Nursing Care Plan (NCP) for Cellulitis
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Outline
Lesson Objective for Nursing Care Plan for Cellulitis
What is Cellulitis?
Cellulitis is a skin infection that happens when bacteria, usually through a cut or crack in your skin, get inside and start to spread. It’s like if you had a small hole in a wall, and water got in and started to make the area soggy and damaged.
How Does it Look?
The skin where the bacteria have entered gets red, swollen, and painful. Sometimes it can feel warm and look like it’s spreading.
Where Can It Happen?
It usually occurs on the legs, but it can happen on any part of the body.
Symptoms:
- Red, swollen, and tender area on the skin.
- Might feel warm and look like a rash.
- Some people also get a fever or feel tired.
Upon completion of this care plan, nursing students will be able to:
- Demonstrate an understanding of the pathophysiology of Cellulitis, including the role of bacterial infection and its impact on the skin and subcutaneous tissues.
- Conduct a thorough nursing assessment of a patient with Cellulitis, identifying risk factors, signs, and symptoms, and differentiating cellulitis from other skin conditions.
- Formulate and prioritize nursing diagnoses based on the individualized needs of the patient, addressing issues such as impaired skin integrity, pain, and potential complications.
- Develop evidence-based nursing interventions to manage Cellulitis, including antibiotic therapy, wound care, and pain management.
- Implement effective communication strategies to educate patients on preventive measures, self-care, and the importance of completing prescribed medications.
- Collaborate with the healthcare team to monitor the patient’s response to treatment, assess for complications, and ensure continuity of care.
Pathophysiology of Cellulitis
Cellulitis is a common bacterial infection of the skin and subcutaneous tissues, typically caused by Streptococcus or Staphylococcus bacteria. Here’s a simplified breakdown of the pathophysiological processes involved:
- Bacterial Entry:
- Break in Skin Barrier: Cellulitis usually begins with a break or breach in the skin barrier, providing an entry point for bacteria.
- Trauma or Skin Conditions: Factors such as cuts, abrasions, insect bites, surgical wounds, or pre-existing skin conditions increase the risk of bacterial entry.
- Bacterial Proliferation:
- Subcutaneous Tissues: Bacteria, commonly Streptococcus or Staphylococcus species, rapidly multiply in the subcutaneous tissues.
- Inflammatory Response: The presence of bacteria triggers an inflammatory response characterized by redness, warmth, swelling, and pain.
- Inflammatory Response:
- Chemical Mediators: In response to bacterial invasion, chemical mediators such as cytokines and prostaglandins are released.
- Vasodilation and Increased Permeability: Blood vessels dilate, and permeability increases, leading to the characteristic signs of inflammation.
- Immune System Activation:
- Neutrophil Infiltration: White blood cells, particularly neutrophils, migrate to the infected area to phagocytize bacteria.
- Formation of Abscess: In severe cases, a collection of pus (abscess) may form as the immune system attempts to contain and eliminate the infection.
- Lymphatic Involvement:
- Lymphatic Drainage: Bacterial toxins and debris may enter the lymphatic vessels, causing lymphangitis and regional lymphadenopathy.
- Spread of Infection: If untreated, cellulitis can spread along lymphatic channels, potentially leading to systemic complications.
Etiology of Cellulitis
Cellulitis is typically caused by bacterial infection, with the most common pathogens being Streptococcus and Staphylococcus bacteria. Several factors contribute to the development of cellulitis:
- Break in the Skin Barrier:
- Cuts and Abrasions: Cellulitis often starts with a break or breach in the skin, such as cuts, abrasions, or wounds.
- Insect Bites: Bites from insects, spiders, or other arthropods can introduce bacteria into the skin.
- Skin Conditions:
- Eczema and Dermatitis: Pre-existing skin conditions, such as eczema or dermatitis, can compromise the skin barrier and increase susceptibility.
- Athlete’s Foot: Fungal infections like athlete’s foot can create openings for bacteria to enter.
- Wound Care Practices:
- Poor Wound Hygiene: Inadequate wound cleaning and poor hygiene practices can contribute to bacterial colonization and infection.
- Delay in Treatment: Delayed treatment of wounds or injuries increases the risk of bacterial invasion.
- Immunocompromised States:
- Diabetes: Individuals with diabetes are at higher risk due to impaired immune function and compromised circulation.
- Immunosuppression: Conditions or treatments that weaken the immune system, such as HIV/AIDS or immunosuppressive medications, increase susceptibility.
- Invasive Medical Procedures:
- Surgery: Surgical procedures, especially if there is a breach in sterile technique, can introduce bacteria.
- Catheter Insertion: The placement of catheters or medical devices can create entry points for bacteria.
- Lymphatic Obstruction:
- Lymphedema: Impaired lymphatic drainage, as seen in conditions like lymphedema, can predispose individuals to cellulitis.
- Filariasis: In regions where filariasis is endemic, parasitic infections can lead to lymphatic obstruction.
- Peripheral Vascular Disease:
- Decreased Circulation: Conditions like peripheral vascular disease can compromise blood flow to the extremities, increasing the risk of infection.
- Venous Stasis: Chronic venous insufficiency can lead to stasis of blood in the lower extremities, creating an environment conducive to bacterial growth.
Desired Outcome for Nursing Care Plan for Cellulitis
- Resolution of Infection:
- Short-Term Goal: Achieve prompt resolution of bacterial infection.
- Pain Management:
- Short-Term Goal: Alleviate pain associated with cellulitis.
- Preservation of Skin Integrity:
- Short-Term and Long-Term Goals: Prevent the spread of infection, preserve skin integrity, and minimize tissue damage.
- Prevention of Complications:
- Intermediate-Term Goal: Prevent the development of complications such as abscess formation or systemic infection.
- Improvement in Lymphatic Drainage:
- Intermediate-Term Goal: Enhance lymphatic drainage and reduce lymphangitis.
Subjective Data
- Pain
- Tenderness
- Weakness
Objective Data
- Redness (tends to expand)
- Swelling
- Warm to the touch
- Fever/chills
- Red spots
- Blisters
- Skin dimpling
Nursing Assessment for Cellulitis
- History Taking:
- Obtain a detailed medical history, including any recent skin injuries, cuts, insect bites, or wounds that may have led to the development of cellulitis.
- Inquire about the onset of symptoms, including the duration and progression of redness, swelling, pain, and warmth in the affected area.
- Identification of Risk Factors:
- Assess for risk factors contributing to cellulitis, such as diabetes, peripheral vascular disease, immunosuppression, or a history of recurrent skin infections.
- Inquire about any underlying skin conditions, such as eczema or dermatitis, and exposure to potential environmental factors.
- Clinical Examination:
- Perform a thorough physical examination with a focus on the affected area. Assess for signs of cellulitis, including erythema, edema, warmth, and tenderness.
- Document the size and borders of the affected area and assess for any associated lymphangitis or lymphadenopathy.
- Vital Signs:
- Monitor vital signs regularly, especially in cases where cellulitis is severe or has the potential for systemic involvement.
- Pay attention to the presence of fever, as it may indicate systemic spread of infection.
- Laboratory and Diagnostic Tests:
- Collaborate with healthcare providers to obtain laboratory tests, including a complete blood count (CBC) to assess for leukocytosis and inflammatory markers.
- Consider imaging studies, such as ultrasound or CT scans, if there is suspicion of abscess formation or deeper tissue involvement.
- Assessment of Pain:
- Use a pain assessment scale to evaluate the intensity and characteristics of pain associated with cellulitis.
- Monitor the patient’s response to pain management interventions and adjust as needed.
- Wound Assessment:
- Document the characteristics of the wound, if present, including size, depth, and any signs of infection (e.g., purulent drainage).
- Assess the surrounding skin for signs of cellulitis expansion.
Nursing Interventions and Rationales
| Nursing Intervention (ADPIE) | Rationale |
| Antibiotic Therapy/Pain medication | Many cellulitis cases are treated with PO antibiotics, but more serious cases may need to be treated in hospital with IV antibiotics
NOTE: the patient should take the full course of antibiotics Pain meds- assess pt’s pain level and give pain medication as needed |
| Elevation of the affected extremity | elevating the affected extremity helps decrease swelling and speeds up recovery |
| Assess VS/Labs/CT/MRI imaging possible | VS- the patient can develop a fever
Labs- CBC (WBC), Creatinine, CRP CT/MRI- if necrotizing fasciitis is a concern |
| Proper Wound Care-Corticosteroid cream,
Keeping the wound clean/dry with occlusive dressings Proper hand hygiene Clipping toenails |
Corticosteroid cream helps with inflammation
Keeping the wound clean/dry and dressed with occlusive dressing avoids further infection Note Toenails harbor bacteria |
| Educating the patient/family | throughout therapy, it is important to always educate the patient on cellulitis, medications, and any interventions being done. |
Evaluation of Cellulitis Care Plan
- Resolution of Infection:
- Expected Outcome: Complete resolution of cellulitis.
- Evaluation Criteria: Monitor the affected area for signs of improvement, including reduced erythema, swelling, and pain. Assess laboratory values for normalization of inflammatory markers.
- Pain Management:
- Expected Outcome: Alleviation of pain associated with cellulitis.
- Evaluation Criteria: Use pain assessment scales to measure the intensity of pain. Monitor the patient’s verbal reports of pain reduction and the need for analgesics.
- Preservation of Skin Integrity:
- Expected Outcome: Prevention of cellulitis spread and tissue damage.
- Evaluation Criteria: Regularly assess the wound site for any signs of worsening cellulitis, necrotizing infections, or the development of abscesses. Document improvements in skin integrity.
- Prevention of Complications:
- Expected Outcome: Absence of complications such as abscess formation or systemic infection.
- Evaluation Criteria: Monitor for signs of complications, collaborate with healthcare providers for any necessary interventions, and assess laboratory values for signs of systemic involvement.
- Improvement in Lymphatic Drainage:
- Expected Outcome: Enhanced lymphatic drainage and reduced lymphangitis.
- Evaluation Criteria: Assess for improvements in limb movement, decreased swelling, and resolution of signs of lymphangitis. Collaborate with physical therapy if needed.
- Normalization of Laboratory Values:
- Expected Outcome: Normalization of laboratory values, including white blood cell count and inflammatory markers.
- Evaluation Criteria: Review laboratory results for trends toward normalization. Collaborate with healthcare providers for follow-up testing.
Content Reviewed
- 9/14/2023 by Jon Haws
References
- https://my.clevelandclinic.org/health/diseases/15071-cellulitis
- https://vsearch.nlm.nih.gov/vivisimo/cgi-bin/query-meta?v%3Aproject=medlineplus&v%3Asources=medlineplus-bundle&query=Cellulitis
- https://www.mayoclinic.org/diseases-conditions/cellulitis/symptoms-causes/syc-20370762
- https://www.cdc.gov/groupastrep/diseases-public/Cellulitis.html
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Transcript
Hi everyone. Today, we are going to be creating a nursing care plan for cellulitis. So let’s get started. First, we’re going to go over the pathophysiology. Cellulitis is a common, deep bacterial skin infection that causes redness, swelling, and pain in the affected area of the skin. Usually it’s the arms and the legs. Some nursing considerations. You want to do a full skin assessment, vital signs, administering medications, wound care, labs, and educating the patient on treatment and prevention. Some desired outcomes: the patient’s going to reestablish healthy skin integrity and be free from infection. And here’s just a little photo to show you guys of what cellulitis looks like. You’ll notice that there’s some redness, all in the lower part of the leg here. Maybe some swelling, usually pretty warm to the touch. You can feel as you get closer, that heat that comes.
We’ll go right ahead to the care plan here. So we’re going to write down some subjective data and some objective data. So what are we going to see, or what is the patient going to tell you? One of the main things with the patients is that they’re going to be complaining of pain and also some tenderness in that area. Some of the objective that you’re going to see that is the hallmark is redness or swelling. You can also see some blisters, Some other things that you’re going to see, they’ll complain of some weakness in that extremity. There’ll be some swelling, warmness to the touch. The patient can have fever or chills, red spots, and maybe some skin dimpling.
One of the interventions we really want to make sure that we’re doing is a full skin assessment. Assessment is usually one of the main things we do for pretty much anything. And we want to make sure we’re marking the border. And you’re probably wondering, well, Kristen, why would we mark the border? So we want to assess it. We want to see if there’s any swelling, any blisters, have the blisters broken, the color if it’s like real deep red. You want to determine the severity of the cellulitis and by marking the border, you’re going to determine if it continues to spread further and or if you’ve started antibiotic therapy, is it working. Another intervention that we’re going to be doing is we’re going to be giving antibiotics and pain medication. Many cellulitis cases are treated with PO or by mouth antibiotics, but more serious cases may need to be treated in the hospital with IV antibiotics. You want to note that patients should take a full course of antibiotics. They do not want to take or stop up taking antibiotics, even if they feel better or that it looks better. And with pain medication, you want to make sure you’re assessing the patient’s pain level and giving pain medication as needed. Another intervention we’re going to be doing for the patient. You want them to elevate that extremity. So you want to elevate the affected leg or arm just to decrease the swelling. And it speeds up the recovery process. Now intervention, obviously we’re going to make sure we’re checking the vital signs and doing any sort of labs or CT or MRI. So the vital signs; patients can develop that fever. They may also have chills. Labs. We want to make sure we’re checking for CBC for that white blood count. We’re going to be checked in for their creatinine for the kidney function and for the infection. CT or MRI will be done if the physician believes the possibility of necrotizing fasciitis. Okay, another intervention we’re going to do for this patient, we want to make sure we’re doing proper wound care, whether that is by you or by the wound care nurse that comes and sees the patient. You want to keep that wound very clean and very dry with any sort of occlusive dressing. You want to make sure you’re doing proper hand hygiene prior to doing any sort of wound care and after so you’re not spreading the bacteria. I want to make sure that you’re clipping the toenails as harbor bacteria and can cause spread of the infection. You can apply some corticosteroids, topically if ordered, and that helps with the inflammation. Another intervention. We also just want to make sure we’re educating, educating, educating. Very important. We’re letting the patient know what we’re doing, why we’re doing it, any medications that we’re giving and any wound care that we’re doing.
So we’re going to go over some key points now. So cellulitis, it’s a common deep bacterial infection usually caused by bacteria that enters in by wound by a bruise, burn, surgical cuts, a bite, or an ulcer. Typically group a strep is the most common cause. Subjective and objective: you’re going to patients going to complain of tenderness in that area. Weakness, redness (very common), swelling (very common), warm to touch fever, chills, red spots, blisters, and skin dimpling. You want to do a thorough skin assessment, give any medications, make sure you’re noting the color, swelling, any blisters that might be there. Checking vital signs, antibiotic therapy and pain management, wound care, corticosteroid cream, keeping the wound dry and intact, applying any occlusive dressings, and proper hand hygiene to prevent any sort of spreading of the bacteria. And there you have a completed care plan.
We love you guys. Go out, be your best self today and as always happy nursing.
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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)