Nursing Mnemonics

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Steps in the Nursing Process

ADPIE (A Delicious PIE)

Assess
Diagnosis
Plan
Implement
Evaluate

Inflammation (HIPER)

H-heat
I-induration
P-pain
E-edema
R-redness

Acid Base (ROME)

Respiratory
Opposite
Metabolic
Equal

Hypoglycemia (TIRED)
- an abnormal decrease of blood in the sugar

T- tacycardia
I- irritability
R- restless
E- excessive hunger
D - diaphoresis/depression

Adrenal Gland Hormones (SSS)

Sugar - glucocorticoids
Salt - mineralcorticoids
Sex - androgens

5 P's of Circulatory Checks

P - pain
P - paresthesia
p - paralysis
p - pulse
p - pallor

Hypertension Nursing Care (DIURETIC)

D - daily weight
I - intake and output
U - urine output
R - response of BP
E - electrolytes
T - tale pulses
I - ischemic episodes
C - complications

4 C's of Hypertension (Complications)

C - Coronary Artery Disease
C - Coronary Rheumatic Fever
C - Congestive Heart Failure
C - Cardio Vascular Accident

Coronary Rheumatic Fever

a severe disease chiefly of children and characterized by painful inflammation of the joints and frequently damage to the heart valves

Complications of Trauma Client (TRAUMATIC)

T - Tissue perfusion problems
R - Respiratory problems
A - Anxiety
U - Unstable clotting factors
M - Malnutrition
A - Altered body image
T - Thromboembolism
I - Infection
C - Coping problems

Cranial Nerves

Olfactory (sensory)
Optic (sensory)
Oculomotor (motor)
Trochlear (motor)
Trigeminal (both)
Abducens (motor)
Facial (both)
Auditory (sensory)
Glossopharyngeal (both)
Vagus (both)
Spinal Accessory (motor)
Hypoglossal (motor)

Nursing Care for Sprains and Strains (RICE)

Rest
Ice
Compression
Elevation

Care of Client in Traction (TRACTION)

T - temperature (extremity, infection)
R - ropes hang freely
A - alignment
C - circulation check (5 ps)
T - type and location of fracture
I - increase fluid intake
O - overhead trapeze
N - no weights on bed or floor

Severe Pre-Eclampsia (HELLP)

H- hemolysis
E- elevated
L- liver function tests
L- low
P- platelet count

ADLs (Activity of Daily Living)
BATTED

Bathing
Ambulation
Toileting
Transfers
Eating
Dressing

Canes (COAL)

C- Cane
O- Opposite
A- Affected
L- Leg

Walkers (WWAL)
Wandering Wilma's Always Late

W- Walker
W- With
A- Affected
L - Leg

Common Causes of Transient Incontinence (DIAPPERS)

D - delirium
I - infection
A - atrophic urethra
P - pharm
P - psychologic
E - excess urine output
R - restricted mobility
S - stool impaction

The hyperkalemia MACHINE - Causes of Increased Serum K+

MACHINE

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)

"CATS" of "HYPOCALCEMIA"

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

Think BEEP to remember the signs of minor bleeding:

B: Bleeding gums
E: Ecchymoses (bruises)
E: Epistaxis (nosebleed)
P: Petechiae (tiny purplish spots)

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.

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?

All
People
Eat
Too
Much
heart sounds

Atrial, Pulmonic, Erb's point, Tricuspid, Matrial

6 F's...
Cholecystectomy Risk Factors

female
fair
fat
forty
family
fertile

S/S of Hyponatremia

SALT LOSS

S tupor/coma
A norexia, N&V
L ethargy
T endon reflexes decreased

L imp muscles (weakness)
O rthostatic hypotension
S eizures/headache
S tomach cramping

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
D Digoxin

F Fluids- decrease
A Afterload - decrease
S Sodium - decrease
T Tests: dig level, ABG, K+

Assistive devices -- Canes:

COAL

C Cane
O Opposite
A Affected
L Leg

Heart sounds:

S3= Heart fail-ure (3 syllables)
S4=Hy-per-ten-sion (4 syllables)

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

(H)ARD ASS MRS. MSD

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

Diabetes

Hot and Dry : sugar high
cold and clammy need some candy

side effects & adverse reactions to immunizations:

FISHER FLAG

F- Fever
I- Itching
S- Stiffness
H- Headache
E- Edema
R- Redness

F- Fussy
L- Localized Tenderness
A- Appetite decrease
G- General Aches Pains

side effects & adverse reactions to immunizations:

WHUTN- "Whutnthehell?"

W- Wheezing
H- Hypotension
U- Uticaria
T- Tachycardia
N- Nasal Decongestion

Mneumonic device for remembering questions to ask emergency room admits:

Car? (circumstances of event)
Please (precipitating events)
Listen (location of event)
To This: (Time of event)

Watch (when symptoms appeared)
Underage (unconsciousness after injury?)
Alcoholics (arrival time in ER)
Heading (hospital admits previously?)
Home (previous history/health status)
And (allergies)

Maybe (medications)
Flattening (fears for safety)
My (meal, time of last)
Poodle (period, time of last menstrual)
Dog (primary doctor, name and location of)
Tonight (tetanus, date of last immunization)

Dressing a person with an affected side of the body:

Take from the strong, give to the weak.

***GRANULOCYTES are Never Eat Bananas.

(Neutrophils)
(Eosinophils)
(Basophils)

Parkinson's Medications: "Ali Loves Boxing Matches"

A-Amantadine
L- Levodopa
B- Bromocriptine
M-MAO inhibitors

Complications of thrombolytic therapy: The 3 B's

Bleeding
Brady's (dysrhythmias)
Bloodclots (d/t excessive thrombin)

NSAIDS

N - Naproxen
S - Salicylates
A - Advil
I - Ibuprofen
D - Diclofenac
S - Sulinclac

Signs and Symptoms of Hypernatremia - SALT or FRIED

Skin flushed
Agitation
Low grade fever
Thirst

-OR-

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

Signs and Symptoms

SALT LOSS

Stupor/coma
Anorexia
Lethargy
Tendon reflexes decreased

Limp muscles
Orthostatic hypotension
Seizures/headache
Stomach cramps

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