Nursing Care Plan

tag:blogger.com,1999:blog-56949919944308873242026-05-04T06:14:10.707+08:00Nursing Care Planhelping nurses, students / professionals, creating NCP in different areas such as medical surgical, psychiatric, maternal newborn, and pediatrics.Unknownnoreply@blogger.comBlogger282125tag:blogger.com,1999:blog-5694991994430887324.post-70662919945068723672011-05-11T12:05:00.000+08:002011-05-11T12:05:34.211+08:00Nursing Care Plan Common Dysrhytmias

COMMON DYSRHYTHMIAS Tachycardias I. Sinus Tachycardia a. Sinus node creates rate that is faster than normal (greater than 100) b. Associated with physiological or psychological stress; medications, such as catecholamines, aminophylline, atropine, stimulants, and illicit drugs; enhanced automaticity; and autonomic dysfunction II. Atrial Flutter a. Occurs in the atrium and creates regular atrial

Unknownnoreply@blogger.comtag:blogger.com,1999:blog-5694991994430887324.post-39352655402962955862011-05-05T08:51:00.000+08:002011-05-05T08:51:13.098+08:00Nursing Care Plan Myocardial Infarction

MYOCARDIAL INFARCTION I. Pathophysiology a. Marked reduction or loss of blood flow through one or more of the coronary arteries, resulting in cardiac muscle ischemia, and over a finite period, resulting in necrosis b. Occurs most often due to coronary artery disease (CAD) c. Cellular ischemia and necrosis can affect the heart’s rhythm, pumping action, and blood circulation. d. Other problems may

Unknownnoreply@blogger.comtag:blogger.com,1999:blog-5694991994430887324.post-74310414498581228732011-05-04T07:32:00.002+08:002011-05-04T07:32:49.808+08:00Nursing Care Plan Angina Coronary Artery Disease Acute Coronary Syndrome

ANGINA (CORONARY ARTERY DISEASE, ACUTE CORONARY SYNDROME) I. Pathophysiology a. The disorder is characterized by a narrowing of coronary arteries due to atherosclerosis, spasm or, rarely, embolism. b. Atherosclerotic changes in coronary arteries results in damage to the inner layers of the coronary arteries with stiffening of vessels and diminished dilatory response. c. Accumulation of fatty

Unknownnoreply@blogger.comtag:blogger.com,1999:blog-5694991994430887324.post-85432819768197535352011-05-04T07:17:00.002+08:002011-05-04T07:17:46.110+08:00Nursing Care Plan Pulmonary Tuberculosis PTB

PULMONARY TUBERCULOSIS (TB) I. Pathophysiology a. Bacterial infection by Mycobacterium tuberculosis bacilli (TB) i. Primarily affects the lungs (70% per Centers for Disease Control and Prevention [CDC], 2004) although it can invade other body systems ii. Airborne droplets are inhaled, with the droplet nuclei deposited within the alveoli of the lung. b. Primary infection followed by a latent or

Unknownnoreply@blogger.comtag:blogger.com,1999:blog-5694991994430887324.post-54648741747502467362011-05-04T07:11:00.000+08:002011-05-04T07:11:18.092+08:00Nursing Care Plan Ventilatory Assistance

VENTILATORY ASSISTANCE (MECHANICAL) I. Pathophysiology—impairment of respiratory function affecting O2 uptake and CO2 elimination, requiring mechanical assist to support or replace spontaneous breathing a. Inability to maintain adequate oxygenation (hypoxemia) b. Inability to maintain adequate ventilation due to apnea or alveolar hypoventilation causing a rise in PaCO2 and a fall in serum pH (

Unknownnoreply@blogger.comtag:blogger.com,1999:blog-5694991994430887324.post-80727098460607852612011-05-03T12:35:00.000+08:002011-05-03T12:35:16.538+08:00Nursing Care Plan Heart Failure Chronic

HEART FAILURE: CHRONIC I. Pathophysiology a. Remodeling of the myocardium (as a structural response to injury) changes the heart from an efficient football shape to an inefficient basketball shape, making coordinated contractility difficult. i. Ventricular dilation (systolic dysfunction) results in poor contractility and inadequate emptying of chamber. ii. Ventricular stiffening (diastolic

Unknownnoreply@blogger.comtag:blogger.com,1999:blog-5694991994430887324.post-49467047272526921302011-05-03T12:27:00.002+08:002011-05-03T12:27:50.151+08:00Nursing Care Plan Hypertension: Severe

HYPERTENSION: SEVERE I.Pathophysiology—malignant or cancerous tumor, starting from the cells of the breast tissue and occurring primarily in women, although men may also be affected. b. Types (NCCN, 2007) i. This is cout3. This is cout3. This is cout3. This is cout3.This is cout3. A. Pathophysiology—malignant or cancerous tumor, starting from the cells of the breast tissue and occurring

Unknownnoreply@blogger.comtag:blogger.com,1999:blog-5694991994430887324.post-84766569837490047962011-05-02T13:49:00.001+08:002011-05-02T13:49:48.619+08:00Nursing Care Plan Radical Neck Surgery Laryngectomy Post Operative

RADICAL NECK SURGERY: LARYNGECTOMY (POSTOPERATIVE CARE) I. Pathophysiology a. Malignancy lies above the clavicle, for instance lip, mouth, nasal cavity, paranasal sinuses, pharynx, larynx, but excludes the brain, spinal cord, axial skeleton, and vertebrae. b. Cancers limited to the vocal cords (intrinsic) tend to spread slowly, whereas cancers involving the epiglottis (extrinsic) are more likely

Unknownnoreply@blogger.comtag:blogger.com,1999:blog-5694991994430887324.post-83180371612270624312011-05-02T13:42:00.001+08:002011-05-02T13:42:12.303+08:00Nursing Care Plan Pneumothorax / Hemothorax

PNEUMOTHORAX/HEMOTHORAX I. Pathophysiology a. Partial or complete collapse of lung due to accumulation of air (pneumothorax), blood (hemothorax), or other fluid (pleural effusion) in the pleural space b. Intrathoracic pressure changes induced by increased pleural space volumes and reduced lung capacity, causing respiratory distress and gas exchange problems and producing tension on mediastinal

Unknownnoreply@blogger.comtag:blogger.com,1999:blog-5694991994430887324.post-24750051390900597222011-05-02T13:36:00.000+08:002011-05-02T13:36:06.579+08:00Nursing Care Plan Lung Cancer Postoperative Care

LUNG CANCER: POSTOPERATIVE CARE I. Pathophysiology a. Usually develops within the wall or epithelium of the bronchial tree b. Prolonged exposure to cancer-promoting agents causes damage to ciliated cells and mucus-producing cells, leading to genetic mutations and development of dysplastic cells. II. Classification (Memorial Sloan-Kettering Cancer Center, 2008; National Cancer Institute, 2008) a.

Unknownnoreply@blogger.comtag:blogger.com,1999:blog-5694991994430887324.post-62158326313685676622011-05-02T13:26:00.002+08:002011-05-02T13:26:37.493+08:00Nursing Care Plan COPD Asthma

CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) AND ASTHMA I. Pathophysiology a. Chronic obstructive pulmonary disease (COPD): chronic obstructive bronchitis and emphysema i. Chronic airflow limitations (CAL): caused by a mixture of small airway disease (obstructive bonchiolitis) and parenchymal destruction (emphysema) ii. Airway inflammation: causes structural changes, narrowing of lumina, and

Unknownnoreply@blogger.comtag:blogger.com,1999:blog-5694991994430887324.post-25175290278460912292011-05-02T08:30:00.001+08:002011-05-02T13:32:13.505+08:00Nursing Care Plan Pneumonia

PNEUMONIA I. Pathophysiology a. Inflammation of the lung parenchyma associated with alveolar edema and congestion that impairs gas exchange b. Common pathogens i. Viruses 1. Common causative organisms include respiratory syncytial virus (RSV) and influenza 2. Accounts for approximately half of all cases of community-acquired pneumonia (CAP) ii. Bacteria 1. Divided into typical and atypical types

Unknownnoreply@blogger.comtag:blogger.com,1999:blog-5694991994430887324.post-49587172585953013002010-06-10T00:26:00.000+08:002010-06-10T15:43:08.711+08:00NCP Anorexia Nervosa

Anorexia NervosaEating DisorderAnorexia nervosa is a disorder characterized by an intense fear of obesity or weight gain and the inability or refusal to maintain body weight at 85% minimum expected for height. It is generally considered to be a disorder of young women that begins in adolescence or young adulthood. It is becoming more common in males. Anorexia nervosa is marked by severely

Unknownnoreply@blogger.comtag:blogger.com,1999:blog-5694991994430887324.post-89667753862770907382010-06-09T08:47:00.000+08:002010-06-10T15:43:41.604+08:00NCP Bulimia

BulimiaEating Disorder; Bulimia Nervosa; Normal Weight BulimiaBulimia is a syndrome characterized by episodes of binge eating. Binge eating is the rapid consumption of massive quantities of food within a limited time. Intense feelings of guilt and shame follow binge eating. These negative feelings trigger purging and dieting as attempts to relieve negative feelings and restore a sense of control.

Unknownnoreply@blogger.comtag:blogger.com,1999:blog-5694991994430887324.post-72231192788072881782009-09-30T08:43:00.000+08:002009-09-30T08:43:17.858+08:00NCP Hematopoietic Stem Cell Collection

Hematopoietic Stem Cell Collection Bone Marrow Transplantation; Bone Marrow Donor; Apheresis; Peripheral Blood Stem Cell Donor; Autologous; Allogenic; Syngeneic Hematopoietic stem cells (HSCs) normally reside in the bone marrow and can be collected from this compartment via multiple needle aspirations from the iliac crest. When collected from the bone marrow, all blood components are collected

Unknownnoreply@blogger.comtag:blogger.com,1999:blog-5694991994430887324.post-62097623981346591702009-09-30T08:41:00.000+08:002009-09-30T08:41:11.388+08:00NCP Erectile Dysfunction

Erectile Dysfunction (ED) Impotence Male erectile dysfunction (ED) replaces the term impotence. The problem involves the inability to achieve or maintain an erection suitable to complete sexual intercourse. Due to innovative laboratory testing and research in hemodynamics, neurophysiology, and pharmacology of penile erection, there is a better understanding of ED. Erection involves

Unknownnoreply@blogger.comtag:blogger.com,1999:blog-5694991994430887324.post-62826454086647331962009-09-30T08:39:00.000+08:002009-09-30T08:39:00.309+08:00NCP Diabetes Insipidus

Diabetes Insipidus DI; Neurogenic Diabetes; Idiopathic DI; Nephrogenic DI Diabetes insipidus (DI) is a disturbance of water metabolism caused by a failure of antidiuretic hormone (ADH) synthesis or release resulting in the excretion of a large amount of dilute urine. DI may have a nephrogenic or psychogenic cause. It may be a permanent disease state or a transient syndrome associated with

Unknownnoreply@blogger.comtag:blogger.com,1999:blog-5694991994430887324.post-27014706724897832362009-09-30T08:34:00.001+08:002009-09-30T08:34:53.458+08:00NCP Dermatitis

Dermatitis Contact Dermatitis; Atopic Dermatitis; Eczema Dermatitis is a descriptive term used for a group of diseases characterized by inflammation of the skin, with pruritus, redness, and various skin lesions. Contact dermatitis is a generic term applied to acute or chronic inflammatory reactions that are due to substances that come in contact with the skin. The reaction is localized to the

Unknownnoreply@blogger.comtag:blogger.com,1999:blog-5694991994430887324.post-45350085388414793482009-09-30T08:32:00.000+08:002009-09-30T08:32:01.450+08:00NCP Central Venous Access Devices

Central Venous Access Devices Broviac; Hickman; Groshong; Implantable Ports; Peripherally Inserted Central Catheter; Tunneled Central venous access devices are indwelling catheters placed in large vessels using a variety of approaches. These catheters or devices are indicated for multiple blood draws; total parenteral nutrition; blood administration; intermittent or continuous medication

Unknownnoreply@blogger.comtag:blogger.com,1999:blog-5694991994430887324.post-35768716121664292092009-09-03T00:31:00.002+08:002009-09-03T00:31:52.573+08:00NCP Blood Component Therapy

Blood Component TherapyWhole Blood; Packed Red Blood Cells (RBCs); Random Donor; Platelet Pheresis Packs; Platelets; Fresh Frozen Plasma; Albumin; Coagulation Factors; AutotransfusionBlood component therapy is used in the management of a variety of hematological disorders. Intravenous (IV) administration of blood and blood products is used to restore circulating volume and to replace the cellular

Unknownnoreply@blogger.comtag:blogger.com,1999:blog-5694991994430887324.post-22903582939461668572009-09-03T00:30:00.003+08:002009-09-03T00:30:56.628+08:00NCP Blood Component Theraphy

Unknownnoreply@blogger.comtag:blogger.com,1999:blog-5694991994430887324.post-75134214480875524582009-08-27T19:39:00.002+08:002009-08-27T19:45:43.308+08:00NCP Amyotrophic Lateral Sclerosis (ALS)

Amyotrophic Lateral Sclerosis (ALS) Lou Gehrig’s Disease; Motor Neuron Disease; Progressive Bulbar Palsy; Progressive Muscular Atrophy Amyotrophic lateral sclerosis (ALS), commonly called Lou Gehrig’s disease, is a rare progressive disease that attacks motor neurons, which control the movement of muscles through the anterior horns of the spinal cord and the motor nuclei of the lower

Unknownnoreply@blogger.comtag:blogger.com,1999:blog-5694991994430887324.post-50700601508242337932009-08-27T19:36:00.000+08:002009-08-27T19:38:04.234+08:00NCP Adrenal Insufficiency (Addison’s Disease)

Adrenal Insufficiency (Addison’s Disease) Addison’s Disease; Addisonian Crisis Adrenal insufficiency, or Addison’s disease, is an abnormality of the adrenal glands with the destruction of the adrenal cortex and impairment of glucocorticoid and mineralocorticoid production. This may be caused by an autoimmune condition, tuberculosis, fungal infection, acquired immunodeficiency syndrome (

Unknownnoreply@blogger.comtag:blogger.com,1999:blog-5694991994430887324.post-71094151335441650322009-07-22T15:51:00.001+08:002009-07-22T15:51:56.902+08:00NCP Nursing Diagnosis: Activity Intolerance

Nursing Diagnosis: Activity IntoleranceWeakness; Deconditioned; SedentaryNOC Outcomes (Nursing Outcomes Classification)Suggested NOC Labels * Activity Tolerance * Energy Conservation * Knowledge: Treatment RegimenNIC Interventions (Nursing Interventions Classification)Suggested NIC Labels * Energy Management * Teaching: Prescribed Activity/ExerciseNANDA Definition: Insufficient

Unknownnoreply@blogger.comtag:blogger.com,1999:blog-5694991994430887324.post-58146907767225627352009-07-22T15:49:00.000+08:002009-07-22T15:50:15.193+08:00NCP Nursing Diagnosis: Ineffective airway clearance

Nursing Diagnosis: Ineffective airway clearanceNOC Outcomes (Nursing Outcomes Classification)Suggested NOC Labels * Respiratory Status: Airway PatencyNIC Interventions (Nursing Interventions Classification)Suggested NIC Labels * Cough Enhancement * Airway Management * Airway SuctioningNANDA Definition: Inability to clear secretions or obstructions from the respiratory tract to

Unknownnoreply@blogger.com