Nursing Care Plan (NCP) for Gout / Gouty Arthritis

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Study Tools For Nursing Care Plan (NCP) for Gout / Gouty Arthritis

Gout Treatment (Picmonic)
Gout Disease (Picmonic)
Gout Pathochart (Cheatsheet)
Example Care Plan_Gout (Gouty Arthritis) (Cheatsheet)
Blank Nursing Care Plan_CS (Cheatsheet)
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Outline

Lesson Objective for Gout/Gouty Arthritis Nursing Care Plan

  • Understanding Gout Pathophysiology:
    • Gain knowledge of the underlying pathophysiological mechanisms of gout, focusing on the formation and deposition of urate crystals in joints and tissues.
  • Identifying Etiological Factors:
    • Recognize and comprehend the various factors contributing to the development of gout, such as genetics, diet, lifestyle, and comorbid conditions, to inform targeted interventions.
  • Developing Holistic Care Strategies:
    • Formulate a comprehensive care plan that addresses acute gout attacks, chronic management, and preventive measures. Understand the importance of lifestyle modifications and pharmacological interventions.
  • Nursing Assessment Skills:
    • Enhance assessment skills to accurately identify signs and symptoms of gout, assess joint inflammation, and recognize potential triggers. Develop competence in differentiating gout from other arthritic conditions.
  • Patient Education and Empowerment:
    • Acquire communication skills to educate patients about gout, its triggers, and the importance of medication adherence, lifestyle modifications, and dietary changes. Foster patient empowerment for self-management.

Pathophysiology of Gout/Gouty Arthritis

  • Uric Acid Accumulation:
    • Gout is characterized by an elevated level of uric acid in the blood, a condition known as hyperuricemia. This can result from either overproduction or insufficient excretion of uric acid.
  • Formation of Urate Crystals:
    • Excess uric acid can crystallize in joints, tendons, and surrounding tissues, forming needle-like crystals known as monosodium urate crystals.
  • Inflammatory Response:
    • When urate crystals deposit in joints, they trigger an inflammatory response, activating immune cells and causing acute inflammation. This inflammatory process is responsible for the sudden and severe pain characteristic of gout attacks.
  • Joint Involvement:
    • The first metatarsophalangeal joint of the big toe is often the initial site of gouty arthritis. However, gout can affect other joints such as ankles, knees, wrists, and fingers.
  • Chronic Gout and Tophi Formation:
    • If left untreated, recurrent gout attacks can lead to chronic gouty arthritis. Prolonged inflammation may result in the formation of tophi, which are deposits of urate crystals in joints, soft tissues, and organs.

Etiology of Gout/Gouty Arthritis

  • Hyperuricemia:
    • Gout is primarily caused by elevated levels of uric acid in the blood, a condition known as hyperuricemia. This can result from increased production of uric acid or impaired excretion by the kidneys.
  • Dietary Factors:
    • Certain dietary choices, particularly the consumption of purine-rich foods (such as red meat, seafood, and organ meats), can contribute to elevated uric acid levels and increase the risk of gout.
  • Genetic Predisposition:
    • Genetic factors play a role in the development of gout. Some individuals may have a genetic predisposition to hyperuricemia and gout, making them more susceptible to the condition.
  • Impaired Renal Function:
    • Reduced excretion of uric acid by the kidneys can lead to its accumulation in the bloodstream. Conditions that impair renal function, such as chronic kidney disease, may contribute to the development of gout.
  • Lifestyle Factors:
    • Certain lifestyle factors, including obesity, excessive alcohol consumption (especially beer and spirits), and dehydration, can increase the risk of developing gout. These factors may exacerbate hyperuricemia and trigger gout attacks.

Desired Outcome for Gout/Gouty Arthritis

  • Pain Management:
    • Alleviate acute pain associated with gout attacks, aiming for a significant reduction in pain intensity and improved overall comfort.
  • Inflammation Control:
    • Reduce inflammation in affected joints to enhance mobility and function, promoting a better quality of life for the individual.
  • Prevention of Recurrent Attacks:
    • Implement measures to prevent the recurrence of gout attacks, including lifestyle modifications, dietary changes, and pharmacological interventions.
  • Normalization of Uric Acid Levels:
    • Achieve and maintain optimal serum uric acid levels to prevent the formation of urate crystals, which are responsible for gout symptoms and joint damage.
  • Improved Joint Functionality:
    • Enhance joint functionality and minimize long-term joint damage, aiming for increased range of motion and improved joint health over time.

Gout / Gouty Arthritis Nursing Care Plan

 

Subjective Data:

  • Sudden pain in joints, often the big toe
  • Stiffness in joint
  • Tenderness of the joint
  • Limited range of motion
  • Itching

Objective Data:

  • Tophi (nodules in the skin)
  • Renal calculi
  • Joint inflammation
  • Joint edema
  • Erythema

Nursing Assessment for Gout/Gouty Arthritis

 

  • Pain Assessment:
    • Evaluate the location, intensity, and characteristics of pain during gout attacks, using a pain scale for accurate measurement.
  • Joint Examination:
    • Perform a thorough examination of affected joints, assessing for swelling, redness, warmth, and limited range of motion.
  • Patient History:
    • Obtain a detailed medical history, with a focus on previous gout attacks, family history of gout, and any existing comorbidities.
  • Dietary Assessment:
    • Assess the patient’s dietary habits, particularly the intake of purine-rich foods and alcohol, to identify potential triggers for gout attacks.
  • Uric Acid Levels:
    • Monitor serum uric acid levels through blood tests to determine the extent of hyperuricemia and guide treatment strategies.
  • Lifestyle Factors:
    • Evaluate lifestyle factors such as physical activity, stress levels, and hydration, as they can influence the frequency and severity of gout attacks.
  • Medication History:
    • Review the patient’s current medications, including any prescribed medications, over-the-counter drugs, and herbal supplements, as some may exacerbate or contribute to gout.
  • Patient Education Needs:
    • Assess the patient’s knowledge about gout, its triggers, and self-management strategies, identifying areas where education and support are required.

 

Implementation for Gout/Gouty Arthritis

 

  • Medication Administration:
    • Administer prescribed medications such as nonsteroidal anti-inflammatory drugs (NSAIDs), colchicine, or corticosteroids as directed to manage pain and inflammation during acute gout attacks.
  • Pain Management Strategies:
    • Implement non-pharmacological pain management strategies, including the application of ice packs, elevation of the affected joint, and encouraging rest during acute episodes.
  • Fluid Intake Promotion:
    • Emphasize the importance of maintaining adequate hydration to help prevent the formation of urate crystals. Encourage the patient to consume plenty of water throughout the day.
  • Dietary Modification:
    • Collaborate with a dietitian to help the patient modify their diet, reducing the intake of purine-rich foods and alcohol. Provide educational resources on gout-friendly dietary choices.
  • Lifestyle Counseling:
    • Offer counseling on lifestyle modifications, including weight management and regular exercise, to address contributing factors to gout and improve overall joint health.

Nursing Interventions and Rationales

 

  • Assess and manage pain
    • Administer medications
    • Apply cool cloths as tolerable
    • Assist with positioning to avoid pressure on the affected joint
  An acute attack can cause intense pain for the first 36 hours. Offer options to help manage pain.
  • Assist with mobility
  Due to pain and inflammation, patients may require assistance with mobility for safe ambulation and transfer.
  • Monitor signs of joint inflammation
  Evaluate erythema and joint edema to determine if interventions are effective at reducing inflammation.
  • Administer medications
    • NSAIDs / Corticosteroids
    • Colchicine
    • Xanthine Oxidase Inhibitors (XOIs)
    • Uricosurics

  Medications can help relieve the immediate symptoms while others are for long term management and prevention of flare-up recurrence.

  • NSAIDs and corticosteroids help reduce swelling and can relieve immediate pain
  • Colchicine can be given for acute pain specific to gout attacks
  • XOI (allopurinol)- medications that block the production of uric acid and help prevent future attacks
  • Uricosurics (probenecid)- help the kidneys more effectively excrete uric acid
  • Promote hydration and increase fluid intake
  Prevents dehydration and helps the kidneys excrete uric acid
  • Assist with AROM or PROM
  Prevents joint stiffness and increases mobility
  • Nutrition Education
    • Limit or avoid animal proteins (liver, kidney, beef, lamb, and pork)
    • Limit intake of seafood, especially those high in purine such as shellfish, sardines, and tuna
    • Avoid alcohol as it greatly increases the risk of gout attacks
    • Encourage foods that reduce the risk of attacks including coffee, cherries, and foods high in vitamin C
    • Limit or avoid foods/drinks sweetened with fructose
  Dietary changes reduce the risk of recurrent gout attacks and lessen the severity of future attacks. Patients should avoid foods high in purines as these will cause a buildup of uric acid within the body.

Evaluation for Gout/Gouty Arthritis

 

  • Pain Assessment:
    • Evaluate the effectiveness of pain management interventions by assessing the patient’s reported pain levels and the frequency of acute gout attacks.
  • Joint Functionality:
    • Monitor improvements in joint functionality, assessing the patient’s ability to perform daily activities and mobility without significant limitations.
  • Medication Adherence:
    • Assess the patient’s adherence to prescribed medications and their understanding of the importance of continued therapy in preventing and managing gout attacks.
  • Dietary and Lifestyle Changes:
    • Evaluate the patient’s adherence to dietary modifications and lifestyle changes recommended to manage gout, such as reduced purine intake, increased hydration, and weight management.
  • Uric Acid Levels:
    • Regularly monitor serum uric acid levels to determine the success of interventions in maintaining uric acid within the target range and preventing the formation of urate crystals.


References

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Transcript

This is the nursing care plan for gout. Let’s work on it. So the pathophysiology behind gout is that it’s a common and painful form of arthritis that causes swollen, hot, stiff joints. What happens is uric acid crystallizes and settles into the joints and body tissues most frequently affecting the big toe. And if not treated progressive to the ankles, heels, wrist, and hands. This is also severe pain, stiffness and retinas at the joint. Gout attacks often occur in the middle of the night when the joint is a immobile. Once the initial pain subsides, the general discomfort of the area can last for several weeks. The nursing considerations, some things that we want to just be mindful of is this is painful. So we want to promote comfort. Okay. We want to optimize mobility. We want to educate the patient on exacerbating factors, and we want to make sure that we control their pain. 

The desired outcome of this is to relieve the acute attack, prevent future attacks and promote optimal excretion of the urines. So subjective, the patient is coming in. They have gout, this inflammation of the joints. What are they going to complain of? Well, the first thing is when it’s acute, they are going to complain of pain, sudden pain and joints. Okay. Now let’s go down a little deeper. There’s going to be limited range of motion because that pain, if you’re thinking of the joints, is going to be very tender and it is so great that you don’t want to move much. And there also may be some complaining of itching. 

Well, we’re going to observe as nurses, is we are going to notice, this is what is called tophi. And that is just pretty much nodules in the skin. There’s going to be some renal calculi or renal stones. There’s going to be some joint inflammation, some redness, some edema, those joints are going to be swollen, red and hot. So what are some things that we can do as nurses? We want to assess and manage their pain. Again, they are in a lot of pain. So we want to assess and manage pain. We want to administer any medications. So we want to administer medications And we want to apply cool cloth And assist with positioning to avoid pressure on the affected joint. And the acute attack can cause intense pain for the first 36 hours. Imagine being in pain for 36 hours, it’s not good. We want to offer options to help manage pain. Next thing we want to do is we want to look at some of the medications that we’re going to give. So, what can help? Well, let’s start with the swelling

Steroids help with swelling. We have colchicine. So let’s write that here. And that is a prescription gout medication. And that helps with gout pain. We have allopurinol that blocks your acid production and acute attack again, lasting for 36 hours. So any medications that we can give to help them either with a pain, with NSAIDS or corticosteroids, or to block that we can really help that patient along. We want to promote hydration and increased fluid intake, increased fluid intake. Remember it is all about the uric acid buildup in the body that settles into the joints. It prevents dehydration with the increased fluid intake, but it also is going to help flush out those uric acid crystals via the kidneys. So we want to flush your acid. Okay. The next thing we’re going to do is we’re going to give them some nutrition education. Remember a lot of this can be managed with diet. We want to tell our patients to avoid alcohol. We want to decrease animal proteins. We want to increase their vitamin C. So, we want to increase vitamin c, decrease alcohol , and decrease animal protein. And we want to limit high purine food as purine puree converts to acid in the body. So we want to decrease high pure rain foods. Hyperion foods include shellfish, tuna sardines. And finally, we want to assess and assist with range of motion exercises. This is going to prevent joint stiffness. 

And pain. Let’s take a look at the key points. The pathophysiology of gout, it’s a painful form of arthritis. It comes because of the increased uric acid in the blood. Some subjective data that we’re going to have. These patients are going to complain of joint pain, redness, usually in the big toe tenderness and stiffness. Some things that we’re going to see, is we’re going to see those nodules on the skin called tophi. We’re going to also see joint swelling and redness. The diet considerations are number one for this patient, because we want to make sure that these patients know what causes gout because of the uric acid. We want these patients to avoid alcohol. We want them to decrease animal protein, increase vitamin C and limit high purine. Remember those come to form a lot of foods like shellfish preserved foods, such as sardines. We want to have some medication management again, they’re in pain. So NSAIDS and steroids are important. We also have allopurinol, which is going to block the production of uric acid. We love you guys; go out and be your best self today. And, as always, happy nursing.

 

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Hypertension – Nursing care Nursing Mnemonic (DIURETIC)
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Hypertensive Crisis Case Study (45 min)
Hyperthermia (Thermoregulation)
Hyperthyroidism Case Study (75 min)
Hypertonic Solutions (IV solutions)
Hypocalcemia – Definition, Signs and Symptoms Nursing Mnemonic (CATS)
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Hypoglycemia symptoms Nursing Mnemonic (DIRE)
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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)