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Iron Replacement Therapy
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Cardiac AscultationAortic Pulmonic Erb's Tricuspid Mitral All Physicans Earn Too Much Ape to Man
Aortic Pulmonic Tricuspid Mitral All Physicans Take Money
Common Systolic Murmurs MR PASS, MVP 1 (Mitral regurg, physiologic, aortic stenosis, systolic, mitral valve prolapse)
Common Diastolic Murmurs MS ARD 1 (Mitral stenosis, aortic regurg, diastolic)
Physiologic S2 Heart Sound A physiologic S2 heart sound split INcreases in INspiration. 1
Argyll-Robertson Pupil (ARP) Accommodation Reflex present, Pupillary reflex absent Syphilitic pupil (AKA "Prostitute's pupil" - Accommodates, but doesn't react )
|To remember what cranial nerve is Motor, Sensory, or Both use these.
Cranial Nerve I (Olfactory) vs. Cranial Nerve II (Optic) You have I nose. You have II eyes.
Pulmonary AscultationVocal Fremitus Vocal fremitus INcreases with INcreased tissue density. 1
CancerSigns and symptoms that may be associated with child cancer. Continued, unexplained weight loss Headaches, often with vomiting, at night or early morning Increased swelling or persistent pain in bones, joints, back or legs Lump or mass, especially in the abdomen, neck, chest, pelvis or armpits Development of excessive bruising, bleeding or rash
Constant infections A whitish color behind the pupil Nausea which persists or vomiting without nausea Constant tiredness or noticeable paleness Eye or vision changes that occur suddenly or persist Recurrent fevers of unknown origin
MentationCauses of Deliriums Drugs (digoxin, theophylline, cimetidine, anticholinergics) Emotional (agitated depression, mania) Low PO2 (myocardial infarction, CVA, anemia, pulmonary embolus) Infections Retention of urine or feces Ictal and postical states Undernutrition, dehydration, electrolyte disorders Metabolic (thyroid disorders, Addison's disease, vitamin B12 deficiency) Subdural hematomas
NeurologicAphasia "Broken aphasia" (Broca's aphasia-broken speech)
"Wordys aphasia" (Wernicke's aphasia- wordy, but making no sense)
Cerebellar lesions lead to VANISHeD Vertigo, Ataxia, Nystagmus, Intention tremor, Slurred speech, Hypotonic reflexes, Dysdiadochokinesia.
- VF/pulseless VT
- Shock (defib 200J), Shock (defib 200-300J), Shock (defib 360J), Everybody (epinephrine 1mg), Shock (defib 360J), Little (lidocaine 1.5mg/kg), Shock (defib 360J), Big (bretylium 5mg/kg), Shock (defib 360J), Mama (MgSO4 1-2g), Shock (defib 360J), Papa (procainamide 30mg/min), Shock (defib 360J), Arm & Hammer (sodium bicarb 1mEq/kg), Shock (defib 360J).
- V Tach with Pulse
- If pulse and awake, (not unstable) drugs they must take. Let (lidocaine) Pulse (procainamide) Be (bretylium). If pulse and a nap, (unstable) zap, zap, zap, zap. (synchronized cardioversion)
- Pulseless Electrical Activity (PEA) previously known as Electromechanical Dissociation (EMD), hence the mnemonic.
- E (epinephrine 1mg), M (memorize), D (differential)
- Eat (epinephrine 1mg), Apples (atropine 1mg), Please (transcutaneous pacer) or Please Eat Apples
- Atropine (atropine .5-1.0mg), then a pace machine (TCPacer). Don't (Dopamine 5-20 mcg/kg) Eat (epinephrine 2-10 mcg/min) Ice-cream (Isoproterenol).
- For remembering the ACLS drugs and the order given in Pulseless V Tach V Fib
- Elvis (epinephrine) Loved (lidocaine) Big (bretyllium) Mama (magnesium sulfate) Presley (procainamide).3
Admitting OrdersThe "5 D's" Admit to: 1. Diagnosis & Condition: 2. Diet (Activity restrictions if necessary): 3. Directives (Intake & Output, Weight, Vital signs, Blood glucose checks): 4. Diagnostics (Labs, X-rays, EKG, etc) 5. Drugs (Medications oral, IV, IM, etc)
BIMOXLS Bowel, bath, bed I & O, IV, fluid Medications ordered by problem Observations X-rays Labs Special tests (like a CEA level)
A Daffy Colleague Very Astutely Asserts: Nincompoop Doctors Invite Many Laughs. 2
ADorable DIane COntrolled VIcious ACcusations ALleging NUptial DIscord INvolving MErry LAdies. 2 Admit to: Diagnosis Condition Vitals Activities Allergies Nursing Orders Diet Intravenous Medications Labs & other tests
ABC David Admit to Clinician _______________, floor if you know it Because (Diagnosis) Condition Diet Activities Vitals Iv's Drugs, etc
Iron Replacement Therapy
To help remember which iron compound is best tolerated by the gut. Ferrous sulfate is strong, while ferrous gluconate is great. Ferrous sulfate = strong. Ferrous gluconate = gastric.
MusculoskeletalPressure, Rest, Ice, Compression, Elevation, Support. PRICES
Rest, Ice, Compression, Elevation RICE
Emergency Medicine Mnemonics VUMC's List of Interesting Emergency Medicine Mnemonics
Nutrition Checklist for Older Adults the "DETERMINE" Mnemonic
Urinary Incontinence Treatable Causes the "DIAPPERS" Mnemonic
MD4sure.com - Medical Mnemonics
Kas Healy, MSN, FNP for sharing her rather large collection of mnemonics.
- Authored by Margaret A. Fitzgerald, MS, RN, CS-FNP
- Created by Bob McCarthy in a discussion on NP-clinical, September 1998. He attached this to his work: Disclaimer: according to my lawyer, the reference to Doctors a) does not intend to imply that any doctors are Nincompoops but simply a legitimate use of poetic license; b) that any reference to any Doctor, living or dead, is purely coincidental; and c) is protected under the 1st Amendment, i.e. freedom of speech.
- Authored by Robin Bates, R.N.,S.R.N.A. of the Elvis Presley Memorial Trauma Center in Memphis, Tennessee.
The members of NP-clinical for their discussions, submissions and encouragement.
Last updated: February 13, 2001
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