Mnemonics

  1. 0
    Does anyone have any cool mnemonics to share to remember things like diseases or meds etc.,?

    If you do please add them on...
  2. 10 Comments so far...

  3. 0
    I have one for canes....

    Cane
    Opposite
    Affected
    Leg

    And APGAR score components

    SHIRT:
    Skin color
    Heart rate
    Irritability (response to stimulation) grimacing, cry..
    Respirations
    Tone (muscle)
  4. 3
    Here are some from a study guide via someone on here.
    It has helped me alot with pratice question, hopefully it won't let me down on my "big day"


    AIRBORNE PRECAUTION
    (SARS is airborne/contact)

    My - Measles
    Chicken - Chickenpox
    Hez - Herpes Zoster (Disseminated)
    TB - TB
    -Private room
    -Negative pressure with 6-12 air exchanges per hour
    -UV
    -Mask, standard precautions (gown,gloves)
    -N95 Mask for TB
    -put own eyewear-->mask-->gown-->gloves and take off in opposite order (this applies to all infection control)

    DROPLET PRECAUTION
    think of SPIDERMAN!
    S - Sepsis
    S - Scarlet fever
    S - Streptococcal pharyngitis
    P - Parvovirus B19
    P - Pertussis
    P - Pneumonia
    I - Influenza
    D - Diptheria (Pharyngeal)
    E - Epiglottitis
    R - Rubella
    M - Mumps
    M - Meningitis
    M - Mycoplasma or meningeal pneumonia
    An - Adenovirus
    -Private room
    -Mask and standard precautions

    CONTACT PRECAUTION- standard precautions
    MRS.WEE
    M - Multidrug resistant organism
    R - Respiratory infection - RSV
    S - Skin infections
    W - Wound infections
    E - Enteric infections - clostridium defficile
    E - Eye infections

    Skin Infections private room, gloves, gown
    V - Varicella zoster
    C - Cutaneous diptheria
    H - Herpes simplex
    I - Impetigo
    P - Pediculosis
    S - Scabies, Staphylococcus

    Cranial Nerves
    1) Olfactory
    2) Optic
    3) Oculomotor
    4) Trochlear
    5) Trigeminal
    6) Abduchens
    7) Facial
    8) Acoustic
    9) Glossopharyngeal
    10) Vagus
    11) Spinal Accessory
    12) Hypoglossal
    (This is dirty but think "Oh Oh Oh to touch and feel a girl's vagina, So happy!" I didn't make that up! its a well known pnemonic lol)

    Triage
    Red-unstable, but fixable, see first
    Yellow-stable, can wait for up to an hour for treatment, see second
    Green- stable, can wait for a while, “walking wounded”
    Black- unstable clients that probably won’t make it, comfort measures
    DOA- dead on arrival

    Hypercalcemia:
    GROANS (constipation)
    MOANS (psychic moans = fatigue, lethargy, depression)
    BONES (bone pain)
    STONES (kidney stones)
    Psychiatric OVERTONES (including depression and confusion)
    Can’t pick up the PHONE! (muscle weakness, lack of coordination)


    Hypocalcemia = CATS go numb:
    C = Convulsions
    A = Arrhythmias
    T = Tetany (+Trousseau and +Chvostek’s)
    S = Spasms, Seizures, & Stridor
    Numbness in the fingers

    Hypernatremia
    Signs and Symptoms of Hypernatremia - FRIED
    Fever, flushed skin
    Restless
    Increased fluid retention
    Edema
    Decreased urine output, dry mouth

    Causes of Hypernatremia: MODEL
    Medications, meals
    Osmotic diuretics
    Diabetes insipidus
    Excessive water loss
    Low water intake

    Hyponatremia: SALT/ LOSS
    Signs and Symptoms

    Stupor/coma
    Anorexia
    Lethargy
    Tendon reflexes decreased

    Limp muscles
    Orthostatic hypotension
    Seizures/headache
    Stomach cramps

    The HYPERKALEMIA "Machine" - Causes of Increased Serum K+
    M - Medications - ACE inhibitors, NSAIDS
    A - Acidosis - Metabolic and respiratory
    C - Cellular destruction - Burns, traumatic injury
    H - Hypoaldosteronism, hemolysis
    I - Intake - Excesssive
    N - Nephrons, renal failure
    E - Excretion - Impaired

    Hyperkalemia Signs and Symptoms: MURDER

    Muscle weakness
    Urine - oliguria, anuria
    Respiratory distress
    Decreased cardiac contractility
    ECG changes
    Reflexes - hyperreflexia, areflexia

    Treatment: KIND

    Kayexalate - oral/rectal
    Insulin
    Na HCO3 (sodium bicarb)
    Diuretics

    Hypokalemia


    Signs and Symptoms
    6 L's
    Lethargy
    Leg cramps
    Limp muscles
    Low, shallow respirations
    Lethal cardiac dysrhythmias
    Lots of urine (polyuria)

    Alkalosis and Acidosis

    Alkalosis - has a 'k' - Kicking the pH up
    Acidosis - has a 'd' - Dropping the pH down

    DO NOT delegate what you can EAT!
    E - evaluate
    A - assess
    T – teach

    Addison's disease (need to "add" hormone)
    Cushing's syndrome (have extra "cushion" of hormones)

    addisons= down, down down up down
    cushings= up up up down up
    addisons= hyponatremia, hypotension, decreased blood vol, hyperkalemia, hypoglycemia
    cushings= hypernatremia, hypertension, incrased blood vol, hypokalemia, hyperglycemia

    No Pee, no K (do not give potassium without adequate urine output)

    EleVate Veins; dAngle Arteries for better perfusion

    A= appearance (color all pink, pink and blue, blue [pale])
    P= pulse (>100, < 100, absent)
    G= grimace (cough, grimace, no response)
    A= activity (flexed, flaccid, limp)
    R= respirations (strong cry, weak cry, absent)

    Hypo-parathyroid: CATS
    Convulsions
    Arrhythmias
    Tetany
    Spasms
    Stridor (decreased calcium)
    high Ca, low phosphorus diet

    Hyper-parathyroid:
    fatigue, muscle weakness, renal calculi, back and joint pain (increased calcium), low Ca, high phosphorus diet
    Hypokalemia:
    muscle ewakness, dysrhythmias, increase K (raisins, bananas, apricots, oranges,
    beans, potatoes, carrots, celery)

    Neuroleptic malignant syndrome (NMS):
    -NMS is like S&M;
    -you get hot (hyperpyrexia)
    -stiff (increased muscle tone)
    -sweaty (diaphoresis)
    -BP, pulse, and respirations go up &
    -you start to drool

    Parkinson's=R.A.T.
    R- rigidity
    A- akinesia (loss of muscle mvt)
    T- tremors
    Txt: Levodopa

    Hypoglycemia - T.I.R.E.D
    T- tachycardia
    I- irritability
    R- restless
    E- excess hunger
    D- diaphoresis

    I kept forgetting which was dangerous when you're pregnant; regular measles (rubeola), or
    German measles (rubella), so remember:
    -never get pregnant with a German (rubella)

    When drawing up regular insulin & NPH together, remember:
    - Nicole Richie RN (regular comes before NPH)

    Tetralogy of fallot
    Think DROP(child drops to floor or squats) or POSH
    Defect, septal
    Right Ventricular hypertrophy
    Overriding aorts
    Pulmonary stenosis

    MAOI's that are used as antidepressants:
    weird way to remember, I know. pirates say arrrr, so think; pirates take MAOI's when they're
    depressed.
    - explanation; MAOI's used for depression all have an arrr sound in the middle (Parnate, Marplan,
    Nardil)

    easy way to remember MAOI'S!
    think of PANAMA!
    PA - parnate
    NA - nardil
    MA – marplan

    Have trouble remembering fhr patterns in OB? Think VEAL CHOP
    V C
    E H
    A O
    L P
    V = variable decels; C = cord compression caused
    E = early decels; H = head compression caused
    A = accels; O = okay, not a problem!
    L = late decels = placental insufficiency, can't fill

    Also for ventilator alarms

    HOLD
    High alarm- Obstruction due to incr. secretions, kink, pt. coughs, gag or bites
    Low press alarm- Disconnection or leak in ventilatior or in pt. airway cuff, pt. stops spontaneous
    Breathing
    Immediate tx of MI, think MONA:
    M Morphine sulfate
    O Oxygen
    N Nitroglycerin
    A ASA

    Treatment of CHF, think UNLOAD FAST:
    U sit Upright
    N Nitro
    L Lasix
    O Oxygen
    A Aminophylline-for lungs clear wheezing
    D Digoxin

    F Fluids- decrease
    A Afterload - decrease
    S Sodium - decrease
    T Tests: dig level, ABG, K+
  5. 0
    Wow those are awesome thanks a bunch!!
  6. 0
    That does help out
  7. 0
    Thankssss For the POST..:heartbeat
  8. 0
    There are a lot of threads on helpful mnemonics on AllNurses but aspiringpediatric's post covered some great ones! I used some of those when taking the boards. Depending on what questions the computer throws at you, they can be very helpful in remembering basic information.
  9. 0
    Quote from aspiRiNgpediatric
    Here are some from a study guide via someone on here.
    It has helped me alot with pratice question, hopefully it won't let me down on my "big day"

    AIRBORNE PRECAUTION (SARS is airborne/contact)

    My - Measles
    Chicken - Chickenpox
    Hez - Herpes Zoster (Disseminated)
    TB - TB
    -Private room
    -Negative pressure with 6-12 air exchanges per hour
    -UV
    -Mask, standard precautions (gown,gloves)
    -N95 Mask for TB
    -put own eyewear-->mask-->gown-->gloves and take off in opposite order (this applies to all infection control)

    DROPLET PRECAUTION
    think of SPIDERMAN!
    S - Sepsis
    S - Scarlet fever
    S - Streptococcal pharyngitis
    P - Parvovirus B19
    P - Pertussis
    P - Pneumonia
    I - Influenza
    D - Diptheria (Pharyngeal)
    E - Epiglottitis
    R - Rubella
    M - Mumps
    M - Meningitis
    M - Mycoplasma or meningeal pneumonia
    An - Adenovirus
    -Private room
    -Mask and standard precautions

    CONTACT PRECAUTION- standard precautions
    MRS.WEE
    M - Multidrug resistant organism
    R - Respiratory infection - RSV
    S - Skin infections
    W - Wound infections
    E - Enteric infections - clostridium defficile
    E - Eye infections

    Skin Infections private room, gloves, gown
    V - Varicella zoster
    C - Cutaneous diptheria
    H - Herpes simplex
    I - Impetigo
    P - Pediculosis
    S - Scabies, Staphylococcus

    Cranial Nerves
    1) Olfactory
    2) Optic
    3) Oculomotor
    4) Trochlear
    5) Trigeminal
    6) Abduchens
    7) Facial
    8) Acoustic
    9) Glossopharyngeal
    10) Vagus
    11) Spinal Accessory
    12) Hypoglossal
    (This is dirty but think "Oh Oh Oh to touch and feel a girl's vagina, So happy!" I didn't make that up! its a well known pnemonic lol)

    Triage
    Red-unstable, but fixable, see first
    Yellow-stable, can wait for up to an hour for treatment, see second
    Green- stable, can wait for a while, “walking wounded”
    Black- unstable clients that probably won’t make it, comfort measures
    DOA- dead on arrival

    Hypercalcemia:
    GROANS (constipation)
    MOANS (psychic moans = fatigue, lethargy, depression)
    BONES (bone pain)
    STONES (kidney stones)
    Psychiatric OVERTONES (including depression and confusion)
    Can’t pick up the PHONE! (muscle weakness, lack of coordination)

    Hypocalcemia = CATS go numb:
    C = Convulsions
    A = Arrhythmias
    T = Tetany (+Trousseau and +Chvostek’s)
    S = Spasms, Seizures, & Stridor
    Numbness in the fingers

    Hypernatremia
    Signs and Symptoms of Hypernatremia - FRIED
    Fever, flushed skin
    Restless
    Increased fluid retention
    Edema
    Decreased urine output, dry mouth

    Causes of Hypernatremia: MODEL
    Medications, meals
    Osmotic diuretics
    Diabetes insipidus
    Excessive water loss
    Low water intake

    Hyponatremia: SALT/ LOSS
    Signs and Symptoms

    Stupor/coma
    Anorexia
    Lethargy
    Tendon reflexes decreased

    Limp muscles
    Orthostatic hypotension
    Seizures/headache
    Stomach cramps

    The HYPERKALEMIA "Machine" - Causes of Increased Serum K+
    M - Medications - ACE inhibitors, NSAIDS
    A - Acidosis - Metabolic and respiratory
    C - Cellular destruction - Burns, traumatic injury
    H - Hypoaldosteronism, hemolysis
    I - Intake - Excesssive
    N - Nephrons, renal failure
    E - Excretion - Impaired

    Hyperkalemia Signs and Symptoms: MURDER

    Muscle weakness
    Urine - oliguria, anuria
    Respiratory distress
    Decreased cardiac contractility
    ECG changes
    Reflexes - hyperreflexia, areflexia

    Treatment: KIND

    Kayexalate - oral/rectal
    Insulin
    Na HCO3 (sodium bicarb)
    Diuretics

    Hypokalemia

    Signs and Symptoms
    6 L's
    Lethargy
    Leg cramps
    Limp muscles
    Low, shallow respirations
    Lethal cardiac dysrhythmias
    Lots of urine (polyuria)

    Alkalosis and Acidosis

    Alkalosis - has a 'k' - Kicking the pH up
    Acidosis - has a 'd' - Dropping the pH down

    DO NOT delegate what you can EAT!
    E - evaluate
    A - assess
    T – teach

    Addison's disease (need to "add" hormone)
    Cushing's syndrome (have extra "cushion" of hormones)

    addisons= down, down down up down
    cushings= up up up down up
    addisons= hyponatremia, hypotension, decreased blood vol, hyperkalemia, hypoglycemia
    cushings= hypernatremia, hypertension, incrased blood vol, hypokalemia, hyperglycemia

    No Pee, no K (do not give potassium without adequate urine output)

    EleVate Veins; dAngle Arteries for better perfusion

    A= appearance (color all pink, pink and blue, blue [pale])
    P= pulse (>100, < 100, absent)
    G= grimace (cough, grimace, no response)
    A= activity (flexed, flaccid, limp)
    R= respirations (strong cry, weak cry, absent)

    Hypo-parathyroid: CATS
    Convulsions
    Arrhythmias
    Tetany
    Spasms
    Stridor (decreased calcium)
    high Ca, low phosphorus diet

    Hyper-parathyroid:
    fatigue, muscle weakness, renal calculi, back and joint pain (increased calcium), low Ca, high phosphorus diet
    Hypokalemia:
    muscle ewakness, dysrhythmias, increase K (raisins, bananas, apricots, oranges,
    beans, potatoes, carrots, celery)

    Neuroleptic malignant syndrome (NMS):
    -NMS is like S&M;
    -you get hot (hyperpyrexia)
    -stiff (increased muscle tone)
    -sweaty (diaphoresis)
    -BP, pulse, and respirations go up &
    -you start to drool

    Parkinson's=R.A.T.
    R- rigidity
    A- akinesia (loss of muscle mvt)
    T- tremors
    Txt: Levodopa

    Hypoglycemia - T.I.R.E.D
    T- tachycardia
    I- irritability
    R- restless
    E- excess hunger
    D- diaphoresis

    I kept forgetting which was dangerous when you're pregnant; regular measles (rubeola), or
    German measles (rubella), so remember:
    -never get pregnant with a German (rubella)

    When drawing up regular insulin & NPH together, remember:
    - Nicole Richie RN (regular comes before NPH)

    Tetralogy of fallot
    Think DROP(child drops to floor or squats) or POSH
    Defect, septal
    Right Ventricular hypertrophy
    Overriding aorts
    Pulmonary stenosis

    MAOI's that are used as antidepressants:
    weird way to remember, I know. pirates say arrrr, so think; pirates take MAOI's when they're
    depressed.
    - explanation; MAOI's used for depression all have an arrr sound in the middle (Parnate, Marplan,
    Nardil)

    easy way to remember MAOI'S!
    think of PANAMA!
    PA - parnate
    NA - nardil
    MA – marplan

    Have trouble remembering fhr patterns in OB? Think VEAL CHOP
    V C
    E H
    A O
    L P
    V = variable decels; C = cord compression caused
    E = early decels; H = head compression caused
    A = accels; O = okay, not a problem!
    L = late decels = placental insufficiency, can't fill

    Also for ventilator alarms

    HOLD
    High alarm- Obstruction due to incr. secretions, kink, pt. coughs, gag or bites
    Low press alarm- Disconnection or leak in ventilatior or in pt. airway cuff, pt. stops spontaneous
    Breathing
    Immediate tx of MI, think MONA:
    M Morphine sulfate
    O Oxygen
    N Nitroglycerin
    A ASA

    Treatment of CHF, think UNLOAD FAST:
    U sit Upright
    N Nitro
    L Lasix
    O Oxygen
    A Aminophylline-for lungs clear wheezing
    D Digoxin

    F Fluids- decrease
    A Afterload - decrease
    S Sodium - decrease
    T Tests: dig level, ABG, K+
    Love this Thanks!!!
  10. 0
    You're all welcome! I took the exam today and got the good pop-up! I sure hope I'm not the exception to the rule.

    And here are some more it found on the website so you all can have them in one thread.

    Signs and symptoms of cardiac tamponade (Beck's Triad): The Three D's
    Distant heart sounds
    Distended jugular veins
    Decreased pulse pressure (think of a narrow pulse pressure as opposed to a wide one)

    Atrial Arrhythmias: ABCDE
    Adenosine/amiodorone or anticoagulate (if Afib/Flutter has been present >48h)
    Beta blockers
    Calcium channel blockers
    Digoxin
    Electrocardiovert (if <48h)

    For ventricular arrhythmias: AL
    Amiodorone
    Lidocaine
    Tricyclics
    E ach = Elavil
    V ictoms = Vivactil
    A = Aventyl
    T ough = Tofranil
    N eurotic = Norpramin

    Pulmonary Edema
    M=Morphine
    A=aminophylline
    D=digoxin

    D=diuretic
    O=O2
    G=Gases (ABG's)

    Anti-Anxiety
    L= Librium
    E= Equanil
    A= atarax
    V= valium
    S= serax (smell the flowers with leaves)

    S/E of Pitocin Think of the titanic sinking in the pit of the ocean (pit ocin)
    P= pressure is elevated
    I= intake and output
    T= tetanic contractions

    O=O2 decreases in fetus
    C=cardiac arrhythmia
    I=Irregularity in fetal heart rate
    N=N/V
    ACE Inhibitor Side EffectsCRAP PILOT
    C ough
    R enal impairment
    A naphylaxis
    P alpitations

    P otassium elevated
    I mpotence
    L eukocytosis
    O rthostatic hypotension
    T aste

    Anti-Epileptic Side EffectABC 2D EF 2G 2H
    A taxia
    B lood dyscrasia
    C left lip
    D upuytrens
    Vit D deficiency
    E xfoliation of skin & Stevens Johnson's
    F its
    G I upset
    G um hypertrophy
    H epatitis
    H airy

    Barbiturate Side EffectsAB 2C 3D
    A taxia
    B ehavioral disturbance
    C oncentration decreased
    C oma
    D epression
    D rowsy
    D iplopia

    Cholinergic OD Side EffectsBLESS DUMB MW
    B radycardia
    L acrimation
    E mesis
    S alivation
    S weating

    D iarrhea
    U rination
    M iosis
    B ronchorrea

    Muscle Weakness

    Cyclosporin Side EffectsG4HRT
    G um Hypertrophy
    H yperkalemia
    H ypertension
    Hair
    R enal toxicity
    T remor



    Gynacomastia Causing Drugs - DISCO 2MTV
    D igoxin
    I soniazid
    S pironolactone
    C imetidine
    O estrogens

    M ethyldopa
    M etronidazole
    T CAD
    V erapamil

    MAOI Side Effects - The 3Hs
    H epatocellular jaundice
    H yperthermia
    H ypertension

    Propranolol, contra-indications - ABCDE
    A sthma
    B lock (heart)
    C ardiac failure
    D iabetes Mellitus (hypoglycemic shock)
    E xtremities (occlusive arterial disease)

    Pulmonary Edema, Non-CardiacPOOP PNS
    P hosgene
    O pioids
    O rganophosphates
    P araquat

    P henothiazines
    N itrous dioxide
    S alicylate

    TCAD Side EffectsNO A COW
    N euro
    O thers

    A nticholinergic

    C VS
    O verdose
    W ithdrawal

    Rat Poison - RATS PANIC or CRAP PANTS PIC
    R ed squill
    A rsenic
    T hallium
    S trychnine

    P NU/Phosphorus/ZN Phosphide
    A lpha naphtha thiurea (ANTU)
    N orbormide
    I ndanediones
    C oumarin/Cholecalciferol



    Rat Poison - CRAP PANTS PIC
    C holecalciferol
    R ed squill
    A lpha naphtha thiurea (ANTU)
    ZN Phosphide

    P hosphorus
    A rsenic
    N orbormide
    T hallium
    S trychnine

    P NU
    I ndanediones
    C oumarin

    Steroid Side Effects - WITCH MOP GAGS CHAMP
    W ound Healing Poor
    I mmunosuppresion
    T hin skin
    C ushingoid
    H eartburn

    M yopathy
    O steoporosis
    P ath #

    G astric ulcer (bleeding)
    A ppetite increased
    G lucose Altered
    S tress Response Reduced

    C ataract
    H ypertension
    A cne
    M uscle weakness
    P sychosis

    Steroid Side Effects - A HIBISCUS MOOCHED WIG
    A cne

    H ypertension
    I mmunosuppression
    B ruising
    I nsomnia
    S triae
    C ushingoid
    U lcers
    S kin thinning

    M yopathy
    O besity
    O steoporosis
    C ataract
    H airy
    E dema
    D epression

    W eakness (proximal muscle)
    I nfection
    G lycosuria

    Warfarin - WEPT
    W arfarin
    E xtrinsic pathway
    Measure PT

    Class IC Antiarrhythmics - FEP
    F lecainide
    E ncainide
    P ropafenone

    Class III Antiarrhythmics - BIAS
    B retylium
    I butilide
    A miodarone
    S otalol

    Beta 1 Selective Blockers – A BEAM
    A cebutalol
    B etaxolol
    E smolol
    A tenolol
    M etoprolol

    Gynacomastia, Drugs That Cause - "Some Drugs Create Awesome Knockers
    S pironolactone
    D igistalis
    C isplatin
    A lcohol
    K etoconozole

    Drugs Causing Pulmonary Fibrosis - BABE
    B leomycin
    A miodarone
    B usulfan
    E (empty)

    Drugs that Cause Hepatic Necrosis - HAVE
    H alothane
    A cetaminophen (liquefactive necrosis)
    V alproic acid
    E (empty)

    Drugs Causing Agranulocytosis - The 3Cs
    C lozapine
    C olchicine
    C arbamazepine

    Drugs for All Types of Seizures (except petit mal) - CAPHE
    CA rbamazepine
    PHE nytoin/phenobarbital

    Drugs for Petit Mal Seizures - VALET
    VAL proic acid
    ET hosuximide

    Vancomycin - "A Red Van Drove Into The Wall"
    A ntihistamines (prevents redman syndrome)
    R ed man syndrome
    V ancomycin
    D -ala D-ala
    I nhibitor
    T hrombophlebitis
    W all (as in cell wall)

    Tuberculosis Drugs - SPIRE
    S treptomycin
    P yrazinamide
    I soniazid
    R ifampin
    E thambutol

    Short Acting Benzodiazepines - TOM thumb
    T riazolam
    O xazepam
    M idazolam

    Beta 2 Agonists - SMART
    S almeterol
    M etaproterenol
    A lbuterol
    R itodrine
    T erbutaline

    Stevens-Johnson Syndrome - LESS
    L amotrigine
    E thosuximide
    S ulfonamides
    S tevens-Johnson

    Fluconazole - The 3Cs
    C andidiasis
    C occidiomycosis
    C ryptocococcal meningitis

    Class IB Antiarrhythmics - "Medical Lab Technician"
    M exilietine
    L idocaine
    T ocainide

    Lithium - LITHIUM
    L eukocytosis
    I nhibits PIP2, cAMP and 5' deiodinase
    T eratogenic/Thiazide contraindicated
    H ypothyroidism/Hyponatremia increases toxicity
    I nsipidus (nephrogenic diabetes)
    visUal dysfunction
    M ovement disorders: CATS (Choreoathetosis, Ataxia, Tremors, Seizures)

    Drugs Contraindicated During Pregnancy - FACETS
    F louroquinolones
    A minoglycoside
    C larithromycin
    E rythromycin
    T etracycline
    S ulfonamide

    Benzodiazepines Metabolized Outside the Liver - "Outside The Liver
    O xazepam
    T emazepam
    L orazepam

    Drugs Cuasing Megaloblastic Anemia - MAPLE
    M ethotrexate
    A ZT = zidovudine
    P henytoin (causes folate deficiency)
    L iver disease
    E thanol

    Amphotericin Toxicities - AMPHOTERICIN B
    A nemia
    M uscle spasms
    P hlebitis
    H eadaches/Hypotension/Hypokalemia
    T hrombocytopenia
    E mesis/Encephalopathy
    R espiratory strida
    I ncreased temperature (fever)
    C hills
    I mmediate hypersensitivity (anaphylaxis)
    N ephrotoxicity--important!

    B ronchospasm

    Amphotericin ToxicitiesTHE BRASH PAN CHEF
    T hrombocytopenia
    H eadaches
    E mesis

    B ronchospasm
    R espiratory strida
    A nemia
    S pasms
    H ypotension

    P hlebitis
    A naphylaxis
    N ephrotoxicity--important!

    C hills
    H ypokalemia
    E ncephalopathy
    F ever

    CNS Effects of MorphineME CAN’T SCREAM
    M ydriasis in doses causing asphyxia
    E mesis

    C onvulsions
    A sphyxia
    N ausea
    T runcal rigidity (especially with fentanyl)

    S edation
    C ough suppression
    R espiratory depression
    E uphoria
    A nalgesia
    M yosis (but may cause mydriasis in doses causing asphyxia)

    Crash Cart Meds – LEAN
    L idocaine
    E pinepherine
    A tropine
    N arcan
    RN
    - Invasive procedure = I AM RN EDUCATED
    - Initial/Comprehensive/Baseline (assessments)

    - Assess (FREQUENT/ONGOING =UNSTABLE Patients)
    - MANAGING and LEADING client care environment
    Ex. Clients who are in severe and Refusing Meds (needs more assessment)

    - Review
    - NSG Process/ NSG Judgement Use (APIE= Assessment,Planning, Implementation,Evaluation)

    - Encourage
    - Develop
    - Use Of IV meds (ex. plasma, blood products-- these and IV are done by RN only)
    - Consult/Counsel/Suggest & Update
    - ADMISSION .. NEW & POST OP
    - Teach
    - Educate
    - DISCHARGE & ADMISSION Preparation

    LPN/LVN-
    -Certain Invasive Task =I-SOUND STAR CROSS ++
    - IM adm

    - SQ adm.
    - ORAL meds adm
    - URINARY CATHETERIZATION
    - Nitroglycerin
    - DREASSING of WOUND (CHANGING & IRRIGATING) very commonly seen Q.
    - SUCTIONING
    - TUBE FEEDING
    - Auscultate/Listen
    - Routine/Standard

    - Check(s)
    - Reinforce/remind
    - Observe
    - Set up (basic equipment)
    - Specimen Collection & Data Colletion
    +
    -Blood glucose readings
    -Monitor
    -Review/Teach-- Usually standard practices (hand washing/hygiene) or med administration (ie. eye drops) -- RN mostly teaches/educated and LPNs Reinforce
    +
    CAST & TOE Amputation are stable clients and need on going assessment and pain mgt./La Charity Book(Don’t know too..just dont deprive with it.. just follow the book
    Data Collection such as LISTENING to LUNG SOUNDS & CHECKING for PERIPHERAL EDEMA_Part of LPN scope of practice: /LaCharity Book
    ** Don't assign LVN/LPN to do a task an nurse assistant can complete**

    NURSING ASSISTANT/UAP- Unlicense assistive personnel
    - Non Invasive procedure/Basic Care =SPARRTACUS GROAM +++
    -SKIN CARE (ex. bed rest with a skin tear and hematoma from a fall 2 days ago, Apply and care for a client’s rectal pouch )
    -POSITIONING-- Special positioning-- requires initial education by RN -- assistant will assist not teach
    -AMBULATION/ Assisting with ADL (AMBULATION of FRACTURED HIP only RN& PT) ( Patienst with CHESTUBE ambulating the hall-LPN/LVN)
    -RECORDING & MONITORING of V/S (BP,Pulse, Oxygen sat,)
    -RANGE OF MOTION &EXERCISE
    -TRANSPORT OF CLIENT
    -ASSIST (Assisting for Prep for SITZ Bath)
    -COLLECTION OF
    -URINE &
    -STOOL
    -GROAM (Groaming & Hygiene Measure, Bathing & checking water temp)
    +
    WEIGHTING
    INTAKE & OUTPUT
    FEEDING
    +
    - Remind/Reinforce: usually reminds pt. TO do something rather than HOW to do it (skills previously taught by other health care professional or precaution measures)***
    - They can detach suction and remove a foley but not connect or insert
    - Gather (equipment)
    +
    - Measurement of ankle and bracial blood pressure for ankle brachial index calculation.(Calculated already)
    ( Calculation on the ankle-brachian index is responsibility of RN)
    -Experienced Nsg Assistant should have been taught how to..
    Monitor Apical Pulse, However, the RN should observe to be sure that s/he mastered this skills.
    ---La Charity Book---

    NEW RN
    -Education and hospital orientation includes.. SAFE administration of IV meds.
    -STABLE PATIENTS

    SOME KEY POINTS:
    Patients that require teaching about drugs or need procedures done are NOT RN priority.

    PHYSICIAN
    -Informed Consent
    -Medical diagnosis
    -Prescriptions
    -Order procedures

    Avoid These Assignments for New/Float/LVN/LPN/Traveling
    -New onset/sudden/acute
    -New admission
    -Transfer
    -Newly diagnosed
    -Discharge
    -Require education/teaching (beyond basic skills -- tend to be complex and specific to patients on that particular unit)
    - Unstable (ie. High risk of sudden respiratory failure, or requires frequent assessments and changes in therapy(like electrolyte imbalances)
    Give:
    - Chronic
    - Routine meds/procedures
    - Stable

    ALL HEALTHCARE WORKERS
    - Responsible for knowing about and implementing standard precautions + airborne/droplet/contact --> therefore all can teach about it or prepare a room for it
  11. 0
    The only one that has stuck with me from Anatomy is the sperm pathway

    SEVEN UP
    S - Seminal Vesicle
    E - Epididmys
    V - Vas Deferens
    E - Ejaculatory Duct
    N - (nothing - skip this letter)
    U - Urethra
    P - Penis


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