DO NOT delegate (E.A.T.

)
E- evaluate
A- assess
T- teach

Addisons
down, down, down, up, down
hyponatremia, hypotension, decreased blood volume, hyperkalemia, hypoglycemia

Cushings
up, up, up, down, up
hypernatremia, hypertension, increased blood volume, hypokalemia, hyperglycemia
No Pee, No ___
K - No potassium without adequate urine output
Transmisson of Airborne
My- Measles
Chicken- chicken pox/ varicella
Hez- Herpez Zoster/shingles
TB
Give Private room, negative pressure with 6-12 air exchange/hr, mask, N95 for TB
Droplet - Spiderman
S- sepsis
S- scarlet fever
S- streptococcal pharyngitis
P-parvovirus B 19
P - pneumonia
P- pertussis
I- influenza
D- diptheria (pharyngeal)
E- epiglottitis
R- rubella
M- mumps
M- meningitis
M- mycoplasma or meningeal pneumonia
An- adenovirus

Give - Private room or cohort, mask

Contact precautions - Mrs. WEE
M- multidrug resistant organism
R- respirotary infection
S- skin infections
W- wound infections
E- eteric infection- clostridium difficile
E- eye infection- conjunctivitis
Skin infections - VCHIPS
V- varicella zoster
C- cutaneous diphtheria
H- herpez simplex
I - impetigo
P- pediculosis
S- scabies
From the a** (diarrhea)
metabolic acidosis
from the mouth (vomitus)
metabolic alkalosis
Myxedema/ hypothyroidism
slowed physical and mental function, sensitivity to cold, dry skin and hair
Graves' disease/ hyperthyroidism
accelerated physical and mental function, sensitivity to heat, fine/soft hair
Thyroid storm
increased temperature, pulse, and HTN
Post-thyroidectomy
semi-fowlers, prevent neck flextion/hyperextension, trach at bedside
measles dangerous to get when pregnant
Never get pregnant with a German (rubella)
Order with drawing up insulin
RN (regular comes before NPH)
MAOI's (PANAMA)
PA- parnate
NA- nardil
MA- marplan
Digoxin
check pulse, less than 60 hold, check dig levels and potassium levels
Amphojel
tx of GERD and kidney stones, watch our for constipation
Vistaril
tx of anxiety and also itching, watch out for dry mouth, given preop commonly
Versed
given for conscious sedation- watch for resp. depression and hypotension
PTU and Tapazole
prevention of thyroid storm
Sinemet
tx of parkinson... sweat, saliva, urine may turn reddish brown occassionally.. causes
drowsiness
Artane
tx of parkinson... sedative
Tigan
tx of postop n/v and for nausea associated with gastroenteritis
Timolol (Timoptic)
tx of gluacoma
Bactrim
antibiotic.. dont take if allergic to sulfa drugs... diarrhea common side effect.. drink
plenty of fluids
Hypokalemia
muscle weakness, dysrhythmias, increase K by giving raisins, bananas, apricots,
oranges, beans, potatoes, carrots, celery
Hyperkalemia - M.U.R.D.E.R
M - muscle weakness
U - urine (oliguria/anuria
R- respiratory depression
D- decreased cardiac contractility
E- ECG changes
R- reflexes
Calan (verapamil)
calcium channel blocker, tx of HTN, angina, assess for constipation
Carafate
1.tx of duodenal ulcers
2. coats the ulcer
3. give before meals
Synthroid
1. tx of hypothyroidism
2. notify doctor of chest pain
3. take in the AM on empty stomach
ICP
increased BP, decreased pulse, decrease respirations
Shock
decreased BP, increased pulse, increased respirations
Jews
no meat and milk together
Lower amputations
prone position
Cold products
for acute pain (sprain ankle)
Heat products
chronic pain (rheumatoid arthritis)
Reverse agents
heparin
protamine sulfate
Reverse agents
coumadin
vitamin K
Reverse agents
ammonia
lactulose
Reverse agents
acetaminophen
n-Acetylcysteine
Reverse agents
Iron
deferoxamine
Reverse agents
Digitoxin, digoxin
digibind
Reverse agents
Alcohol withdrawl
Librium
Heparin prevents?
platelet aggrgation
patient in Vtach give?
lidocaine
patinet in SVT give?
adenosine or adenocard
patient in Asystole (no heart beat) give?
atropine
Patient with CHF give?
Ace Unhibitor
Patient in anaphylactic shock give?
Epinephrine
Patient who is bipolar give?
Lithium
Meningitis what do you check?
Kernig's and Brudzinski's sign
Eclampsia is?
a seizure
Placenta previa
no pain only bleeding
Placenta abruption
pain but no bleeding
dystocia
baby cannot make it down to the canal
Pitocin give when?
uterine stimulation
Magnesium sulfate is used when?
halt preterm labor- contrainindicated if deep tendon reflexes are ineffective
Phenergan
an antiemetic used to reduce nausea
Demerol
pain control
hypernatremia
greater than 145
S - skin flushed
A- agitation
L- low grade dever
T- thirst
Developmental stages
2-3 months
turns head side to side
Developmental stages
4-5 months
grasps, switch and roll
Developmental stages
6-7 months
sit at 6 and waves bye-bye
Developmental stages
8-9 months
stands straight at eight
Developmental stages
10-11 months
belly to butt (phrase has 10 letters)
Developmental stages
12-13 months
twelve and up, drink from a cup
Hep A
ends in a VOWEL, comes from the BOWEL
Hep B
Blood and bodily fluids
Hep C
Blood and bodily fluids
signs of hypoxia
restless, anxious, cyanotic, tachycardia, increased resps., monitor ABG"s
When to give antacids
after meals
FHR patterns (VEAL CHOP)
V C = variable decels, cord compression caused
E H = early decels, head compression caused
A O= accels, okay no a problem
L P = late decels, placental insufficiency, can't fill
Dilantin
tx of seizures- thera drug level : 10-20
Dopamine (Intropine)
tx of hypotenison, shock, low cardiac output, poor perfusion to vital organs... monitor
EKG of arrhythmias, monitor BP
BURNS
1 degree - Red and painful
2 degree - Blisters
3 degree - No pain because of blocked and burned nerves
NS 0.9% NaCl
Expand volume, dilute medications and to keep the vein open, Isotonic
Lactated Ringers
commonly used for fluid resuscitation, Isotonic
D5W
Isotonic outside body but metabolizes glucose and becomes hypotonic
D5 1/2 NS D5NS
used for Na and volume replacement. CAUTION - go slow.. monitor BP, pulse, and
quality of lung sounds as well as serum Na and urine output. Hypertonic
Don't give _____ to infants or head injury patients. May cause cerebral edema
D5W
Serous
clear, watery plasma
Purulent
Thick, yellow, green, tan, or brown: indicates infection process
Serosanguineous
Pale, red, watery: mixture of serous and sanguineous
Sanguineous
Bright red: indicates active bleeding
Meds taken with Meals
Allupurinol, Apresoline, ASA, Dilantin, Flagyl, Inderal, Pancreatin, Tagamet
Meds taken on Empty stomach
Ampicilin, pcn, Ferrous Sulfate, INH, Isordil
Meds taken before meals
Valium, Atropine, Bactrim, Insulin
Meds taken After meals
Clozaril, Deltasone, Lithium, MAOI, Nardil, Pyridium, Ritalin, Thorazine, Tofranil
Meds taken in the morning
Aminophyline, Epi, Adriamycin, Mannitol, Tamofen, Synthroid
Acute Glumerulonephritis diet
Low Na, Low Protein
Addison's disease diet
High Na, Low K
Anemia, Sickle cell diet
High fluids
Gout diet
No purine
Bipolar/ ADHD diet
Finger foods
Burn diet
High calorie, high protein
cholecystitis diet
High protein, high carbs, low fat
Crohn's diease diet
high protein, high carbs, low fat
CHF diet
Low sodium, low cholesterol
Cushing's disease diet
High K, Low Na
Ulcer pressure diet
High protein, high vit C
Diverticulitis diet
Low residue
Hyperthyroidism diet
high calorie, high protein
Liver cirrhosis diet
Low protein
MI diet
Low fat, low cholesterol, low Na
Meniere's disease diet
Low Na
Pancreatitis diet
Low fat
Renal failure diet
low protein, low Na