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NCLEX RN 1000RN Mnemonics_ABC
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NCLEX RN 1000RN Mnemonics_ABCpH↓ PCO2↑ = acidosis
Metabolic Equal:
NCLEX RN 1000RN
Mnemonics_ABC
ABDOMINAL AORTIC ANEURISM
“4-A’s” pH↑ HCO3↑ = Alkalosis
Asymptomatic pH↓ HCO3↓ = Acidosis
Abdominal mass ACIDOSIS/ALKALOSIS – COMPENSTATION“RUB
Abdominal pulse MUB”
Aches low back Respiratory Uses Bicarb
ABDOMINAL DISTENSTION Metabolic Uses Breathing
"5-F's" ALKALOSIS AND ACIDOSIS
Fat AlKalosis has “K” – it’s “K”icking pH up = PH↑
Fluid AciDosis has “D” – it’s “D”ropping pH Down = PH↓
Feces
Flatus
Fetus
ACE INHIBITOR SIDE EFFECTS
"CAPTOPRIL"
Cough
Anaphylaxis
Palpitations
Taste
Orthostatic -↓BP
Potassium - ↑K+ ACUTE INFLAMMATION FEATURES
Renal impairment
Impotence
Leukocytosis
ACID-BASE
"ROME" – Respiratory Opposite, Metabolic Equal
ACIDOSIS
» Respiratory (opposite): pH Pco2
» Metabolic (equal): pH HCO3
ALKALOSIS
» Respiratory (opposite): pH Pco2
» Metabolic (equal): pH HCO3
ACIDOSIS/ALKALOSIS
“ROME”
Respiratory Opposite:
pH↑ PCO2↓ = alkalosis
,NCLEX RN 1000RN Mnemonics_ABC
Think: "what a cute pair of SLIPpeRs" to tie HallucinosisD- Death
acute inflammation to “SLIPR”mnemonic). ALDOSTERONE IS REGULATED BY:
“SLIPR” "RNA’S"
Swelling Renin-angiotensin mechanism
Loss of Na concentration in blood
function Anp (ANP – atrial natriuretic peptide)
Increased Stress
heat Pain ALZHEIMER – “5 A’s” to DIAGNOSIS
Redness “5-A's”
ADRENAL GLAND Amnesia – loss of memories
HORMONES“SSS” Anomia – unable to recall names of everyday objects
S-sugar
(Glucocorticoids) S-salt
(Mineralocorticoids) S-
sex (Androgens)
AIMS for
improvement
“PETEES” AIMS
P - Patient centered
care E - Efficient
T - Timely
E-
Effective
E-
Equitable
S - Safety
ALCOHOL WITHDRAWAL – CLINICAL
FEATURES"HITS"
Hallucinations (visual,
tactile) Increased vital signs
& insomnia
Tremens delirium tremens (potentially
lethal)Shakes/Sweat/Seizures/Stomach
pain (N/V) ALCOHOLISM – BEHAVIORAL
PROBLEMS
“5-D's”
D- Denial
D-
Dependency
D-
Demanding
D-
Destructive
D-
Domineering
ALCOHOLISM
OUTCOME“BAD”
B- Brain Damage
A- Alcoholic
,NCLEX RN 1000RN Mnemonics_ABC
Apraxia – unable to perform tasks of movement (use a star as these drugs stain the teeth) – ???
Agnosia – inability to process sensory information (H-eat, I-nduration) – ???
Aphasia – disruption with ability to communicate APGAR SCORING
ANGINA – PRECIPITATING FACTORS "APGAR"
"4-E's" Appearance: cyanosis--peripheral, central, none
Eating Pulse: pulse rate
Emotion Grimace: response to stimulation
Exertion (Exercise) Activity: movement of the baby (muscle tone)
Extreme Temperatures (Hot/Cold weather) Respiration: respiratory rate
“ANOREXIA” – EATING DISORDER APPENDICITIS - ASSESSMENT
A-menorrhea delayed “PAINS”
N-o organic factors accounts for weight loss Pain (RLQ) - pain in RLQ of abdomen
O-obviously thin but feels FAT Anorexia - loss of appetite
R-refusal to maintain normal body weight Increased temperature, WBC (15,000-20,000)
E-epigastric discomfort is common Nausea
X-symptoms (peculiar symptoms) Signs (McBurney's, Psoas)
I-intense fears of gaining weight ARTERIAL BLOOD GASES
A-always thinking of foods 1. look at pH:
ANOREXIA NERVOSA – CLINICAL FEATURES Low pH = acidosis
"ANOREXIC" High pH = alkalosis
A-adolescent women/Amenorrhea 2. use “ROME” mnemonic (to determine if its
N-GT alimentation (most severe cases) respiratory or metabolic):
O-obsession w/ wt. loss/becoming fat though Respiratory – Opposite
underweight Metabolic – Equal
R-refusal to eat (5% die) ASSESSING CHANGES IN BEHAVIOR
E-electrolyte abnormalities (e.g., K+, cardiac "DEMENTIA"
arrhythmia) Drug and alcohol
X-exercise Eyes and ears
I-intelligence often above average/Induced Metabolic and endocrine disorders
vomiting Emotional disorders
C-cathartic use (and diuretic abuse) Neurologic disorders
ANTICHOLINERGIC CRISIS Tumors and trauma
Can't see (blurred vision) Infection
Can't spit (dry mouth) Arterial vascular disease
Can't pee (urinary retention) ASTHMA MANAGEMENT
Can't shit (constipation) "ASTHMA"
ANTICHOLINERGIC CRISIS – SIGNS Adrenergics (Albuterol)
"SLUD" Steroids
Salivation Theophylline
Lacrimation Hydration (IV)
Urination Mask (Oxygen)
Defecation Antibiotics
ANTI-TB DRUGS & SIDE EFFECTS ASTHMA - MANAGEMENT
“RIPES” Asthma is a spasm of the airways, which causes
Rifampicin – red-orange urine difficulty breathing.
Isoniazid – peripheral neuritis “ASTHMA”
Pyrazinamide – increase uric acid Adrenergic (Albuterol)
Ethambutol – eye problems Steroids
Streptomycin – ototoxic Theophylline
, NCLEX RN 1000RN Mnemonics_ABC
Hydration (IV) B1 Blocks the heart (only have ONE heart)
Mask (Oxygen) B2 Blocks the lungs (have TWO lungs)
Antibiotics BETA BLOCKER CONTRAINDICATIONS
ATRIAL FIBRILLATION – NEW ONSET CAUSES "ABCDE"
“THE ATRIAL FIBS” Asthma
Thyroid Block (heart block)
Hypothermia COPD
Embolism (PE) Diabetes mellitus
Alcohol Electrolyte (hyperkalemia)
Trauma (cardiac contusion) BETA BLOCKERS
Recent surgery (post CABG) "You have 1 heart and 2 lungs"
Ischemia Beta-1 act primarily on heart
Atrial enlargement Beta-2 act primarily on lungs
Lone or idiopathic BLEEDING PRECAUTIONS
Fever, anemia, high-output states “RANDI”
Infarct R- Razor Electric/Blades
Bad valves (mitral stenosis) A- Aspirin
Stimulants (cocaine, theo, amphet, caffeine) N- No needles (esp. in small gauge)
ATRIOVENTRICULAR VALVES D- Do decrease in needle sticks)
"LAB RAT" I - Injury (Protect from)
Left Atrium: Bicuspid BLEEDING PRECAUTIONS
Right Atrium: Tricuspid If a patient is taking an anticoagulant to prevent
ATROPINE blood clots there is increased risk for bleeding. Be
"A goes with B" careful with blades when shaving. Do not take
Atropine used to treat bradycardia. aspirin as it interferes with blood clotting and can
magnify the effect of the medication. Avoid excess
BENNER'S MODEL needle sticks and protect the patient from injury.
N - Nickerr's - easy to remember b/c it rhymes with “RANDI”
Benner's Novice – strictly able to focus on learning Razor Electric/Blades
the rules, onset of education Aspirin
A - and - "ad"vanced beginners – distinguish Needles- small gauge
abnormal findings but cannot readily understand Decrease needle sticks
significance Injury (Protect from)
C - Comp - Competent – able to handle their pt. BLOOD FLOW THROUGH HEART VALVES
load and prioritize situation "Tissue Paper My Ass"
P - Planetary – big picture is the key word - Tricuspid
Proficiency Pulmonic
E - Experts – Leader/ role model not every nurse Mitral
becomes one. Aortic
BETA 1 AND BETA 2 BLOOD GLUCOSE
Beta 1 adrenergic receptors are mostly found in the Symptom Implication (rhyme)
heart. Beta 2 adrenergic receptors are found in Cold and clammy . . . give hard candy
lungs, GI tract, vascular smooth muscle, skeletal Hot and dry . . . glucose is high
muscle, liver. Beta 1 beta blockers act primarily on BLOOD TYPES
the heart. Beta 2 beta blockers act primarily on the Picture type O as a huge circle, like the universe,
lungs. because they are the universal donor. They can give
Beta 1: heart to everyone.
Beta 2: lungs - You have one heart and two lungs However, also think of them as the “odd man out”
BETA BLOCKERS because they can only receive type O as well. They
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