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84 Cards in this Set
- Front
- Back
- 3rd side (hint)
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Steps in the nursing process
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Assessment
Diagnosis Planning Implementation Evaluation |
ADPIE (A delicious pie)
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Steps in the nursing process
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Assessment
Analysis Planning Implementation Evaluation |
AAPIE (An apple pie)
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Inflammation
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Heat
Induration Pain Edema Redness |
HIPER
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Acid-Base
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Respiratory
Opposite Metabolic Equal |
ROME
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Cancer's early warning signs
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Change in bowel or bladder
A lesion that does not heal Unusual bleeding or discharge Thickening or lump in breast or elsewhere Indigestion or difficulty swallowing Obvious changes in wart or mole Nagging cough or persistent hoarsness Unexplained weight loss Pernicious Anemia |
CAUTION UP
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Cancer interventions
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Comfort
Altered body image Nutrition Chemotherapy Evaluate response to meds Respite for caretakers |
CANCER
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Hypoglycemia
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Tachycardia
Irritability Restless Excessive Hunger Diaphoresis/Depression |
TIRED
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Adrenal gland hormones
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Gluccocorticoids (Sugar)
Mineralcorticoids (Salt) Androgens (Sex) |
SSS (Sugar, Salt, Sex)
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Pulmonary edema
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Morphine
Aminophylline Digitalis Diuretics (Lasix) Oxygen Gases (Blood Gases ABG's) |
MAD DOG
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Circulatory checks
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Pain
Paresthesia Paralysis Pulse Pallor |
5 P's
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Hypertension nursing care
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Daily weight
Intake and output (I & O) Urine output Response of BP Electrolytes Take pulses Ischemic Episodes (TIA) Complications (4 C's) |
DIURETIC
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Hypertension complications
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Coronary artery disease (CAD)
Coronary rheumatic fever Congestive heart failure (CHF) Cardio vascular accident (CVA) |
4 C's
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Complications of a trauma client
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Tissue perfusion problems
Respiratory problems Anxiety Unstable clotting factors Malnutrition Altered body image Thromboembolism Infection Coping problems |
TRAUMATIC
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Cyanotic defects
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Tetralogy of fallot
Truncus arteriosus Transportation of the great vessels Tricuspid atresia |
4 T's
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Cranial nerves (sensory, motor, or both)
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OLfactory-----sensory
OPtic-----sensory OCculomotor-----motor TROchlear-----motor TRIgeminal-----both Abducents-----motor Facial-----both VEstibulocochlear-----sensory Glossopharyngeal-----both VAgus-----both Spinal accessory-motor Hypoglossal-----motor |
OLympic-----Some
OPium-----Say OCupies-----Marry TROubled-----Money TRIathletes-----But After-----My Finishing---Brother VEgas-----Says Gambling-----Big VAcations-----Breasts Still-----Mean High-----More |
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Nursing care for sprains and strains
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Rest
Ice Compression Elevation |
RICE
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Care of a client in traction
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Temperature (extremity, infection)
Ropes hang freely Alignment Circulation Check (5 P's) Type and location of fracture Increase fluid intake Overhead trapeze No weight on bed or floor |
TRACTION
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OB non-stress test
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Non-reactive
Non-stress is Not good |
3 N's (3 negative in a row to interpret results)
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Severe pre-eclampsia
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Hemolysis
Elevated Liver function tests Low Platelet count |
HELLP
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Assessment tests for fetal well-being
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Amniocentesis
L/S ratio Oxytocin Test Non-stress test Estriol level |
ALONE
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Evaluation of episiotomy healing
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Redness
Edema Ecchymosis Discharge, Drainage Approximation |
REEDA
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Post-partum assessment
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Breasts
Uterus Bowels Bladder Lochia Episiotomy/lacerations/c-section |
BUBBLE
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Tracheal esophageal fisula
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Choking
Coughing Cyanosis |
3 C's
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Cleft lip post-op care
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Choking
Lie on back Evaluate airway Feed slowly Teaching Larger nipple opening Incidence increased in males Prevent crust formation and aspiration |
CLEFT LIP
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ADL's (Activities of daily living)
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Bathing
Ambulation Toileting Transfers Eating Dressing |
BATTED
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IADL's (Instrumental activities of daily living)
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Shopping
Cooking and cleaning Using telephone or transportation Managing money and medications |
SCUM
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Bleeding precautions
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Razor electric/blades
Aspirin No neeles (esp. in small gauge) Do decrease in needle sticks Injury (protect from) |
RANDI
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Canes
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Cane
Opposite Affected Leg |
COAL
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Walkers
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Walker
With Affected Leg |
Wandering Wilma's Always Late
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Common causes of transient incontinence
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Delirium
Infection Atrophic urethra Pharmaceuticals Psychologic Excess urine output Restricted mobility Stool impaction |
DIAPERS
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Promotion of normal elimination
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Position
Output Offer fluids Privacy Exercise Report results Size (amount) Consistency Occult Blood Odor Peristalsis |
POOPER SCOOP
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Emergency trauma assessment
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Airway
Breathing Circulation Disability Examine Fahrenheit Get vitals Head to toe assessment Intervention |
ABCDEFGHI
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Trauma surgery
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Allergies
Medications Past medical history Last meal Events surrounding injury |
AMPLE
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Dyspnea
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Pulmonary bronchial constriction
Possible foreign body Pulmonary embolus Pneumothorax Pump failure Pneumonia |
6 P's
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Lidocaine toxicity
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Slurred speech
Altered central nervous system Muscle twitching Seizures |
SAMS
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These Drugs Can Interact
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Theophyline
Dilantin Coumadin Iosone (erythromycin) |
TDCI
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Serious complications of oral birth control pills
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Abdominal pain
Chest pain Headache Eye problems Severe leg pain |
ACHES
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Emergency drugs to lean on
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Lidocaine
Epinephrine Atropine sulfate Narcan |
LEAN
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Drugs for bradycardia and low BP
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Isoproterenol
Dopamine Epinephrine Atropine Sulfate |
IDEA
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Cholinergic crisis
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Salivation
Lacrimation Urination Defecation |
SLUD
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Depression Assessment
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Sleep disturbances
Interest decreased Guilty feelings |
SIG
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Energy decreased
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Concentration decreased
Appetite Psychomotor function decreased Suicidal ideations |
CAPS
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Alzheimer's Diagnosis
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Amnesia
Anomia Apraxia Agnosia Aphasia |
5 A's
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Major symptoms of a manic attack
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Distractability
Indiscretion Grandiosity Flight of ideas Activity increase Sleep deficit Talkative |
DIG FAST
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Blindness
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Preventable
Painless Permanent |
3 P's
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Symptoms of leukemia
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Anemia
Neutropenia Thrombocytopenia |
ANT
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Exercise guide for diabetic fitness
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Frequency (3x's/wk)
Intensity( 60-80% of max. HR) Time |
FITT
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Symptoms of hypoxia
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Early:
Restlessness Anxiety Tachycardia/Tachypnea Late: Bradycardia Extreme restlessness Dyspnea |
RAT BED
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Symptoms of hypoxia in pediatrics
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Feeding difficulty
Inspiratory Stridor Nares flares Expiratory grunting Sternal retractions |
FINES
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Management of asthma
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Adrenergics (Albuterol)
Steroids Theophylline Hydration (IV) Mask (oxygen) Antibiotics |
ASTHMA
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Epiglottitis
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Airway closed
Increased pulse Restlessness Retractions Anxiety Increased Inspiratory stridor Drooling |
AIR RAID
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Blood flow through the cardiac valves
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Tricuspid
Pulmonic Mitral Aortic |
Try Pulling My Aorta
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Immediate treatment of a miocardial infarction client
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Morphine
Oxygen Nitroglycerine ASA |
MONA
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Treating CHF
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Upright position
Nitrates (in low dose) Lasix Oxygen Aminophylline Digoxin Fluids (decrease) Afterload (decrease) Sodium restriction Test (digoxin level, ABG's, K level) |
UNLOAD FAST
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Make sure dementia client does not have problems with...
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Drugs and alcohol
Eyes and ears Metabolic and endocrine disorders Neurologic disorders Tumors and trauma Infection Arteriovascular disease |
DEMENTIA
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Osteoporosis risk factors
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Alcohol use
Corticosteroid use Calcium low Estrogen low Smoking Sedentary lifestyle |
ACCESS
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Who needs dialysis?
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Check:
Acid-Base problems Electrolyte problems Intoxications Overload of fluids Uremic symptoms |
Check the vowels: AEIOU
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Prostate problems are no...
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Frequency
Urgency Nocturia |
FUN
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BRAT diet for severe dehydration
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Bananas
Rice Apple sauce Toast |
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Gluten free diet
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Rye
Oats Wheat |
ROW
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Assess changes in senile dementia
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Judgment
Affect Memory Cognition Orientation |
JAMCO
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Diabetes mellitus-type 1 signs and symptoms
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Polyuria
Polydypsia Polyphagia |
3 P's
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Right-sided heart failure
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Hepatomegaly
Edema (Bipedal) Ascites Distended neck veins |
HEAD
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Left-sided heart failure
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Cough
Hemoptysis Orthopnea Pulmonary congestion (crackles/rales) |
CHOP
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Hyperkalemia management
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Kayexalate (orally/enema)
Insulin Na HCO3 Diuretics (Furosemide and thiazides) |
KIND
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Management of myocardial infaction
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Morphine
Oxygen Nitrates (nitroglycerin) Aspirin Thrombolytics Anti-coagulants Stool softeners |
MONATAS
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Electrolytes
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Potassium
Inside Sodium Outside |
PISO
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Eating disorder: ANOREXIA
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Amenorrhea delayed
No organic factors account for weight loss Obviously thin but feels fat Refusal to maintain normal body weight Epigastric discomfort (common) X-symptoms (peculiar symptoms) Intense fears of gaining weight Always thinking of foods |
ANOREXIA
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Eating disorder: BULIMIA
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Binge eating
Under strict dieting Lacks control over-eating Induced vomiting Minimum of two binge eating episodes Increase/persistent concern of body size/shape Abuse of diuretics and laxatives |
BULIMIA
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Findings of a bulimia client
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Weight loss of 15% of original body weight
Amenorrhea Social withdrawal History of high activity and achievement Electrolyte imbalance Depression/distorted body image |
WASHED
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Outcome of alcoholism
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Brain damage
Alcoholic hallucinosis Death |
BAD
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Behavioral Problems of alcoholism
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Denial
Dependency Demanding Destructive Domineering |
5 D's
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Situations requiring crisis situation
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Ruthless
Abusive Personal Experience |
RAPE
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Warnings signs of child abuse/neglect
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Child's excessive knowledge on sex and abusive words
Hair growth in various lengths Inconsistent stories from the child and parent(s) Low self esteem Depression Apathy, no emotion Bruised Unusual injuries Serious injuries Evidence of old injuries not reported |
CHILD ABUSE
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Heart murmurs
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Stenosis
Partial obstruction Aneurysms Septal defect Mitral regurgitation |
SPASM
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Hyperthyroidism signs and symptoms
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Tremor
Heart rate up Yawning (fatigueability) Restlessness Oligomenorrhea and amenorrhea Intolerance to heat Diarrhea Irritability Sweating Muscle wasting and weight loss |
THYROIDISM
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Difference between miotic and mydriatic substances (effects)
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Miotic:little word=little pupil
Mydriatic: big word=big pupil |
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Anticholinergic side effects
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can't see
can't pee can't spit can't **** |
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Most common causes of post-op fever
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Wind (think pneumonia, splinting, incentive spirometer exercises not done, DB+coughing not done)
Water (dehydration) Wound (infection, dehiscence) Walking (PE) Wonder drug (appropriate antibiotic) |
5 W's
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Acute pancreatitis
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Idiopathic
Gallstone Etoh Trauma Steroids Mumps (paramyxovirus) and other viruses (EBV, CMV) Autoimmune Scorpion sting/snake bite Hypercalcemia, hyperlipidemia and hypothermia Ercp Drugs, duodenal ulcers |
I GET SMASHED
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Causes of hyperkalemia (increased K+)
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Medications (ACE inhibitors, NSAIDS)
Acidosis Cellular destruction Hypoaldosteronism, hemolysis Intake (excessive) Nephrons, renal failure Excretion (impaired) |
MACHINE
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Signs and symptoms of hyperkalemia (increased K+)
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Muscle weakness
Urine, oliguria, anuria Respiratory distress Decreased cardiac contractility ECG changes Reflexes, hyperreflexia, or areflexia (flaccid) |
MURDER
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Signs and symptoms of hypernatremia (increased sodium)
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Fever (low grade), flushed skin
Restless (irritable) Increased fluid retention and increased BP OR Skin flushed Agitation Low-grade fever Thirst Edema (peripheral and pitting) Decreased urinary output, dry mouth |
FRIED or SALT
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Signs and symptoms of hypocalcemia (decreased calcium)
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Convulsions
Arrhythmias Tetany Spasms and stridor |
CATS
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