursing Mnemonic (FRIED)
Hypernatremia – Signs and Symptoms 2 Nursing Mnemonic (SWINE)
Hypernatremia – Signs and Symptoms 3 Nursing Mnemonic (SALT)
Hypertension – Nursing care Nursing Mnemonic (DIURETIC)
Hypertension (HTN) Concept Map
Hypertension- Complications Nursing Mnemonic (The 4 C’s)
Hypertensive Crisis Case Study (45 min)
Hyperthermia (Thermoregulation)
Hyperthyroidism Case Study (75 min)
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)