Mini attempt e classes

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. M-edicine E-xercise T-reatment H-ealth Teaching O-ut patient follow-up or check-up D-iet 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) Parkinson's Medications: "Ali Loves Boxing Matches" A-Amantadine L- Levodopa B- Bromocriptine M-MAO inhibitors The 4 H's that invalidate a neuro exam: Hypotension Hpoxia Hypoglycemia Hypothermia* 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) Alpha 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 Destress 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)

Nursing Academy 🎯: 💖 MNEMONICS 💖 #CttoRepost 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 MURDER 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) HYPONATREMIA "You Are Fried" F - Fever (low grade), flushed skin R - Restless (irritable) I - Increased fluid retention and increased BP E - Edema (peripheral and pitting) D - Decreased urinary output, dry mouth Can also use this one: SALT S = Skin flushed A = Agitation L = Low-grade fever T = Thirst "CATS" of "HYPOCALCEMIA" 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) Hypo/Hyperplasia 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 Cholecystectomy female fair fat forty fertile R Respiratory O Opposite S Salivation L Lacrimation U Urination D Defication Memory Trick:Need to remember which kind of beta blocker has which action? B1 Blocks the heart (you have only one heart) B2 Blocks the lungs (you have two lungs) CRAINIAL NERVES. im pretty sure most of you heard of these. Nerves Functions I Olfactory -Oh -Sensory -Some II Optic- Oh -Sensory -Say III Occulomotor -Oh -Motor -Mary IV Trochlear -To -Motor -Money V Trigeminal -Touch -Both -But VI Abducens -And -Motor -My VII Facial -Feel -Both -Brother VIII Acoustic (vestoblochlear) -A -Sensory -Says IX Glosopharyngeal -Green -Both -Bad X Vagus -Veggie -Both -Business XI Spinal Accessory- Soon At -Motor -Mary XII Hypoglosal -Harvest- Motor -Money Oh oh oh to touch and feel a green veggie soon at harvest EYES 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... BUBBLEHER 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) L=Lowdown D=Dirty L=lipoprotein 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. (H)ARD ASS MRS. MSD ARD = Atrial regurgitation diastole ASS = Atrial stenosis systole MRS = Mitral regurgitation systole MSD = Mitral stenosis diastole

#BULLETS 🩺Positioning Clients 📌 Asthma—orthopneic position where patient is sitting up and bent forward with arms supported on a table or chair arms.  📌Post Bronchoscopy—flat on bed with head hyperextended. 📌 Cerebral Aneurysm—high Fowler’s. 📌 Hemorrhagic Stroke: HOV elevated 30 degrees to reduce ICP and facilitate venous drainage. 📌Ischemic Stroke: HOB flat. 📌Cardiac Catheterization—keep site extended. 📌Epistaxis—lean forward. 📌Above Knee Amputation—elevate for first 24 hours on pillow, position on prone daily for hip extension.  📌Below Knee Amputation—foot of bed elevated for first 24 hours, position prone daily for hip extension.  📌Tube feeding for patients with decreased LOC—position patient on right side to promote emptying of the stomach with HOB elevated to prevent aspiration.  📌Air/Pulmonary embolism—turn patient to left side and lower HOB.  📌Postural Drainage—Lung segment to be drained should be in the uppermost position to allow gravity to work.  📌Post Lumbar puncture—patient should lie flat in supine to prevent headache and leaking of CSF.  📌Continuous Bladder Irrigation (CBI)— catheter should be taped to thigh so legs should be kept straight. 📌 After myringotomy—position on the side of affected ear after surgery (allows drainage of secretion).  📌Post cataract surgery—patient will sleep on unaffected side with a night shield for 1-4 weeks. 📌 Detached retina—area of detachment should be in the dependent position.  📌Post thyroidectomy—low or semi￾Fowlers, support head, neck and shoulders.  📌Thoracentesis—sitting on the side of the bed and leaning over the table (during procedure); affected side up (after procedure). 📌 Spina Bifida— position infant on prone so that sac does not rupture.  📌Buck’s Traction—elevate foot of bed for counter-traction.  📌Post Total Hip Replacement—don’t sleep on operated side, don’t flex hip more than 45-60 degrees, don’t elevate HOB more than 45 degrees. Maintain hip abduction by separating thighs with pillows.  📌Prolapsed cord—knee-chest position or Trendelenburg. 📌 Cleft-lip—position on back or in infant seat to prevent trauma to the suture line. While feeding, hold in upright position. 📌 Cleft-palate—prone.  📌Hemorrhoidectomy—assist to lateral position. 📌 Hiatal Hernia—upright position. 📌 Preventing Dumping Syndrome—eat in reclining position, lie down after meals for 20-30 minutes (also restrict fluids during meals, low fiber diet, and small frequent meals). 📌 Enema Administration—position patient in left-side lying (Sim’s position) with knees flexed.  📌Post supratentorial surgery (incision behind hairline)—elevate HOB 30-45 degrees. 📌 Post infratentorial surgery (incision at nape of neck)—position patient flat and lateral on either side.  📌Increased ICP—high Fowler’s.  📌Laminectomy—back as straight as possible; log roll to move and sand bag on sides.  📌Spinal Cord Injury—immobilize on spine board, with head in neutral position. Immobilize head with padded C-collar, maintain traction and alignment of head manually. Log roll client and do not allow client to twist or bend. 📌 Liver Biopsy—right side lying with pillow or small towel under puncture site for at least 3 hours.  😘Paracentesis—flat on bed or sitting.  📌Intestinal Tubes—place patient on right side to facilitate passage into duodenum.  📌Nasogastric Tubes—elevate HOB 30 degrees to prevent aspiration. Maintain elevation for continuous feeding or 1hour after intermittent feedings. 😘 Pelvic Exam—lithotomy position.  📌Rectal Exam—knee-chest position, Sim’s, or dorsal recumbent. 📌 During internal radiation—patient should be on bed rest while implant is in place.