Nursing Care Plan (NCP) for Meconium Aspiration

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Study Tools For Nursing Care Plan (NCP) for Meconium Aspiration

Meconium Aspiration Pathochart (Cheatsheet)
Example Care Plan_Meconium Aspiration (Cheatsheet)
Blank Nursing Care Plan_CS (Cheatsheet)
Meconium Aspiration (Image)
Newborn Complications, Meconium Aspiration, Meconium (Image)

Outline

Lesson Objectives for Meconium Aspiration

  • Understand Meconium Aspiration Syndrome (MAS):
    • Gain knowledge about the pathophysiology and clinical manifestations of meconium aspiration, including how meconium in the amniotic fluid can affect the newborn’s respiratory system.
  • Identify Risk Factors:
    • Learn to recognize and assess the risk factors associated with meconium aspiration, such as post-term pregnancy, fetal distress, and maternal conditions, to facilitate early identification and intervention.
  • Recognize Clinical Signs and Symptoms:
    • Develop the ability to identify clinical signs and symptoms of meconium aspiration in a newborn, including respiratory distress, cyanosis, and decreased breath sounds, to enable prompt assessment and intervention.
  • Master Nursing Assessment Skills:
    • Acquire skills in conducting a thorough nursing assessment of a newborn with meconium aspiration, including respiratory assessment, monitoring vital signs, and assessing for signs of distress.
  • Implement Effective Nursing Care:
    • Learn to implement nursing interventions aimed at supporting the newborn with meconium aspiration, such as suctioning, oxygen therapy, and monitoring respiratory status closely.

 

Pathophysiology of Meconium Aspiration Syndrome (MAS)

  • In Utero Passage of Meconium:
    • Meconium is the first stool of a newborn and is typically passed after birth. However, in some cases, particularly when the fetus experiences stress or hypoxia, meconium may be released into the amniotic fluid before birth.
  • Aspiration of Meconium:
    • The newborn, especially if under stress during labor or delivery, may aspirate or inhale the meconium-stained amniotic fluid into the respiratory tract. This can lead to the obstruction of the airways.
  • Airway Obstruction and Chemical Pneumonitis:
    • The aspirated meconium can cause mechanical obstruction of the airways, leading to air trapping and atelectasis. Additionally, the presence of meconium in the lungs can result in chemical pneumonitis due to the irritating effects of meconium components.
  • Inflammation and Surfactant Dysfunction:
    • Meconium can trigger an inflammatory response in the lungs, causing damage to the alveoli and interfering with the production and function of surfactant. Surfactant is crucial for maintaining alveolar stability and preventing collapse.
  • Respiratory Distress Syndrome (RDS) and Hypoxia:
    • The combination of airway obstruction, chemical pneumonitis, and surfactant dysfunction can result in the development of respiratory distress syndrome (RDS). The affected newborn experiences difficulty breathing, leading to hypoxia, which can be severe in some cases.

Etiology of Meconium Aspiration Syndrome (MAS)

  • Fetal Distress and Hypoxia:
    • Fetal distress during labor and delivery can lead to the passage of meconium into the amniotic fluid. Hypoxia, or inadequate oxygen supply to the fetus, is a significant factor triggering this response.
  • Post-Term Pregnancy:
    • Babies born post-term (after 42 weeks of gestation) are at an increased risk of passing meconium before birth. Prolonged gestation may lead to fetal stress and meconium release.
  • Maternal Factors:
    • Maternal conditions such as diabetes, hypertension, or infections can contribute to fetal distress and an increased likelihood of meconium-stained amniotic fluid.
  • Umbilical Cord Compression:
    • Compression of the umbilical cord during labor can result in reduced oxygen supply to the fetus, prompting the release of meconium. This can occur in conditions like nuchal cord (cord around the baby’s neck) or a prolapsed umbilical cord.
  • Intrauterine Growth Restriction (IUGR):
    • When a baby is not growing adequately in the uterus, known as intrauterine growth restriction, it may experience stress, leading to the passage of meconium. IUGR is associated with decreased oxygen and nutrient supply to the fetus.

Desired Outcome for Meconium Aspiration Syndrome (MAS)

  • Improved Oxygenation:
    • Enhance and maintain adequate oxygenation levels to prevent hypoxia and respiratory distress in the infant.
  • Resolution of Respiratory Distress:
    • Alleviate signs of respiratory distress, such as tachypnea and retractions, leading to normalized breathing patterns.
  • Prevention of Infection:
    • Minimize the risk of infection by implementing appropriate measures, such as antibiotic therapy if necessary, to address potential complications associated with meconium aspiration.
  • Stable Cardiovascular Status:
    • Achieve and maintain stable cardiovascular parameters, including heart rate and blood pressure, ensuring adequate perfusion to vital organs.
  • Early Feeding and Weight Gain:
    • Facilitate the initiation of early feeding and support the infant’s ability to gain weight, promoting overall growth and development despite the challenges posed by meconium aspiration.

Meconium Aspiration Nursing Care Plan

 

Subjective Data:

  • Mother’s report of yellow/green discharge

Objective Data:

  • Yellow/green urine
  • Yellow/green staining of fingernails or skin
  • Expiratory grunting 
  • Cyanosis 
  • Retractions 
  • Nasal flaring
  • Tachypnea

Nursing Assessment for Meconium Aspiration Syndrome (MAS)

 

  • Respiratory Assessment:
    • Monitor respiratory rate, pattern, and effort, assessing for signs of distress such as tachypnea, grunting, or nasal flaring.
  • Oxygenation Status:
    • Continuously assess oxygen saturation levels using pulse oximetry to determine the effectiveness of respiratory interventions.
  • Color and Appearance:
    • Observe the infant’s skin color for signs of cyanosis or pallor, and assess overall appearance for any abnormalities.
  • Heart Rate and Blood Pressure:
    • Monitor heart rate and blood pressure regularly to evaluate cardiovascular stability and detect any signs of cardiovascular compromise.
  • Temperature Regulation:
    • Assess the baby’s temperature and ensure appropriate thermal care measures are in place to prevent hypothermia or hyperthermia.
  • Fluid and Electrolyte Balance:
    • Monitor fluid intake and output, and assess for signs of dehydration or fluid overload. Check electrolyte levels as needed.
  • Infection Signs:
    • Watch for signs of infection, such as fever, lethargy, or changes in feeding patterns. Implement appropriate infection control measures.
  • Feeding and Nutritional Assessment:
    • Evaluate the infant’s ability to feed and assess nutritional intake. Monitor weight gain and address any feeding difficulties promptly.
  • Parental Support and Education:
    • Provide emotional support and education to parents, explaining the condition, treatment plan, and signs of improvement or deterioration to empower them in the care of their newborn.

 

Implementation for Meconium Aspiration Syndrome (MAS)

 

  • Respiratory Support:
    • Administer oxygen therapy as prescribed to maintain adequate oxygenation. In severe cases, mechanical ventilation may be required.
  • Suctioning:
    • Perform gentle and careful suctioning of the airways to remove meconium, if present, and maintain airway patency. Avoid aggressive suctioning to prevent trauma.
  • Monitoring and Oxygen Titration:
    • Continuously monitor respiratory status and adjust oxygen levels based on oxygen saturation levels to prevent hypoxia while avoiding hyperoxia.
  • Intravenous (IV) Fluids:
    • Administer intravenous fluids to support hydration and correct any electrolyte imbalances. Ensure adequate nutrition for the infant’s growth and recovery.
  • Medication Administration:
    • Administer medications as prescribed, such as antibiotics if there are signs of infection, and other medications to address specific symptoms or complications.
  • Temperature Regulation:
    • Implement measures to maintain the infant’s body temperature within a normal range, using incubators, warmers, or skin-to-skin contact with the parent.
  • Collaboration with Other Healthcare Providers:
    • Collaborate with neonatologists, respiratory therapists, and other healthcare providers to ensure comprehensive and coordinated care for the infant.
  • Family Education and Support:
    • Educate parents about the condition, treatment plan, and potential complications. Provide emotional support and involve them in the care of their newborn.

Nursing Interventions and Rationales

 

Nursing Intervention (ADPIE) Rationale
Assess respiratory status:

Rate

Effort (retractions, grunting)

Oxygen saturation

Auscultate for rales or rhonchi

Meconium aspiration can result in varying degrees of respiratory distress for the infant 
Bulb suction mouth and nose or use endotracheal suction to remove secretions The method depends on the severity of aspiration and quality of respirations.

The idea is to clear the airway however necessary.

Avoid using a finger to clear secretions as it may only push them farther into the airway.

Administer oxygen via hood or positive pressure Maintain oxygen saturation at 90-95%. Mechanical ventilation may be necessary. 
Assist with the insertion of umbilical artery catheter An umbilical artery catheter will minimize agitation and stress of frequent monitoring of blood pH and blood gases by giving direct access to the umbilical artery. 
Administer surfactant therapy and medications as necessary Surfactant is often given for replacement and to remove meconium

Antibiotics may be given empirically

Monitor hemoglobin levels Hemoglobin level is an indicator of effective oxygen-carrying capacity 
Monitor blood pressure Worsening blood pressure may indicate pulmonary hypertension or pulmonary air leak syndrome 
Monitor for signs of Acute Respiratory Distress Syndrome (Arterial Blood Gases) Fluid and meconium in the lungs can initiate an inflammatory process that can lead to severe respiratory distress, requiring mechanical ventilation and other invasive interventions for the newborn. 

Evaluation for Meconium Aspiration Syndrome (MAS)

 

  • Respiratory Status:
    • Assess the infant’s respiratory rate, effort, and oxygen saturation to determine the effectiveness of interventions in maintaining adequate oxygenation.
  • Chest X-ray Findings:
    • Review chest X-ray results to evaluate the resolution of meconium aspiration and the improvement of lung function. Changes in infiltrates and atelectasis should be monitored.
  • Laboratory Results:
    • Analyze laboratory results, including blood gas values and complete blood count, to assess for any ongoing complications, such as respiratory acidosis or signs of infection.
  • Clinical Signs and Symptoms:
    • Evaluate the overall clinical presentation, including signs of distress, color, and feeding tolerance. Improvement in symptoms and the absence of complications should be noted.
  • Parental Involvement and Education:
    • Assess the parents’ understanding of the infant’s condition, treatment, and potential follow-up care. Ensure they are equipped to care for the infant at home and recognize signs of worsening or improvement.


References

  • https://www.hopkinsmedicine.org/health/conditions-and-diseases/meconium-aspiration-syndrome
  • https://www.chop.edu/conditions-diseases/meconium-aspiration
  • https://kidshealth.org/en/parents/meconium.html
  • https://www.stanfordchildrens.org/en/topic/default?id=meconium-aspiration-90-P02384

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Example Nursing Diagnosis For Nursing Care Plan (NCP) for Meconium Aspiration

  1. Impaired Gas Exchange: Meconium aspiration syndrome often leads to respiratory distress and poor oxygenation. This diagnosis addresses respiratory issues.
  2. Risk for Infection: Meconium aspiration can increase the risk of infection. This diagnosis emphasizes infection prevention.
  3. Altered Parent-Infant Attachment: Infants with meconium aspiration may require intensive care, affecting parent-infant bonding. This diagnosis addresses attachment concerns.

Transcript

Hi everyone, today, we’re going to be creating a nursing care plan for meconium aspiration. So, let’s get started. So, we’re going to go over the pathophysiology first. So, meconium is the sterile product that is produced in the baby’s intestines during gestation and is normally passed like a stool for the first few days after birth. When meconium is passed in utero and mixed with amniotic fluid, the baby may inhale or aspirate the meconium-stained fluid. Some nursing considerations: we will want to do a full respiratory assessment, vital signs, suctioning, monitoring, O2, hemoglobin, administer medications, and monitoring for signs of ARDS. Desired outcome: the patient will maintain adequate breathing with respiratory rate and oxygen saturation within normal rate. 

So, we’re going to go ahead and get started on the care plan. We’re going to have some subjective data and we’re going to have some objective data. So, what are we going to see with these patients? One of the things is there’s going to be yellow, green urine. You’re going to notice this with the baby, and some nasal flaring, yellow, green urine is pretty classic right there. Mom can also report yellow, green discharge, yellow, green staining of the fingernails or skin. There could be respiratory grunting, and some retractions. 

So, interventions that we want to do, we want to assess the respiratory status and vital signs. So, we want to check their rate. You want to see their respiratory effort. If there are any retractions or grunting, you want to check their oxygen saturation. want to make sure you’re auscultating for those are the meconium aspiration can result in varying degrees of respiratory distress for the infant. With blood pressure: worsening blood pressure can indicate pulmonary hypertension or pulmonary air leak syndrome. So, you want to monitor for that. Another intervention we’re going to be doing is bulb suctioning. We want to do that in the mouth and the nose using endotracheal suction to remove those secretions. The method depends on the severity of the aspiration and the quality of respirations. The idea is to clear the airway, however necessary. You want to avoid using the finger to clear the secretions, as it may only push them further down into the airway. Another intervention we want to be doing, is to administer oxygen, and that can be done through a hood or through positive pressure. You want to maintain oxygen saturation at 90 to 95%, although medical or mechanical ventilation may be necessary to make sure we’re assisting with the insertion of the umbilical artery catheter. An umbilical artery catheter will minimize agitation and stress of frequent monitoring of blood pH and blood gases by giving direct access to the umbilical artery. We also want to make sure we’re administering surfactant. So, surfactant therapy is often given for replacement and to remove meconium. You may also be giving antibiotics for prophylactic infection. Another intervention we’re going to be doing, we’re going to be monitoring their hemoglobin levels. Hemoglobin level is an indicator of an effective oxygen carrying capacity. Another thing we want to make sure we want to monitor for signs of ARDS. Fluid meconium in the lungs can initiate an inflammatory process that can lead to severe respiratory distress, which requires mechanical ventilation and other invasive interventions for the newborn. 

And that is our completed care plan. We’re going to go over some of the key points here. So, meconium aspiration is when the meconium is passed in utero and is mixed with amniotic fluid. The baby may inhale. The meconium-stained fluid commonly causes physiologic stress on the baby. Some subjective and objective data. You’re going to see yellow, green disc charge, expiratory, grunting, retractions, and nasal flaring. You want to do a full respiratory assessment, vital signs, monitor those hemoglobin levels, administer O2, and make sure you’re suctioning the mouth in the nose. We want to make sure we’re administering medications and monitor for signs of ARDS in the infant. And there you have a, at the end of that care plan.

We love you guys, go out, be your best self today, and as always happy nursing.

 

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Nursing Care Plans

Concepts Covered:

  • Basics of NCLEX
  • Test Taking Strategies
  • Central Nervous System Disorders – Brain
  • Lower GI Disorders
  • Pregnancy Risks
  • Labor Complications
  • Immunological Disorders
  • Infectious Respiratory Disorder
  • Respiratory Disorders
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  • Disorders of the Adrenal Gland
  • Substance Abuse Disorders
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  • Shock
  • Hematologic Disorders
  • Cardiac Disorders
  • Anxiety Disorders
  • Vascular Disorders
  • Gastrointestinal Disorders
  • Noninfectious Respiratory Disorder
  • Emergency Care of the Cardiac Patient
  • Neurologic and Cognitive Disorders
  • Peripheral Nervous System Disorders
  • Urinary Disorders
  • Oncology Disorders
  • Respiratory System
  • Integumentary Disorders
  • Integumentary Disorders
  • Liver & Gallbladder Disorders
  • Acute & Chronic Renal Disorders
  • EENT Disorders
  • Musculoskeletal Disorders
  • Cardiovascular Disorders
  • Endocrine and Metabolic Disorders
  • Depressive Disorders
  • Disorders of Pancreas
  • Disorders of the Posterior Pituitary Gland
  • Personality Disorders
  • Eating Disorders
  • Renal and Urinary Disorders
  • Male Reproductive Disorders
  • Urinary System
  • Upper GI Disorders
  • EENT Disorders
  • Renal Disorders
  • Disorders of the Thyroid & Parathyroid Glands
  • Hematologic Disorders
  • Disorders of Thermoregulation
  • Microbiology
  • Infectious Disease Disorders
  • Postpartum Care
  • Prenatal Concepts
  • Newborn Complications
  • Neurological
  • Bipolar Disorders
  • Central Nervous System Disorders – Spinal Cord
  • Newborn Care
  • Female Reproductive Disorders
  • Trauma-Stress Disorders
  • Postpartum Complications
  • Labor and Delivery
  • Musculoskeletal Disorders
  • Sexually Transmitted Infections
  • Psychotic Disorders
  • Emergency Care of the Neurological Patient
  • Musculoskeletal Trauma
  • Somatoform Disorders
  • Neurological Trauma
  • Neurological Emergencies
  • Psychological Emergencies

Study Plan Lessons

Nursing Care Plans Course Introduction
Purpose of Nursing Care Plans
How to Write a Nursing Care Plan
Using Nursing Care Plans in Clinicals
Nursing Care Plan (NCP) & Interventions for Increased Intracranial Pressure (ICP)
Nursing Care Plan (NCP) for Abdominal Pain
Nursing Care Plan (NCP) for Abortion, Spontaneous Abortion, Miscarriage
Nursing Care Plan (NCP) for Abruptio Placentae / Placental abruption
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 Alcohol Withdrawal Syndrome / Delirium Tremens
Nursing Care Plan (NCP) for Alzheimer’s Disease
Nursing Care Plan (NCP) for Anaphylaxis
Nursing Care Plan (NCP) for Anemia
Nursing Care Plan (NCP) for Angina
Nursing Care Plan (NCP) for Anxiety
Nursing Care Plan (NCP) for Aortic Aneurysm
Nursing Care Plan (NCP) for Appendicitis
Nursing Care Plan (NCP) for Arterial Disorders
Nursing Care Plan (NCP) for Aspiration
Nursing Care Plan (NCP) for Asthma
Nursing Care Plan (NCP) for Asthma / Childhood Asthma
Nursing Care Plan (NCP) for Atrial Fibrillation (AFib)
Nursing Care Plan (NCP) for Attention Deficit Hyperactivity Disorder (ADHD)
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 Bronchiolitis / Respiratory Syncytial Virus (RSV)
Nursing Care Plan (NCP) for Bronchoscopy (Procedure)
Nursing Care Plan (NCP) for Burn Injury (First, Second, Third degree)
Nursing Care Plan (NCP) for Cardiogenic Shock
Nursing Care Plan (NCP) for Cardiomyopathy
Nursing Care Plan (NCP) for Celiac Disease
Nursing Care Plan (NCP) for Cellulitis
Nursing Care Plan (NCP) for Cerebral Palsy (CP)
Nursing Care Plan (NCP) for Cervical Cancer
Nursing Care Plan (NCP) for Cholecystitis
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Nursing Care Plan (NCP) for Cleft Lip / Cleft Palate
Nursing Care Plan (NCP) for Clubfoot
Nursing Care Plan (NCP) for Colorectal Cancer (Colon Cancer)
Nursing Care Plan (NCP) for Congenital Heart Defects
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Nursing Care Plan (NCP) for Dehydration & Fever
Nursing Care Plan (NCP) for Dementia
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Nursing Care Plan (NCP) for Dissociative Disorders
Nursing Care Plan (NCP) for Diverticulosis / Diverticulitis
Nursing Care Plan (NCP) for Dystocia
Nursing Care Plan (NCP) for Eating Disorders (Anorexia Nervosa, Bulimia Nervosa, Binge-Eating Disorder)
Nursing Care Plan (NCP) for Ectopic Pregnancy
Nursing Care Plan (NCP) for Eczema (Infantile or Childhood) / Atopic Dermatitis
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
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Nursing Care Plan (NCP) for Fluid Volume Deficit
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Nursing Care Plan (NCP) for Gestational Diabetes (GDM)
Nursing Care Plan (NCP) for Gestational Hypertension, Preeclampsia, Eclampsia
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 Hemophilia
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Nursing Care Plan (NCP) for Herpes Zoster – Shingles
Nursing Care Plan (NCP) for Hydrocephalus
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Nursing Care Plan (NCP) for Hyperosmolar Hyperglycemic Nonketotic Syndrome (HHNS)
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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 Impaired Gas Exchange
Nursing Care Plan (NCP) for Imperforate Anus
Nursing Care Plan (NCP) for Impetigo
Nursing Care Plan (NCP) for Incompetent Cervix
Nursing Care Plan (NCP) for Infection
Nursing Care Plan (NCP) for Infective Conjunctivitis / Pink Eye
Nursing Care Plan (NCP) for Inflammatory Bowel Disease (Ulcerative Colitis / Crohn’s Disease)
Nursing Care Plan (NCP) for Influenza
Nursing Care Plan (NCP) for Intussusception
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 Marfan Syndrome
Nursing Care Plan (NCP) for Mastitis
Nursing Care Plan (NCP) for Maternal-Fetal Dyad Using GTPAL
Nursing Care Plan (NCP) for Meconium Aspiration
Nursing Care Plan (NCP) for Meniere’s Disease
Nursing Care Plan (NCP) for Meningitis
Nursing Care Plan (NCP) for Migraines
Nursing Care Plan (NCP) for Mood Disorders (Major Depressive Disorder, Bipolar Disorder)
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 Neonatal Jaundice | Hyperbilirubinemia
Nursing Care Plan (NCP) for Nephrotic Syndrome
Nursing Care Plan (NCP) for Neural Tube Defect, Spina Bifida
Nursing Care Plan (NCP) for Neutropenia
Nursing Care Plan (NCP) for Newborns
Nursing Care Plan (NCP) for Nutrition Imbalance
Nursing Care Plan (NCP) for Omphalocele
Nursing Care Plan (NCP) for Osteoarthritis (OA), Degenerative Joint Disease
Nursing Care Plan (NCP) for Osteoporosis
Nursing Care Plan (NCP) for Otitis Media / Acute Otitis Media (AOM)
Nursing Care Plan (NCP) for Ovarian Cancer
Nursing Care Plan (NCP) for Pancreatitis
Nursing Care Plan (NCP) for Paranoid Disorders
Nursing Care Plan (NCP) for Parkinson’s Disease
Nursing Care Plan (NCP) for Pediculosis Capitis / Head Lice
Nursing Care Plan (NCP) for Peptic Ulcer Disease (PUD)
Nursing Care Plan (NCP) for Pericarditis
Nursing Care Plan (NCP) for Personality Disorders
Nursing Care Plan (NCP) for Pertussis / Whooping Cough
Nursing Care Plan (NCP) for Phenylketonuria (PKU)
Nursing Care Plan (NCP) for Placenta Previa
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 Post-Traumatic Stress Disorder (PTSD)
Nursing Care Plan (NCP) for Postpartum Hemorrhage (PPH)
Nursing Care Plan (NCP) for Premature Rupture of Membranes (PROM) / Preterm Premature Rupture of Membranes (PPROM)
Nursing Care Plan (NCP) for Pressure Ulcer / Decubitus Ulcer (Pressure Injury)
Nursing Care Plan (NCP) for Preterm Labor / Premature Labor
Nursing Care Plan (NCP) for Process of Labor
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 Reye’s Syndrome
Nursing Care Plan (NCP) for Rhabdomyolysis
Nursing Care Plan (NCP) for Rheumatic Fever
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 Schizophrenia
Nursing Care Plan (NCP) for Scoliosis
Nursing Care Plan (NCP) for Seizures
Nursing Care Plan (NCP) for Sepsis
Nursing Care Plan (NCP) for Sickle Cell Anemia
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 Somatic Symptom Disorder (SSD)
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 Suicidal Behavior Disorder
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 Tonsillitis
Nursing Care Plan (NCP) for Transient Tachypnea of Newborn
Nursing Care Plan (NCP) for Tuberculosis
Nursing Care Plan (NCP) for Urinary Tract Infection (UTI)
Nursing Care Plan (NCP) for Varicella / Chickenpox
Nursing Care Plan (NCP) for Vomiting / Diarrhea
Nursing Care Plan (NCP) for West Nile Virus
Nursing Care Plan for (NCP) Autism Spectrum Disorder
Nursing Care Plan for (NCP) Fetal Alcohol Syndrome (FAS)
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 Newborn Reflexes
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