Nursing Care Plan (NCP) for Endocarditis

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Included In This Lesson

Study Tools For Nursing Care Plan (NCP) for Endocarditis

Endocarditis Interventions (Picmonic)
Endocarditis Assessment (Picmonic)
Endocarditis Pathochart (Cheatsheet)
Endocarditis vs Pericarditis Chart (Cheatsheet)
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Outline

Lesson Objectives for Endocarditis

  • Understanding Endocarditis:
    • Define endocarditis, outlining the inflammatory condition affecting the endocardium and heart valves, and recognize its potential causes and risk factors.
  • Pathophysiology of Endocarditis:
    • Explore the underlying pathophysiology of endocarditis, including the mechanisms of infection, how microorganisms invade the endocardium, and the resulting impact on cardiac structures.
  • Identification of Risk Factors:
    • Identify and analyze the risk factors associated with endocarditis, such as pre-existing heart conditions, valve abnormalities, and intravenous drug use, to understand the predisposing factors for this condition.
  • Clinical Manifestations:
    • Explore the clinical manifestations of endocarditis, including signs and symptoms such as fever, heart murmurs, and vascular phenomena, to facilitate early recognition and timely intervention.
  • Nursing Interventions and Prevention:
    • Discuss nursing interventions for patients with endocarditis, emphasizing the importance of infection prevention strategies, patient education, and collaborative care to improve outcomes and prevent complications.

Pathophysiology of Endocarditis

  • Microbial Invasion:
    • Endocarditis typically begins when microorganisms, often bacteria, enter the bloodstream (bacteremia) from an external source, such as dental procedures, surgeries, or infections in other parts of the body.
  • Attachment and Colonization:
    • Microorganisms adhere to damaged areas on the heart’s endocardium or heart valves. Pre-existing heart conditions, congenital valve abnormalities, or artificial heart valves create susceptible sites.
  • Formation of Vegetations:
    • As microorganisms colonize, they trigger an inflammatory response. This immune response leads to the formation of vegetations, which are masses of platelets, fibrin, microorganisms, and inflammatory cells.
  • Valve Damage and Dysfunction:
    • The vegetations can cause structural damage to the heart valves, leading to valvular dysfunction. This can result in regurgitation or stenosis, affecting the heart’s ability to pump blood efficiently.
  • Embolic Events:
    • Fragments of vegetations, known as emboli, can break loose and travel through the bloodstream, causing blockages in smaller blood vessels. This can lead to systemic complications, such as stroke, organ infarction, or septic emboli.

Etiology of Endocarditis

  • Bacterial Infections:
    • Bacteria are the primary causative agents of infective endocarditis. Common bacteria involved include Streptococcus and Staphylococcus species. The specific strain can vary, and certain individuals may be more susceptible, especially those with pre-existing heart conditions.
  • Fungal Infections:
    • In addition to bacteria, fungal infections, particularly Candida species, can also cause endocarditis. Fungal endocarditis is more prevalent in individuals with compromised immune systems.
  • Intravenous Drug Use:
    • Individuals who engage in intravenous drug use are at an increased risk of developing endocarditis. Contaminated needles can introduce bacteria directly into the bloodstream, leading to infection of the heart valves.
  • Structural Heart Abnormalities:
    • Congenital heart defects, artificial heart valves, and other structural abnormalities increase the risk of endocarditis. Damaged heart tissue provides sites for bacterial attachment and colonization.
  • Procedures and Surgeries:
    • Certain medical procedures, such as dental work or surgeries involving the respiratory or gastrointestinal tracts, can introduce bacteria into the bloodstream. Individuals with predisposing conditions are more susceptible to developing endocarditis following such procedures.

Desired Outcome for Endocarditis

  • Infection Control:
    • Achieve resolution of the infectious process, ensuring the elimination of bacteria or fungi causing endocarditis.
  • Restoration of Valve Function:
    • Restore optimal functioning of the affected heart valve(s) to prevent complications such as valvular insufficiency or stenosis.
  • Prevention of Systemic Complications:
    • Prevent the spread of infection to other organs and tissues, reducing the risk of systemic complications such as emboli formation, septicemia, or organ damage.
  • Normalization of Laboratory Values:
    • Normalize laboratory parameters such as blood cultures, inflammatory markers, and cardiac biomarkers to indicate control of the infection and reduction of inflammation.
  • Symptomatic Relief:
    • Alleviate symptoms associated with endocarditis, such as fever, fatigue, and cardiac symptoms, enhancing the overall quality of life for the individual.

Endocarditis Nursing Care Plan

 

Subjective Data:

  • Chest Pain
  • Symptoms of Heart Failure

Objective Data:

  • Temperature
  • ↑ WBC
  • Signs of Heart Failure
  • Heart murmurs
  • ↓ SpO2
  • Embolic complications
    • Splinter hemorrhages in nail beds
    • Janeway lesions on fingers, toes, nose
    • Clubbing of fingers

Nursing Assessment for Endocarditis

 

  • Clinical History:
    • Obtain a detailed medical history, including any recent infections, dental procedures, or intravenous drug use, which could contribute to the development of endocarditis.
  • Symptom Assessment:
    • Evaluate and document symptoms such as fever, fatigue, new or changed heart murmurs, and signs of emboli (e.g., petechiae, splinter hemorrhages).
  • Cardiovascular Assessment:
    • Perform a thorough cardiovascular assessment, including auscultation for murmurs, assessing heart sounds, and monitoring for signs of heart failure or embolic events.
  • Peripheral Signs of Infection:
    • Examine for peripheral signs of infection, such as clubbing, Janeway lesions, Osler nodes, or Roth spots, which may indicate systemic involvement.
  • Laboratory Tests:
    • Order and interpret laboratory tests, including blood cultures, complete blood count (CBC), inflammatory markers (e.g., erythrocyte sedimentation rate, C-reactive protein), and cardiac biomarkers.
  • Imaging Studies:
    • Consider imaging studies, such as echocardiography, to visualize heart valves, assess for vegetations, and determine the extent of cardiac involvement.
  • Renal Function Assessment:
    • Monitor renal function through assessments of serum creatinine and blood urea nitrogen, as endocarditis can lead to complications affecting renal perfusion.
  • Neurological Assessment:
    • Conduct a neurological assessment to identify signs of embolic events, such as changes in mental status, focal neurological deficits, or other neurological abnormalities.

 

Implementation for Endocarditis

 

  • Antibiotic Therapy:
    • Initiate prompt and appropriate antibiotic therapy based on blood culture results and susceptibility patterns. Administer intravenous antibiotics for an extended duration, guided by infectious disease specialists.
  • Intravenous Fluids:
    • Ensure adequate hydration with intravenous fluids to maintain cardiac output and perfusion. Monitor fluid balance and adjust the rate as needed, especially if the patient is at risk of heart failure.
  • Pain Management:
    • Manage pain and discomfort effectively with prescribed analgesics. Consider the patient’s pain threshold and choose medications that do not compromise cardiovascular stability.
  • Monitoring and Support:
    • Implement continuous monitoring of vital signs, cardiac function, and oxygen saturation. Provide respiratory support if necessary, including supplemental oxygen or mechanical ventilation.
  • Surgical Intervention:
    • Collaborate with the healthcare team to determine the need for surgical intervention, such as valve repair or replacement, in cases of severe valvular damage or persistent infection despite antibiotic therapy.

Nursing Interventions and Rationales

 

  • Assess Heart Sounds

 

Patients with endocarditis may develop valve disorders – listen for heart murmurs or extra sounds.

 

  • Assess and Address Oral Hygiene

 

There is a significant connection between oral health and pericarditis. Bacteria can travel to the heart easily from the oral cavity. Patients should brush their teeth twice daily to prevent complications.

 

  • Administer IV Antibiotics

 

Endocarditis is almost always a bacterial source, therefore, IV antibiotics will be required to treat the infection. Be sure to obtain  blood cultures prior to initiating antibiotics.

 

  • Administer and Monitor Anticoagulant Therapy

 

The provider may order anticoagulant therapy to prevent further collection of platelets or clots around the valves and to prevent major complications from emboli.

Depending on the medication, the therapy may require monitoring. For example IV Heparin requires PTT monitoring.

 

  • Apply SCDs or TED hose

 

Patients are at risk for embolic complications. SCD’s or TED hose can help prevent DVT’s from developing. This can help to prevent pulmonary embolism.

 

  • Assess for s/s emboli

 

The vegetation on the valves is at risk for breaking off and becoming lodged in smaller vessels. This includes risk for Stroke, MI, Pulmonary Embolism, but also damage to the smaller vessels in the extremities, hands, and feet.

 

  • Educate patient on s/s infection

 

Endocarditis is an infectious process, therefore infection control is imperative. They need to be taught hand hygiene as well as other infection precautions. They should also be taught s/s of infection to report to their provider.

 

  • Educate patient to inform other providers before procedures
    • May need prophylactic antibiotics
    • No dental procedures for at least 6 months

 

Because the patient is at high risk for recurrence and complications, it’s important that they notify other providers of their history of endocarditis. They may require prophylactic antibiotics prior to any invasive procedures and they should avoid dental procedures for at least 6 months after their hospitalization.

 

Evaluation for Endocarditis

 

  • Clinical Response:
    • Assess the patient’s clinical response to antibiotic therapy by monitoring vital signs, laboratory results, and resolution of signs and symptoms of infection. Evaluate for any signs of persistent or recurrent infection.
  • Complications Monitoring:
    • Regularly evaluate for potential complications, such as embolic events, heart failure, or systemic complications. Conduct imaging studies and diagnostic tests as necessary to identify and manage complications promptly.
  • Laboratory Parameters:
    • Monitor laboratory parameters, including blood cultures, inflammatory markers (such as C-reactive protein and erythrocyte sedimentation rate), and complete blood count, to gauge the effectiveness of antibiotic therapy and resolution of inflammation.
  • Cardiac Function:
    • Assess cardiac function through echocardiography and other cardiac imaging studies. Evaluate for any persistent valvular damage or development of new cardiac issues that may require further intervention.
  • Patient Education and Compliance:
    • Evaluate the patient’s understanding of the prescribed treatment plan and ensure compliance with medications and follow-up appointments. Address any concerns or barriers to adherence to optimize long-term outcomes.


References

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Example Nursing Diagnosis For Nursing Care Plan (NCP) for Endocarditis

  1. Risk for Infection: Endocarditis is an infectious condition involving the heart valves. This diagnosis focuses on the potential for systemic infection.
  2. Altered Cardiac Output: Endocarditis can impair cardiac function by affecting heart valves. This diagnosis addresses alterations in cardiac output.
  3. Risk for Embolic Events: Endocarditis can lead to vegetation formation on heart valves, increasing the risk of embolic events. This diagnosis emphasizes the potential for embolism formation.

Transcript

Hey guys, in this lesson, we’re going to take a look at the care plan for endocarditis. We’re briefly going to take a look at the pathophysiology and etiology of endocarditis. We’re going to also take a look at additional things that would be included in the endocarditis care plan like subjective and objective data, what a patient with this issue might present with, and also necessary nursing interventions and rationales. 

 

So, endocarditis is inflammation of the lining of the valves of the heart, often from an infectious source, which can cause disorders of the valve and also life-threatening arrhythmias. Because vegetations can form from bacteria, heart attacks and strokes are also extremely possible. So, the two most common causes of endocarditis are IV drug use because of the introduction of bacteria into the vascular system, and also artificial valve replacement as bacteria tends to adhere to artificial devices. The desired outcome is to treat the cause and remove the source of infection while preserving cardiac output and preventing any major or even minor complications.

 

Okay. So let’s take a look at some of the subjective and objective data that your patient with endocarditis may present with. Remember, subjective data is going to be things that are based on your patient’s opinions or feelings. These things for endocarditis might include chest pain or symptoms of heart failure. 

 

So objective data for endocarditis includes possibly a temperature, increased white blood cells, signs of heart failure, heart murmurs, decreased SATs, and also embolic complications, including splintering hemorrhage in the nail beds, janeway lesions on the fingers, toes and nose, and clubbing of the fingers. 

 

Okay, let’s take a look at some nursing interventions necessary for endocarditis. Assess heart sounds as patients with endocarditis may develop valve disorders. Listen for heart murmurs or extra sounds. Next, assess and address oral hygiene. This is super important as there’s a significant connection between oral health and pericarditis. Bacteria can actually travel from the mouth to the heart, super easily, so patients should brush their teeth twice daily. With endocarditis, there is almost always a bacterial source involved. IV antibiotics will be required to treat this infection. Be sure to obtain blood cultures prior to initiating antibiotics. The provider may also order anticoagulant therapy to prevent further collection of platelets or clots around the valves and to prevent major complications from an emboli. Depending on the medication, the therapy may require monitoring. For example, with IV heparin, you’ll need to do PTT’s. Because of the risk of embolic complications, patients with endocarditis should have SCD’s and Ted hose. Be sure to assess for signs of an emboli because of the possible vegetations on the valves. There’s a risk of MI, PE, stroke, even damage to the smaller vessels in the hands, feet and extremities. Be sure that you educate your patients on the signs of infections and also report these to the provider. Also, teaching hand hygiene is critical. Teach the patient to inform other providers of their endocarditis history before any procedure, as the patient may need prophylactic antibiotics, and they should not have any dental procedures for six months. 

 

Okay guys, here is a look at the completed care plan for endocarditis. Let’s do a quick review of endocarditis. This is the inflammation of the lining of the heart valves, usually from an infectious source, which can cause vascular disorders and arrhythmias. The causes are usually from IV drug use or from artificial valves. Subjective data includes chest pain and symptoms of heart failure. Objective data includes a temperature, having elevated white blood cells, signs of heart failure, heart murmurs, and embolic complications like splintering, hemorrhagic nail beds, finger clubbing and janeway lesions. Assess the patient’s heart sounds. Listening for murmurs, assess their oral hygiene and have them brush their teeth twice daily. Assess for signs and symptoms of emboli to prevent MI, strokes or PE’s.  Apply SCDs and Ted hose, and administer IV antibiotics or anticoagulant therapy to prevent embolic complications. Educate the patient to report any signs of infection to their provider. Tell the provider of endocarditis for any procedures that they may have as they may need antibiotic prophylaxis, and they should not have any dental procedures for six months. 

 

Okay guys, that is it on this care plan for endocarditis. We love you guys. Go out and be your best self today and as always, happy nursing!

 

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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)