Nursing Care Plan (NCP) for Impetigo

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Study Tools For Nursing Care Plan (NCP) for Impetigo

Impetigo on the Back of Neck (Image)
Impetigo Around Mouth (Image)
Care Plan Example_Impetigo (Cheatsheet)
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Outline

Lesson Objective for Impetigo Nursing Care Plan

  • Understanding of Impetigo:
    • Gain knowledge about the etiology, pathophysiology, and clinical manifestations of impetigo to provide effective nursing care.
  • Infection Control Measures:
    • Learn and implement proper infection control measures to prevent the spread of impetigo within healthcare settings and the community.
  • Skin Assessment Skills:
    • Develop skills in assessing skin lesions characteristic of impetigo, including recognizing the appearance of vesicles, pustules, and honey-colored crusts.
  • Topical Medication Administration:
    • Understand the administration and proper application of topical antibiotics or antimicrobial ointments prescribed for impetigo treatment.
  • Patient and Family Education:
    • Acquire knowledge to educate patients and their families on the importance of medication adherence, hygiene practices, and measures to prevent the recurrence of impetigo.

Pathophysiology of Impetigo

 

  • Microbial Invasion:
    • Impetigo is primarily caused by the invasion of the skin by bacteria, with the most common culprits being Staphylococcus aureus and Streptococcus pyogenes.
  • Breakdown of Skin Barrier:
    • The bacteria typically enter the skin through existing breaks, cuts, or insect bites, compromising the natural barrier function of the skin.
  • Toxin Production:
    • Staphylococcus aureus, in particular, can produce toxins that contribute to the development of characteristic skin lesions associated with impetigo.
  • Formation of Vesicles and Pustules:
    • The invasion and toxin production lead to the formation of small vesicles and pustules, which may rupture, releasing infectious material.
  • Honey-Colored Crusts:
    • As the lesions rupture, a characteristic feature of impetigo is the formation of honey-colored crusts on the skin surface, representing a collection of dried serum, bacteria, and inflammatory cells.
  • Autoinoculation:
    • Scratching or touching the affected areas can lead to autoinoculation, spreading the bacteria to other parts of the body and facilitating the development of new lesions.
  • Contagious Nature:
    • Impetigo is highly contagious, and direct contact with the skin lesions or items contaminated with the infectious material can contribute to the transmission of the bacteria.
  • Environmental Factors:
    • Environmental factors, such as warm and humid conditions, may create an optimal environment for bacterial growth and impetigo development. Factors like poor hygiene or crowded living conditions can also contribute.

Etiology of Impetigo

  • Bacterial Infection:
    • Impetigo is primarily caused by bacterial infections, with the two most common bacteria being Staphylococcus aureus and Streptococcus pyogenes.
  • Breaks in the Skin:
    • The bacteria enter the skin through breaks, cuts, or abrasions, exploiting any disruption in the skin’s integrity as a point of entry.
  • Poor Hygiene:
    • Impetigo is more likely to occur in conditions where personal hygiene is compromised, as cleanliness helps prevent bacterial colonization.
  • Close Contact and Crowded Conditions:
    • The infection spreads easily in environments where there is close person-to-person contact or overcrowded living conditions.
  • Warm and Humid Climates:
    • Impetigo is more prevalent in warm and humid climates, creating favorable conditions for bacterial growth and skin infections.
  • Compromised Immune System:
    • Individuals with weakened immune systems, whether due to underlying health conditions, medications, or other factors, may be more susceptible to impetigo.
  • Insect Bites and Scratches:
    • In addition to breaks in the skin, impetigo can also develop at the sites of insect bites or scratches, providing alternative entry points for bacteria.
  • Shared Personal Items:
    • Sharing personal items, such as towels, razors, or clothing, can contribute to the transmission of bacteria and increase the risk of impetigo.
  • Pre-existing Skin Conditions:
    • People with pre-existing skin conditions, like eczema or dermatitis, may have compromised skin barriers, making them more prone to impetigo.

Desired Outcome for Impetigo

  • Resolution of Skin Lesions:
    • The primary goal is the complete resolution of impetigo lesions, including the disappearance of red sores, blisters, and honey-colored crusts.
  • Absence of Itching and Discomfort:
    • The patient should experience relief from itching and discomfort associated with impetigo, indicating the successful management of symptoms.
  • Prevention of Complications:
    • To prevent the spread of infection and potential complications, such as cellulitis or post-streptococcal glomerulonephritis, through timely and effective treatment.
  • Negative Bacterial Culture:
    • Achieving a negative bacterial culture from skin swabs indicates the eradication of the causative bacteria, confirming the effectiveness of the chosen treatment.
  • Improved Hygiene Practices:
    • Educating and encouraging patients and caregivers to adopt improved hygiene practices to prevent the recurrence of impetigo and minimize the risk of bacterial skin infections in the future.

Subjective Data:

  • Generalized weakness
  • Malaise
  • Itching

Objective Data:

  • Multiple lesions or bullae around the mouth and nose or extremities
  • Honey-colored crust around lesions
  • Fever
  • Diarrhea

Nursing Assessment for Impetigo

 

  • Skin Examination:
    • Perform a comprehensive inspection of the affected areas to identify characteristic impetigo lesions, such as red sores, blisters, and honey-colored crusts.
  • Lesion Distribution
    • Assess the distribution of lesions to determine if they are localized or widespread, as this information guides treatment planning.
  • Skin Integrity:
    • Evaluate the overall integrity of the skin around impetigo lesions, checking for signs of inflammation, redness, swelling, or warmth.
  • Itching and Discomfort:
    • Inquire about the presence and severity of itching and discomfort, as these symptoms can impact the patient’s well-being.
  • Patient History:
    • Gather a detailed patient history, including any recent skin injuries, exposure to irritants, or previous episodes of impetigo.
  • Hygiene Practices:
    • Assess the patient’s hygiene practices, including frequency of bathing and handwashing, as poor hygiene can contribute to impetigo.
  • Contact History:
    • Inquire about recent exposure to individuals with impetigo or other skin infections to identify potential sources of transmission.
  • Systemic Symptoms:
    • Monitor for systemic symptoms such as fever, which may indicate a more severe infection requiring additional medical attention.

Implementation for Impetigo

  • Topical Antibiotic Application:
    • Apply prescribed topical antibiotics to impetigo lesions as directed by the healthcare provider. Ensure that the affected areas are covered with the medication.
  • Wound Care:
    • Instruct the patient and caregivers on proper wound care, emphasizing gentle cleansing of impetigo sores with mild soap and water. Avoid picking at crusts to prevent further infection.
  • Isolation Precautions:
    • Encourage the practice of good hygiene and recommend isolation precautions to prevent the spread of impetigo. Advise the patient to avoid close contact with others until lesions are healed.
  • Education on Contagious Nature:
    • Educate the patient and caregivers about the contagious nature of impetigo and the importance of maintaining good personal hygiene to prevent re-infection and transmission.
  • Follow-Up Monitoring:
    • Schedule follow-up appointments to monitor the progress of impetigo treatment. Assess for any adverse reactions to medications and ensure compliance with the prescribed regimen.

Nursing Interventions and Rationales

 

Nursing Intervention (ADPIE) Rationale
Assess skin for lesions; note color and presence of crusting Open sores or blisters may form around mouth and nose, but may also be located on trunk and extremities. Ruptured blisters and sores may have yellow crusting on or around the lesions.
Assess vitals; note fever Monitor for signs of systemic infection or complication
Maintain contact precautions Disease is spread through direct contact with lesions. Use PPE and sanitize equipment or tools (or use disposable equipment if available)
Apply topical antibiotics with sterile, individual applicators Topical antibiotics may be appropriate when a small area is affected. A 7 day course is generally required.

Make sure to avoid contamination of container and other areas when applying topical treatments.

Administer oral antibiotics Oral antibiotics may provide better treatment of infection than topical treatments alone. There should be signs of improvement after 2-3 days of treatment.
Make sure patient’s fingernails are trimmed and clean; use mittens or socks on the hands of infants as appropriate Itching is a common symptom. Scratching lesions will cause the disease to spread to other parts of the body, or other people.
Educate patient and caregivers about how to prevent the spread of disease to others Infected child should use their own towels and linens which should be washed alone.

Ensure good hand washing habits;

Avoid contact with others who may have depressed immune system.

Avoid outside play, high temperatures that will make the sores worse.

Evaluation for Impetigo

 

  • Resolution of Lesions:
    • Evaluate the patient’s skin for the resolution of impetigo lesions. Assess whether the sores have healed, and crusts or scabs have fallen off, indicating successful treatment.
  • Absence of New Lesions:
    • Monitor for the absence of new impetigo lesions. A lack of new sores suggests that the implemented interventions have effectively controlled the spread of the infection.
  • Patient Compliance:
    • Assess the patient’s compliance with the prescribed treatment plan, including the use of topical antibiotics and adherence to hygiene practices. Non-compliance may impede the healing process.
  • Reduction in Contagiousness:
    • Evaluate whether the patient has become less contagious by observing improvements in isolation precautions and a decrease in the risk of transmitting impetigo to others.
  • Patient Education Understanding:
    • Engage in discussions with the patient and caregivers to assess their understanding of impetigo, its causes, and preventive measures. Ensure that they are well-informed to prevent recurrence and manage potential future outbreaks effectively.


References

https://emedicine.medscape.com/article/965254-overview

https://www.mayoclinic.org/diseases-conditions/impetigo/symptoms-causes/syc-20352352

https://my.clevelandclinic.org/health/diseases/15134-impetigo

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Transcript

Hi everyone. Today, we are going to be creating a nursing care plan for impetigo. Say that once with me: impetigo. Perfect. Let’s get started. So I’m going to go over the pathophys. So infantigo is the most common bacterial skin infection in children. It is highly contagious and normally appears around the nose, mouth, and extremities. It is characterized by blisters with yellow fluid that ruptures and leaves a honey color. Some nursing interventions or nursing considerations: we want to do a full skin assessment, vital signs, administer medications, maintain contact precautions, and educate the patient and family. Some desired outcomes: the patient will be free from infection and exhibit an absence of skin lesions. The patient will also not have any sort of systemic complications. So here you’re going to see an example of impetigo. You’re going to notice these lesions and this honey color type crusting here on the chin. So we’re going to go ahead and go into the care plan. 

We’re going to be going over and writing down some subjective data and some objective data. So what we’re going to see with these patients: one of the main things is that they’re going to be complaining of itchiness. So it’s going to be really, really itchy and it’s always around like the mouth, the nose, or the extremities. They’ll also have generalized weakness, a fever and diarrhea. 

Some interventions: we want to make sure that we are assessing those skin lesions. So doing a skin assessment, making sure you’re noting the color and the presence of the crusting. Some open source or blisters may form around the mouth and the nose, but they also might be located on the trunk or the extremities. Ruptured blisters, and sores may also have that yellow crusting on or around the lesions. You also want to make sure that you’re going to be assessing the vital signs, noticing a fever and monitoring for signs of any sort of systemic infection or any complications. Another intervention that we’re going to be doing is maintaining contact precautions. The disease is spread through direct contact with the lesions, so you want to make sure you’re using that proper PPE and sanitize the equipment or tools that are used, and dispose of the equipment as needed. Other interventions we’re going to be doing. We’re going to apply any sort of topical antibiotics using sterile individual applicators. You want to make sure to avoid any contamination of the container in other areas when you’re applying those topical treatments. You can also administer oral antibiotics as  this may help to better treat the infection. The topical antibiotics are not as effective. There should be signs of improvement within two to three days of treatment. 

Other interventions that we want to do, you want to make sure that the fingernails are trimmed and clean for infants. You want to use mittens or socks because the constant scratching of lesions can spread the infection and we want to make sure they’re not spreading it to other parts of the body or to other people. You want to make sure that you’re cutting the fingernails. And then the next intervention we want to do is we want to make sure that we’re doing good education for the patient. So you want to educate on prevention and treatment. You want to ensure that they’re doing good hand hygiene, and making sure that they’re washing their hands prior to applying any sort of topical antibiotic and after touching anything. They should avoid any sort of contact with others who have any sort of a depressed immune system. I also want to note to avoid being outside for play during high temperatures as that will make the sores worse. 

All right, we are moving on to the key points. So it is a common bacterial skin infection in children. It is highly contagious, appearing around the nose, mouth and extremities. It is characterized by blisters with yellow fluid that ruptures leaving that honey colored crust, which is very classic for this. It is caused by the group A beta-hemolytic strep or streptococcus. Some subjective and objective data: what you’re going to see with the patient? They’re going to complain of a lot of itching, generalized weakness, multiple lesions around the nose, mouth, or the extremities with honey colored crust around the lesions, fever, and diarrhea. You want to assess and put them on contact precautions. So, full skin assessment, monitoring those vital signs for fever, and maintaining those contact precautions. You want to give that medication and do proper education. So you’re going to apply some of the topical antibiotics or give oral antibiotics. You want to make sure you’re keeping fingernails trimmed and making sure you’re educating on prevention and the spread of the disease to the other body parts or to other people. And there you have it, the completed care plan for today. 

You guys are doing awesome. We love you guys. Go out, be your best self today, and as always happy nursing.

 

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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)