High Yield

Front 1

Mnemonic for MI

Back 1

MONA

· Morphine

· Oxygen

· Nitroglycerin

· Aspirin

Front 2

5 P's of compartment syndrome

Back 2

Pallor

Paresthesia

Pain

Pulselessness

Paralysis

Front 3

When do you give RhoGAM?

Back 3

28 weeks and within 72 hours of delivery

Front 4

NCLEX choice for SIADH cause

Back 4

Small cell lung cancer

Front 5

Why is Gabapentin given?

Back 5

Peripheral neuropathy

Front 6

Why is Lamotrigine given?

Back 6

Seizures

Front 7

Why is Levetracetam given?

Back 7

Seizures

Front 8

Why is phenytoin given and what is a common side effect?

Back 8

Seizures

Side effect: gingival hyperplasia

Front 9

Loop diuretic side effects

Back 9

OOHH DANG

· Orthostatic hypotension

· Ototoxicity

· Hypokalemia

· Hypomagnesium

· Dehydration

· Allergy

· Nephrotoxicity

· Gout

Front 10

Thiazides side effects

Back 10

Orthostatic hypotension

Hypokalemia

Allergy

Nephrotoxic

Front 11

When should diuretics be taken?

Back 11

Morning

Front 12

Kawasaki disease s/s

Back 12

CRASH

· Conjunctivitis

· Rash

· Artery aneurysm

· Strawberry tongue

· Hand / feet swelling

Front 13

Meds for PDA

Back 13

NSAIDs

· Naproxen

· Ibuprofen

· Indomethacin

Front 14

What to worry about with nitroglycerin

Back 14

Orthostatic hypotension

Front 15

Med that contraindicates with nitroglycerin

Back 15

Viagra

Front 16

CAD treatment

Back 16

Nitroglycerin

Calcium channel blockers

Stent

Front 17

Do not consume with calcium channel blockers

Back 17

Grapefruit

Front 18

PAD s/s

Back 18

Cool

Clammy

Pale

Pallor

Decreased oxygen

Front 19

100% cardiac tamponade

Back 19

· JVD

· ⬇ BP

· Muffled, distant heart sounds

Front 20

Chest pain that gets relieved when you sit up and lean forward

Back 20

Acute pericarditis

Front 21

100% acute pericarditis

Back 21

· Friction rub

· ST elevation in all 12 leads

Front 22

Acute pericarditis treatment

Back 22

NSAIDs and colchicine (anti-inflammatory)

Front 23

Chest pain that radiates to the back (mid scapular)

Back 23

Aortic dissection

Front 24

Aortic Dissection s/s

Back 24

⬆ HR, ⬇ BP

Front 25

Aortic dissection treatment

Back 25

· IV fluids

· BB

Front 26

BB s/e

Back 26

· Bronchoconstriction

· Bronchospasm

Front 27

BB are contraindicated with:

What can it lead to?

Back 27

Asthma and COPD

Can lead to ⬇ libido and depression

Front 28

Different ways we can develop a PE

Back 28

FAT BAT

· Fat embolism – from fractured long bones

· Amniotic fluid

· Thrombus

· Bacteria

· Air Emboli

· Tumor

Front 29

Bacterial endocarditis s/s

Back 29

JVD

Ascites

Puffy face

Hepatomegaly

Front 30

Bacterial endocarditis treatments

Back 30

· Valve replacement

· Blood thinners – Warfarin

Front 31

3 transplant options for bacterial endocarditis

Back 31

· Porcine – muslim/jewish will not take

· Bovine - Hinduism

· Prosthetic

Front 32

Chest pain while coughing

Back 32

Pericarditis

Front 33

Heart failure side that is more important

Back 33

Left

Front 34

CKD diet

Back 34

Low potassium

Low phosphorus

Front 35

Respiratory distress

Back 35

Drooling

Accessory muscles

Stridor

Front 36

SVT vs. VT

Back 36

SVT - there is some sort of P wave

SVT is skinny – has a narrow QRS complex

VT has no P wave

VT has a wide QRS complex

Front 37

HR education

Back 37

DR. BEEDSS

Diet: nosodium or fluids

shouldn't be elevated

Elevate with pillows in high Fowler's

Risk: Falls (orthostatic hypotension)BP & BNP shouldn't be elevatedElevate with pillows in high Fowler'sExerciseDaily weightsSex (two flights of stairs with no SOB)Smoking cessation

Exercise

BP & BNP shouldn't be elevatedElevate with pillows in high Fowler'sExerciseDaily weightsSex (two flights of stairs with no SOB)Smoking cessation

BP & BNP shouldn't be elevatedElevate with pillows in high Fowler'sExerciseDaily weightsSex (two flights of stairs with no SOB)Smoking cessation

Daily weights

Sex (two flights of stairs with no SOB)

Smoking cessation

Front 38

HF education

Back 38

DR. BEEDSS

Diet: no sodium or fluids

Risk: falls (orthostatic hypertension)

BP & BNP shouldn't be elevated

Elevate with pillows in high Fowler's

Exercise

Daily weights

Sex (2 flights of stairs with no SOB)

Smoking cessation

Front 39

Normal cholesterol values

Back 39

HDL: 50

LDL: 100

Triglycerides: 150

Total cholesterol: 200

Front 40

BP meds safe in pregnancy

Back 40

"HTN Mothers Love Nifedipine"

· hydralazine

· methyldopa

· labetalol

· nifedipine

*Never give ARBS or ACE-I

Front 41

Patients should dangle their legs never elevate

Back 41

PAD

P - pale, cool skin- ulcer/intermittent pain

A - absent / ⬇ pulse, activity causes pain (intermittent claudication)

D - Dry, scaly skin

Front 42

You see a systole on a tele strip. What do you do first?

Back 42

Double A

Asystole ➡ Assess

*Always need to assess patient and leads before you take the situation any further

Front 43

ACE-I s/e

Back 43

ACE-I

Angioedema – instead use arbs

Cough – not worried (instead used arbs)

Excess potassium

Instead use arbs

*Both ARBs and ACE-I cause excess potassium and are teratogens

Front 44

Popular foods with vitamin K

Back 44

Kale

Spinach

Cabbage

Broccoli

Liver

Front 45

SSRI s/e

Back 45

SSSRI

Suicide risk

Slow onset and slow taper

Sweaty, hot, fever*

Rigid muscles, Restless, agitated*

Increase heart rate tachycardia*

* = symptoms of serotonin syndrome

Front 46

To remember MAOIs

Back 46

MAOOI

Massive headache

Avoid tyramine

OTC drugs will cause hypertension crisis

Other antidepressant can't be mixed

Increase risk of suicide

Front 47

What causes extrapyramidal symptoms?

Back 47

Antipsychotics

Antiemetics

Front 48

Extrapyramidal symptoms

Back 48

ADAPT

Acute dystonia - muscle spasms, stiffness

Akathisia – restlessness

Parkinsonism – shuffling gait, pill rolling, facial grimacing

Tardive dyskinesia – slow writhing movements

Front 49

Malignant hyperthermia and NMS s/s

Back 49

"Patients get cooked like HAM"

High temps (104-105)

Altered mental status

Muscle rigidity

Front 50

Benzodiazepine overdose antidote

Back 50

Flumazenil

Front 51

Opioid overdose antidote

Back 51

Naloxone/Naltrexone

Front 52

Methanol/Ethylene glycol (antifreeze) antidote

Back 52

Fomepizole

Front 53

SSRI s/e

Back 53

SSSSRI

Suicide risk ⬆: high-energy and persistent depression

Slow onset and slow taper: 4-6 weeks

St. John's Wort is contraindicated

Serotonin syndrome

Reduced libido

Increased appetite

Front 54

Ask yourself why is this an option for maternity

Back 54

Check HCG levels

Do a urine pregnancy test

Ask patient when their last menstrual cycle was

Ask patient if they are sexually active

Front 55

Presumptive pregnancy signs

Back 55

PRESUME

Period Absent

Really tired (fatigue)

Enlarged breasts

Sore breast

Urination increased

Movements of fetus in the uterus, fluttering (quickening) sensation in lower abdomen (16-20 weeks)

Emesis and nausea

Front 56

Decelerations

Back 56

Variable deceleration

Early deceleration

Acceleration

Late deceleration

Cord compression: change mom's position, stop oxy/C-section

Head compression: baby is ready for delivery

Okay!

Placental insufficiency: change mom position, stop oxy, O2, NS

Front 57

Uterine tachysystole

Back 57

More than 5 contractions in a fetal EKG strip

⬇/ stop oxytocin

Front 58

What to look for in metabolic syndrome

Back 58

"We better think high glucose"

Waist circumference

BP

Triglycerides

HDL

Glucose

Front 59

Causes of dka

Back 59

4 S's

Sepsis

Sickness

Stress

Skipping insulin

Front 60

NCLEX tricking you when it comes to s/s of neuro/eye

Back 60

Glaucoma: Halo vision, loss of peripheral vision (closed angle glaucoma is an emergency)

Retinal detachment: floaters, curtains falling flashes but no pain

Cataracts: blurry eyes - worse at night

Macular degeneration: loss of central vision (pain)

Front 61

Hypoglycemia treatment

Back 61

Cold and clammy give them candy

Warm and dry sugar is high

Front 62

TB treatment

Back 62

RIPE

Rifampin: red/orange secretions expected

Isoniazid: severely hepatotoxic

(check AST, ALT, LFT) causes peripheral neuropathy (give B6 = paradoxine)

Pyrazinamide

Ethambutol: can cause visual changes (E for eye)

Front 63

Hepatitis B Transmission

Back 63

B for body fluids

Blood

Semen

Vaginal secretion

Front 64

Report chest tube drainage amount

Back 64

>100 ml/hr

Front 65

NSAIDs

Back 65

Naproxen

Salicylate acid (aspirin)

Acetylsalicylic acid (aspirin)

Ketorolac

Ibuprofen and indomethacin

* ulcers and kidney function

Front 66

Drugs with a narrow therapeutic index

Back 66

"Warning: These Drugs are Pretty Lethal"

Warfarin: INR 2-3

Theophylline: 10-20 mcg/ml

Digoxin: 0.5-2.0 ng/ml

Phenytoin: 10-20 mcg/ml

Lithium: 0.6-1.2 mEq/l

Front 67

Soothing infant pain

Back 67

Sucrose

Sucking (pacifier)

Skin to skin

Swaddle

Front 68

Warning signs of cancer

Back 68

CAUTION

Change in bowel or bladder habits

A sore that does not heal

Unusual bleeding or discharge from an orifice

Thickening or lump in the breast or else where

Indigestion or difficulty in swallowing

Obvious change in wart or mole

Nagging cough or hoarseness

Front 69

Indication for dialysis in Aki

Back 69

A - acidemia (metabolic)

E - electrolyte imbalance (K)

I - intoxication (overdose)

O - overload of fluid

U - uremia

Front 70

Thiazides s/e

Back 70

hyperGLUC

Glycemia

Lipidemia

Uricemia

Calcemia

Front 71

Drugs that cause flushing

Back 71

VANNC

Vanco

Adenosine

Niacin

Nitrates

CCB