Mnemonics Flashcards
Tetralogy of fallot-DROP
D-defect, septal
R-right ventricular hypertrophy
O-over ridding of the aorta
P-Pulmonary stenosis
MAOI- PANAMA
PANAMA
parnAte-tranylcypromine
Nardil-phelezine
Marplan-isocarboxacide
Prio-side effect
ADME
Absorption
Distribution
Metabolism
Excretion
Anticholinergic (anti depressant)
BUCO PD RS
Blurred Vision
Urinary Retention
Constipation
Orthostaric hypotention
Photosensitiviy
Dry mouth
Reflex tachycardia
Sedation
DACOTA
anticholinergic drugs
Dicyclomine-irritable bowel dx Atropine sinus brady,organophosphate Cogentin(benzotropine)-parkinson Oxybutin-bladder spasm Trihexyphenidyl-Diarrhea Akineton-biperiden-parkinson
NSAIDS
Naproxen Sulinidac Acetamenophen Diclofenac Ibuprofen Salicylate
Live attennuated
Dont give to pregnant-immunocompromise
ROME IS MY BEST PLACE TO GO
Rotavirus
Oral polio
Mumps
Endemic typus
Is-influenza/intranasal
Measles
Yellow fever
Best-BGC
Place-plague
Typhoid
+varicella
Jones criteria-rheumatic-major
CACES
Carditis Arthralgia Corea (involuntary extremities) Erythema maginatum Subcutaneous-none nodule
+throat culture increase ASO titer
2 major
Jones criteria-rheumatic Minor
FAEP
Fever
Arthralgia
Elevated ESR (+)CRP
Prolonged PR interval
Clients Right
PATIENTS
Privacy Autonomy Treatment refusal Information Education The right to confidentiality Service
COATS FLAT-proper documentation
Confidentiality Organized Accurate Timely Subjective
Factual
Legible
Accurate
Timely
Fire-internal
RACES
Fire-External
ARCE
Rescue
Alarm
Contain
Extinguished
Alarm
Rescue
Contain
Extinguished
Extinguish Fire-PASS
Pull
Aim at the base of the fire
Squeeze the nozzle
Sweep from side to side
Emergency-Priority
ABC
DISASTER
ASSES
Ambulatory
Bedridden
Circulation
Airway
Breathing
Circulation
Needle prick
WRAP
Wash hands
Report
Assess
Prophylaxis
Primary assessment
RPM
Respiration
Perfusion
Mental status
GPTPAL
Gravida Para Term Preterm Abortion Living
NAEGELS RULE
Jan-march +9+7
April-december -3+7+1
*first day of last mentruation
Teratogenic Infection
TORCH(+) Zicka
Toxoplasmosis Other infection(hiv,hepa,syphillis) Rubella Cytomegalovirus Herpes/varicella,HSV2
Teratogenic Drugs
WALTS VITRO
Warfarin Ace inhibitor-pril Lithium Thalidomide Steroids,streptomycin, statins
Valporic Isotretenoin Tetracycline Rogaine Iodides OHA
Teratogenic vaccine
Hpv Polio MMR Chicken pox Intranasal flu Varicella
Dangers of preganncy
CABS
Chills/fever
Abdominal pain
Blurred vision/Bleeding/BP elevated
Swelling
Total weight gain pregnancy
25-26lbs
1st tri - 1lbs per month
2-3tri-1lbs per week
ideal weight check 3lbs
Blood types
A+= all A all O A- =A- O- B+=All B all O B-=B- O- AB+=universal receiver AB-= all negative O+= O+ O- O-= O-only universal donor
Digoxin toxicity
VANDABC
Visual disturbance Anorexia Nausea and vomiting Diarrhea Abdominal cramps Bradycardia Confusion
Kawasaki-CRASH
Conjunctivitis Rashes Adenopathy (lymph) Stawberry tongue Hand and feet desquamation
Stimulant
COKE and FITA gives ECTASY and HALLUCINOGEN
Cocaine,ampthetamine,ectasy,hallucinogen
Depressant-ABNO
Alchol
Barbiturates
Narcotic
Opiod
Narcotics: HEROMOCO Heroine Morphine Codeine
SNS vs PNS
SNS=fire all up except GI and GU
(Diaphoresis,Bronchodilation)
PNS= all down except GI and GU
(Watery eyes,pupil constriction,broncho constriction)
Drugs for depression
TCA
PAMELA ANNA LOVES TOFU
PAMelor
ELAvil
ANAfril
Loves
TOFranil
NAEGELS RULE
Jan-march +9+7
April-december -3+7+1
*first day of last mentruation
Teratogenic Infection
TORCH(+) Zicka
Toxoplasmosis Other infection(hiv,hepa,syphillis) Rubella Cytomegalovirus Herpes/varicella,HSV2
Teratogenic Drugs
WALTS VITRO
Warfarin Ace inhibitor-pril Lithium Thalidomide Steroids,streptomycin, statins
Valporic Isotretenoin Tetracycline Rogaine Iodides OHA
Teratogenic vaccine
Hpv Polio MMR Chicken pox Intranasal flu Varicella
Antidepressant-SSRI
PROPAZOLOF
PROzax
PAxil
ZOLOF
Antidepressant
MAOI
PANAMA
Parnate-tranycromin
Marplan-isoxarboxacid
Manerix-moclobemide
Nardil-phelzine
LITHIUM
Level 0.6-1.2 Increased uo (expected) Toxic hand tremor:course hand tremor Increase ofi 2-3 Uu Maintain regular sodium 3gm/day
Schizophrenia
(-)atypical CORS
Clonazipine-agrunolpcytosis
Olanzipine
Risperidone
Seroquel
CASH avoid for bland
Cola, caffeine, chocolate
Alchol
Spicy food
Hot food
Low residue(no bulk,no fiber,no milk) Allowed
LOSER
Limit milk Oil zero Strained Egg (pouched,boiled) Renal
Purine free (avoid for purine free) ALL BOYS
Anchovies
Legumes
Lentils
Beer
Organ meat
Yeast
Spinach,sprout,sweet bread
*no beans
MAOI-tyramine
Tsokolate York cheese Roque cheese Aged cheese Mustard IN- sardINes Except-CRAM CHEESE
CRAM Cottage Ricotta Americab Mozarrela
ACID ASH (give) CPP
Alkaline ash
Cranberries
Prune
Plums
Alkaline ash-fruits and vegtablea except CCP
Neurotransmitters
SNS-SEND
PNS-A
Serotonin
Epinephrine
Norepinephrine
Dopanine
PNS
acetylcholine
CNS Problems
To little-DAMPA
To much-MSPS
Little
Depression Anxiety MG Parkinsons Alzheimers
Much
Mania
Seizure
Psychosis
Schizophrenia
Lithium toxicity
VANDAL BC
Vomiting Anorexia Nausea Diarrhea Abdominal pain Lack of coordination (ataxia)
Blurred vision
Confusion
Psychosis/schizophrenia
PSYCHO
Prolixin(fluphenazole) Seroquel(queriapine) risk for NMS Y Clozaril Haldol Olanzipine
Gout
CAP
Colchicine-acute
Allupurinol-chronic
Probenecide(benemide)
Antihypertensive Betablockers-OLOL, baba lahat Calcium channel blocker-dipine A VERY NICE DRUG ACE inhibitor-pril ARBS-sartan
Calcium channel blocker-valium of heart
Amlodipine
Verapamil
Nifedipine
Diltiazem
ACE INHIBITOR
ACE
an hour befor meals, avoid salt substitute, increase potassium
Cough is dry
Edema-toxicity
Diuretics
Potassium wasting
FBMD
Furisimide-lasix
Bumetadine-bumez
Mannitol
Diuril-chlorothiazide
Potassium sparing
SEAT
Spinorolactone-aldactone
Eplerenone-inspra
Amilaride-amidamor
Triamterene-dyrenium
Antiplatelet
Aspirin
DCAT
*thrombolytic -KINASE
Dipyridamole-persatine
Clopidogrel-plavix
Abciximab-reopro
Ticlodipine-ticlid
Verdanafil-levitra
FHM
Facial flushing
Headache mild
Mild indigestion
Mgt: defibrillation-priority
DEALM
Defibrillation Epinephrine-vfib Amiodarone-vtach,vfib Lidocaine-ventricular Mgso4-vtach,vfib
Cardio treatment
PVC/VTACH-ventricular
Amiodarone-arrithmia
Cardio treatment:
ABCD-atrial
Adenocard(adenosine)<8 secs
Betablockers-lung problem
Calcium channel blocker
Digitalis-digoxin, lanoxin
Asyatole
Epi and atropine
Rules of the B - if ph and bicarb are both in the same direction =metabolic
If they are in different respiratory
If the ph goes up so goes my patient-irritability (alka)
If the ph goes down patient goes down-except potassium( acidosis)
Met alka-suctioning vomiting
If not lungs metabolic
If you dont know- metabolic acidosis
Mac kaussmal-dka
Insulins
Regular
NPH
Lispro lantus
NRRN
Lispro-15,30,3 with meals
R-1,2,4
NPH-6,8-10,12
Lantus- long acting no peak glargine
Hyperkalemia-same prefix except heart and urine
Hypokalemia same as prefix
Calemia and magnesium opposite of prefix
Hypernatremia- sodium, hydrate
Hyponatremia- overload
Potassium
Never IV push
Never more than 40 of k per liter of IV fluid
If more question
Lower potassium-d5w plus insulin the. Kayexalate
Super ventricular tachycardia
ABC
Adenosine
Betablockers
Calcium channel blockers
Congestive heart failure
DDD
Digoxine
Dobutamine
Diuretics
Hematopoesis-priority
IBA
Infection
Bleeding
Anemia
Sickle cell anemia
Mgt:HOPE
Hydration
Oxygen
Physiologic support/pain mgt
Exchange transfusion-phlebotomy
*pain management- morphine never meperdipine
Latex allegen
BACK TGP
Banana
Avocado
Chest nut
Kiwi
Tomatoes
Grapes
Peaches
Muliple myoloma- assessment
5B’s
Bone pain Bone pathogenic(fracture) B-symptoms Bence jones(CHON+) Blasma cell affected
Vesicular
VIBE
Vesicular-longer
Inhale
Bronchial
Expiration
COPD
S/s
Cough and clubbing of finger
O2 below 90
Production of sputum
Dyspnea on excertion
Ooh ooh ooh to touch and feel a good velvet such heaven!
Some say my mother brought my brother some bad beer,my,my
Olfactory Optic Oculomotor Trochlear Abducens Facial nerve Auditory/vesibucoclear Glossopharyngeal Vagua Spinal accessory Hypoglossal
Parkinsons disease
TRAMPPSS
Tremor Rigidity Akinesia/bradykinesia Monotonous Pill rolling Poker face Stooped posture Shuffling gait
Glasgow coma scale
EVM
Eye opening 4-spontaneous 3-to speech 2-to pain 1-none
Verbal 5-oriented 4-confused 3-inappropriate 2-incomprehensible 1-none
Motor 6-obeys command 5-localized to pain 4-withdraw from pain 3-flexion to pain 3 2-extension to pain 1-none
Max score 15
Function of kidneys
BEAN
BP,bone formation
Eelectrolyte imbalance, erythropoeitin
Acid base balance
Nitrogneous waste excretion
Nephritic syndrome meds
CADA
Corticosteroids
Antibiotics-penicillin
Diuretics
Antihypertensive
Cholecystitis
MB
Murphy’s-palpating/stop breathing
Boa’s-right shoulder pain
Pancreatitis
GC
Greyturner-side
Cullen-umbilicus
Appendicitis
PRMM
Psoas-right lower quadrant with extention of right hip, hip with flexion
Rovsing-left palpate,other side painful
Markle-wheel jarring
Mcburney-illiac crest 1/3 to umbilicus
Right upper quadrant
Liver
Gallbladder
Cholecystitis
Right lower quadrant
Appendicitis
Left upper quadrant
Pancreatitis
Left lower quadrant
Diverculitis
After With Before Before With
Antacid H2 inhibitos -tidine Proton pump inhibitor-prazole Sucralfate Cytotec
Hypothalamus
Pituitary OA
Anterior pituitary
Pituitary
Oxytocin
Antidiuretic
Anterior pituitary
All
Pheochromocytoma
Triad symptoms
PHD
Palpitation/tachycardia
Hypertention
Diaphoresis
Spinal
SLK
Spine-scoliosis
Lordosis-liad
Kyposis-kuba
Osteoporosis
ACCESS
Alchol use Corticosteroid Calcium low Estrogen low Smoking Sendentary lifestyle
Sprain- RICE
Rest
Ice
Compression
Elevation
Trauma care
ABCDE
Airway Breathing Circulation Disabilirt Examine/expose
Trauma secondary
FGHI
Full set v/s, focus adjucts
Give comfort
History, head to toe assessment
Inspect posterior surface
Bacteria(biological)
BBAT
Butolism
Bubonic
Antrax
Tulerimia
Antrax-meds
CPS
Ciprofloxacin
Penicillin
Doxycycline
Bubonic plague-meds
GS
Gentamycin
Streptomycin
Cane handling
COAL
Cane
+opposite
Affected
Leg
Cane walking
CAFU
Cane
+affectes
Followed unaffected
Walker
WAFU
Walker
+affected
Followed
Unaffected
Rheumatoid arthritis
FAGS
Female
Age
Genes
Smoking
Osteoarthritis
MOGS
Male
Obese
Genes
Smoking
Gout
DAGMO
Diet Aging Genes Male Obesity
RA-diagnostic
RACE
Rheumatoid
Ana
C reaction protein
ESR
Mgt RA
NSAIDS
Naproxen-flanax Sulindac-clinoril Arcoxia-arthrotex Indomethacin-indocin Diclofenax Salycylate
Hypoglycemia
He is tired
HEeadache
Irritable
Sweating
Tachycardia Irritable Restless Excessive hunger Dizziness
Side effect of steroids
STEROIDS
Sugar is high Thinning of gastric mucosa Edema.eye disorder, emotional distress Rise of bp Osteophorosis Infection , increase hair Decrease libido Striae
Life threatening of dopaminergic
MR LIP
MI
Rhabdomylysis
Liver damage
Increase intraocular pressure -midriasis
Psychosis
Myesthenic crisis
Under medication
Mestinon
SNS effect
Bucopd
Cholinergic crisis
Over medication
Anticholinesterase
PNS
ANTIDOTE-ATROPINE
Edreponium- tensilon
Myestinic crisis or negative
Risk cardiac arrest
Atropine standby
Intubation set
Malakas-myesthenic crisis
Chronic-worsen condition
Side effect of ACE
TRACES
Teratogenic Renal impairment Agranulocytosis/angioedema Chronic non productive cough Elevated potassium Salty metalic taste
CVA
FACES
Facial drooping
Arm drifting
Slurred speech
Time
Somogyi effect
Rise of sugar early in the morning due to hypoglycemia at midnight
Feed
Dawn phenomena
Increase sugar in morning due to insulin resistance and uncontrolled sugar at night
Cholinergic effect
HUBADS
Hypotension Urinary frequency Bradycardia Abdominal cramps Diarrhea Salivation
Labor complication
LION
Left side lying
Increase IV
Oxygen
Notify
Labor-latent
Delivery-
active 5-7cm,3-7mins,30-60sec
Placenta-transition,
Recovery
Post partum 2hrs after placenta
VEAL CHOP
VEAL CHOP
Variable-cord compression
Early deceleration-head compression
Acceleration- okay
Late deceleration- placental insufficiency
Chronic venous insufficiency
Dilated varicose vein
Warm, bronze, ulcer, edema
Elevate
Pheriperal artery disease
Intermittent claudication Gangrene Hair loss Thick brittle nail Dry cool No edema Must dangle
Non stress test
Acceleration to movement
Non reactive no acceleration-abnormal
Contraction stess test
Fetal heart rate deceleration
Normal negative
Abnormal- positive
Childhood immunization
Birth-1month hep b 1st dose
2,4,6- DR HIP
DTAP
Rotavirus
Hib (heamphilus influenza b)
Inactivated polio
Pneumococal congugate
12-15m -MVH
MMR(measles,mumps,rubella)
Varicella
Hep A
Crutches
2pt- 1 crutch opposite foot-mild
3pt- move 2 crutches and bad leg
4pt- everything separately-severe bilateral weakness
Swing through-non weight bearing,amputation
Even for even odd for odd
DIGOXIN(lanoxin)
Wof:hypokalemia
Dig level 2ng/ml or greater is toxic Inhibit sodium potassium ATPase G-gi or cns-adverse reaction O-output should be monitored X-dont give pulse<60 I-indicated for chf N-note potassium and renal function test
Epinephrine
NASCAR
Nervouseneas (undesirable effect) Angina,arryrhtmia Sugar increased Cardiac arrest Allergic reaction Respiratory broncho dilator
Norepinephrine (levophed)
SHOCK
Stim alpha and beta adrenergic factor Hypovolemia-should be corrected Ou increase Constriction of blood vessels Keep monitoring q 15
Nitroglycerin
ANGINA
Avoid alchol Note bp and pulse Give to relax vascular smooth muscle Indiated for angina pectoris Note postural hypotension Advice medical assistance unrelieved after 3 doses with 5 min interval
Ace inhibitor SWERTE
Supress renin angiotensin aldosterone Warn with renal thyroid problem Ends with pril Rise slowly Treatment hpn Evaluate BP
Calcium channel blocker
BILL
Blocks calcium access to cells
Indicate for hpn
Let client take with milk or meal
Light and moisture-protect
DIURETICS
Diet-increase potassium I-i and o monitor Undesirable effect f and e imbalance Review HR,BP, Electrolytes Elderly- careful, evening dose not recommended Take with or after meals and in AM Increase risk for ortho hypotension Cancel alchol and cig
GFR
85-135
Malignant hyperthermia
Muscle stiffness,jaw rigidity
Hyperthermia
Altered LOC
Mechanical ventilator
High obstruction
Low is leak
Barotrauma
Injury in alveoli
Problem associated with PEEP
(Positive end expiritory pressure)
GFR
85-135
Phenytoin
GUMMS
Side effect
Gingival hyperplasia Urine-pink Metabolism of b12 is decreased Megaloblastic anemia Steven johnsons
Phenytoin
GUMMS
Side effect
Gingival hyperplasia Urine-pink Metabolism of b12 is decreased Megaloblastic anemia Steven johnsons
Method of assessing lesion
ABCDE
Asymmetry Border irregularities Color changes Diameter Evolving
Function-skin
SHAPES
Sensation Heat regulation Absorption Protection Excretion Secretion
DID NOT HEAL
Drugs Infection Diabetes Infection-staph, merasa Diabetes Oxygen Toxin Hypothrmia/hyperthermia ETOH (alchol) LOCAL Anesthetics
10-20 normal values (BAPTIIS)
BUN Acetaminophen Phenytoin Theophylline ICP IOP Salicylate