Mnemonics and Memory Aids - page 8

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 -... Read More

  1. Visit  beth66335} profile page
    0
    Quote from steelersGIRL43
    lead placements///

    Blue skies over green grass
    black smoke over red fire
    and brown chocolate close to the heart
    That's close to ours except we do clouds over grass since the lead is white
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  3. Visit  turnforthenurseRN} profile page
    0
    The 4 H's that invalidate a neuro exam:

    Hypotension
    Hpoxia
    Hypoglycemia
    Hypothermia*

    *Any Grey's Anatomy fans out there? Remember the episode where Meredith almost died? "You're not dead unless you're warm and dead"
  4. Visit  turnforthenurseRN} profile page
    6
    Here are some mnemonics (that are especially helpful for critical care!)

    3 ICP waveforms: A is awful, B is bad and C is common

    Glasgow Coma Scale: #'s go low to high, with head to toe: eye, mouth, motor
    1. Eye opening (1-4)
    2. Verbal response (1-5)
    3. Best Motor response (1-6)

    Glasgow Coma Scale: If they're <8, they intubate!

    To remember DECEREBRATE posturing, it is abnormal extension. Their hands look like the flippers of a seal - Think DESEALEBRATE!

    Pinpoint pupils: Drugs, drops & nearly dead
    Drugs: opiates
    Drops: meds for glaucoma
    Nearly dead: damage in the pons area of the brainstem

    Dilated pupils: Fear, Fits & Fast Living
    Fear: panic, extreme anxiety
    Fits: seizures
    Fast Living: cocaine, crack, phencyclidine (PCP)

    The pathophysiology of ARDS:
    Assault on the respiratory system
    Respiratory distress
    Decreased lung compliance
    Severe respiratory failure

    Diagnostic criteria of ARDS
    Acute onset
    Ratio (PaCO2/FiO2) <200
    Diffuse infiltration
    Swan-Ganz wedge pressure (PAWP) <18mm Hg

    Acute respiratory failure (ARF) Type II (hypoventilation) criteria: 50/50 Rule
    PaCO2 >50
    PaO2 <50 (on >50% oxygen)

    Difference between A/C (or ACV) and SIMV ventilation:
    [B]A[B]/C: Always Assists (patient effort triggers vent breath delivery!
    SIMV: Sometimes assists

    Calculating MAP: 1 Systolic + 2 Diastolic divided by 3

    [B]A[B]lpha 1 Receptor stimulation: arteries & arterioles
    Causes vasoconstriction when stimulated which increases afterload

    dobutamine (Dobutrex) stimulates beta 1 receptors (increase contractility & CO/CI)

    Treatment of all acute coronary syndromes (unstable angina, NSTEMI or STEMI): OADH
    Open coronary arteries

    Here, think MONA greets all MI's:
    Morphine
    Oxygen
    Nitroglycerin
    Aspirin (CHEWED)

    Anticoagulate & antiplatelet
    [B]D[B]estress the heart (with beta blockers; limited activity for 12h)
    Hemodynamic stability

    Complications of thrombolytic therapy: The 3 B's
    Bleeding
    Brady's (dysrhythmias)
    Bloodclots (d/t excessive thrombin)

    Complications of cardiopulmonary bypass (CPB): The 3 H's
    Hypothermia (to decrease O2 consumption)...Effects SVR (vasoconstriction) and causes myocardial depression (decreases contractility)
    Hemodilution (to improve macrocirculation)...fluid shifting (third-spacing), e-lyte imbalances (K+, Mg+ & Ca++ often need replacing!)
    Heparinzation (to prevent clots in circuit)...monitor aPTT.

    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

    djmee, xNurse91, RNintraining72, and 3 others like this.
  5. Visit  Kim Kardashi} profile page
    2
    N - Naproxen
    S - Salicylates
    A - Advil
    I - Ibuprofen
    D - Diclofenac
    S - Sulinclac

    8 A's for Hepatotoxic Drugs (Check SGPT/SGOT)
    Antituberculosi
    Anticonvulsant
    S - sodium Luminal
    G - gabapentin
    P - phenytoin
    T - tegretol
    Anticancer
    Aspirin
    Alcohol
    Antifamily (contraceptice pills)
    Acetaminophen
    Aflatoxins

    Breast self examination (i made a song out of this)
    ♫ ♪ ♪ ♫1 little 2, little 3 little fingers
    Do BSE 7 days after menses
    Press nipple once check for discharge
    Call your doctor
    I'm sure you will do it more...♫ ♪ ♪ ♫
    FutureNurs93 and tjwillmakeit like this.
  6. Visit  OneDayAttaTime} profile page
    2
    My personal favorite (and it might have already been listed) is the side effects of anticholinergics: Can't see (blurred vision), can't pee (urinary retention), can't spit (dry mouth), can't sh*t (constipation)
    Zz SN and RAerin like this.
  7. Visit  kristandrews} profile page
    8
    We learned a trick for remembering which anticoagulant goes with each test.
    Hold up all 10 fingers & put down one finger for each letter of "Coumadin". You'll have 2 fingers left, and you use a PT (which is only 2 letters!).

    with heparin, do the same thing & you'll have 3 fingers left. You use a PTT (3 letters) with a heparin patient!
  8. Visit  nyashan} profile page
    0
    i am sure this thread will become VERY useful in the very near future!
  9. Visit  Kim Kardashi} profile page
    1
    N - Naproxen
    S - Salicylates
    A - Advil
    I - Ibuprofen
    D - Diclofenac
    S - Sulinclac

    8 A's for Hepatotoxic Drugs (Check SGPT/SGOT)
    Antituberculosi
    Anticonvulsant
    S - sodium Luminal
    G - gabapentin
    P - phenytoin
    T - tegretol
    Anticancer
    Aspirin
    Alcohol
    Antifamily (contraceptice pills)
    Acetaminophen
    Aflatoxins
    dmathes likes this.
  10. Visit  chinacatSN} profile page
    11
    hi, i'm a nursing student and i have a test on fluids, electrolytes, and acid-base balance tomorrow! this has been one of the most difficult tests to study for - feel like i've been studying non stop! and i'm an a student and study a lot anyway, so that's saying a lot! anyway, since typing things out helps me retain information and since i'd like to help anyone else out there who needs it, i'm going to type up all of my mnemonics and tips for the subject of electrolytes and acid base balance. some have already been posted here, some haven't, and some were created by me...i figure it doesn't hurt to put any repeats in again! hope this helps!

    hypernatremia

    for people who can't remember what the name for high sodium in the blood (hyperkalemia? hypercloremia?, etc) - see the red "na" above? well, na is the chemical symbol for sodium, hence hypernatremia. learned that in a&p and it helped.
    signs and symptoms of hypernatremia - salt or fried

    s
    kin flushed
    agitation
    low grade fever
    thirst

    -or-

    fever, flushed skin
    restless
    increased fluid retention
    edema
    decreased urine output, dry mouth

    causes of hypernatremia

    medications, meals
    osmotic diuretics
    diabetes insipidus
    excessive water loss
    low water intake
    hyponatremia

    signs and symptoms

    s
    tupor/coma
    anorexia
    lethargy
    tendon reflexes decreased

    limp muscles
    orthostatic hypotension
    seizures/headache
    stomach cramps
    hyperkalemia
    signs and symptoms

    muscle weakness
    urine - oliguria, anuria
    respiratory distress
    decreased cardiac contractility
    ecg changes
    reflexes - hyperreflexia, areflexia

    treatment

    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)
    hypercalcemia
    signs and symptoms

    i remember by the rhyme: groans, moans, bones, stones, and overtones

    groans: constipation
    moans: pain - joint aches
    bones: loss of calcium from bones, bone metastasis
    stones: kidney stones
    overtones: psychiatric overtones - depression, confusion

    hypocalcemia

    signs and symptoms

    c
    onvulsions
    arrhythmias
    tetany
    s
    pasms, stridor

    alkalosis and acidosis

    alkalosis - has a 'k' - kicking the ph up
    acidosis - has a 'd' - dropping the ph down

    solutions: isotonic, hypotonic, hypertonic

    isotonic - "same as i" - the solution used will be the same as normal body fluid composition. fluids remain inside intravascular space.

    hypotonic - "hypo, hippo" - the solution pulls fluid from the intravascular space into the icf - the cell "swells like a hippo".
    respiratory
    opposite
    ph>7.45 & pco2<35 = respiratory alkalosis
    ph<7.35 & pco2>45 = respiratory acidosis
    metabolic
    equal
    ph>7.45 & hco3>26 = metabolic alkalosis
    ph<7.35 & hco3<22 = metabolic acidosis



    inquiringrRN2B, Annehen92, xNurse91, and 8 others like this.
  11. Visit  jkillea} profile page
    2
    For remembering the coronary arteries and which side they are on:

    I have a RIGHT to CAMP if you LEFT off the AC

    Right = Right
    C=oronary
    A=Artery
    M=Marginal Artery
    P=Posterior Interventricular Artery

    Left=Left
    A=Anterior Interventricular Artery
    C=Circumflex Artery

    I have test tomorrow, I hope this helps me
    Naijagirl83 and finalscore3b1g like this.
  12. Visit  1chaoticSN} profile page
    1
    I found this website years ago, its full of mnemonics....
    http://www.saintcyr.com/2001/mnemonic.html
    summer-dreamer likes this.
  13. Visit  Giveheart} profile page
    0
    This thread should be a sticky!
  14. Visit  sgoldberg3413} profile page
    1
    Does anyone have a mnemonic for fetal circulation that includes ductus venous, ductus arteriosum, foramen ovale?

    Thanks in advance
    grace_lorraine87 likes this.


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