Nursing Care Plan (NCP) for Reye’s Syndrome
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Study Tools For Nursing Care Plan (NCP) for Reye’s Syndrome
Reye’s Syndrome (Picmonic)
Reye’s Syndrome Pathochart (Cheatsheet)
Care Plan Example_Reye’s Syndrome (Cheatsheet)
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Outline
Lesson Objective for Reye’s Syndrome
- Understanding Reye’s Syndrome:
- Develop a comprehensive understanding of Reye’s Syndrome, including its pathophysiology, clinical manifestations, and the populations most at risk.
- Recognition of Early Signs and Symptoms:
- Identify the early signs and symptoms of Reye’s Syndrome, emphasizing the importance of prompt recognition for timely intervention and improved outcomes.
- Knowledge of Risk Factors:
- Gain insight into the risk factors associated with Reye’s Syndrome, particularly the connection to aspirin use in children during viral infections, enabling proactive education and preventive measures.
- Effective Nursing Interventions:
- Acquire knowledge about evidence-based nursing interventions and care strategies for patients with Reye’s Syndrome, focusing on supportive care, monitoring, and collaboration with the healthcare team.
- Patient and Family Education:
- Develop effective communication skills to educate patients and their families about Reye’s Syndrome, its prevention, and the importance of avoiding aspirin in children with viral illnesses.
Pathophysiology of Reye’s Syndrome
- Mitochondrial Dysfunction:
- Reye’s Syndrome involves a disruption in mitochondrial function, particularly in the liver cells. This impairment leads to a decrease in the production of adenosine triphosphate (ATP), the primary energy source for cells.
- Fatty Acid Accumulation:
- As a consequence of mitochondrial dysfunction, there is an abnormal accumulation of fatty acids in the liver. This accumulation can result in hepatic steatosis (fatty liver), leading to liver dysfunction.
- Hyperammonemia:
- The impaired liver function in Reye’s Syndrome hinders the normal breakdown of ammonia, leading to elevated levels of ammonia in the bloodstream. Hyperammonemia contributes to neurological symptoms and complications.
- Cerebral Edema and Encephalopathy:
- The elevated ammonia levels and metabolic disturbances can lead to cerebral edema, causing an increase in intracranial pressure. This results in encephalopathy, presenting as altered mental status, seizures, and potentially life-threatening neurological complications.
- Association with Viral Infections and Aspirin Use:
- Reye’s Syndrome is often associated with preceding viral infections, particularly influenza and varicella (chickenpox). Additionally, the use of aspirin during or after these viral infections, especially in children and adolescents, has been identified as a significant risk factor for the development of Reye’s Syndrome.
Etiology of Reye’s Syndrome
- Viral Infections:
- Reye’s Syndrome is often preceded by viral infections, with influenza and varicella (chickenpox) being commonly associated. The viral infection sets the stage for the subsequent development of Reye’s Syndrome.
- Aspirin Use in Children:
- A significant risk factor for Reye’s Syndrome is the use of aspirin (acetylsalicylic acid) in children and adolescents during or after viral infections. Aspirin has been specifically linked to the development of Reye’s Syndrome, especially when used to manage symptoms of viral illnesses.
- Age Group Susceptibility:
- Reye’s Syndrome primarily affects children and teenagers, with the majority of cases occurring in individuals under the age of 18. There is a lower incidence in adults.
- Seasonal Variation:
- Cases of Reye’s Syndrome often exhibit a seasonal variation, coinciding with the peak occurrence of viral infections, particularly influenza and varicella, which are more prevalent during specific times of the year.
- Genetic Predisposition:
- While the exact genetic factors contributing to Reye’s Syndrome are not fully understood, there may be a genetic predisposition that influences an individual’s susceptibility to the syndrome, especially when combined with viral infections and aspirin use.
Desired Outcome for Reye’s Syndrome
- Stabilization of Metabolic Function:
- Achieve and maintain metabolic stability by addressing mitochondrial dysfunction, reducing hyperammonemia, and restoring normal cellular energy production.
- Resolution of Neurological Symptoms:
- Attain a resolution of neurological symptoms, including encephalopathy, seizures, and altered mental status, through appropriate interventions and supportive care.
- Recovery of Liver Function:
- Promote the recovery of liver function by addressing hepatic steatosis and mitigating damage, facilitating the normalization of liver enzymes and overall hepatic performance.
- Prevention of Complications:
- Prevent or minimize complications associated with Reye’s Syndrome, such as cerebral edema, organ failure, and secondary infections, to improve overall prognosis and reduce long-term sequelae.
- Full Restoration of Health:
- Aim for the complete restoration of health, ensuring that the patient can resume normal activities and functions without persistent neurological deficits or compromised organ function.
Reye’s Syndrome Nursing Care Plan
Subjective Data:
- Headaches
- Fatigue
- Excessive drowsiness/lethargy
- Changes in personality
- Irritability
Objective Data:
- Vomiting
- Diarrhea
- Confusion/disoriented/hallucinations
- Weakness of extremities
- Seizures
- Loss of consciousness
Nursing Assessment for Reye’s Syndrome
- Medical History:
- Obtain a detailed medical history, with a specific focus on recent viral infections, including symptoms, duration, and any associated treatments. Inquire about the use of medications, especially aspirin, and assess the timeline of symptom onset.
- Neurological Assessment:
- Conduct a thorough neurological assessment, including the evaluation of mental status, level of consciousness, responsiveness, and presence of neurological symptoms such as seizures, irritability, or lethargy.
- Vital Signs Monitoring:
- Continuously monitor vital signs, paying close attention to temperature variations, as Reye’s Syndrome can be associated with hyperthermia. Frequent temperature checks are crucial for detecting changes promptly.
- Gastrointestinal Assessment:
- Assess gastrointestinal symptoms such as vomiting, nausea, and signs of hepatic dysfunction, including jaundice and changes in bowel habits. Document the frequency and characteristics of vomiting.
- Fluid and Electrolyte Balance:
- Monitor fluid intake and output to assess hydration status. Reye’s Syndrome can lead to fluid and electrolyte imbalances, and prompt intervention is necessary to maintain homeostasis.
- Liver Function Tests:
- Obtain and monitor liver function tests, including serum transaminases, bilirubin, and coagulation profile. Assess for signs of hepatic dysfunction, such as hepatomegaly and jaundice.
- Blood Ammonia Levels:
- Monitor blood ammonia levels regularly, as elevated ammonia is a characteristic feature of Reye’s Syndrome and is associated with neurological symptoms. Early detection allows for timely intervention.
- Respiratory Assessment:
- Assess respiratory status, including respiratory rate, effort, and oxygen saturation. Closely monitor for signs of respiratory distress or failure, which may indicate complications such as cerebral edema.
- Skin Assessment:
- Conduct a thorough skin assessment to identify any rashes, petechiae, or signs of poor perfusion. Skin findings may provide additional clues to the overall condition and help guide interventions.
Implementation for Reye’s Syndrome
- Supportive Care:
- Provide meticulous supportive care to address the specific needs of the patient. This includes maintaining a quiet and calm environment to minimize stimuli that could exacerbate neurological symptoms.
- Fluid and Electrolyte Management:
- Administer intravenous fluids judiciously to maintain hydration and correct electrolyte imbalances. Monitor fluid balance closely, adjusting the infusion rate based on the patient’s response and ongoing assessments.
- Hepatic Support:
- Collaborate with the healthcare team to implement measures to support hepatic function. This may involve avoiding hepatotoxic medications, providing nutritional support, and closely monitoring liver function tests.
- Neurological Monitoring and Management:
- Continuously monitor neurological status, promptly intervening if signs of increased intracranial pressure or neurological deterioration occur. Administer antiepileptic medications as prescribed to manage seizures effectively.
- Prevent Complications:
- Implement strategies to prevent complications, particularly cerebral edema. This may involve the use of osmotic agents, positioning to optimize cerebral perfusion, and collaboration with the medical team for potential interventions such as hyperventilation.
- Collaborative Multidisciplinary Care:
- Engage in ongoing collaboration with a multidisciplinary team, including physicians, pharmacists, and other healthcare professionals. Regular communication and coordination are essential for optimizing patient care and addressing evolving needs.
Nursing Interventions and Rationales
| Nursing Intervention (ADPIE) | Rationale |
| Assess and monitor vital signs | Determine oxygenation and respiratory status. Get baseline data to determine effectiveness of interventions.
Changes in temperature can indicate damage to the brain and difficulty regulating temperature. |
| Perform complete assessment of systems including neurological status | Help determine staging of disorder and treatment required. Seizures, loss of reflexes, posturing and lack of pupil reaction indicate more advanced neurologic involvement. |
| Monitor blood glucose levels | Drops in blood glucose can indicate elevated ammonia levels. Hyper- and hypoglycemia can result in further complications of the condition. |
| Initiate IV and monitor fluid balance | Maintain hydration with presence of vomiting or diarrhea. Watch for signs of fluid overload. |
| Initiate seizure safety precautions per facility protocol | Place infant or toddler in crib with padding, raise bed rails for older children in case of seizures. Keep oxygen and suction readily available |
| Assess for signs of increased intracranial pressure | Monitoring may be done with intraventricular catheter. Prevent swelling of the brain if possible to reduce risk of brain damage. |
| Administer medications and blood products as required per facility protocol | Medications may be given to manage symptoms of vomiting, diarrhea, fever, hyper- or hypoglycemia, seizures, swelling and pain.
Patients with liver involvement are at risk for bleeding due to effect on clotting factors. Blood products may transfused or plasma and platelets may be given to prevent bleeding. |
| Monitor diagnostic tests and labs | Watch for jaundice and elevation of liver enzymes and ammonia levels. |
| Provide postoperative and wound care as necessary | Patient may be required to undergo craniotomy to relieve intracranial pressure. Prevent infection at the incision site, which could lead to meningitis. |
| Provide communication, support and education for parents / caregivers | Help reduce anxiety in family members with frequent updates and support.
Help increase understanding of disease and risk factors. Provide resources for home care or long-term needs. |
Evaluation for Reye’s Syndrome
- Neurological Status:
- Evaluate improvements or deterioration in neurological status, including changes in consciousness, responsiveness, and the presence of seizures. Compare current assessments with baseline data to gauge the effectiveness of interventions.
- Fluid and Electrolyte Balance:
- Assess the patient’s fluid and electrolyte balance, monitoring for improvements in hydration status and correction of any imbalances. Evaluate urine output, serum electrolyte levels, and overall fluid responsiveness.
- Liver Function:
- Review liver function tests to assess improvements in hepatic function. Monitor serum transaminases, bilirubin levels, and coagulation profile to determine the effectiveness of interventions aimed at supporting the liver.
- Resolution of Symptoms:
- Evaluate the resolution of presenting symptoms, such as vomiting, jaundice, and gastrointestinal distress. Document improvements in overall well-being and the absence of signs and symptoms associated with Reye’s Syndrome.
- Prevention of Complications:
- Assess the success of preventive measures in avoiding complications, particularly cerebral edema. Monitor for any signs of increased intracranial pressure and evaluate the effectiveness of interventions aimed at preventing or managing complications.
References
https://www.mayoclinic.org/diseases-conditions/reyes-syndrome/symptoms-causes/syc-20377255
http://www.reyessyndrome.org/treat.html
https://my.clevelandclinic.org/health/articles/6088-reyes-syndrome
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Transcript
Hi everyone. Today, we are going to be creating a nursing care plan for Reye’s syndrome. So let’s get started. First. We’re going to go over pathophysiology. Reye’s syndrome is a rare condition that causes swelling of the liver and brain. It most often occurs in children following a viral illness, such as the flu or the chicken pox in combination with taking aspirin. Some nursing considerations: you want to assess vital signs, perform a complete system assessment, assess intracranial pressure, lab values, implement seizure precautions, administer medications or blood products, and educate the parent or the caregiver. Desired outcome: patients are going to maintain adequate respiratory status, optimal neurologic functioning, and the patient will remain in adequate fluid balance.
So we’re going to go through the care plan. Here we’re going to be writing some subjective data and some objective data. What are some things we’re going to see in a patient that has Reye’s Syndrome? One of the main things you’re going to see or that they’re going to complain about headaches. And some objective data you’re going to see is there’s going to be some confusion, disorientation, and some weakness. Some other things to keep in mind for these patients: they’ll have some fatigue, extreme drowsiness, maybe some changes in personality, or irritability. You’ll also see possible diarrhea, hallucinations, seizures, and loss of consciousness.
So what are some inter interventions that we’re going to do as nurses? One of the main things that we’re going to do is we’re going to assess and monitor their vital signs. So we’re going to determine oxygenation and respiratory status, so you want to make sure you’re getting baseline data to determine the effectiveness of the interventions that you are giving. Any sort of changes in temperature can indicate damage to the brain itself or difficulty regulating their temperature. Another intervention that we’re going to be looking for is a complete assessment of systems, such as neurological status. So you want to help determine staging of this disorder and treatment required. Seizures, loss of reflexes, posturing,lack of pupil reaction can indicate more of an advanced neurologic involvement with these patients. Another intervention we’re going to do is monitor their blood glucose levels – a drop in blood glucose can indicate elevated ammonia levels. hyper and hypoglycemia can result in further complications of this condition. Other interventions we’re going to want to initiate are seizure precautions or seizure safety. And have seizure precautions per protocol. So you want to make sure you’re placing the infant or the toddler in a crib with padding, and raise the bedrails up for older children in case of seizures. You want to make sure you’re keeping their oxygen and suction readily available by the crib or bed in case you may need it. Other interventions that we’re going to be doing: you want to make sure you’re assessing for signs of intracranial pressure. Monitoring may be done with an intraventricular catheter, which will prevent the swelling of the brain if possible, and reduce the risk of brain damage. Another intervention we’re going to be doing is we’re going to administer any sort of medications or blood products. And why do we do this? So, medications may be given to manage symptoms of vomiting, diarrhea, fever, hyper or hypoglycemia, swelling, and pain for these patients. Due to liver involvement, patients are at risk for bleeding due to the effect on clotting factors. So, blood products may be transfused or plasma and platelets may be given and able to prevent bleeding in these patients. Another thing we’re going to be doing for intervention is monitoring diagnostics and other lab values. We’re going to watch for jaundice and any sort of elevation in liver enzymes, And we’re also going to be looking for increased ammonia.
All right. So we’re going to go over some key points. So pathophysiology: it’s a rare condition that causes swelling of the liver and brain. It most often occurs in children following a viral illness, such as the flu or chickenpox. Some subjective and objective data that you’re going to see in these patients: you’re going to see headache, fatigue, excessive drowsiness, irritability, vomiting, diarrhea, confusion, disorientation, weakness of the extremities, seizures, loss of consciousness. Also, make sure you’re assessing their vital signs, doing a complete systems assessment, assessing the intracranial pressure, monitor blood glucose levels and liver enzymes since they will likely be elevated in these patients, and seizures. You want to make sure you’re placing these patients on seizure precautions, administering any sort of medications and or blood products as required. Awesome.
We love you guys. Go out and 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
- Respiratory Emergencies
- Disorders of the Adrenal Gland
- Substance Abuse Disorders
- Cognitive Disorders
- 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
Nursing Care Plan (NCP) for Chorioamnionitis
Nursing Care Plan (NCP) for Chronic Kidney Disease
Nursing Care Plan (NCP) for Chronic Obstructive Pulmonary Disease (COPD)
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
Nursing Care Plan (NCP) for Congestive Heart Failure (CHF)
Nursing Care Plan (NCP) for Constipation / Encopresis
Nursing Care Plan (NCP) for Cushing’s Disease
Nursing Care Plan (NCP) for Cystic Fibrosis
Nursing Care Plan (NCP) for Decreased Cardiac Output
Nursing Care Plan (NCP) for Dehydration & Fever
Nursing Care Plan (NCP) for Dementia
Nursing Care Plan (NCP) for Depression
Nursing Care Plan (NCP) for Diabetes
Nursing Care Plan (NCP) for Diabetes Insipidus
Nursing Care Plan (NCP) for Diabetes Mellitus (DM)
Nursing Care Plan (NCP) for Diabetic Ketoacidosis (DKA)
Nursing Care Plan (NCP) for Disseminated Intravascular Coagulation (DIC)
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
Nursing Care Plan (NCP) for Epididymitis
Nursing Care Plan (NCP) for Epiglottitis
Nursing Care Plan (NCP) for Fluid Volume Deficit
Nursing Care Plan (NCP) for Gastroesophageal Reflux Disease (GERD)
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
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 Hyperemesis Gravidarum
Nursing Care Plan (NCP) for Hyperosmolar Hyperglycemic Nonketotic Syndrome (HHNS)
Nursing Care Plan (NCP) for Hyperparathyroidism
Nursing Care Plan (NCP) for Hypertension (HTN)
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 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
