Nursing Care Plan (NCP) for Syndrome of Inappropriate Antidiuretic Hormone (SIADH)

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Study Tools For Nursing Care Plan (NCP) for Syndrome of Inappropriate Antidiuretic Hormone (SIADH)

Syndrome of Inappropriate Antidiuretic Hormone (SIADH) Nonpharmacologic Interventions (Picmonic)
Syndrome Of Inappropriate Antidiuretic Hormone (SIADH) (Picmonic)
SIADH Pathochart (Cheatsheet)

Outline

Lesson Objectives for Syndrome of Inappropriate Antidiuretic Hormone (SIADH)

  • Understanding SIADH:
    • Define Syndrome of Inappropriate Antidiuretic Hormone (SIADH) and its pathophysiology.
    • Explore the role of antidiuretic hormone (ADH) in fluid balance and its dysregulation in SIADH.
  • Etiology and Risk Factors:
    • Identify the common causes and risk factors associated with the development of SIADH.
    • Understand how various conditions and medications can contribute to the inappropriate release of ADH.
  • Clinical Manifestations:
    • Recognize the signs and symptoms of SIADH, including hyponatremia, fluid retention, and potential neurological complications.
    • Understand the importance of early detection and intervention in preventing severe complications.
  • Diagnostic Evaluation:
    • Explore the diagnostic tests and laboratory studies used to confirm and assess the severity of SIADH.
    • Understand the significance of serum sodium levels, urine osmolality, and other diagnostic indicators.
  • Management and Nursing Interventions:
    • Discuss the principles of managing SIADH, including fluid restriction, medication therapy, and addressing the underlying cause.
    • Explore the role of nursing interventions in monitoring and supporting patients with SIADH.

Pathophysiology of Syndrome of Inappropriate Antidiuretic Hormone (SIADH)

 

  • Excessive ADH Secretion:
    • SIADH is characterized by the inappropriate and excessive secretion of antidiuretic hormone (ADH) from the posterior pituitary gland.
    • ADH plays a crucial role in regulating water balance by promoting water reabsorption in the renal tubules.
  • Water Retention:
    • Excess ADH leads to increased water reabsorption in the kidneys, resulting in concentrated urine and reduced urine output.
    • The retained water dilutes the sodium concentration in the blood, leading to hyponatremia.
  • Hyponatremia:
    • Hyponatremia occurs as a consequence of the dilutional effect of excess water on sodium levels in the bloodstream.
    • Low sodium levels can lead to cellular swelling, affecting neurological function and potentially causing cerebral edema.
  • Fluid Imbalance:
    • The increased water retention causes expansion of the extracellular fluid volume, leading to fluid overload.
    • Edema may occur, particularly in the extracellular spaces, contributing to clinical manifestations.
  • Neurological Complications:
    • Severe hyponatremia in SIADH can result in neurological complications, including confusion, seizures, and, in extreme cases, cerebral herniation.
    • The impact on cerebral function is a significant concern in the management of SIADH.

Etiology of Syndrome of Inappropriate Antidiuretic Hormone (SIADH)

  • Central Nervous System Disorders:
    • Brain tumors, infections, trauma, or any condition affecting the central nervous system can stimulate excessive ADH release.
  • Pulmonary Disorders:
    • Certain pulmonary conditions, such as pneumonia, tuberculosis, or lung cancer, can trigger SIADH.
    • The release of ADH may be a response to hypoxia or other pulmonary stressors.
  • Medications:
    • Several medications, including thiazide diuretics, selective serotonin reuptake inhibitors (SSRIs), and some antiepileptic drugs, can contribute to SIADH.
  • Malignancies:
    • Certain cancers, particularly small cell lung cancer, pancreatic cancer, and others, may produce ADH or stimulate its release, leading to SIADH.
  • Other Causes:
    • Other causes include pain, stress, surgery, and various conditions that activate the release of ADH inappropriately.
    • Identifying and addressing the underlying cause is essential in managing SIADH effectively.

Desired Outcome for Syndrome of Inappropriate Antidiuretic Hormone (SIADH)

  • Normalization of Sodium Levels:
    • Achieve and maintain serum sodium levels within the normal range to prevent complications associated with hyponatremia.
  • Resolution of Symptoms:
    • Alleviate and manage symptoms related to fluid overload, such as edema, respiratory distress, and neurological manifestations.
  • Identification and Treatment of Underlying Cause:
    • Identify and address the underlying cause or triggers contributing to SIADH.
    • Implement appropriate interventions to manage the primary condition.
  • Prevention of Complications:
    • Prevent complications associated with severe hyponatremia, such as seizures, cerebral edema, and other neurological issues.
  • Patient Education:
    • Educate the patient and caregivers about SIADH, its causes, symptoms, and the importance of adherence to prescribed treatments and fluid restrictions.

Syndrome of Inappropriate Antidiuretic Hormone (SIADH) Nursing Care Plan

 

Subjective Data:

  • Nausea
  • Muscle cramps
  • Depression, irritability
  • Fatigue

Objective Data:

  • Vomiting
  • Hypothermia
  • Tremors
  • Confusion
  • Seizures
  • Coma
  • Edema
  • Signs of Volume Overload

 

Nursing Assessment for Syndrome of Inappropriate Antidiuretic Hormone (SIADH)

 

  • Fluid Balance Assessment:
    • Monitor fluid intake and output, paying attention to changes in urine concentration and volume.
    • Assess for signs of fluid overload, including edema, crackles in the lungs, and increased blood pressure.
  • Neurological Assessment:
    • Conduct regular neurological assessments to detect signs of cerebral edema, altered mental status, confusion, seizures, or other neurological complications.
  • Vital Signs Monitoring:
    • Monitor vital signs, with a particular focus on blood pressure, heart rate, and respiratory rate.
    • Observe for signs of hyponatremia, such as hypotension and tachycardia.
  • Daily Weights:
    • Weigh the patient daily to assess for changes in fluid status and identify trends related to fluid retention or loss.
  • Laboratory Values:
    • Monitor serum sodium levels frequently to assess for hyponatremia and guide adjustments in treatment.
    • Evaluate other laboratory values, such as urine osmolality and urine sodium concentration.
  • Respiratory Assessment:
    • Assess respiratory status, especially in patients at risk for fluid overload and pulmonary complications.
    • Auscultate breath sounds for signs of pulmonary edema or respiratory distress.
  • Skin Integrity:
    • Inspect the skin for signs of edema and pressure points prone to breakdown.
    • Address skin care needs promptly to prevent skin breakdown.
  • Patient History:
    • Obtain a thorough patient history to identify potential causes and contributing factors for SIADH, including recent illnesses, medications, or changes in neurological status.

 

Implementation for Syndrome of Inappropriate Antidiuretic Hormone (SIADH)

 

  • Fluid Restriction:
    • Implement and monitor strict fluid restriction as prescribed to manage fluid balance and prevent exacerbation of hyponatremia.
  • Medication Administration:
    • Administer medications as prescribed, such as vasopressin receptor antagonists (e.g., conivaptan) or hypertonic saline, to correct hyponatremia and manage symptoms.
  • Daily Weights and Intake/Output Monitoring:
    • Monitor daily weights and closely track intake and output to assess the effectiveness of fluid restriction and adjust as necessary.
  • Neurological Monitoring:
    • Perform regular neurological assessments to detect any signs of cerebral edema or neurological complications.
    • Implement measures to ensure a safe environment for patients at risk of seizures or altered mental status.
  • Collaboration with Healthcare Team:
    • Collaborate with the healthcare team, including physicians, endocrinologists, and pharmacists, to develop and adjust the treatment plan based on patient response and laboratory values.

Nursing Interventions and Rationales

 

  • Monitor I & O, daily weights

 

Patients may be on fluid restrictions to help balance intake and output. Monitor for retention through calculated intake and output and with daily weights at the same time on the same scale each day.

 

  • Continuous ECG monitoring

 

Changes in electrolyte balance can disrupt the electrical conduction in the heart causing dysrhythmias.

 

  • Assess and monitor vital signs every 1-2 hours

 

Fluid shifts can occur quickly causing changes in blood pressure and heart rate. Most often patients will experience hypotension.

 

  • Assess and monitor respiratory status; note changes in respiration, auscultate lungs

 

Excess fluid volume can settle in and around the lungs and heart. Monitor for signs of congestion, difficulty breathing. SIADH can also be triggered by pneumonia, so monitor for the underlying cause as well.

 

  • Administer medication and electrolyte supplements appropriately
    • Electrolyte supplements (potassium)
    • Demeclocycline or lithium  – stops the kidneys from responding to extra ADH

 

Supplements may be given to regulate electrolyte imbalance. Carefully administer supplements to avoid overloading too quickly

 

  • Monitor lab / diagnostic values
    • Serum potassium
    • Serum sodium
    • Serum chloride
    • Serum osmolality (concentration)
    • Urine specific gravity

 

Hyponatremia is the hallmark of SIADH. Monitor lab values to determine if treatment is effective.

Evaluation for Syndrome of Inappropriate Antidiuretic Hormone (SIADH)

 

  • Normalization of Serum Sodium Levels:
    • Regularly evaluate serum sodium levels to determine the success of treatment interventions in restoring normal sodium concentrations.
  • Resolution of Symptoms:
    • Assess for the resolution of symptoms associated with hyponatremia, such as edema, respiratory distress, and neurological manifestations.
  • Adherence to Fluid Restriction:
    • Evaluate the patient’s adherence to fluid restriction by reviewing intake and output records and assessing patient understanding and compliance.
  • Effectiveness of Medication Therapy:
    • Monitor the effectiveness of medication therapy in correcting hyponatremia and managing symptoms.
    • Adjust medication dosages or treatment plans as needed.
  • Prevention of Complications:
    • Evaluate the prevention of complications related to SIADH, such as seizures, cerebral edema, and respiratory distress.
    • Assess the patient’s overall well-being and quality of life following the implementation of the care plan.


References

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Transcript

Hey guys, let’s take a look at the care plan for a syndrome of inappropriate antidiuretic hormone or SIADH. So in this lesson, we’ll briefly take a look at the pathophysiology and etiology of SIADH. We’ll also look at subjective and objective data, as well as nursing interventions and rationales included in the care plan. 

 

SIADH is diagnosed as a collection of symptoms that take place with otherwise normal function. This syndrome is characterized by hyponatremia, concentration of urine, and dilution of blood. The patient has an adequate amount of blood, which is more dilute than normal. SIADH causes the body to retain fluid resulting in decreased electrolyte imbalance. SIADH is an effect of other disorders, often nervous system disorders like epilepsy or giambre syndrome, or head trauma or cancers of the brain, GI, genitourinary and pulmonary systems. It is caused when the hypothalamus is stimulated to produce excess amounts of AVP or arginine vasopressin, which is an antidiuretic hormone that triggers the kidneys to retain fluid in the tubules and excrete sodium. As the amount of fluid builds up in the cells and tissues, it creates an imbalance of electrolytes, specifically sodium, causing hyponatremia. The excess fluid dilutes the blood, instead of being excreted, causing the urine to become concentrated. The desired outcome would be for the patients to maintain normal electrolyte and fluid balance. 

 

Let’s take a look at some of the subjective and objective data that your patient with SIADH may present with. Remember, subjective data are going to be things that are based on your patient’s opinions or feelings like nausea, muscle cramps, depression, irritability, and fatigue. 

 

Objective, or measurable data might include vomiting, hypothermia, tremors, confusion, seizures, coma, edema, and signs of volume overload. 

 

Let’s take a look at nursing interventions included in the care plan. Monitor intake and output, and monitor daily weights. Patients may be on fluid restrictions to help balance intake and output, which should be calculated along with daily weights at the same time on the same scale, but not super important every day. Be sure to monitor your patient’s EKG continuously, as changes in electrolyte balance can disrupt the electrical conduction of the heart causing dysrhythmias. Fluid shifts can occur quickly causing changes in blood pressure and heart rate, which is why it is critical to assess and monitor your patient’s vital signs every one to two hours. Most often, patients with SIADH will experience hypotension. Excess fluid volume can settle in and around the lungs and the heart, so be sure to monitor for signs of congestion and difficulty breathing as ADH can also be triggered by pneumonia, so monitor for this underlying cause as well. 

 

Medications and supplements are carefully given to avoid overloading too quickly. Supplements like potassium may be given to regulate electrolyte imbalances. Demeclocycline or lithium may be given to stop the kidneys from responding to extra ADH. Finally, hyponatremia. This is a hallmark sign of SIADH. So be sure to monitor lab values like serum, sodium, potassium, chloride serum, concentration, or osmolality and urine specific gravity 

 

Okay, here is a look at the completed care plan for SIADH. We love you guys. Now, 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