NCLEX RN 1000;RN Mnemonics_ABC LATEST 2022
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RN Mnemonics_ABC (NCLEX RN 1000) ABDOMINAL AORTIC ANEURISM “4-A’s” Asymptomatic Stomach mass Stomach pulse Aches low again ABDOMINAL DISTEN STION “5-F’s” Fats Fluid Feces Flatus Fetus ACE INHIBITOR SIDE EFFECTS “CAPTOPRIL” Cough Anaphylaxis Palpitations Style Orthostatic -↓BP Potassium – ↑Okay+ Renal impairment Impotence Leukocytosis ACID-BASE “ROME” – Respiratory Reverse, Metabolic Equal ACIDOSIS » Respiratory (reverse): pH Pco2 » Metabolic (equal): pH HCO3 ALKALOSIS » Respiratory (reverse): pH Pco2 » Metabolic (equal): pH HCO3 ACIDOSIS/ALKALOSIS “ROME” Respiratory Reverse: pH↑ PCO2↓ = alkalosis pH↓ PCO2↑ = acidosis Metabolic Equal: pH↑ HCO3↑ = Alkalosis pH↓ HCO3↓ = Acidosis ACIDOSIS/ALKALOSIS – COMPENSTATION “RUB MUB” Respiratory Makes use of Bicarb Metabolic Makes use of Respiration ALKALOSIS AND ACIDOSIS AlKalosis has “Okay” – it’s “Okay”icking pH up = PH↑ AciDosis has “D” – it’s “D”ropping pH Down = PH↓ ACUTE INFLAMMATION FEATURES Suppose: “what a cute pair of SLIPpeRs” to tie acute irritation to “SLIPR”mnemonic). “SLIPR” Swelling Lack of perform Elevated warmth Ache Redness ADRENAL GLAND HORMONES “SSS” S-sugar (Glucocorticoids) S-salt (Mineralocorticoids) S-sex (Androgens) AIMS for enchancment “PETEES” AIMS P – Affected person centered care E – Environment friendly T – Well timed E – Efficient E – Equitable S – Security ALCOHOL WITHDRAWAL – CLINICAL FEATURES “HITS” Hallucinations (visible, tactile) Elevated important indicators & insomnia Tremens delirium tremens (doubtlessly deadly) Shakes/Sweat/Seizures/Abdomen ache (N/V) ALCOHOLISM – BEHAVIORAL PROBLEMS “5-D’s” D- Denial D- Dependency D- Demanding D- Harmful D- Domineering ALCOHOLISM OUTCOME “BAD” B- Mind Injury A- Alcoholic Hallucinosis D- Dying ALDOSTERONE IS REGULATED BY: “RNA’S” Renin-angiotensin mechanism Na focus in blood Anp (ANP – atrial natriuretic peptide) Stress ALZHEIMER – “5 A’s” to DIAGNOSIS “5-A’s” Amnesia – lack of reminiscences Anomia – unable to recall names of on a regular basis objects Apraxia – unable to carry out duties of motion Agnosia – incapability to course of sensory data Aphasia – disruption with capacity to speak ANGINA – PRECIPITATING FACTORS “4-E’s” Consuming Emotion Exertion (Train) Excessive Temperatures (Sizzling/Chilly climate) “ANOREXIA” – EATING DISORDER A-menorrhea delayed N-o natural components accounts for weight reduction O-obviously skinny however feels FAT R-refusal to keep up regular physique weight E-epigastric discomfort is widespread X-symptoms (peculiar signs) I-intense fears of gaining weight A-always considering of meals ANOREXIA NERVOSA – CLINICAL FEATURES “ANOREXIC” A-adolescent ladies/Amenorrhea N-GT alimentation (most extreme circumstances) O-obsession w/ wt. loss/turning into fats although underweight R-refusal to eat (5% die) E-electrolyte abnormalities (e.g., Okay+, cardiac arrhythmia) X-exercise I-intelligence usually above common/Induced vomiting C-cathartic use (and diuretic abuse) ANTICHOLINERGIC CRISIS Cannot see (blurred imaginative and prescient) Cannot spit (dry mouth) Cannot pee (urinary retention) Cannot shit (constipation) ANTICHOLINERGIC CRISIS – SIGNS “SLUD” Salivation Lacrimation Urination Defecation ANTI-TB DRUGS & SIDE EFFECTS “RIPES” Rifampicin – red-orange urine Isoniazid – peripheral neuritis Pyrazinamide – improve uric acid Ethambutol – eye issues Streptomycin – ototoxic (use a star as these medication stain the enamel) – ??? (H-eat, I-nduration) – ??? APGAR SCORING “APGAR” Look: cyanosis–peripheral, central, none Pulse: pulse charge Grimace: response to stimulation Exercise: motion of the infant (muscle tone) Respiration: respiratory charge APPENDICITIS – ASSESSMENT “PAINS” Ache (RLQ) – ache in RLQ of stomach Anorexia – lack of urge for food Elevated temperature, WBC (15,000-20,000) Nausea Indicators (McBurney’s, Psoas) ARTERIAL BLOOD GASES 1. take a look at pH: Low pH = acidosis Excessive pH = alkalosis 2. use “ROME” mnemonic (to find out if its respiratory or metabolic): Respiratory – Reverse Metabolic – Equal ASSESSING CHANGES IN BEHAVIOR “DEMENTIA” Drug and alcohol Eyes and ears Metabolic and endocrine problems Emotional problems Neurologic problems Tumors and trauma An infection Arterial vascular illness ASTHMA MANAGEMENT “ASTHMA” Adrenergics (Albuterol) Steroids Theophylline Hydration (IV) Masks (Oxygen) Antibiotics ASTHMA – MANAGEMENT Bronchial asthma is a spasm of the airways, which causes issue respiration. “ASTHMA” Adrenergic (Albuterol) Steroids Theophylline Hydration (IV) Masks (Oxygen) Antibiotics ATRIAL FIBRILLATION – NEW ONSET CAUSES “THE ATRIAL FIBS” Thyroid Hypothermia Embolism (PE) Alcohol Trauma (cardiac contusion) Latest surgical procedure (put up CABG) Ischemia Atrial enlargement Lone or idiopathic Fever, anemia, high-output states Infarct Unhealthy valves (mitral stenosis) Stimulants (cocaine, theo, amphet, caffeine) ATRIOVENTRICULAR VALVES “LAB RAT” Left Atrium: Bicuspid Proper Atrium: Tricuspid ATROPINE “A goes with B” Atropine used to deal with bradycardia. BENNER’S MODEL N – Nickerr’s – straightforward to recollect b/c it rhymes with Benner’s Novice – strictly in a position to concentrate on studying the foundations, onset of training A – and – “advert”vanced newcomers – distinguish irregular findings however can’t readily perceive significance C – Comp – Competent – in a position to deal with their pt. load and prioritize scenario P – Planetary – large image is the important thing phrase – Proficiency E – Specialists – Chief/ function mannequin not each nurse turns into one. BETA 1 AND BETA 2 Beta 1 adrenergic receptors are principally discovered within the coronary heart. Beta 2 adrenergic receptors are present in lungs, GI tract, vascular clean muscle, skeletal muscle, liver. Beta 1 beta blockers act totally on the guts. Beta 2 beta blockers act totally on the lungs. Beta 1: coronary heart Beta 2: lungs – You will have one coronary heart and two lungs BETA BLOCKERS B1 Blocks the guts (solely have ONE coronary heart) B2 Blocks the lungs (have TWO lungs) BETA BLOCKER CONTRAINDICATIONS “ABCDE” Bronchial asthma Block (coronary heart block) COPD Diabetes mellitus Electrolyte (hyperkalemia) BETA BLOCKERS “You will have 1 coronary heart and a pair of lungs” Beta-1 act totally on coronary heart Beta-2 act totally on lungs BLEEDING PRECAUTIONS “RANDI” R- Razor Electrical/Blades A- Aspirin N- No needles (esp. in small gauge) D- Do lower in needle sticks) I – Damage (Shield from) BLEEDING PRECAUTIONS If a affected person is taking an anticoagulant to forestall blood clots there may be elevated threat for bleeding. Watch out with blades when shaving. Don’t take aspirin because it interferes with blood clotting and may amplify the impact of the treatment. Keep away from extra needle sticks and shield the affected person from damage. “RANDI” Razor Electrical/Blades Aspirin Needles- small gauge Lower needle sticks Damage (Shield from) BLOOD FLOW THROUGH HEART VALVES “Tissue Paper My Ass” Tricuspid Pulmonic Mitral Aortic BLOOD GLUCOSE Symptom Implication (rhyme) Chilly and clammy . . . give onerous sweet Sizzling and dry . . . glucose is excessive BLOOD TYPES Image sort O as an enormous circle, just like the universe, as a result of they’re the common donor. They may give to everybody. Nonetheless, additionally consider them because the “odd man out” as a result of they will solely obtain sort O as properly. They
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