Nursing Care Plan (NCP) for Vomiting / Diarrhea
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Outline
Lesson Objectives for Vomiting/Diarrhea
- Definition and Differentiation:
- Define vomiting and diarrhea as gastrointestinal symptoms characterized by the forceful expulsion of stomach contents and the frequent passage of loose or liquid stools, respectively.
- Common Causes:
- Identify common causes of vomiting and diarrhea, including infections (viral, bacterial, or parasitic), gastrointestinal disorders, dietary indiscretion, medications, and emotional stress.
- Clinical Manifestations:
- Recognize the clinical manifestations associated with vomiting and diarrhea, such as dehydration, electrolyte imbalances, abdominal cramping, and general weakness.
- Complications and High-Risk Groups:
- Understand potential complications, especially in vulnerable populations such as infants, elderly individuals, and those with chronic medical conditions. Complications may include dehydration, electrolyte disturbances, and nutritional deficiencies.
- Management and Nursing Interventions:
- Outline effective nursing interventions and management strategies to alleviate symptoms, prevent complications, and promote the patient’s comfort and well-being during episodes of vomiting and diarrhea.
Pathophysiology of Vomiting/Diarrhea
Vomiting Pathophysiology:
- Vomiting, or emesis, is a complex reflex involving the coordination of multiple systems. It typically involves stimulation of the vomiting center in the brainstem, triggered by various stimuli such as toxins, infections, or disturbances in the vestibular system.
- Gastrointestinal Irritation:
- Irritation of the gastrointestinal (GI) mucosa, whether due to infections, toxins, or other factors, can activate the vomiting reflex. This irritation sends signals to the vomiting center, leading to the forceful expulsion of stomach contents.
- Neurotransmitter Involvement:
- Neurotransmitters such as serotonin, dopamine, and acetylcholine play a role in the vomiting reflex. Disruptions in these neurotransmitter pathways can contribute to vomiting.
Diarrhea Pathophysiology:
- Diarrhea results from an increased frequency and fluidity of bowel movements. It can be caused by increased secretion of fluids into the intestine, decreased absorption of fluids by the intestine, or a combination of both.
- Inflammatory Processes:
- Infections, inflammation, or irritants in the GI tract can disrupt the normal absorption and secretion processes, leading to an imbalance and resulting in diarrhea.
Etiology of Vomiting/Diarrhea
- Infections:
- Viral, bacterial, and parasitic infections are common causes of vomiting and diarrhea. Pathogens can directly irritate the GI mucosa or produce toxins that lead to symptoms.
- Gastrointestinal Disorders:
- Conditions such as gastroenteritis, inflammatory bowel disease (IBD), irritable bowel syndrome (IBS), and gastroesophageal reflux disease (GERD) can contribute to chronic or recurrent episodes of vomiting and diarrhea.
- Dietary Indiscretion:
- Consumption of contaminated food or water, excessive alcohol intake, or intolerance to certain foods can result in gastrointestinal upset, leading to vomiting and diarrhea.
- Medications:
- Some medications, especially antibiotics, certain chemotherapy drugs, and laxatives, can disrupt the normal balance of the GI tract, causing vomiting and diarrhea as side effects.
- Psychological Factors:
- Emotional stress, anxiety, and psychological factors can influence the gastrointestinal system and contribute to symptoms of vomiting and diarrhea, particularly in functional gastrointestinal disorders.
Desired Outcome for Vomiting/Diarrhea
- Fluid and Electrolyte Balance:
- Restore and maintain fluid and electrolyte balance to prevent dehydration and electrolyte imbalances.
- Symptomatic Relief:
- Alleviate symptoms of vomiting and diarrhea to improve the patient’s comfort and well-being.
- Identification of Underlying Cause:
- Identify and address the underlying cause of vomiting and diarrhea, whether infectious, inflammatory, dietary, or medication-related.
- Prevention of Complications:
- Prevent complications such as dehydration, electrolyte disturbances, and nutritional deficiencies associated with prolonged vomiting and diarrhea.
- Patient Education:
- Educate the patient on self-care measures, dietary modifications, and signs of worsening symptoms to empower them in managing and preventing future episodes.
Vomiting / Diarrhea Nursing Care Plan
Subjective Data:
- Abdominal pain
- Nausea
- Irritability (infants and toddlers)
- Decreased appetite
Objective Data:
- Vomiting
- >2 loose, watery stools in 24 hours
Nursing Assessment for Vomiting/Diarrhea
- Patient History:
- Obtain a detailed patient history, including the onset and duration of symptoms, recent dietary intake, exposure to potential pathogens, medication use, and any history of gastrointestinal disorders.
- Fluid Intake and Output:
- Monitor fluid intake and output closely, assessing for signs of dehydration, such as decreased urine output, dark urine, and dry mucous membranes.
- Electrolyte Levels:
- Evaluate electrolyte levels, especially sodium and potassium, through laboratory tests to identify and address any imbalances associated with vomiting and diarrhea.
- Assessment of Vital Signs:
- Regularly assess vital signs, including heart rate, blood pressure, and temperature, to monitor for signs of dehydration or systemic infection.
- Appearance of Stool and Vomit:
- Analyze the appearance of stool and vomit, noting characteristics such as color, consistency, and presence of blood or mucus, to help identify potential causes.
- Abdominal Assessment:
- Perform a thorough abdominal assessment, including inspection, auscultation, percussion, and palpation, to identify any signs of abdominal tenderness, distension, or other abnormalities.
- Nutritional Status:
- Assess the patient’s nutritional status, considering recent dietary intake, weight changes, and signs of malnutrition, especially in chronic cases.
- Psychosocial Assessment:
- Consider the patient’s psychosocial well-being, addressing any anxiety, stress, or emotional factors that may contribute to or result from symptoms of vomiting and diarrhea.
Implementation for Vomiting/Diarrhea
- Fluid Replacement:
- Administer oral rehydration solutions (ORS) or intravenous fluids as prescribed to restore and maintain fluid and electrolyte balance. Monitor intake and output closely.
- Symptomatic Relief:
- Provide antiemetic medications to alleviate vomiting. Offer medications such as loperamide or bismuth subsalicylate to control diarrhea, following healthcare provider orders.
- Dietary Modifications:
- Gradually reintroduce a bland and easily digestible diet as tolerated, including foods like rice, bananas, applesauce, and toast (BRAT diet). Avoid irritating or spicy foods until symptoms subside.
- Infection Control Measures:
- Implement infection control measures, including proper hand hygiene and isolation precautions, to prevent the spread of infectious causes of vomiting and diarrhea.
- Patient Education:
- Educate the patient on self-care measures, emphasizing the importance of staying hydrated, modifying diet, taking prescribed medications, and seeking prompt medical attention if symptoms worsen or persist.
Nursing Interventions and Rationales
- Assess patient for the degree of vomiting: mild (1-2x/day), moderate (3-7x/day) or severe (8 or more or vomits everything consumed)
Understanding the severity of symptoms can help determine the course of treatment.
- Obtain history and information from the patient’s parent or caregiver
Determine when symptoms began, any contributing factors, and if other families or household members are experiencing similar issues. This can help determine etiology and guide treatment. Other sick family members should be isolated from the patient.
- Assess vital signs
Monitor for fever or signs of dehydration including tachycardia and tachypnea. Rapid respiratory rate may indicate possible aspiration of emesis.
- Assess for blood in stool or emesis
The presence of blood in vomitus or stools may indicate a more severe infection or issue in the GI system.
- Assess abdomen for distention, hyperactive bowel sounds and cramping
The patient may be guarding if unable to verbally express pain; note hyperactive sounds that may accompany diarrhea
- Monitor Intake and Output
Determine fluid balance and the need for rehydration intervention; prevent dehydration. Decreased wet diapers may be a sign of dehydration.
- Obtain samples of stool for culture
Determine if the cause of symptoms is due to a parasitic or bacterial infection; helps determine the course of treatment
- Provide perineal care following diarrhea
Help patient clean perineal area following stools to prevent skin breakdown and rash; apply barrier cream such as zinc oxide as needed
- Encourage oral hydration; Administer oral rehydration solution (ORS) as necessary or IV fluids as appropriate
Encourage parents to continue offering a normal diet. Patients are often more responsive to frozen juice bars, ice pops, and flavored gelatin. Supplementation of electrolyte solutions may be required. Breastfed infants should continue to breastfeed with ORS supplementation
- Educate patient and family on BRAT diet (Bananas, Rice, Applesauce, and Toast)
This diet is easy on the digestive system and helps to decrease diarrhea and replace nutrients lost. This is often still suggested even though research has not shown that this helps. This is not recommended for pediatric patients because of the low energy and lack of protein and fat content.
- Administer medications as appropriate
Typically, antidiarrheal medications are not recommended, as diarrhea usually resolves spontaneously once the virus or bacteria has been flushed out of the body. Anti-nausea medication may be given depending on the severity of vomiting. Antibiotics may be given if symptoms are related to bacterial infection
- Provide patient and family education to manage and prevent symptoms
Encourage good handwashing to prevent the spread of infection. Avoid sugary or high-fat foods that can make diarrhea worse. Encourage older children (>2yrs old) to drink chicken broth or sports drinks to help rehydration
Evaluation for Vomiting/Diarrhea
- Fluid and Electrolyte Status:
- Monitor fluid and electrolyte levels through laboratory tests, assessing for improvements or abnormalities compared to baseline values.
- Symptomatic Relief:
- Evaluate the effectiveness of interventions in providing relief from vomiting and diarrhea, assessing changes in frequency, consistency, and severity of symptoms.
- Dietary Tolerance:
- Assess the patient’s ability to tolerate reintroduction of a regular diet, ensuring it aligns with their nutritional needs and digestive capacity.
- Infection Control:
- Evaluate the success of infection control measures by monitoring for any new cases of vomiting and diarrhea in healthcare settings or among close contacts.
- Patient Compliance and Education:
- Assess the patient’s compliance with prescribed medications, dietary recommendations, and self-care measures. Reevaluate patient education effectiveness and address any remaining questions or concerns.
References
- https://www.aafp.org/afp/2001/0215/p775.html
- http://www.seattlechildrens.org/medical-conditions/symptom-index/vomiting-with-diarrhea/
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Transcript
Hey guys, let’s talk about some vomiting and diarrhea and putting this into a nursing care plan. First we have to collect all our data. That’s all the assessment pieces, so what your patient is saying and what we are observing. So subjective data is from the patient, so our patient is having some abdominal pain, right, nausea, they are maybe having a decreased appetite, right? No one wants to eat when all that’s going on. Our objective data includes the things we’re observing on the patient. Let’s say we’re noting that the patient has been vomiting a lot and they are having over two loose or watery stools in 24 hours, or even more than that. So, let’s take that data and let’s analyze it. So what’s the problem here? Well, our patient, if they’re having excessive vomiting and diarrhea, they probably have an electrolyte imbalance going on, right? We don’t have an imbalance and we don’t have good fluids, and we’re dehydrated, and this is all just because of the vomiting and the diarrhea.
So, what needs to be improved? Well, we need to improve the vomiting and diarrhea to help fix this imbalance that’s happening and help fix the dehydration.
What’s the priority? Well, for our patients, the priority is just going to be to hydrate and to reduce the excessive elimination, right, with all the vomiting and diarrhea happening.
So, now we have to ask our “how” questions. How questions are going to help us to plan, implement and evaluate. How do we know this was a problem? This is where you are always going to link your data that you have collected and just link your assessment pieces. For our patient, we knew it was a problem because of all the vomiting and diarrhea. Maybe we could visualize the dehydration because we had low urinary output. They don’t have good filled veins to get lab work on. We’re seeing this patient is dehydrated. We’re seeing all the vomiting and diarrhea, we’re linking our data, and that’s how we knew it was a problem. How are we going to address it? So for this patient, we can do some IV hydration, some medications, and some anti-nausea medications to help. How am I going to know if it gets better? Well, we’re going to have an improved hydration status, which Is going to be awesome. If we can improve that, maybe we will have the vomiting stop and that would also be an added benefit, right, or diarrhea, stopping, slowing down, whatever it is, that’s how we’re going to know it’s going to be better.
So translating gets us our high level concepts. This patient has fluid and electrolyte imbalance problems that we need to look at as a priority. We have elimination that we can deal with and some nutrition.
Let’s put this into a care plan. So first, when you are doing your care plan, you’re going to have your problems and your priorities. This is your subjective and objective data, so just those assessment pieces, this is your intervention. What you are going to do to help fix the assessment that you have, and then the rationale is the why. Why are you doing this intervention? And what do we expect to see happen? First we’re going to start with our fluid and electrolyte balance. So, our patient is showing us on some lab work that maybe the electrolytes don’t look good, because they are super dehydrated and they are having low urinary output. Our intervention. We are going to replace those fluids. So, probably for this patient, if they are excessively vomiting, we’re going to do IV, but of course, we could also do PO if they can keep it down. Our rationale, well, it’s going to fix the hydration status and improve lab work because we’ll have that improved vascular volume. Our outcome, we expect to see improved labs and adequate urinary output.
So for elimination, our data collection shows that the patient’s having some vomiting and having diarrhea. So, our interventions are going to be Zofran and stool samples. The Zofran to help, right, and the diarrhea to get a stool sample. Our why, is because Zofran is an anti-nausea medication, right, so it’s going to hopefully reduce the nausea and reduce the vomit and then a stool sample, because this can assess for any blood in the stool or the infection type of leave a parasitic infection, or what exactly is causing all of this. Our expected outcome is that this will decrease the vomiting and then we’ll have a diagnosis perhaps from this school sample for better treatment to improve the elimination. Let’s look at nutrition. So nutrition for this patient, our data we’ve collected is we have some diarrhea and we have an upset stomach happening, so we need to improve their nutrition to hopefully fix this.
Let’s look at our interventions. We can give some bland diet education to help them. Hopefully they can tolerate foods and different things to help their stomach. So this is going to be our why. It’s going to help the stomach to get the nutrition for the body, to get the nutrition from whatever can be tolerated. And as always, with our education and giving this education for nutrition, the patient will verbalize and demonstrate education and hopefully keep the foods in their body that they need, and not continue to be dehydrated and malnourished because they are vomiting and have diarrhea so much.
All right, our key points. So, when you are collecting your information, that’s your data, that’s your subjective and objective assessment pieces. So, you get that and then we’re going to analyze it, and that’s going to help to diagnose and prioritize. We are going to ask how that’s going to help to plan, implement and evaluate. We’re going to translate that. So, our concise terms or concepts, and then we’re going to transcribe that. Use whatever form you prefer, just get your care plan down on paper.
Alright, that was it for our vomiting and diarrhea care plan. Check out all the care plans that we have available for you on NURSING.com as well as the videos and extra resources. We love you guys. Now, go out and be your best selves today and as always, happy nursing!
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Nursing Care Plan (NCP) for Abortion, Spontaneous Abortion, Miscarriage
Nursing Care Plan (NCP) for Abruptio Placentae / Placental abruption
Nursing Care Plan (NCP) for Chorioamnionitis
Nursing Care Plan (NCP) for Diabetes Mellitus (DM)
Nursing Care Plan (NCP) for Dystocia
Nursing Care Plan (NCP) for Ectopic Pregnancy
Nursing Care Plan (NCP) for Gestational Diabetes (GDM)
Nursing Care Plan (NCP) for Gestational Hypertension, Preeclampsia, Eclampsia
Nursing Care Plan (NCP) for Hyperemesis Gravidarum
Nursing Care Plan (NCP) for Hypertension (HTN)
Nursing Care Plan (NCP) for Incompetent Cervix
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 Neonatal Jaundice | Hyperbilirubinemia
Nursing Care Plan (NCP) for Newborns
Nursing Care Plan (NCP) for Placenta Previa
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 Preterm Labor / Premature Labor
Nursing Care Plan (NCP) for Process of Labor
Nursing Care Plan (NCP) for Transient Tachypnea of Newborn
Nursing Care Plan for (NCP) Fetal Alcohol Syndrome (FAS)
Nursing Care Plan for Newborn Reflexes
Nursing Case Study for Maternal Newborn
Nutrition Assessments
Nutrition in Pregnancy
Nutritional Requirements
OB (Labor) Nurse Report to OB (Postpartum) Nurses
OB Course Introduction
OB Non-Stress Test Results Nursing Mnemonic (NNN)
OB Pharm and What Drugs You HAVE to Know – Live Tutoring Archive
Obstetric Trauma for Certified Emergency Nursing (CEN)
Obstetrical Procedures
Opioid Analgesics in Pregnancy
Oral Birth Control Pills – Serious Complications Nursing Mnemonic (Aches)
Oxytocin (Pitocin) Nursing Considerations
Pediatric Vital Signs (VS)
Physiological Changes
Phytonadione (Vitamin K)
Phytonadione (Vitamin K) for Newborn
Placenta Previa
Placenta Previa for Certified Emergency Nursing (CEN)
Possible Infections During Pregnancy Nursing Mnemonic (TORCH)
Post-Partum Assessment Nursing Mnemonic (BUBBLE)
Postpartum Discomforts
Postpartum Hematoma
Postpartum Hemorrhage (PPH)
Postpartum Interventions
Postpartum Physiological Maternal Changes
Postpartum Thrombophlebitis
Precipitous Labor
Preeclampsia (45 min)
Preeclampsia, Eclampsia, and HELLP Syndrome for Certified Emergency Nursing (CEN)
Preeclampsia: Signs, Symptoms, Nursing Care, and Magnesium Sulfate
Pregnancy Labs
Pregnancy Outcomes Nursing Mnemonic (GTPAL)
Preload and Afterload
Premature Rupture of the Membranes (PROM)
Preterm Labor
Preterm Labor for Certified Emergency Nursing (CEN)
Probable Signs of Pregnancy Nursing Mnemonic (CHOP BUGS)
Process of Labor
Process of Labor – Mom Nursing Mnemonic (4 P’s)
Process of Labor – Baby Nursing Mnemonic (ALPPPS)
Process of Labor – Live Tutoring Archive
Process of Labor 2 – Live Tutoring Archive
Prolapsed Umbilical Cord
Promethazine (Phenergan) Nursing Considerations
Prostaglandins
Prostaglandins in Pregnancy
Protein (PROT) Lab Values
Retinopathy of Prematurity (ROP)
Rh Immune Globulin (Rhogam)
Rh Immune Globulin in Pregnancy
Signs of Pregnancy – Live Tutoring Archive
Signs of Pregnancy (Presumptive, Probable, Positive)
Spironolactone (Aldactone) Nursing Considerations
Stages of Fetal Development Nursing Mnemonic (Proficiently Expanding Fetus)
Subinvolution
Terbutaline (Brethine) Nursing Considerations
Threatened/Spontaneous Abortion for Certified Emergency Nursing (CEN)
Tips & Advice for Newborns (Neonatal IV Insertion)
Tocolytics
Tocolytics
Top 5 Misunderstood OB Concepts – Live Tutoring Archive
Transient Tachypnea of Newborn
Umbilical Cord Vasculature Nursing Mnemonic (2A1V)
Uterine Stimulants (Oxytocin, Pitocin)
Uterine Stimulants (Oxytocin, Pitocin) Nursing Considerations
VEAL CHOP Nursing Mnemonic (Fetal Accelerations and Decelerations) (VEAL CHOP)
What the Heck is Antepartum Testing? – Live Tutoring Archive
Abdomen (Abdominal) Assessment
ABG (Arterial Blood Gas) Interpretation-The Basics
ABG (Arterial Blood Gas) Oxygenation
ABGs Nursing Normal Lab Values
ABGs Tic-Tac-Toe interpretation Method
Acetaminophen (Tylenol) Nursing Considerations
Acute Bronchitis
Acute Otitis Media (AOM)
Airborne Precaution Diseases Nursing Mnemonic (MTV)
Albuterol (Ventolin) Nursing Considerations
Alveoli & Atelectasis
Amoxicillin (Amoxil) Nursing Considerations
Anti-Infective – Antivirals
Anti-Infective – Macrolides
Anti-Infective – Penicillins and Cephalosporins
Anti-Infective – Fluoroquinolones
Appendicitis
Appendicitis – Assessment Nursing Mnemonic (PAINS)
Appendicitis Case Study (Peds) (30 min)
Appendicitis for Certified Emergency Nursing (CEN)
Assessment of a Burn Nursing Mnemonic (SCALD)
Asthma
Asthma Concept Map
Asthma management Nursing Mnemonic (ASTHMA)
Attention Deficit Hyperactivity Disorder (ADHD)
Autism Spectrum Disorders
Base Excess & Deficit
Bisacodyl (Dulcolax) Nursing Considerations
Blood Brain Barrier (BBB)
Blood Type O Nursing Mnemonic (Universally Odd)
Bronchiolitis and Respiratory Syncytial Virus (RSV)
Bronchodilators
Bupropion (Wellbutrin) Nursing Considerations
Burn Injuries
Burn Injury Case Study (60 min)
Burns for Certified Emergency Nursing (CEN)
Cardiac Glycosides
Care of the Pediatric Patient
Casting & Splinting
Cefaclor (Ceclor) Nursing Considerations
Celiac Disease
Cerebral Palsy (CP)
Cimetidine (Tagamet) Nursing Considerations
Ciprofloxacin (Cipro) Nursing Considerations
Cleft Lip and Palate
Cleft Lip Repair – Post Op Care Nursing Mnemonic (CLEFT LIP)
Clubfoot
Congenital Heart Defects (CHD)
Conjunctivitis
Constipation and Encopresis (Incontinence)
Corticosteroids
Coumarins
Cyanotic Defects Nursing Mnemonic (The 4 T’s)
Cystic Fibrosis (CF)
Day in the Life of a NICU Nurse
Day in the Life of a Peds (Pediatric) Nurse
Defects of Decreased Pulmonary Blood Flow
Defects of Increased Pulmonary Blood Flow
Dehydration
Diarrhea – Treatment Nursing Mnemonic (BRAT)
Digoxin (Lanoxin) Nursing Considerations
Diphenhydramine (Benadryl) Nursing Considerations
Diphenoxylate-Atropine (Lomotil) Nursing Considerations
Eczema
EENT Assessment
Enuresis
Epiglottitis
Epiglottitis – Signs and Symptoms Nursing Mnemonic (AIR RAID)
Epispadias and Hypospadias
Famotidine (Pepcid) Nursing Considerations
Fever
Fever Case Study (Pediatric) (30 min)
Flu Symptoms Nursing Mnemonic (FACTS)
Fluid Compartments
Fluid Pressures
Fluid Shifts (Ascites) (Pleural Effusion)
Fluid Volume Deficit
Fluticasone (Flonase) Nursing Considerations
Gas Exchange
Gentamicin (Garamycin) Nursing Considerations
Glucose Lab Values
Gluten Free Diet Nursing Mnemonic (BROW)
Guaifenesin (Mucinex) Nursing Considerations
Heart Sounds Nursing Mnemonic (APE To Man – All People Enjoy Time Magazine)
Hematocrit (Hct) Lab Values
Hemoglobin (Hbg) Lab Values
Hemophilia
Hierarchy of O2 Delivery
Hydrocephalus
Hypoxia – Signs and Symptoms (in Pediatrics) Nursing Mnemonic (FINES)
Ibuprofen (Motrin) Nursing Considerations
Immunizations (Vaccinations)
Imperforate Anus
Impetigo
Indomethacin (Indocin) Nursing Considerations
Influenza – Flu
Integumentary (Skin) Assessment
Intussusception
Intussusception for Certified Emergency Nursing (CEN)
Iron Deficiency Anemia
Isolation Precaution Types (PPE)
Isolation Precautions (MRSA, C. Difficile, Meningitis, Pertussis, Tuberculosis, Neutropenia)
Lactulose (Generlac) Nursing Considerations
Leukemia
Levels of Consciousness (LOC)
Levetiracetam (Keppra) Nursing Considerations
Lung Sounds
Marfan Syndrome
Meningitis
Meningitis Assessment Findings Nursing Mnemonic (FAN LIPS)
Meningitis for Certified Emergency Nursing (CEN)
Methylphenidate (Concerta) Nursing Considerations
Mixed (Cardiac) Heart Defects
Mumps
Nephroblastoma
Nephrotic Syndrome
Nephrotic Syndrome Case Study (Peds) (45 min)
Neuro Assessment
NSAIDs
Nursing Care Plan (NCP) for Acute Bronchitis
Nursing Care Plan (NCP) for Appendicitis
Nursing Care Plan (NCP) for Asthma
Nursing Care Plan (NCP) for Asthma / Childhood Asthma
Nursing Care Plan (NCP) for Attention Deficit Hyperactivity Disorder (ADHD)
Nursing Care Plan (NCP) for Bronchiolitis / Respiratory Syncytial Virus (RSV)
Nursing Care Plan (NCP) for Burn Injury (First, Second, Third degree)
Nursing Care Plan (NCP) for Celiac Disease
Nursing Care Plan (NCP) for Cerebral Palsy (CP)
Nursing Care Plan (NCP) for Cleft Lip / Cleft Palate
Nursing Care Plan (NCP) for Clubfoot
Nursing Care Plan (NCP) for Congenital Heart Defects
Nursing Care Plan (NCP) for Constipation / Encopresis
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 Eczema (Infantile or Childhood) / Atopic Dermatitis
Nursing Care Plan (NCP) for Enuresis / Bedwetting
Nursing Care Plan (NCP) for Epiglottitis
Nursing Care Plan (NCP) for Fluid Volume Deficit
Nursing Care Plan (NCP) for Hemophilia
Nursing Care Plan (NCP) for Hydrocephalus
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 Infective Conjunctivitis / Pink Eye
Nursing Care Plan (NCP) for Influenza
Nursing Care Plan (NCP) for Intussusception
Nursing Care Plan (NCP) for Marfan Syndrome
Nursing Care Plan (NCP) for Meningitis
Nursing Care Plan (NCP) for Mumps
Nursing Care Plan (NCP) for Neural Tube Defect, Spina Bifida
Nursing Care Plan (NCP) for Omphalocele
Nursing Care Plan (NCP) for Otitis Media / Acute Otitis Media (AOM)
Nursing Care Plan (NCP) for Pediculosis Capitis / Head Lice
Nursing Care Plan (NCP) for Pertussis / Whooping Cough
Nursing Care Plan (NCP) for Phenylketonuria (PKU)
Nursing Care Plan (NCP) for Reye’s Syndrome
Nursing Care Plan (NCP) for Rheumatic Fever
Nursing Care Plan (NCP) for Rubeola – Measles
Nursing Care Plan (NCP) for Scoliosis
Nursing Care Plan (NCP) for Sickle Cell Anemia
Nursing Care Plan (NCP) for Tonsillitis
Nursing Care Plan (NCP) for Varicella / Chickenpox
Nursing Care Plan (NCP) for Vomiting / Diarrhea
Nursing Care Plan for (NCP) Autism Spectrum Disorder
Nursing Case Study for Pediatric Asthma
Obstructive Heart (Cardiac) Defects
Ocular Infections (Conjunctivitis, Iritis) for Certified Emergency Nursing (CEN)
Omphalocele
Opioid Analgesics
Pancrelipase (Pancreaze) Nursing Considerations
Pediatric Bronchiolitis Labs
Pediatric Gastrointestinal Dysfunction – Diarrhea
Pediatric Oncology Basics
Pediatrics Course Introduction
Pediculosis Capitis
Pertussis – Whooping Cough
Phenylketonuria
Phenytoin (Dilantin) Nursing Considerations
Platelets (PLT) Lab Values
Pneumonia
Promotion and Evaluation of Normal Elimination Nursing Mnemonic (POOPER SCOOP)
Pulmonary Function Test
Red Blood Cell (RBC) Lab Values
Respiratory Acidosis (interpretation and nursing interventions)
Reye’s Syndrome
Reyes Syndrome Case Study (Peds) (45 min)
Rheumatic Fever
ROME – ABG (Arterial Blood Gas) Interpretation
Rubeola – Measles
Salmeterol (Serevent) Nursing Considerations
Scoliosis
Selegiline (Eldepyrl) Nursing Considerations
Sickle Cell Anemia
Spina Bifida – Neural Tube Defect (NTD)
Steroids – Side Effects Nursing Mnemonic (6 S’s)
Stoma Care (Colostomy bag)
Strabismus
Sudden Infant Death Syndrome (SIDS)
Sympathomimetics (Alpha (Clonodine) & Beta (Albuterol) Agonists)
Thorax and Lungs Assessment
Tonsillitis
Topical Medications
Tracheal Esophageal Fistula – Sign and Symptoms Nursing Mnemonic (The 3 C’s)
Transient Incontinence – Common Causes Nursing Mnemonic (P-DIAPERS)
Treatment of Sickle Cell Nursing Mnemonic (HOP to the hospital)
Umbilical Hernia
Vaccine-Preventable Diseases (Measles, Mumps, Pertussis, Chicken Pox, Diphtheria) for Certified Emergency Nursing (CEN)
Varicella – Chickenpox
Varicella Case Study (Peds) (30 min)
Vitals (VS) and Assessment
Vomiting
White Blood Cell (WBC) Lab Values
X-Ray (Xray)
ADLs (Activity of Daily Living) Nursing Mnemonic (BATTED)
Emotions and Motivation
Growth & Development Theories
Maslow’s Hierarchy of Needs in Nursing
Psychological Disorders
State of Consciousness
Stress and Crisis