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Monday, May 2, 2016

Nursing Mnemonics: Everything Made EASY Part 2

Mnemonic device, is any learning technique that aids memory. To improve long term memory, mnemonic systems are used to make memorization easier. They do so by increasing the efficiency of the process of consolidation.

Another way to remember the eyes is:
You look OUt with Both eyes.
Take the Right dose so you won't OD [overdose].
The only one that is Left is OS.
· Both eyes=OU, Right eye=OD, Left eye=OS.

It is about fetal accelerations and decelerations!!!
Just remember VEAL CHOP
Variable Cord compression
Early Head compression
Accelerations OK
Late Placental insufficiency

Heart sounds:
S3= Heart fail-ure (3 syllables)
S4=Hy-per-ten-sion (4 syllables)
And the effects of anticholinergics:
Can't see
Can't pee
Can't spit
Can't --defecate

Nine-point Postpartum Assessment...
B- Breasts
U- Uterus
B- Bladder
B- Bowel function
L- Lochia
E- Episiotomy
H- Homan's sign
E- Emotional Status
R- Respiratory System

LDL ("bad" cholesterol)

This one really helped me in the cardiac system when you need to know when you hear a murmur like on Mitral regurgitation you hear it on systole.

ARD = Atrial regurgitation diastole
ASS = Atrial stenosis systole
MRS = Mitral regurgitation systole
MSD = Mitral stenosis diastole

The 5 P's of circulation loss in a limb.
Pain, Pallor, Pulselessness, Parasthesia, Poikilothermia

Heres one I learned about EKG
Snow over Grass- white over green
smoke over fire- black over red
and ground in the middle- brown

I finally know what METHODS mean on DISCHARGE PLANNING.
H-ealth Teaching
O-ut patient follow-up or check-up
S-ex(sexual activity)

Side effects & adverse reactions to immunizations:
F- Fever
I- Itching
S- Stiffness
H- Headache
E- Edema
R- Redness
F- Fussy
L- Localized Tenderness
A- Appetite decrease
G- General Aches Pains

WHUTN- "Whutnthehell?"
W- Wheezing
H- Hypotension
U- Uticaria
T- Tachycardia
N- Nasal Decongestion

Assess for treatable causes of changes in cognition and behavior. The mnemonic DEMENTIA can be used to remember potential causes:
D: Drugs and alcohol—including over-the-counter drugs
E: Eyes and ears—disorientation due to visual/auditory distortion
M: Medical disorders—e.g., diabetes, hypothyroidism
E: Emotional and psychological disturbances—e.g., mood or paranoid disorders
N: Neurological disorders—e.g., multiinfarct dementia
T: Tumors and trauma
I: Infections—e.g., urinary tract or upper respiratory tract
A: Arteriosclerosis—leading to heart failure, insufficient blood supply to heart and brain, and confusion

***GRANULOCYTES are Never Eat Bananas. 

Normal (Neutrophils)
Monkeys (Monocytes)
Like to (Lymphocytes)
Eat (Eosinophils)
Bananas (Basophils)

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Sunday, May 1, 2016

Nursing Mnemonics: Everything Made EASY Part 1

Mnemonic device, is any learning technique that aids memory. To improve long term memory, mnemonic systems are used to make memorization easier. They do so by increasing the efficiency of the process of consolidation.

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

Signs and Symptoms of Increased Serum K+
M - Muscle weakness
U - Urine, oliguria, anuria
R- Respiratory distress
D - Decreased cardiac contractility
E - ECG changes
R - Reflexes, hyperreflexia, or areflexia (flaccid)

"You Are Fried"
F - Fever (low grade), flushed skin
- Restless (irritable)
- Increased fluid retention and increased BP
- Edema (peripheral and pitting)
D - Decreased urinary output, dry mouth

Can also use this one:

S = Skin flushed
A = Agitation
L = Low-grade fever
T = Thirst

C - Convulsions
A- Arrhythmias
T - Tetany
S - Spasms and stridor

To remember which blood types are compatible, visualize the letter “O” as an orb representing the universe, because type O blood is the universal donor blood. Patients with any blood type can receive it. But O also means “odd man out”: Patients with type O blood can receive only type O blood. Think BEEP to remember the signs of minor bleeding:
B: Bleeding gums
E: Ecchymoses (bruises)
E: Epistaxis (nosebleed)
P: Petechiae (tiny purplish spots)

Having difficulty distinguishing hypoplasia from hyperplasia? When you see plasia in any word, think of "plastic." Plastic, in turn, means forming or developing. As for hypo and hyper, that’s the easy part. Hypo means under, or below normal. Hyper means excessive, or above normal. Thus, hypoplasia means underdevelopment, and hyperplasia means overdevelopment.

A stand-up comedian who gets no laughs might say his audience has humoral immunity. But humor is the Latin word for “liquid,” and humoral immunity comes from elements in the blood — specifically, antibodies. Contrast this with cellular immunity, which comes about through the actions of T cells. 
"FARM" for serum sickness: each letter stands for a key sign or symptom of serum sickness.
F: Fever
A: Arthralgias
R: Rash
M: Malaise

To remember the four causes of cell injury, think of how the injury tipped (or TIPD) the scale of homeostasis:
T: Toxin or other lethal (cytotoxic) substance
I: Infection
P: Physical insult or injury
D: Deficit, or lack of water, oxygen, or nutrients.

When asking assessment questions, remember the American Cancer Society’s mnemonic device CAUTION:
C: Change in bowel or bladder habits
A: A sore that doesn’t heal
U: Unusual bleeding or discharge
T: Thickening or lump
I: Indigestion or difficulty swallowing
O: Obvious changes in a wart or mole
N: Nagging cough or hoarseness.

Use the ABCD rule to assess a mole’s malignant potential:
A: Asymmetry--Is the mole irregular in shape?
B: Border--Is the border irregular, notched, or poorly defined?
C: Color--Does the color vary (for example, between shades of brown, red, white, blue, or black)?
D: Diameter--Is the diameter more than 6 mm?

Listening Heart Sound
Atrial, Pulmonic, Erb's point, Tricuspid, Mitral

Side effects of steroids. The 5 S's.
Sick- easier to get sick
Sad-causes depression
Sex-increases libido
Salt-retains more and causes weight gain
Sugar-raises blood sugar

5F's... Cholecystectomy


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Friday, January 1, 2016

Toxin Antidotes

Antidote / Treatment
Acetaminophen (Paracetamol)
Alkalinize urine, dialysis
Anticholinesterases, organophosphates
Atropine, Pralidoxime
Antimuscarinic, anticholinergic agents
Physostigmine salicylate
Beta blockers
Stop digitalis, normalize K; lidocaine, anti-dig FAB fragments ( Digitoxin) Digitalis Immune FAB
Iron (Ferrous Sulfate)
CaEDTA, dimercaprol, succimer, penicillamine
Arsenic, mercurym gold
Dimercaprol (BAL), succimer
Copper, arsenic, gold
Nitride, Hydroxocobalamin
Methelyn blue
Carbon Monoxide
100% O2, hyperbaric O2
Methanol, ethylene glycol (antifreeze)
Ethanolm dialysism fomepizole
Opioids, Narcotic Analgesics: Demerol and Morphine Sulfate
Naloxone Hydrochloride (Narcan), Naltrexone
Flumazenil (Romazicon)
Tricyclic antidepressants (Anafranil, Tofranil)
NaHCO3 (nonspecific)
Anticoagulant: Heparin
Protamine Sulfate
Anticoagulant: Warfarin
Vitamin K, fresh frozen plasma
Thrombolytics: t-PA, (Streptokinase, Urokinase)
Aminocaproic Acid ( Amicar)
Lithium Carbonate (Eskalith)
Sodium Bicarbonate
Calcium Channel Blocker (Verapamil)
Magnesium Sulfate
Calcium Gluconate

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