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Nursing Care Plan (NCP) for Cystic Fibrosis

Nursing Care Plan (NCP) for Cystic Fibrosis

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Additional Lessons

Study Tools For Nursing Care Plan (NCP) for Cystic Fibrosis

Cystic Fibrosis Pathochart (Cheatsheet)
Cystic Fibrosis Interventions (Picmonic)
Cystic Fibrosis Assessment (Picmonic)
Example Care Plan_Cystic Fibrosis (Cheatsheet)
Blank Nursing Care Plan_CS (Cheatsheet)
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Outline

Lesson Objectives for Cystic Fibrosis

  • Understanding Cystic Fibrosis (CF) Basics:
    • Gain knowledge about the etiology, pathophysiology, and clinical manifestations of cystic fibrosis, including the impact on the respiratory and digestive systems.
  • Caring for Patients with CF:
    • Learn the principles of providing holistic care for individuals with cystic fibrosis, including the management of respiratory and nutritional challenges, infection prevention, and psychosocial support.
  • Medication Management:
    • Understand the various medications used in the treatment of cystic fibrosis, including bronchodilators, mucolytics, antibiotics, and pancreatic enzymes, and learn the appropriate administration and monitoring procedures.
  • Nutritional Support and Monitoring:
    • Explore strategies for promoting optimal nutrition in individuals with CF, emphasizing the importance of pancreatic enzyme replacement therapy, nutritional supplements, and dietary modifications.
  • Psychosocial Considerations:
    • Recognize the psychosocial aspects of living with cystic fibrosis, including the impact on mental health, coping mechanisms, and strategies for providing emotional support to individuals and their families.

Pathophysiology of Cystic Fibrosis (CF)

  • Defective CFTR Gene:
    • Cystic fibrosis results from mutations in the CFTR (cystic fibrosis transmembrane conductance regulator) gene located on chromosome 7, leading to a dysfunctional CFTR protein.
  • Impaired Chloride Transport:
    • The CFTR protein is responsible for regulating chloride ion transport across cell membranes. Mutations cause reduced chloride secretion and increased sodium absorption, leading to thick, sticky mucus production.
  • Viscous Mucus Production:
    • Abnormal CFTR function results in the production of thick, sticky mucus in various organs, particularly affecting the respiratory and digestive systems. This mucus obstructs airways and ducts, causing complications.
  • Respiratory Complications:
    • In the respiratory system, the thick mucus obstructs airways, promoting bacterial colonization and recurrent infections. Chronic inflammation and damage to lung tissue contribute to progressive respiratory decline.
  • Digestive System Involvement:
    • In the digestive system, the thick mucus obstructs pancreatic ducts, leading to insufficient release of digestive enzymes. This impairs nutrient absorption and causes malnutrition. Liver and gallbladder complications may also occur.

Etiology of Cystic Fibrosis (CF)

  • Genetic Inheritance:
    • Cystic fibrosis is an autosomal recessive genetic disorder, meaning that an individual must inherit two defective CFTR genes (one from each parent) to develop the condition.
  • CFTR Gene Mutations:
    • The etiology is linked to mutations in the CFTR gene, specifically in the code for the cystic fibrosis transmembrane conductance regulator (CFTR) protein. Various mutations can occur, affecting the functionality of this protein.
  • Carrier Parents:
    • Parents who carry a single mutated CFTR gene are carriers and do not exhibit symptoms. When both parents are carriers, there is a 25% chance with each pregnancy that the child will inherit two mutated genes and develop cystic fibrosis.
  • Ethnic and Geographic Variations:
    • The prevalence of specific CFTR gene mutations can vary among different ethnic groups and geographic regions. Certain mutations are more common in specific populations.
  • New Mutations:
    • In rare cases, individuals may develop cystic fibrosis due to new mutations in the CFTR gene that occur spontaneously. This can happen even if there is no family history of the condition.

Desired Outcome for Cystic Fibrosis (CF) Management

  • Optimal Respiratory Function:
    • Improve and maintain optimal lung function to minimize respiratory symptoms, reduce the frequency of respiratory infections, and enhance overall respiratory well-being.
  • Nutritional Adequacy:
    • Achieve and maintain proper nutritional status by addressing malabsorption issues and ensuring adequate caloric intake. This includes promoting healthy growth and development in pediatric patients.
  • Effective Mucus Clearance:
    • Enhance and facilitate mucus clearance from the airways to reduce the risk of airway obstruction, infections, and respiratory complications.
  • Quality of Life Improvement:
    • Enhance the overall quality of life by managing symptoms effectively, promoting independence, and addressing psychosocial aspects of living with cystic fibrosis.
  • Prevention of Complications:
    • Minimize and manage complications associated with cystic fibrosis, such as diabetes, liver disease, and osteoporosis, through comprehensive care and proactive interventions.

Cystic Fibrosis Nursing Care Plan

 

Subjective Data:

  • Exercise intolerance
  • Nasal congestion
  • Constipation
  • Abdominal pain

Objective Data:

  • Coughing, non-productive or with thick sputum
  • Meconium ileus
  • Failure to thrive
  • Salty taste to skin
  • Oily stools
  • Abdominal distention

Nursing Assessment for Cystic Fibrosis (CF)

 

  • Respiratory Status:
    • Monitor respiratory rate, pattern, and effort.
    • Assess for cough characteristics, sputum production, and any signs of respiratory distress.
    • Evaluate oxygen saturation levels using pulse oximetry.
  • Nutritional Assessment:
    • Monitor growth and development in pediatric patients.
    • Assess dietary habits, nutritional intake, and weight trends.
    • Evaluate signs of malabsorption, including steatorrhea and nutritional deficiencies.
  • Mucus Clearance:
    • Assess the effectiveness of airway clearance techniques.
    • Evaluate the consistency and color of respiratory secretions.
    • Monitor for signs of respiratory infections.
  • Psychosocial Well-being:
    • Evaluate the impact of cystic fibrosis on mental health and psychosocial well-being.
    • Assess coping mechanisms and support systems in place.
  • Gastrointestinal Function:
    • Monitor for symptoms of gastrointestinal involvement, such as abdominal pain, distension, and changes in bowel habits.
    • Assess pancreatic enzyme replacement therapy effectiveness.
  • Skin Integrity:
    • Inspect skin for signs of excessive salt loss, such as sweat-induced skin changes.
    • Monitor for skin breakdown, especially in areas prone to friction and moisture.
  • Bone Health:
    • Assess bone density and risk factors for osteoporosis.
    • Monitor for signs of bone pain or fractures.
  • Psychosocial Factors:
    • Evaluate the impact of the disease on the patient’s daily life, school/work, and social activities.
    • Assess for signs of depression or anxiety and provide appropriate support.

 

Implementation for Cystic Fibrosis (CF)

 

  • Respiratory Care:
    • Administer respiratory treatments, including bronchodilators, mucolytics, and airway clearance therapies as prescribed.
    • Monitor and assist with chest physiotherapy and postural drainage techniques.
    • Administer oxygen therapy as needed, ensuring proper saturation levels.
  • Nutritional Support:
    • Administer pancreatic enzyme replacement therapy with meals to support nutrient absorption.
    • Collaborate with a dietitian to create a well-balanced, high-calorie diet.
    • Encourage adequate fluid intake to prevent dehydration.
  • Medication Management:
    • Administer prescribed medications, including antibiotics for respiratory infections and medications to manage symptoms.
    • Educate the patient and family on the proper administration of medications at home.
  • Psychosocial Support:
    • Provide emotional support to the patient and family, addressing the challenges and impact of CF on daily life.
    • Facilitate access to support groups and mental health resources.
    • Collaborate with the healthcare team to address psychosocial needs.
  • Education and Self-Management:
    • Educate the patient and family about the importance of adherence to the treatment plan.
    • Teach airway clearance techniques and ensure the patient can perform them independently.
    • Provide information on recognizing early signs of respiratory infections and when to seek medical attention.

Nursing Interventions and Rationales

 

  • Assess respiratory status; note rate, rhythm, and quality of breathing; auscultate lungs
  CF patients get frequent respiratory infections because the thick mucus in the lungs traps bacteria and becomes infected.
  • Review growth charts, assess changes or decrease in height or weight
  Children may fail to thrive and lose weight or not grow properly because of malabsorption. The body does not absorb nutrients well enough to feed the cells adequately.
  • Assess abdomen
    • Look for distention
    • Listen for active bowel sounds and gas pattern
    • Feel – palpate for mass or signs of constipation
  Lack of water regulation in the cells prevents adequate lubrication in the colon and often results in constipation. Newborns may have a meconium ileus that prevents the infant from passing meconium stools.
  • Insert and monitor nasogastric feeding tubes
  Feeding tubes may be placed to help with nutrition and absorption.
  • Monitor nutritional status
    • Caloric intake
    • Excessive thirst or hunger
    • Fiber intake
    • Use of feeding tube
  Children may have an adequate diet, but the body cannot absorb the nutrients. A blockage of the pancreas prevents digestive juices from being released into the intestines which aid in the absorption of nutrients.
  • Monitor blood glucose
  CF-related diabetes is common due to the impairment of the pancreas
  • Assess for signs of infection
    • Monitor temperature
    • Note cough with or without sputum
    • Obtain sputum culture and sensitivity
  Lung infections are common in patients with CF. Culturing the sputum can help determine bacteria involved and the course of treatment. Educate patients and caregivers that they should avoid sick contacts and stay away from other CF patients who may be ill, due to susceptibility to infections.
  • Monitor for signs of dehydration and encourage fluid and salt intake
  Patients with CF lose excess amounts of fluid and salt and can become dehydrated or develop hyponatremia quickly.
  • Assess for bone malformation, deformity or fractures
  Bones may become thin; the patient develops osteoporosis or osteopenia in the later stages. Fractures are common. Note clubbing, or widening, around the tips of the fingers and toes due to poor oxygenation of tissues
  • Administer medications and supplements appropriately
  • IV antibiotics may be given to treat infections.
  • Antipyretics may be used to manage fever.
  • Anti-inflammatories help to reduce swelling in the airways
  • Inhaled steroids and bronchodilators may be used to decrease inflammation and open airways.
  • Suction secretions as necessary per facility protocol
  Thick mucus in the lungs and weakened muscles make it difficult for patients to expel secretions. Suctioning may be required.
  • Perform chest physical therapy or vest therapy 2 – 4 times per day per facility protocol
  This technique helps loosen mucus within the lungs making it easier to expel or suction
  • Provide education for home treatment and resource information for patients and parents
  • Educate parents on how to spot signs of infection and when to seek medical help.
  • Encourage nutrition with high fiber foods and adequate fluid intake to prevent constipation.
  • Teach the importance of supplements to ensure adequate absorption of nutrients.
  • Provide information for support groups and resources as available.

Evaluation for Cystic Fibrosis (CF)

 

  • Respiratory Function:
    • Monitor lung function through regular pulmonary function tests to assess the effectiveness of respiratory treatments.
    • Evaluate the frequency and severity of respiratory infections and the need for antibiotic interventions.
  • Nutritional Status:
    • Assess weight gain and growth patterns, monitoring for improvements in nutritional status.
    • Review enzyme replacement therapy effectiveness in supporting nutrient absorption.
  • Medication Adherence:
    • Evaluate the patient’s adherence to the prescribed medication regimen.
    • Assess the impact of medications on symptom management and overall well-being.
  • Psychosocial Well-being:
    • Assess the emotional well-being of the patient and family, considering the impact of CF on their daily lives.
    • Monitor participation in support groups and utilization of mental health resources.
  • Self-Management Skills:
    • Evaluate the patient’s ability to independently perform airway clearance techniques.
    • Assess the understanding and application of information provided regarding early signs of respiratory infections and appropriate actions.

References

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Transcript

Today we are going to be tackling cystic fibrosis. Cystic fibrosis is a genetic disorder of the secretary of glands. So the glands that secrete different mucus and sweat. It causes it to overproduce mucus, sweat, and it causes it to affect the lungs, pancreas, liver, intestines, and sex organs. The mucus is very thick and it impedes the normal processes of the body. So instead of lubricating the lungs and other organs, it actually clogs the airways and the ducts; the most, frequently affected organs are the pancreas and the liver. Some things we want to look for, we want to look for signs of infection. These patients tend to have some respiratory infections. We also want to just think in the back of our mind vest therapy, that’s some therapy that the cystic fibrosis patients undertake. We’re going to monitor the vital signs. 

We’re going to draw some labs. We’re going to administer medications as ordered. We’re going to do a good abdominal assessment, and we’re going to do a glucose check because the blocked pancreas is also affected and that can cause some diabetes. And also we’re going to monitor their fluid intake. This patient is going to maintain adequate ventilation and respiratory status as well as have optimal, nutritional status. And the cystic fibrosis patient is going to be free of infection. 

So cystic fibrosis: subjective. What is the patient telling us? Well, the patient is going to have some exercise intolerance. They’re going to get tired and that’s because a lot of their ducts are blocked. So their lungs are going to be tired. They’re going to have some nasal congestion. Remember the thick mucus. They’re also going to have some constipation because their GI tract is going to also be blocked and they are going to have some abdominal pain. 

Okay. Um, some objective things that we’re going to observe as nurses, we’re going to see coughing, but it’s going to be non productive. Or if it’s productive, it’s going to be thick sputum. They’re going to have what we call meconium ileus. If you remember, meconium is that first stool that is passed as a child. So they’re going to have ileus, which is, it’s not going to come. They’re going to have a failure to thrive. These patients also have what we call a salty taste to the skin, and they’re going to have oily stools and some abdominal distention. So what are some things that we can do as nurses and intervene? Well, the first thing I think we should do is assess the respiratory status. Very important that we note a few things. We want to note the rate, the rhythm and the quality of breathing, because those things can give us some good information. 

So cystic fibrosis patients tend to get frequent respiratory infections because of the thick mucus that traps bacteria. We want to perform chest physical therapy or vest therapy, two to four to four times a day. And that’s all based on the facility’s protocol. We’re going to look at the abdomen. We’re going to do a good abdominal assessment. We’re going to feel or palpate for signs of constipation. In these patients, the mucus that usually lubricates the GI tract becomes an area for distension and constipation. Okay. We’re going to monitor their blood sugar. These patients tend to have increased blood glucose levels. CF related diabetes is very common. 

We’re going to, again, assess for signs of infection. So because lung infections are common, we’re going to culture the sputum. We’re going to have determined which bacteria is involved. If an infection is present, because we want to be able to pick the correct antibiotics in order to develop a course of treatment. Last, but certainly not least, we are going to monitor for signs of dehydration, and we’re going to encourage fluid and salt intake. So patients with cystic fibrosis tend to lose an excess amount of fluids and salt. So salt leaves and fluid goes right behind it. They can become dehydrated or develop hyponatremia, which is another word for low sodium. They can develop low sodium and that develops quickly. We want to avoid all of those complications. We talked about this, but we want to make sure that we perform the vest therapy two to four times a day. Like I said, per the protocol, this technique is just shaking up the body and loosening up that thick mucus and making it easy to either suction out or expel with a cough. 

Here are some key points that we want to focus on when we are taking care of the cystic fibrosis patient. Okay. Remember, cystic fibrosis is an autosomal, recessive genetic disorder. Okay. It just makes your secretary glands produce thick mucus. Okay. The subjective and objective details that we want to focus on are subjective. These patients are going to have some exercise and tolerance, constipation, abdominal pain, and congestion. Objective: we’re going to notice a few things. Few of them, a meconium ileus, and abdominal distension, as well as increased blood sugar. So let’s add that here. Increase B G blood glucose. We’re going to monitor glucose for CF related diabetes and best therapies should be done two to four times per day. That’s going to help break up that thick mucus. We love you guys; go out and be your best self today. And, as always, happy nursing.

 

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Ground Zero

Concepts Covered:

  • Communication
  • Fundamentals of Emergency Nursing
  • Intraoperative Nursing
  • Documentation and Communication
  • Legal and Ethical Issues
  • Emergency Care of the Cardiac Patient
  • Delegation
  • Perioperative Nursing Roles
  • Preoperative Nursing
  • Community Health Overview
  • Prioritization
  • Studying
  • Factors Influencing Community Health
  • Concepts of Population Health
  • Understanding Society
  • Test Taking Strategies
  • Medication Administration
  • Adult
  • Microbiology
  • Cardiac Disorders
  • Anxiety Disorders
  • Depressive Disorders
  • Vascular Disorders
  • Nervous System
  • Upper GI Disorders
  • Central Nervous System Disorders – Brain
  • Gastrointestinal Disorders
  • Immunological Disorders
  • Dosage Calculations
  • Circulatory System
  • Concepts of Pharmacology
  • Hematologic Disorders
  • Newborn Care
  • Adulthood Growth and Development
  • Disorders of Pancreas
  • Respiratory Disorders
  • Postoperative Nursing
  • Pregnancy Risks
  • Neurological
  • Postpartum Complications
  • Substance Abuse Disorders
  • Noninfectious Respiratory Disorder
  • Bipolar Disorders
  • Peripheral Nervous System Disorders
  • Learning Pharmacology
  • Psychotic Disorders
  • Prenatal Concepts
  • Tissues and Glands
  • Basics of Chemistry
  • Gastrointestinal
  • Newborn Complications
  • Labor Complications
  • Fetal Development
  • Terminology
  • Labor and Delivery
  • Postpartum Care
  • EENT Disorders
  • Infectious Disease Disorders
  • Lower GI Disorders
  • Integumentary Disorders
  • Neurologic and Cognitive Disorders
  • Hematologic Disorders
  • Integumentary Disorders
  • Cardiovascular Disorders
  • Musculoskeletal Disorders
  • Endocrine and Metabolic Disorders
  • Renal and Urinary Disorders
  • Urinary System
  • Oncologic Disorders
  • Renal Disorders
  • Infectious Respiratory Disorder
  • Urinary Disorders
  • Sexually Transmitted Infections
  • EENT Disorders
  • Behavior
  • Emotions and Motivation
  • Growth & Development
  • Psychological Disorders
  • State of Consciousness
  • Health & Stress

Study Plan Lessons

Communicating with Other Nurses
Conflict Management (Patient, Perioperative Team, Family) for Certified Perioperative Nurse (CNOR)
CRNA
Daily Charting
Day in the Life of a Labor Nurse
Day in the Life of a Med-surg Nurse
Day in the Life of a NICU Nurse
Day in the Life of a Postpartum Nurse
Day in the Life of an ICU (Intensive Care Unit) Nurse
Day in the Life of an Operating Room Nurse
Delegation and Personnel Management for Certified Perioperative Nurse (CNOR)
Delegation of Tasks to Assistive Personnel for Certified Emergency Nursing (CEN)
HCIR Management (Healthcare Industry Representative) for Certified Perioperative Nurse (CNOR)
Interdisciplinary Team Participation for Certified Perioperative Nurse (CNOR)
Joint Commission
MSN (Masters) vs. DNP (Doctorate)
Oncology nurse
Patient Consent for Treatment for Certified Emergency Nursing (CEN)
Patient Education
Patient Satisfaction for Certified Emergency Nursing (CEN)
Safety Checks
SBAR Practice Scenarios
Shift change and Patient handoff
The Medical Team
Time Management
Transition To Practice
Access to Care
Age and Culturally Appropriate Health Assessment Techniques for Certified Perioperative Nurse (CNOR)
Care of Vulnerable Populations
Child Abuse/Neglect – Warning Signs Nursing Mnemonic (CHILD ABUSE)
Communicable Diseases
Community Health Nursing Theories
Continuity of Care
Epidemiology
Levels of Prevention
Giving the Best Patient Education
Health Promotion Assessments
Health Promotion & Disease Prevention
High-Risk Behaviors
High Risk Behavior Nursing Mnemonic (HEADSS)
Health Promotion Model
Patient Education
Planning Community Health Interventions Nursing Mnemonic (PRECEDE-PROCEED)
Technology & Informatics
12 Points to Answering Pharmacology Questions
6 Rights of Medication Administration
ACLS (Advanced cardiac life support) Drugs
Adenosine (Adenocard) Nursing Considerations
Amiodarone (Pacerone) Nursing Considerations
Anesthetic Agents
Anti-Infective – Antifungals
Anti-Platelet Aggregate
Antianxiety Meds
Antidepressants
Atenolol (Tenormin) Nursing Considerations
Atropine (Atropen) Nursing Considerations
Barbiturates
Bariatric: IV Insertion
Basics of Calculations
Benztropine (Cogentin) Nursing Considerations
Bisacodyl (Dulcolax) Nursing Considerations
Buspirone (Buspar) Nursing Considerations
Carbidopa-Levodopa (Sinemet) Nursing Considerations
Cefdinir (Omnicef) Nursing Considerations
Celecoxib (Celebrex) Nursing Considerations
Codeine (Paveral) Nursing Considerations
Combative: IV Insertion
Complex Calculations (Dosage Calculations/Med Math)
Cyclosporine (Sandimmune) Nursing Considerations
Dark Skin: IV Insertion
Dimensional Analysis Nursing (Dosage Calculations/Med Math)
Diphenoxylate-Atropine (Lomotil) Nursing Considerations
Drawing Blood from the IV
Drawing Up Meds
Drug Interactions Nursing Mnemonic (These Drugs Can Interact)
Epoetin Alfa
Eye Prophylaxis for Newborn
Fentanyl (Duragesic) Nursing Considerations
Geriatric: IV Insertion
Giving Medication Through An IV Set Port
Glipizide (Glucotrol) Nursing Considerations
Guaifenesin (Mucinex) Nursing Considerations
Hanging an IV Piggyback
How to Remove (discontinue) an IV
How to Secure an IV (chevron, transparent dressing)
Hydralazine
Hydrocodone-Acetaminophen (Vicodin, Lortab) Nursing Considerations
Hydromorphone (Dilaudid) Nursing Considerations
IM Injections
Injectable Medications
Insulin
Insulin – Long Acting (Lantus) Nursing Considerations
Insulin – Mixtures (70/30)
Insulin Drips
Insulin Mixing
Interactive Pharmacology Practice
Interactive Practice Drip Calculations
IV Catheter Selection (gauge, color)
IV Complications (infiltration, phlebitis, hematoma, extravasation, air embolism)
IV Drip Administration & Safety Checks
IV Drip Therapy – Medications Used for Drips
IV Infusions (Solutions)
IV Insertion Angle
IV Insertion Course Introduction
IV Placement Start To Finish (How to Start an IV)
IV Pump Management
IV Push Medications
Ketorolac (Toradol) Nursing Considerations
Labeling (Medications, Solutions, Containers) for Certified Perioperative Nurse (CNOR)
Lidocaine (Xylocaine) Nursing Considerations
Magnesium Sulfate
Magnesium Sulfate in Pregnancy
Maintenance of the IV
Mannitol (Osmitrol) Nursing Considerations
MAOIs
Medication Errors
Medication Reconciliation Review for Certified Perioperative Nurse (CNOR)
Medications in Ampules
Meds for Postpartum Hemorrhage (PPH)
Meperidine (Demerol) Nursing Considerations
Methadone (Methadose) Nursing Considerations
Methylergonovine (Methergine) Nursing Considerations
Metoclopramide (Reglan) Nursing Considerations
Montelukast (Singulair) Nursing Considerations
Mood Stabilizers
Nalbuphine (Nubain) Nursing Considerations
Needle Safety
Neostigmine (Prostigmin) Nursing Considerations
NG Tube Med Administration (Nasogastric)
NG Tube Medication Administration
Nitro Compounds
NRSNG Live | The S.O.C.K Method for Mastering Nursing Pharmacology and Never Forgetting a Medication Again
Nystatin (Mycostatin) Nursing Considerations
OB Pharm and What Drugs You HAVE to Know – Live Tutoring Archive
Olanzapine (Zyprexa) Nursing Considerations
Opioid Analgesics in Pregnancy
Oral Medications
Oxycodone (OxyContin) Nursing Considerations
Pain Management for the Older Adult – Live Tutoring Archive
Pain Management Meds – Live Tutoring Archive
Parasympathomimetics (Cholinergics) Nursing Considerations
Patient Controlled Analgesia (PCA)
Pediatric Dosage Calculations
Pentobarbital (Nembutal) Nursing Considerations
Pharmacodynamics
Pharmacokinetics
Pharmacokinetics Nursing Mnemonic (ADME)
Pharmacology Course Introduction
Phenobarbital (Luminal) Nursing Considerations
Phytonadione (Vitamin K) for Newborn
Pill Crushing & Cutting
Positioning
Procainamide (Pronestyl) Nursing Considerations
Propofol (Diprivan) Nursing Considerations
Quetiapine (Seroquel) Nursing Considerations
Ranitidine (Zantac) Nursing Considerations
Rh Immune Globulin in Pregnancy
Sedatives-Hypnotics
Sedatives-Hypnotics
Selecting THE vein
Spiking & Priming IV Bags
Starting an IV
Streptokinase (Streptase) Nursing Considerations
Struggling with Dimensional Analysis? – Live Tutoring Archive
SubQ Injections
Supplies Needed
Tattoos IV Insertion
TCAs
The SOCK Method – C
The SOCK Method – K
The SOCK Method – O
The SOCK Method – Overview
The SOCK Method – S
The SOCK Method of Pharmacology 1 – Live Tutoring Archive
The SOCK Method of Pharmacology 2 – Live Tutoring Archive
The SOCK Method of Pharmacology 3 – Live Tutoring Archive
Tips & Tricks
Tips & Advice for Newborns (Neonatal IV Insertion)
Tips & Advice for Pediatric IV
Understanding All The IV Set Ports
Using Aseptic Technique
Verapamil (Calan) Nursing Considerations
Acids & Bases (acid base balance)
05.03 Jaundice for CCRN Review
Abortion in Nursing: Spontaneous, Induced, and Missed
Abruptio Placenta for Certified Emergency Nursing (CEN)
Abruptio Placentae (Placental abruption)
Acyclovir (Zovirax) Nursing Considerations
Addicted Newborn
Adult Vital Signs (VS)
Alpha-fetoprotein (AFP) Lab Values
Ampicillin (Omnipen) Nursing Considerations
Anemia in Pregnancy
Antepartum Testing
Antepartum Testing Case Study (45 min)
Anti-Infective – Aminoglycosides
Anti-Infective – Lincosamide
Aspiration for Certified Emergency Nursing (CEN)
Babies by Term
Behind The Red Line – Live Tutoring Archive
Betamethasone and Dexamethasone
Betamethasone and Dexamethasone in Pregnancy
Bicarbonate (HCO3) Lab Values
Blood Cultures
Blood Glucose Monitoring
Blood Transfusions (Administration)
Body System Assessments
Breastfeeding
Butorphanol (Stadol) Nursing Considerations
Cardiac (Heart) Disease in Pregnancy
Causes of Chorioamnionitis Nursing Mnemonic (Pregnancies Are Very Interesting)
Causes of Labor Dystocia Nursing Mnemonic (Having Extremely Frustrating Labor)
Causes of Postpartum Hemorrhage Nursing Mnemonic (4 T’s)
Certified Nurse Midwife
Chorioamnionitis
Clindamycin (Cleocin) Nursing Considerations
Congestive Heart Failure (CHF) Labs
Day in the Life of a Labor Nurse
Day in the Life of a Postpartum Nurse
Dexamethasone (Decadron) Nursing Considerations
Direct Bilirubin (Conjugated) Lab Values
Discomforts of Pregnancy
Disseminated Intravascular Coagulation (DIC)
Diuretics (Loop, Potassium Sparing, Thiazide, Furosemide/Lasix)
Dystocia
Ectopic Pregnancy
Ectopic Pregnancy Case Study (30 min)
Ectopic Pregnancy for Certified Emergency Nursing (CEN)
Emergent Delivery (OB) (30 min)
Emergent Delivery for Certified Emergency Nursing (CEN)
Epidural
Episiotomy – Evaluation of Healing Nursing Mnemonic (REEDA)
Erythroblastosis Fetalis
Eye Prophylaxis for Newborn
Eye Prophylaxis for Newborn (Erythromycin)
Factors That Can Put a Pregnancy at Risk Nursing Mnemonic (RIBCAGE)
Family Planning & Contraception
Family Planning & Signs of Pregnancy – Live Tutoring Archive
Fertilization and Implantation
Fetal Alcohol Syndrome (FAS)
Fetal Circulation
Fetal Development
Fetal Distress Interventions Nursing Mnemonic (Stop MOAN)
Fetal Environment
Fetal Heart Monitoring (FHM)
Fetal Heart Monitoring Like A Pro – Live Tutoring Archive
Fetal Heart Monitoring Like A Pro 2 – Live Tutoring Archive
Fetal Wellbeing Assessment Tests Nursing Mnemonic (ALONE)
Fundal Height Assessment for Nurses
Furosemide (Lasix) Nursing Considerations
Gestation & Nägele’s Rule: Estimating Due Dates
Gestational Diabetes (GDM)
Gestational Diabetes and Why YOU Should Know About It – Live Tutoring Archive
Gestational HTN (Hypertension)
Glucagon Lab Values
Glucose Tolerance Test (GTT) Lab Values
Gravidity and Parity (G&Ps, GTPAL)
HELLP Syndrome
HELLP Syndrome – Signs and Symptoms Nursing Mnemonic (HELLP)
Hematomas in OB Nursing: Causes, Symptoms, and Nursing Care
Hemodynamics
Hemoglobin A1c (HbA1C)
Hemorrhage (Postpartum Bleeding) for Certified Emergency Nursing (CEN)
Hepatitis B Vaccine for Newborns
Homocysteine (HCY) Lab Values
Hydatidiform Mole (Molar pregnancy)
Hydralazine (Apresoline) Nursing Considerations
Hydrochlorothiazide (Hydrodiuril) Nursing Considerations
Hyperbilirubinemia (Jaundice)
Hyperemesis Gravidarum
Hyperemesis Gravidarum for Certified Emergency Nursing (CEN)
Hyperglycemia Management Nursing Mnemonic (Dry and Hot – Insulin Shot)
Hypovolemic Shock Case Study (OB sim) (60 min)
Incompetent Cervix
Infections in Pregnancy
Initial Care of the Newborn (APGAR)
Inserting a Foley (Urinary Catheter) – Female
Intra Uterine Device – Potential Problems Nursing Mnemonic (PAINS)
Isotonic Solutions (IV solutions)
Labor Progression Case Study (45 min)
Leopold Maneuvers
Lung Surfactant
Lung Surfactant for Newborns
Magnesium Sulfate
Magnesium Sulfate
Magnesium Sulfate (MgSO4) Nursing Considerations
Magnesium Sulfate in Pregnancy
Mastitis
Maternal Risk Factors
Mechanisms of Labor
Meconium Aspiration
Meds for Postpartum Hemorrhage (PPH)
Meds for PPH (postpartum hemorrhage)
Menstrual Cycle
Methylergonovine (Methergine) Nursing Considerations
Newborn of HIV+ Mother
Newborn Physical Exam
Newborn Reflexes
Nifedipine (Procardia) Nursing Considerations
Nursing Care Plan (NCP) for Abortion, Spontaneous Abortion, Miscarriage
Nursing Care Plan (NCP) for Abruptio Placentae / Placental abruption
Nursing Care Plan (NCP) for Chorioamnionitis
Nursing Care Plan (NCP) for Diabetes Mellitus (DM)
Nursing Care Plan (NCP) for Dystocia
Nursing Care Plan (NCP) for Ectopic Pregnancy
Nursing Care Plan (NCP) for Gestational Diabetes (GDM)
Nursing Care Plan (NCP) for Gestational Hypertension, Preeclampsia, Eclampsia
Nursing Care Plan (NCP) for Hyperemesis Gravidarum
Nursing Care Plan (NCP) for Hypertension (HTN)
Nursing Care Plan (NCP) for Incompetent Cervix
Nursing Care Plan (NCP) for Mastitis
Nursing Care Plan (NCP) for Maternal-Fetal Dyad Using GTPAL
Nursing Care Plan (NCP) for Meconium Aspiration
Nursing Care Plan (NCP) for Neonatal Jaundice | Hyperbilirubinemia
Nursing Care Plan (NCP) for Newborns
Nursing Care Plan (NCP) for Placenta Previa
Nursing Care Plan (NCP) for Postpartum Hemorrhage (PPH)
Nursing Care Plan (NCP) for Premature Rupture of Membranes (PROM) / Preterm Premature Rupture of Membranes (PPROM)
Nursing Care Plan (NCP) for Preterm Labor / Premature Labor
Nursing Care Plan (NCP) for Process of Labor
Nursing Care Plan (NCP) for Transient Tachypnea of Newborn
Nursing Care Plan for (NCP) Fetal Alcohol Syndrome (FAS)
Nursing Care Plan for Newborn Reflexes
Nursing Case Study for Maternal Newborn
Nutrition Assessments
Nutrition in Pregnancy
Nutritional Requirements
OB (Labor) Nurse Report to OB (Postpartum) Nurses
OB Course Introduction
OB Non-Stress Test Results Nursing Mnemonic (NNN)
OB Pharm and What Drugs You HAVE to Know – Live Tutoring Archive
Obstetric Trauma for Certified Emergency Nursing (CEN)
Obstetrical Procedures
Opioid Analgesics in Pregnancy
Oral Birth Control Pills – Serious Complications Nursing Mnemonic (Aches)
Oxytocin (Pitocin) Nursing Considerations
Pediatric Vital Signs (VS)
Physiological Changes
Phytonadione (Vitamin K)
Phytonadione (Vitamin K) for Newborn
Placenta Previa
Placenta Previa for Certified Emergency Nursing (CEN)
Possible Infections During Pregnancy Nursing Mnemonic (TORCH)
Post-Partum Assessment Nursing Mnemonic (BUBBLE)
Postpartum Discomforts
Postpartum Hematoma
Postpartum Hemorrhage (PPH)
Postpartum Interventions
Postpartum Physiological Maternal Changes
Postpartum Thrombophlebitis
Precipitous Labor
Preeclampsia (45 min)
Preeclampsia, Eclampsia, and HELLP Syndrome for Certified Emergency Nursing (CEN)
Preeclampsia: Signs, Symptoms, Nursing Care, and Magnesium Sulfate
Pregnancy Labs
Pregnancy Outcomes Nursing Mnemonic (GTPAL)
Preload and Afterload
Premature Rupture of the Membranes (PROM)
Preterm Labor
Preterm Labor for Certified Emergency Nursing (CEN)
Probable Signs of Pregnancy Nursing Mnemonic (CHOP BUGS)
Process of Labor
Process of Labor – Mom Nursing Mnemonic (4 P’s)
Process of Labor – Baby Nursing Mnemonic (ALPPPS)
Process of Labor – Live Tutoring Archive
Process of Labor 2 – Live Tutoring Archive
Prolapsed Umbilical Cord
Promethazine (Phenergan) Nursing Considerations
Prostaglandins
Prostaglandins in Pregnancy
Protein (PROT) Lab Values
Retinopathy of Prematurity (ROP)
Rh Immune Globulin (Rhogam)
Rh Immune Globulin in Pregnancy
Signs of Pregnancy – Live Tutoring Archive
Signs of Pregnancy (Presumptive, Probable, Positive)
Spironolactone (Aldactone) Nursing Considerations
Stages of Fetal Development Nursing Mnemonic (Proficiently Expanding Fetus)
Subinvolution
Terbutaline (Brethine) Nursing Considerations
Threatened/Spontaneous Abortion for Certified Emergency Nursing (CEN)
Tips & Advice for Newborns (Neonatal IV Insertion)
Tocolytics
Tocolytics
Top 5 Misunderstood OB Concepts – Live Tutoring Archive
Transient Tachypnea of Newborn
Umbilical Cord Vasculature Nursing Mnemonic (2A1V)
Uterine Stimulants (Oxytocin, Pitocin)
Uterine Stimulants (Oxytocin, Pitocin) Nursing Considerations
VEAL CHOP Nursing Mnemonic (Fetal Accelerations and Decelerations) (VEAL CHOP)
What the Heck is Antepartum Testing? – Live Tutoring Archive
Abdomen (Abdominal) Assessment
ABG (Arterial Blood Gas) Interpretation-The Basics
ABG (Arterial Blood Gas) Oxygenation
ABGs Nursing Normal Lab Values
ABGs Tic-Tac-Toe interpretation Method
Acetaminophen (Tylenol) Nursing Considerations
Acute Bronchitis
Acute Otitis Media (AOM)
Airborne Precaution Diseases Nursing Mnemonic (MTV)
Albuterol (Ventolin) Nursing Considerations
Alveoli & Atelectasis
Amoxicillin (Amoxil) Nursing Considerations
Anti-Infective – Antivirals
Anti-Infective – Macrolides
Anti-Infective – Penicillins and Cephalosporins
Anti-Infective – Fluoroquinolones
Appendicitis
Appendicitis – Assessment Nursing Mnemonic (PAINS)
Appendicitis Case Study (Peds) (30 min)
Appendicitis for Certified Emergency Nursing (CEN)
Assessment of a Burn Nursing Mnemonic (SCALD)
Asthma
Asthma Concept Map
Asthma management Nursing Mnemonic (ASTHMA)
Attention Deficit Hyperactivity Disorder (ADHD)
Autism Spectrum Disorders
Base Excess & Deficit
Bisacodyl (Dulcolax) Nursing Considerations
Blood Brain Barrier (BBB)
Blood Type O Nursing Mnemonic (Universally Odd)
Bronchiolitis and Respiratory Syncytial Virus (RSV)
Bronchodilators
Bupropion (Wellbutrin) Nursing Considerations
Burn Injuries
Burn Injury Case Study (60 min)
Burns for Certified Emergency Nursing (CEN)
Cardiac Glycosides
Care of the Pediatric Patient
Casting & Splinting
Cefaclor (Ceclor) Nursing Considerations
Celiac Disease
Cerebral Palsy (CP)
Cimetidine (Tagamet) Nursing Considerations
Ciprofloxacin (Cipro) Nursing Considerations
Cleft Lip and Palate
Cleft Lip Repair – Post Op Care Nursing Mnemonic (CLEFT LIP)
Clubfoot
Congenital Heart Defects (CHD)
Conjunctivitis
Constipation and Encopresis (Incontinence)
Corticosteroids
Coumarins
Cyanotic Defects Nursing Mnemonic (The 4 T’s)
Cystic Fibrosis (CF)
Day in the Life of a NICU Nurse
Day in the Life of a Peds (Pediatric) Nurse
Defects of Decreased Pulmonary Blood Flow
Defects of Increased Pulmonary Blood Flow
Dehydration
Diarrhea – Treatment Nursing Mnemonic (BRAT)
Digoxin (Lanoxin) Nursing Considerations
Diphenhydramine (Benadryl) Nursing Considerations
Diphenoxylate-Atropine (Lomotil) Nursing Considerations
Eczema
EENT Assessment
Enuresis
Epiglottitis
Epiglottitis – Signs and Symptoms Nursing Mnemonic (AIR RAID)
Epispadias and Hypospadias
Famotidine (Pepcid) Nursing Considerations
Fever
Fever Case Study (Pediatric) (30 min)
Flu Symptoms Nursing Mnemonic (FACTS)
Fluid Compartments
Fluid Pressures
Fluid Shifts (Ascites) (Pleural Effusion)
Fluid Volume Deficit
Fluticasone (Flonase) Nursing Considerations
Gas Exchange
Gentamicin (Garamycin) Nursing Considerations
Glucose Lab Values
Gluten Free Diet Nursing Mnemonic (BROW)
Guaifenesin (Mucinex) Nursing Considerations
Heart Sounds Nursing Mnemonic (APE To Man – All People Enjoy Time Magazine)
Hematocrit (Hct) Lab Values
Hemoglobin (Hbg) Lab Values
Hemophilia
Hierarchy of O2 Delivery
Hydrocephalus
Hypoxia – Signs and Symptoms (in Pediatrics) Nursing Mnemonic (FINES)
Ibuprofen (Motrin) Nursing Considerations
Immunizations (Vaccinations)
Imperforate Anus
Impetigo
Indomethacin (Indocin) Nursing Considerations
Influenza – Flu
Integumentary (Skin) Assessment
Intussusception
Intussusception for Certified Emergency Nursing (CEN)
Iron Deficiency Anemia
Isolation Precaution Types (PPE)
Isolation Precautions (MRSA, C. Difficile, Meningitis, Pertussis, Tuberculosis, Neutropenia)
Lactulose (Generlac) Nursing Considerations
Leukemia
Levels of Consciousness (LOC)
Levetiracetam (Keppra) Nursing Considerations
Lung Sounds
Marfan Syndrome
Meningitis
Meningitis Assessment Findings Nursing Mnemonic (FAN LIPS)
Meningitis for Certified Emergency Nursing (CEN)
Methylphenidate (Concerta) Nursing Considerations
Mixed (Cardiac) Heart Defects
Mumps
Nephroblastoma
Nephrotic Syndrome
Nephrotic Syndrome Case Study (Peds) (45 min)
Neuro Assessment
NSAIDs
Nursing Care Plan (NCP) for Acute Bronchitis
Nursing Care Plan (NCP) for Appendicitis
Nursing Care Plan (NCP) for Asthma
Nursing Care Plan (NCP) for Asthma / Childhood Asthma
Nursing Care Plan (NCP) for Attention Deficit Hyperactivity Disorder (ADHD)
Nursing Care Plan (NCP) for Bronchiolitis / Respiratory Syncytial Virus (RSV)
Nursing Care Plan (NCP) for Burn Injury (First, Second, Third degree)
Nursing Care Plan (NCP) for Celiac Disease
Nursing Care Plan (NCP) for Cerebral Palsy (CP)
Nursing Care Plan (NCP) for Cleft Lip / Cleft Palate
Nursing Care Plan (NCP) for Clubfoot
Nursing Care Plan (NCP) for Congenital Heart Defects
Nursing Care Plan (NCP) for Constipation / Encopresis
Nursing Care Plan (NCP) for Cystic Fibrosis
Nursing Care Plan (NCP) for Decreased Cardiac Output
Nursing Care Plan (NCP) for Dehydration & Fever
Nursing Care Plan (NCP) for Eczema (Infantile or Childhood) / Atopic Dermatitis
Nursing Care Plan (NCP) for Enuresis / Bedwetting
Nursing Care Plan (NCP) for Epiglottitis
Nursing Care Plan (NCP) for Fluid Volume Deficit
Nursing Care Plan (NCP) for Hemophilia
Nursing Care Plan (NCP) for Hydrocephalus
Nursing Care Plan (NCP) for Impaired Gas Exchange
Nursing Care Plan (NCP) for Imperforate Anus
Nursing Care Plan (NCP) for Impetigo
Nursing Care Plan (NCP) for Infective Conjunctivitis / Pink Eye
Nursing Care Plan (NCP) for Influenza
Nursing Care Plan (NCP) for Intussusception
Nursing Care Plan (NCP) for Marfan Syndrome
Nursing Care Plan (NCP) for Meningitis
Nursing Care Plan (NCP) for Mumps
Nursing Care Plan (NCP) for Neural Tube Defect, Spina Bifida
Nursing Care Plan (NCP) for Omphalocele
Nursing Care Plan (NCP) for Otitis Media / Acute Otitis Media (AOM)
Nursing Care Plan (NCP) for Pediculosis Capitis / Head Lice
Nursing Care Plan (NCP) for Pertussis / Whooping Cough
Nursing Care Plan (NCP) for Phenylketonuria (PKU)
Nursing Care Plan (NCP) for Reye’s Syndrome
Nursing Care Plan (NCP) for Rheumatic Fever
Nursing Care Plan (NCP) for Rubeola – Measles
Nursing Care Plan (NCP) for Scoliosis
Nursing Care Plan (NCP) for Sickle Cell Anemia
Nursing Care Plan (NCP) for Tonsillitis
Nursing Care Plan (NCP) for Varicella / Chickenpox
Nursing Care Plan (NCP) for Vomiting / Diarrhea
Nursing Care Plan for (NCP) Autism Spectrum Disorder
Nursing Case Study for Pediatric Asthma
Obstructive Heart (Cardiac) Defects
Ocular Infections (Conjunctivitis, Iritis) for Certified Emergency Nursing (CEN)
Omphalocele
Opioid Analgesics
Pancrelipase (Pancreaze) Nursing Considerations
Pediatric Bronchiolitis Labs
Pediatric Gastrointestinal Dysfunction – Diarrhea
Pediatric Oncology Basics
Pediatrics Course Introduction
Pediculosis Capitis
Pertussis – Whooping Cough
Phenylketonuria
Phenytoin (Dilantin) Nursing Considerations
Platelets (PLT) Lab Values
Pneumonia
Promotion and Evaluation of Normal Elimination Nursing Mnemonic (POOPER SCOOP)
Pulmonary Function Test
Red Blood Cell (RBC) Lab Values
Respiratory Acidosis (interpretation and nursing interventions)
Reye’s Syndrome
Reyes Syndrome Case Study (Peds) (45 min)
Rheumatic Fever
ROME – ABG (Arterial Blood Gas) Interpretation
Rubeola – Measles
Salmeterol (Serevent) Nursing Considerations
Scoliosis
Selegiline (Eldepyrl) Nursing Considerations
Sickle Cell Anemia
Spina Bifida – Neural Tube Defect (NTD)
Steroids – Side Effects Nursing Mnemonic (6 S’s)
Stoma Care (Colostomy bag)
Strabismus
Sudden Infant Death Syndrome (SIDS)
Sympathomimetics (Alpha (Clonodine) & Beta (Albuterol) Agonists)
Thorax and Lungs Assessment
Tonsillitis
Topical Medications
Tracheal Esophageal Fistula – Sign and Symptoms Nursing Mnemonic (The 3 C’s)
Transient Incontinence – Common Causes Nursing Mnemonic (P-DIAPERS)
Treatment of Sickle Cell Nursing Mnemonic (HOP to the hospital)
Umbilical Hernia
Vaccine-Preventable Diseases (Measles, Mumps, Pertussis, Chicken Pox, Diphtheria) for Certified Emergency Nursing (CEN)
Varicella – Chickenpox
Varicella Case Study (Peds) (30 min)
Vitals (VS) and Assessment
Vomiting
White Blood Cell (WBC) Lab Values
X-Ray (Xray)
ADLs (Activity of Daily Living) Nursing Mnemonic (BATTED)
Emotions and Motivation
Growth & Development Theories
Maslow’s Hierarchy of Needs in Nursing
Psychological Disorders
State of Consciousness
Stress and Crisis