Endocrine and Metabolic Care Plans

Nursing plan and goals for fluid and electrolyte imbalances include: maintaining fluid volume at a functional level, patient exhibits normal laboratory values, demonstrates appropriate changes in lifestyle and behaviors including eating patterns and food quantity/quality, re-establishing and maintaining normal pattern and GI functioning.

Here are six (6) nursing care plans (NCP) for Cushing's disease or Cushing's syndrome:

Here are four (4) nursing care plans (NCP) for Diabetic Ketoacidosis and Hyperglycemic Hyperosmolar Nonketotic Syndrome:

Here are three (3) nursing care plans (NCP) for hypothyroidism (myxedema, cretinism):

Addison's disease or adrenal hypofunction is characterized by decreased mineralocorticoid, glucocorticoid, and androgen secretion.

Metabolic acidosis (primary base bicarbonate [HCO3] deficiency) reflects an excess of acid (hydrogen) and a deficit of base (bicarbonate) resulting from acid overproduction, loss of intestinal bicarbonate, inadequate conservation of bicarbonate, and excretion of acid, or anaerobic metabolism.

Metabolic alkalosis is characterized by a high pH (loss of hydrogen ions) and high plasma bicarbonate caused by excessive intake of sodium bicarbonate, loss of gastric/intestinal acid, renal excretion of hydrogen and chloride, prolonged hypercalcemia, hypokalemia, and hyperaldosteronism.

Respiratory alkalosis is a loss of carbon dioxide (Pco2 <>2CO3) due to a marked increase in the rate of respirations. Nursing care plans for respiratory alkalosis can be found here.

Respiratory acidosis, an elevation in the PaCO2 level), is caused by hypoventilation with reslutant excess carbonic acid. Here's a nursing care plan for Respiratory Acidosis.

Obesity is an excess accumulation of body fat at least 20% over average desired weight for age, sex, and height or a body mass index of greater than 27.8 for men and greater than 27.3 for women. Here are 4 nursing care plans for obesity.