Nursing Care Plan (NCP) for Otitis Media / Acute Otitis Media (AOM)

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Study Tools For Nursing Care Plan (NCP) for Otitis Media / Acute Otitis Media (AOM)

Otitis Media Interventions (Picmonic)
Otitis Media Assessment (Picmonic)
Example Care Plan_Otitis Media / Acute Otitis Media (AOM) (Cheatsheet)
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Outline

Lesson Objective for Nursing Care Plan (NCP) for Otitis Media/Acute Otitis Media (AOM)

 

By the end of this lesson, nursing students will be proficient in developing a Nursing Care Plan (NCP) for Otitis Media, specifically Acute Otitis Media (AOM). 

  • Understanding Otitis Media:
    • Gain a comprehensive understanding of the pathophysiology and etiology of Otitis Media, with a focus on Acute Otitis Media (AOM).
    • Differentiate between AOM and other types of ear infections.
  • Assessment and Diagnosis:
    • Learn how to perform a thorough nursing assessment to identify signs and symptoms of AOM.
    • Understand diagnostic procedures, such as otoscopy and tympanometry, for accurate AOM diagnosis.
  • Management Strategies:
    • Explore nursing interventions and management strategies for AOM, including pharmacological and non-pharmacological approaches.
    • Understand the role of pain management and the administration of prescribed medications.
  • Patient Education and Prevention:
    • Develop effective communication skills to educate patients and caregivers on AOM, its prevention, and treatment.
    • Provide guidance on strategies to prevent recurrent ear infections.
  • Collaborative Care and Referral:
    • Understand the importance of collaboration with other healthcare providers, such as ENT specialists, in managing complicated cases of AOM.
    • Learn when to refer patients for further evaluation and treatment.

Pathophysiology of Otitis Media/Acute Otitis Media (AOM)

  • Inflammatory Response in the Middle Ear:
    • The pathophysiology of AOM involves an inflammatory response within the middle ear in response to infection. Bacterial or viral pathogens infiltrate the middle ear cavity, leading to localized inflammation.
  • Eustachian Tube Dysfunction:
    • Eustachian tube dysfunction plays a crucial role in AOM. The tube, which normally equalizes pressure and drains fluid from the middle ear, may become blocked or fail to function properly, allowing pathogens to accumulate and multiply.
  • Fluid Accumulation and Effusion:
    • Inflammation of the middle ear mucosa results in the production of fluid. This accumulation of fluid, known as effusion, can lead to impaired hearing and creates an environment conducive to bacterial growth.
  • Bacterial Invasion:
    • In bacterial AOM, pathogens like Streptococcus pneumoniae, Haemophilus influenzae, or Moraxella catarrhalis invade the middle ear space. The infection causes additional inflammation and contributes to the signs and symptoms associated with AOM.
  • Viral Infections and Secondary Bacterial Involvement:
    • Viral respiratory infections often precede AOM. Viruses such as respiratory syncytial virus can compromise the mucosal lining of the respiratory tract, making it more susceptible to secondary bacterial infection in the middle ear.
  • Pressure Changes and Pain:
    • As fluid accumulates and pressure within the middle ear increases, individuals with AOM may experience pain and discomfort. The pressure changes can also affect the movement of the tympanic membrane, contributing to hearing impairment.

Etiology of Otitis Media/Acute Otitis Media (AOM)

  • Bacterial or Viral Infections:
    • Acute Otitis Media often arises from infections, commonly bacterial (Streptococcus pneumoniae, Haemophilus influenzae, Moraxella catarrhalis) or viral (respiratory syncytial virus, influenza). These infections lead to inflammation and fluid accumulation in the middle ear.
  • Eustachian Tube Dysfunction:
    • Dysfunction of the Eustachian tube, which connects the middle ear to the back of the throat, can contribute to the development of Otitis Media. Impaired tube function may lead to poor ventilation and fluid retention in the middle ear.
  • Respiratory Infections:
    • AOM often follows upper respiratory tract infections, such as the common cold. Pathogens can travel from the upper respiratory system to the middle ear, causing infection and inflammation.
  • Anatomical Factors:
    • Anatomical factors, such as cleft palate or structural abnormalities in the nasopharynx, may increase the risk of Otitis Media by affecting the normal function of the Eustachian tube.
  • Environmental Exposure:
    • Exposure to secondhand smoke and other environmental pollutants can irritate the respiratory system and increase the susceptibility to ear infections, especially in children.
  • Age:
    • Infants and young children are more prone to Otitis Media due to the smaller and more horizontal orientation of the Eustachian tube in early life. This anatomical difference makes drainage less efficient and increases the risk of fluid accumulation.

Desired Outcome of Nursing Care for AOM

  • Relief of Pain: 
    • Minimize pain and discomfort associated with AOM through effective pain management strategies.
  • Resolution of Infection: 
    • Achieve resolution of the infection, as evidenced by the absence of signs and symptoms.
  • Prevention of Complications: 
    • Prevent complications such as eardrum perforation or the spread of infection to adjacent structures.
  • Patient and Family Education: 
    • Ensure understanding of AOM, its treatment, and preventive measures by providing comprehensive education.
  • Improved Quality of Life: 
    • Enhance the overall quality of life by addressing symptoms promptly and preventing recurrence.

Otitis Media / Acute Otitis Media (AOM) Nursing Care Plan

 

Subjective Data:

  • Ear pain
  • Fussiness/irritability 
  • Headache
  • Hearing loss

Objective Data:

  • Tugging/pulling at ear
  • Fever
  • Fluid drainage from ear
  • Vomiting 
  • Diarrhea
  • Lack of balance

Nursing Assessment for Otitis Media/Acute Otitis Media (AOM)

 

  • History Taking: 
    • Obtain a detailed medical history, including the onset and duration of symptoms, previous ear infections, and any recent upper respiratory infections.
  • Pain Assessment: 
    • Evaluate the intensity and characteristics of ear pain, considering the use of a pain scale appropriate for the patient’s age.
  • Otoscopic Examination: 
    • Perform an otoscopic examination to visualize the tympanic membrane, looking for signs of inflammation, redness, or bulging.
  • Assessment of Fever: 
    • Monitor body temperature to assess for fever, a common symptom of AOM.
  • Hearing Assessment: 
    • Evaluate hearing status, as AOM can temporarily affect hearing due to the accumulation of fluid in the middle ear.
  • Assessment of Drainage: 
    • Note any discharge from the ear, as purulent drainage may indicate a ruptured eardrum.
  • Assessment of Balance: 
    • Inquire about balance disturbances, as severe cases of AOM may affect the vestibular system.
  • Assessment of Behavior: 
    • Observe changes in behavior, especially in pediatric patients, as irritability and changes in sleep patterns may be indicative of AOM.

Implementation of Nursing Care Plan for Otitis Media/Acute Otitis Media AOM

 

  • Pain Management: 
    • Administer analgesics as prescribed and provide comfort measures to alleviate pain.
  • Antibiotic Administration: 
    • Administer antibiotics as prescribed for bacterial AOM to eliminate the causative pathogen.
  • Warm Compress Application: 
    • Apply warm compresses to the affected ear to provide relief and promote drainage.
  • Encourage Fluid Intake: 
    • Encourage increased fluid intake to prevent dehydration and facilitate recovery.
  • Promote Rest and Comfort: 
    • Advocate for adequate rest and comfort to support the body’s healing process.

Nursing Interventions and Rationales

 

Nursing Intervention (ADPIE) Rationale
Assess Vital Signs  pain and fever can increase HR, RR, and BP. (Fever most common symptom)
Observe ears and throat for signs of drainage or discharge  Congestion, post-nasal drip, and drainage of the ears may be present. Co-infections such as strep throat, a cold or the flu may also be present 
Assess pain level  Wong-Baker FACES and FLACC scales may be used to assess pain in young children and infants. Pulling at the ears and tilting the head are also signs of ear pain. Use numeric scale for adults (1-10)
Assess for hearing loss/changes in speech  Sounds may be distorted or muffled in the affected ear. Toddlers learning to talk may have changes in speech due to impaired ability to hear. 
Position patient for comfort; sitting up or lying on side of unaffected ear Lying flat or on the side of the affected ear can cause more swelling and fluid accumulation in the eustachian tube, resulting in increased pain. Encourage the parent to hold infants and young children upright to reduce discomfort 
Give medications (pain, antibiotics) & non-pharmacologic interventions Analgesics such as acetaminophen may be given. Other methods include applying warm (not hot) moist compresses to the ears 

Antibiotics are usually given for bacterial infections. A full 10-day course is generally required (DO NOT stop taking course even if they feel better. Take full therapy as a worsening reoccurrence can happen

Prepare family/patient/caregiver for Tympanostomy Tube Placement tube placement may be needed if a child has 3 ear infections within 6 months or 4 infections a year. These tubes will allow the fluid to drain from the ear and reduce complications of hearing loss, speech delay, spread of infection, and tearing of eardrum
Provide education for parent/caregiver

-F/U care 

-Avoid giving bottles or sippy cups while lying down

Practice good hand hygiene to prevent the spread of bacteria that cause ear infections

-Some infections may be resistant to certain antibiotics. Encourage follow-up after treatment to determine if the infection has cleared, even if symptoms seem to subside or resolve.

 Evaluation of Nursing Care for AOM 

 

  • Pain Assessment: 
    • Regularly reassess pain levels and evaluate the effectiveness of pain management interventions.
  • Resolution of Infection: 
    • Monitor for resolution of infection by assessing the reduction of signs and symptoms.
  • Adherence to Antibiotic Therapy: 
    • Evaluate the patient’s adherence to antibiotic therapy and address any concerns or side effects.
  • Patient and Family Education: 
    • Assess understanding of AOM, treatment, and preventive measures through verbal feedback or demonstration.
  • Prevention of Complications: 
    • Monitor for the prevention of complications, such as the absence of eardrum perforation or the spread of infection.


References

  • https://www.mayoclinic.org/diseases-conditions/ear-infections/symptoms-causes/syc-20351616
  • https://my.clevelandclinic.org/health/diseases/8613-ear-infection-otitis-media

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Transcript

Hey everyone. Today, we are going to be feeling out a nursing care plan for otitis media or acute otitis media. So, let’s get started. So, we’re going to start off with the pathophysiology. So, otitis media is an infection of the middle ear behind the tympanic membrane or the ear drum that contains the tiny vibrating bones of the ear. Otitis media may be viral or bacterial, and depending on the cause, it’s generally treated with antibiotics. Nursing considerations: you want to assess vital signs. You want to observe the ear and throat for pain, hearing, changes in speech, administer medications, prepare the patient for surgery and educate the family or care caregiver. The desired outcomes are that the patient will be free from pain and infection and the patient will have an optimal hearing. 

So, if we’re going to go ahead and go through with our care plan, we’re going to go through some of our subjective data and our objective data. So, what we’re going to see in our patient. So, some very common subjective data is they’re going to have ear pain and some hearing loss. Some objective data that you’re going to see is tugging at the ear and a fever and lack of balance – if you remember that cranial nerve eight is also part of your balance. Other things are fussiness, irritability, a headache, fluid drainage from the ear, vomiting, and diarrhea. 

So, nursing interventions: one of the first things we’re going to look for is we’re going to monitor vital signs. So, pain and fever can increase the heart rate and also the blood pressure. Another thing we’re going to be looking for is we’re going to observe the ears in the throat for any sort of signs of drainage or discharge. So, congestion, maybe some postnasal drip, drainage of the ears that might be present when you’re looking at the patient. Co-infections such as strep throat, a cold, or maybe the flu, can also be present with these patients. Another thing we want to assess is the patient’s pain, making sure you’re using the right pain scale. So, you want to use the faces or the numeric and get pain medication as needed. Another thing we’re going to assess is that we’re going to be assessing for any sort of hearing loss or changes in speech. So, sounds might be disordered, or they might be muffled in the affected ear. So, toddlers learning to talk, they may have changes in speech due to the impaired ability to hear properly. Another assessment that we want to be doing is we want to make sure that we’re positioning the patient for comfort sitting up or lying down, making sure we’re having them set up so that they have increased ability for breathing. But also, just to make sure that we’re not keeping any of that from the pain from the ear, we want to give medication. So, we want to give any sort of antibiotics and or pain medication as we had talked about earlier. So, Tylenol may be given or any other methods such as applying a warm, not a hot, but a warm, moist compress to the affected ear. Antibiotics are usually given for bacterial infections. So, a full 10-day course is generally required, but you do not. One of the main things with antibiotics is you want to make sure that they do not stop taking, even if they feel better – you want to make sure you’re telling the patient or the caregiver to complete the entirety of that antibiotic therapy. Another thing that we’re going to want to be helping with the patient is possibly preparing them for a tympanostomy tube placement. So, this is going to allow that fluid to drain from the ear. Another invention to keep in mind is obviously some education for the caregiver or the parents. You want to make sure you’re educating on any sort of follow up care that may be needed, because you want to keep in mind. Some of these infections may be restricted from certain antibiotics. So, you want to encourage them to get treatment and determine if the infection has cleared. If not, you may have to change course of treatment or have another treatment of antibiotics given. You want to avoid giving bottles or sippy cups because bottles and sippy cups enable the pain and are going to cause some issues. You want to make sure you’re teaching them about good hand hygiene to avoid spreading the bacteria. 

So, some key points, some patho and etiology; infection of the middle ear can be viral, and it could be bacterial depending on the cause. It can be caused by allergies, a cold, sinus infection, very common or a small eustachian tube because children’s ears are more horizontal than diagonal. So, it’s easy to have fluid buildup in that middle ear. That can cause an infection. Some subjective and objective: ear pain, fussing, irritability, headache, hearing loss, tugging and pulling at the ear. Very common with children are fever, fluid drainage from the ear, vomiting, diarrhea, lack of balance. You want to assess proper positioning. Assess vital signs, pain level, hearing loss, changes in speech, and ears and throat for drainage.  Position the patient for comfort. We want to give medication, surgery if needed. Give pain medication antibiotic therapy or apply a cold heat. Compress, prepare the patient for tympanostomy tube placement if needed and able to help with the drainage of the ear. 

Excellent job guys. We will love having you guys here. Go out, be your best self today and as always happy nursing.

 

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Midterm

Concepts Covered:

  • Noninfectious Respiratory Disorder
  • Circulatory System
  • Respiratory Disorders
  • Cardiac Disorders
  • Respiratory System
  • Oncology Disorders
  • Urinary System
  • Musculoskeletal Trauma
  • Hematologic Disorders
  • Labor Complications
  • Respiratory Emergencies
  • EENT Disorders
  • Newborn Complications
  • Pregnancy Risks
  • Vascular Disorders
  • Emergency Care of the Cardiac Patient
  • Nervous System
  • Cardiovascular
  • Terminology
  • Central Nervous System Disorders – Brain
  • Trauma-Stress Disorders
  • Immunological Disorders
  • Infectious Respiratory Disorder
  • Hematologic Disorders
  • Cognitive Disorders
  • Substance Abuse Disorders
  • Oncologic Disorders
  • Emergency Care of the Respiratory Patient
  • Adult
  • Medication Administration
  • Endocrine and Metabolic Disorders
  • Emergency Care of the Neurological Patient
  • Hematologic System
  • EENT Disorders
  • Neurological
  • Cardiovascular Disorders
  • Respiratory
  • Liver & Gallbladder Disorders
  • Neurologic and Cognitive Disorders
  • Intraoperative Nursing
  • Disorders of Pancreas
  • Shock
  • Emergency Care of the Trauma Patient
  • Studying
  • Neurological Trauma
  • Neurological Emergencies
  • Integumentary Disorders
  • Peripheral Nervous System Disorders
  • Adulthood Growth and Development
  • Developmental Considerations

Study Plan Lessons

Nursing Care and Pathophysiology of COPD (Chronic Obstructive Pulmonary Disease)
EKG (ECG) Course Introduction
ABGs Nursing Normal Lab Values
Care of the Pediatric Patient
Coronary Artery Disease Concept Map
Electrical A&P of the Heart
Respiratory A&P Module Intro
ABG (Arterial Blood Gas) Interpretation-The Basics
Computed Tomography (CT)
COPD Concept Map
Electrolytes Involved in Cardiac (Heart) Conduction
Magnetic Resonance Imaging (MRI)
Magnetic Resonance Imaging (MRI)
Nursing Care and Pathophysiology for Sickle Cell Anemia
Adult Vital Signs (VS)
CT & MR Angiography
Nursing Care and Pathophysiology for Disseminated Intravascular Coagulation (DIC)
Nasal Disorders
Nursing Care and Pathophysiology for Disseminated Intravascular Coagulation (DIC)
Pediatric Vital Signs (VS)
Respiratory Acidosis (interpretation and nursing interventions)
Thrombocytopenia
Cardiovascular Angiography
Preload and Afterload
Respiratory Alkalosis
Congestive Heart Failure Concept Map
Echocardiogram (Cardiac Echo)
Performing Cardiac (Heart) Monitoring
Hypertension (HTN) Concept Map
Pulmonary Function Test
Electroencephalography (EEG)
Nursing Care and Pathophysiology of Angina
Nursing Care and Pathophysiology for Asthma
02.02 Cardiomyopathy for CCRN Review
Leukemia
Nursing Care and Pathophysiology of COPD (Chronic Obstructive Pulmonary Disease)
Lymphoma
Nursing Care and Pathophysiology of Myocardial Infarction (MI)
Nursing Care and Pathophysiology of COPD (Chronic Obstructive Pulmonary Disease)
Respiratory Terminology
Oncology Important Points
Restrictive Lung Diseases (Pulmonary Fibrosis, Neuromuscular Disorders)
Nursing Care and Pathophysiology of Coronary Artery Disease (CAD)
Lung Cancer
Nursing Care and Pathophysiology of Acute Respiratory Distress Syndrome (ARDS)
Heart (Cardiac) and Great Vessels Assessment
Intracranial Pressure ICP
Nursing Care and Pathophysiology for Pulmonary Edema
Cerebral Perfusion Pressure CPP
Cerebral Perfusion Pressure CPP
02.08 Cardiac Catheterization & Acute Coronary Syndrome for CCRN Review
02.12 Myocardial Infarction- Inferior Wall for CCRN Review
Grief and Loss
Dementia and Alzheimers
Acute Coronary Syndrome (ACS)
Immunology Module Intro
Respiratory Infections Module Intro
Sickle Cell Anemia
Nursing Care and Pathophysiology for Acquired Immune Deficiency Syndrome (AIDS)
Aneurysm & Dissection
Nursing Care and Pathophysiology for Heart Failure (CHF)
Hemoglobin (Hbg) Lab Values
Iron Deficiency Anemia
Nursing Care and Pathophysiology for Acquired Immune Deficiency Syndrome (AIDS)
Sinus Bradycardia
Nursing Care and Pathophysiology for Anaphylaxis
Cardiopulmonary Arrest
Hematocrit (Hct) Lab Values
Nursing Care and Pathophysiology for Anaphylaxis
Sinus Tachycardia
Meds for Alzheimers
Pacemakers
White Blood Cell (WBC) Lab Values
Heart (Heart) Failure Exacerbation
Platelets (PLT) Lab Values
Coagulation Studies (PT, PTT, INR)
Hypertensive Emergency
Supraventricular Tachycardia (SVT)
Fibromyalgia
Migraines
Tension and Cluster Headaches
1st Degree AV Heart Block
2nd Degree AV Heart Block Type 1 (Mobitz I, Wenckebach)
2nd Degree AV Heart Block Type 2 (Mobitz II)
3rd Degree AV Heart Block (Complete Heart Block)
Cholesterol (Chol) Lab Values
Nursing Care and Pathophysiology of Hypertension (HTN)
Leukemia
Pulmonary Embolism
Acute Respiratory Distress
Cardiac (Heart) Disease in Pregnancy
Nursing Care and Pathophysiology for Cardiomyopathy
Respiratory Structure & Function
ACLS (Advanced cardiac life support) Drugs
Fever
Respiratory Trauma Module Intro
Seizure Causes (Epilepsy, Generalized)
Increased Intracranial Pressure
Nursing Care and Pathophysiology for Pulmonary Embolism
Anti-Platelet Aggregate
Respiratory Procedures Module Intro
Electrical Activity in the Heart
Nursing Care and Pathophysiology for Meningitis
Respiratory Terminology
Thrombin Inhibitors
Thrombolytics
Blood Plasma
Patient Positioning
Acute Otitis Media (AOM)
07.06 Increased Intracranial Pressure (ICP) for CCRN Review
Dystocia
Acute Bronchitis
Bronchiolitis and Respiratory Syncytial Virus (RSV)
Asthma
Asthma
Cystic Fibrosis (CF)
Congenital Heart Defects (CHD)
Congenital Heart Defects (CHD)
Respiratory Structure & Function
Defects of Increased Pulmonary Blood Flow
Defects of Decreased Pulmonary Blood Flow
Obstructive Heart (Cardiac) Defects
Obstructive Heart (Cardiac) Defects
Respiratory Functions of Blood
Mixed (Cardiac) Heart Defects
10.01 Arterial Blood Gas (ABG) Interpretation for CCRN Review
Hierarchy of O2 Delivery
Histamine 1 Receptor Blockers
10.03 Acute Respiratory Failure for CCRN Review
Airway Suctioning
Cerebral Palsy (CP)
Sympatholytics (Alpha & Beta Blockers)
ACE (angiotensin-converting enzyme) Inhibitors
Angiotensin Receptor Blockers
Calcium Channel Blockers
Calcium Channel Blockers
Cardiac Glycosides
Sympathomimetics (Alpha (Clonodine) & Beta (Albuterol) Agonists)
Parasympathomimetics (Cholinergics) Nursing Considerations
Bronchodilators
Diuretics (Loop, Potassium Sparing, Thiazide, Furosemide/Lasix)
Corticosteroids
Corticosteroids
Nitro Compounds
Anticonvulsants
Sympatholytics (Alpha & Beta Blockers)
Bronchodilators
ABG (Arterial Blood Gas) Interpretation-The Basics
ABG (Arterial Blood Gas) Oxygenation
ABG Course (Arterial Blood Gas) Introduction
ABGs Nursing Normal Lab Values
ABGs Tic-Tac-Toe interpretation Method
Acute Coronary Syndrome for Certified Emergency Nursing (CEN)
Acute Coronary Syndromes (MI-ST and Non ST, Unstable Angina) for Progressive Care Certified Nurse (PCCN)
Acute Inflammatory Disease (Myocarditis, Endocarditis, Pericarditis) for Progressive Care Certified Nurse (PCCN)
Acute Otitis Media (AOM)
Acute Respiratory Distress Syndrome (ARDS) for Progressive Care Certified Nurse (PCCN)
AIDS Case Study (45 min)
Allergic Reactions and Anaphylaxis for Certified Emergency Nursing (CEN)
Anaphylaxis Nursing Interventions for Certified Perioperative Nurse (CNOR)
Anemia for Progressive Care Certified Nurse (PCCN)
Nursing Care and Pathophysiology for Anemia
Aneurysm (Dissecting, Repair) for Progressive Care Certified Nurse (PCCN)
Aneurysm and Dissection for Certified Emergency Nursing (CEN)
Aortic Aneurysm – Management Nursing Mnemonic (CRAM)
Aortic Aneurysm – Thoracic signs Nursing Mnemonic (PEE BADS)
Asthma for Certified Emergency Nursing (CEN)
Asthma (Severe) for Progressive Care Certified Nurse (PCCN)
Asthma Concept Map
AV Blocks Dysrhythmias for Progressive Care Certified Nurse (PCCN)
Bicarbonate (HCO3) Lab Values
Bronchiolitis and Respiratory Syncytial Virus (RSV)
Carbon Dioxide (Co2) Lab Values
Cardiac (Heart) Enzymes
Cardiac Anatomy
Cardiac Labs – What and When to Use Them 2 – Live Tutoring Archive
Cardiac Surgery (Post-ICU Care) for Progressive Care Certified Nurse (PCCN)
Cardiac/Vascular Catheterization (Diagnostic, Interventional) for Progressive Care Certified Nurse (PCCN)
Cardiogenic Shock and Obstructive Shock for Certified Emergency Nursing (CEN)
Cardiomyopathies (Dilated, Hypertrophic, Restrictive) for Progressive Care Certified Nurse (PCCN)
Cardiopulmonary Arrest for Certified Emergency Nursing (CEN)
Cardiovascular Trauma for Certified Emergency Nursing (CEN)
Cerebral Palsy (CP)
CHF Treatment Nursing Mnemonic (UNLOAD FAST)
Chronic Obstructive Pulmonary Disease (COPD) for Certified Emergency Nursing (CEN)
Chronic Obstructive Pulmonary Disease (COPD) Case Study (60 min)
Nursing Care and Pathophysiology for Heart Failure (CHF)
Congestive Heart Failure (CHF) Labs
Congestive Heart Failure Concept Map
COPD (Chronic Obstructive Pulmonary Disease) Labs
COPD Concept Map
COPD Exacerbation for Progressive Care Certified Nurse (PCCN)
COPD management Nursing Mnemonic (COPD)
Coronary Artery Disease Concept Map
Cystic Fibrosis (CF)
Dementia Nursing Mnemonic (DEMENTIA)
Diagnostic Criteria for Lupus Nursing Mnemonic (SOAP BRAIN MD)
EKG Basics – Live Tutoring Archive
Furosemide (Lasix) Nursing Considerations
Head and Spinal Cord Trauma for Certified Emergency Nursing (CEN)
Heart (Cardiac) Failure Module Intro
Heart (Cardiac) Failure Therapeutic Management
Heart Failure for Certified Emergency Nursing (CEN)
Heart Failure 2 – Live Tutoring Archive
Heart Failure (Acute Exacerbations, Chronic) for Progressive Care Certified Nurse (PCCN)
Heart Failure – Right Sided Nursing Mnemonic (HEAD)
Heart Failure Case Study (45 min)
Heart Failure-Left-Sided Nursing Mnemonic (CHOP)
Heart Failure-Origin Nursing Mnemonic (Left – Lung|Right – Rest)
Hematocrit (Hct) Lab Values
Hematologic Disorders for Certified Emergency Nursing (CEN)
Hemoglobin (Hbg) Lab Values
Hypertension for Certified Emergency Nursing (CEN)
Hypertension (HTN) Concept Map
Hypertension (Uncontrolled) and Hypertensive Crisis for Progressive Care Certified Nurse (PCCN)
Hypertension – Nursing care Nursing Mnemonic (DIURETIC)
Hypertension- Complications Nursing Mnemonic (The 4 C’s)
Hypertensive Crisis Case Study (45 min)
Increased Intracranial Pressure (ICP) for Certified Emergency Nursing (CEN)
Intracranial Pressure ICP
Leukemia
Leukemia – Signs and Symptoms Nursing Mnemonic (ANT)
Leukemia Case Study (60 min)
Lymphoma
Management of Lyme Disease Nursing Mnemonic (BAR)
MI Surgical Intervention
Nursing Care and Pathophysiology of Myocardial Infarction (MI)
Myocardial Infarction (MI) Case Study (45 min)
Noncardiac Pulmonary Edema for Certified Emergency Nursing (CEN)
Nursing Care and Pathophysiology for Anemia
Nursing Care and Pathophysiology for Aortic Aneurysm
Nursing Care and Pathophysiology for Arterial Disorders
Nursing Care and Pathophysiology for Asthma
Nursing Care and Pathophysiology for Cardiomyopathy
Nursing Care and Pathophysiology for Heart Failure (CHF)
Nursing Care and Pathophysiology for Lyme Disease
Nursing Care and Pathophysiology for Thrombophlebitis (clot)
Nursing Care and Pathophysiology for Valve Disorders
Nursing Care and Pathophysiology of Angina
Nursing Care and Pathophysiology of Coronary Artery Disease (CAD)
Nursing Care and Pathophysiology of Endocarditis and Pericarditis
Nursing Care and Pathophysiology of Hypertension (HTN)
Nursing Care and Pathophysiology of Myocardial Infarction (MI)
Nursing Care and Pathophysiology of Myocarditis
Nursing Care Plan (NCP) & Interventions for Increased Intracranial Pressure (ICP)
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 Pain
Nursing Care Plan (NCP) for Acute Respiratory Distress Syndrome
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 Aortic Aneurysm
Nursing Care Plan (NCP) for Arterial Disorders
Nursing Care Plan (NCP) for Asthma
Nursing Care Plan (NCP) for Asthma / Childhood Asthma
Nursing Care Plan (NCP) for Bronchiolitis / Respiratory Syncytial Virus (RSV)
Nursing Care Plan (NCP) for Bronchoscopy (Procedure)
Nursing Care Plan (NCP) for Cardiomyopathy
Nursing Care Plan (NCP) for Cellulitis
Nursing Care Plan (NCP) for Cerebral Palsy (CP)
Nursing Care Plan (NCP) for Chronic Obstructive Pulmonary Disease (COPD)
Nursing Care Plan (NCP) for Congenital Heart Defects
Nursing Care Plan (NCP) for Congestive Heart Failure (CHF)
Nursing Care Plan (NCP) for Cystic Fibrosis
Nursing Care Plan (NCP) for Decreased Cardiac Output
Nursing Care Plan (NCP) for Dementia
Nursing Care Plan (NCP) for Disseminated Intravascular Coagulation (DIC)
Nursing Care Plan (NCP) for Emphysema
Nursing Care Plan (NCP) for Guillain-Barre
Nursing Care Plan (NCP) for Heart Valve Disorders
Nursing Care Plan (NCP) for Hypertension (HTN)
Nursing Care Plan (NCP) for Hypovolemic Shock
Nursing Care Plan (NCP) for Impaired Gas Exchange
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 Migraines
Nursing Care Plan (NCP) for Myocardial Infarction (MI)
Nursing Care Plan (NCP) for Neutropenia
Nursing Care Plan (NCP) for Otitis Media / Acute Otitis Media (AOM)
Nursing Care Plan (NCP) for Pericarditis
Nursing Care Plan (NCP) for Pulmonary Embolism
Nursing Care Plan (NCP) for Respiratory Failure
Nursing Care Plan (NCP) for Restrictive Lung Diseases
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 Spinal Cord Injury
Nursing Care Plan (NCP) for Systemic Lupus Erythematosus (SLE)
Nursing Care Plan (NCP) for Thrombocytopenia
Nursing Care Plan (NCP) for Thrombophlebitis / Deep Vein Thrombosis (DVT)
Nursing Care Plan (NCP) for Acquired Immune Deficiency Syndrome (AIDS)
Nursing Care Plan (NCP) for Acute Respiratory Distress Syndrome
Nursing Care Plan (NCP) for Alzheimer’s Disease
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 Asthma
Nursing Care Plan (NCP) for Bronchiolitis / Respiratory Syncytial Virus (RSV)
Nursing Care Plan (NCP) for Cardiomyopathy
Nursing Care Plan (NCP) for Congenital Heart Defects
Nursing Care Plan (NCP) for Congestive Heart Failure (CHF)
Nursing Care Plan for Coronary Artery Disease (CAD)
Nursing Care Plan (NCP) for Disseminated Intravascular Coagulation (DIC)
Nursing Care Plan for Fibromyalgia
Nursing Care Plan (NCP) for Heart Valve Disorders
Nursing Care Plan (NCP) & Interventions for Increased Intracranial Pressure (ICP)
Nursing Care Plan (NCP) for Leukemia
Nursing Care Plan (NCP) for Lymphoma (Hodgkin’s, Non-Hodgkin’s)
Nursing Care Plan (NCP) for Myocardial Infarction (MI)
Nursing Care Plan for Myocarditis
Nursing Care Plan for Nasal Disorders
Nursing Care Plan (NCP) for Neutropenia
Nursing Care Plan for Pulmonary Edema
Nursing Care Plan for Restrictive Lung Diseases (Pulmonary Fibrosis, Neuromuscular Disorders)
Nursing Care Plan (NCP) for Sickle Cell Anemia
Nursing Care Plan (NCP) for Systemic Lupus Erythematosus (SLE)
Nursing Case Study for Head Injury
Nursing Case Study for Pediatric Asthma
Obstruction for Certified Emergency Nursing (CEN)
Obstructive Sleep Apnea for Progressive Care Certified Nurse (PCCN)
Pacemakers
Pain Management and Procedural Sedation for Certified Emergency Nursing (CEN)
Pain Management for the Older Adult – Live Tutoring Archive
Pain Management Meds – Live Tutoring Archive
Pain (Acute, Chronic) for Progressive Care Certified Nurse (PCCN)
Palliative Care for Progressive Care Certified Nurse (PCCN)
Parasympathomimetics (Cholinergics) Nursing Considerations
Asthma
Pediatric Bronchiolitis Labs
Platelets (PLT) Lab Values
Pleural Effusion for Certified Emergency Nursing (CEN)
Preload and Afterload
Pulmonary Embolism for Progressive Care Certified Nurse (PCCN)
Pulmonary Embolus for Certified Emergency Nursing (CEN)
Pulmonary Hypertension for Progressive Care Certified Nurse (PCCN)
Pulmonary Hypertension for Certified Emergency Nursing (CEN)
Red Blood Cell (RBC) Lab Values
Red Cell Distribution Width (RDW) Lab Values
Respiratory Acidosis (interpretation and nursing interventions)
Respiratory Distress Syndrome for Certified Emergency Nursing (CEN)
Respiratory Failure (Acute, Chronic, Failure to Wean) for Progressive Care Certified Nurse (PCCN)
Respiratory Infections (Pneumonia) for Progressive Care Certified Nurse (PCCN)
Sodium and Potassium Imbalance for Certified Emergency Nursing (CEN)
Spinal Cord Injury
Spinal Cord Injury Case Study (60 min)
Steroids – Side Effects Nursing Mnemonic (6 S’s)
Systemic Lupus Erythematosus (SLE)
Thrombocytopenia
Thromboembolic Disease- Deep Vein Thrombosis (DVT) for Certified Emergency Nursing (CEN)
Treatment of Sickle Cell Nursing Mnemonic (HOP to the hospital)
Troponin I (cTNL) Lab Values
Valvular Heart Disease for Progressive Care Certified Nurse (PCCN)
Vascular Disease for Progressive Care Certified Nurse (PCCN)
Vascular Disease – Deep Vein Thrombosis Nursing Mnemonic (HIS Leg Might Fall off)
Venous Disorders (Chronic venous insufficiency, Deep venous thrombosis/DVT)
Warfarin (Coumadin) Nursing Considerations