istudentnurse.com Flashcards
Alcohol Use Screening: CAGE
Cut back: has anyone ever suggested that you cut back on drinking?
Annoyed: has anyone ever expressed being annoyed at your drinking habits?
Guilt: do you ever feel guilty about your drinking?
Eye opener: do you ever feel the urge to have a morning drink as an eye opener?
Altered Mental Status: DIM TOP (as in his head ain’t right!)
Drugs: prescription, illicit, accidental overdose, and toxicity of unknown origin
Infections: meningitis, encephalitis, sepsis, urinary tract infections, and others
Metabolic: hypoglycemia, hyponatremia, and other imbalances
Trauma: head, c-spine, and blood loss
Oxygen deficit: CNS hypoxia, metabolic
Psychological: diagnosis of exclusion
Bipolar Disorder Manic Episode Signs: DIG FAST
Distractibility Indiscretion, impatience, and irritability Grandiosity Flight of ideas and energy Activity increase Sleep deficit Talkative- excessively
Depression Assessment Signs: CAPS
Concentration impaired or decreased
Appetite changes
Psychomotor function decreased
Suicidal ideations and sleep disturbances
Depression Assessment Signs: SIG
Sleep disturbances
Interest decreased
Guilty feelings
Generalized Anxiety Disorder: Worry WARTS
Wound up Worn-out Absentmindedness Restless Touchy Sleepless
Major Depressive Disorder: SIG E CAPS
Suicidal thoughts Interests decreased Guilt Energy decreased Concentration decreased Appetite disturbance Psychomotor changes Sleep disturbances
OARS: Motivational Interviewing
Open-ended questions
Affirmations
Reflections
Summaries
Psych Assessment: Always Send Mail To the Post Office
Appearance Speech Mood and Memory Thoughts Perception Orientation
Schizophrenia Primary Symptoms: 4 A’s
Affect
Ambivalence
Associative looseness
Autism
Suicide Attempt Warning Signs: Is Path Warm?
Ideation Substance Abuse Purposelessness Anxiety Trapped Hopelessness Withdrawal Anger Recklessness Mood Changes
The 3 Epidemiological Health Models: WEB
Web of Causation Epidemiological Health Model
Epidemiological Triangle Health Model
BEINGS Epidemiological Health Model
Epidemiological Health Model: BEINGS
Biological and behavioral factors Environmental factors Immunological factors Nutritional factors Genetic factors Services, social factors, and spiritual factors
Patients Who Require Dialysis: AEIOU (The Vowels)
Acid base imbalance Electrolyte imbalances Intoxication Overload of fluids Uremic symptoms
Intrauterine Device (IUD) Complications: PAINS
Period irregularities: late, spotting, heavy bleeding
Abdominal pain, dyspareunia
Infection: pelvic- abnormal vaginal discharge
Not feeling well: fever or chills
String missing
Oral Birth Control Pills Complications: ACHES
Abdominal pain Chest pain Headache Eye problems Severe leg pain (DVT)
Asthma Management: ASTHMA
Adrenergics: albuterol and other bronchodilators
Steroids
Theophylline
Hydration: intravenous fluids
Mask: oxygen therapy
Antibiotics (for associated respiratory infections)
Dyspnea: the 6 “P’s”
Pump failure Pulmonary embolus Pulmonary bronchial constriction Possible obstruction from a foreign body Pneumonia Pneumothorax
Epiglottitis: AIR RAID
Airway Closed Increased Pulse Restlessness Retractions Anxiety Increased Inspiratory Stridor Drooling
Hypoxia: RAT (signs of early) BED (signs of late)
Restlessness Anxiety Tachycardia and tachypnea Bradycardia Extreme restlessness Dyspnea
Pneumothorax Signs: P-THORAX
Pleuretic pain Trachea deviation Hyperresonance Onset sudden Reduced breath sounds (& dyspnea) Absent fremitus X-ray shows collapsed lung
Respiratory Depression Inducing Drugs: STOP
Sedatives and hypnotics
Trimethoprim
Opiates: example- morphine
Polymyxins
Urinary Catheter (Foley) Documentation: DASP
Description of urine: color, clarity, sediments, odor
Amount of urine: measured in milliliters (mLs)
Size of catheter: the diameter of the tubing
Procedure performed: example- placement of a new foley, foley care, or foley removal
Transient Incontinence Causes: DIAPERS
Delirium Infection Atrophic urethra Pharmaceuticals and psychological Excess urine output Restricted mobility Stool impaction
