Nursing Care for Sprains and Strains (RICE)
R- Rest
I - Ice
C -
Compression
E- Elevation
Canes and Walkers (WWAL) Wandering Wilma's Always Late
W- Walker
W- With
A- Affected
L - Leg
Care of Client in Traction (TRACTION)
T- Temperature
(Extremity, Infection)
R - Ropes hang
freely
A - Alignment
C -
Circulation Check (5 p's)
T- Type &
Location of fracture
I - Increase fluid
intake
O - Overhead
trapeze
N - No weights
on bed or floor
Steps in the Nursing Process ADPIE (A Delicious PIE)
A-ssessment
D- iagnosis
P-lanning
I-mplementation
E-valuaton
Acid-Base (ROME)
R-espiratory
O-pposite
M-etabolic
E-qual
CANCER'S Early Warning Signs CAUTION UP
C-hange in
bowel or bladder
A- lesion that
does not heal
U-nusual
bleeding or discharge
T-hickening or
lump in breast or elsewhere
I-ndigestion
or difficulty swallowing
O-bvious
changes in wart or mole
N-agging cough
or persistent hoarseness
U-nexplained
weight loss
P-ernicious Anaemia
CANCER Interventions
C-omfort
A-ltered Body
Image
N-utrition
C-hemotherapy
E-valuate
response to meds
R-espite for
caretakers
Hypoglycemia (TIRED) - an abnormal decrease of blood
in the sugar
T-achycardia
I-rritability
R-estless
E-xcessive
Hunger
D-iaphoresis/
Depression
Adrenal Gland Hormones (SSS)
S-ugar
(Glucocorticoids)
S-alt
(Mineralcorticoids)
S-ex
(Androgens)
Pulmonary Oedema (MAD DOG)
M-Morphine
A-Aminophylline
D- Digitalis
D-Diuretics (Lasix)
O- Oxygen
G- ases (Blood
Gases ABG's)
5 P's of Circulatory Checks
P-Pain
P-Paraesthesia
P-Paralysis
P-Pulse
P-Pallor
(Paleness)
Hypertension Nursing Care (DIURETIC)
D-aily Weight
I- ntake and
Output (I & O)
U- rine Output
R-esponse of
BP
E-lectrolytes
T-ake Pulses
I-schemic
Episodes (TIA)
C-omplications:
4C's
Evalution of Episiotomy Healing (REEDA)
R- Redness
E- Edema
E - Ecchymosis
D - Discharge,
Drainage
A -
Approximation
Post-Partum Assessment (BUBBLE)
B-reasts
U-terus
B-owels
B-ladder
L-ochia
E-pisiotomy/lateration/C-section
incision
Tracheal Esophageal Fistula (3 c's)
C- Choking
C- Coughing
C - Cyanosis
Cleft Lip - Post Op Care (CLEFT LIP)
C-hoking
L-ie on back
E-valuate
Airway
F-eed Slowly
T-eaching
L-arger nipple
opening
I-ncidence
incerase in males
P-revent crust
formation and aspiration
Situations requiring Crisis Situation: RAPE
R- Ruthless
A- Abusive
P- Personal
E- Experience
Warning Signs of a Child Abuse/
Neglect: CHILD ABUSE
C-hild's
excessive knowledge on sex & abusive words
H-air growth
in various lengths
I-nconsistent stories from the child &
parent/s
L-ow
self-esteem
D-epression
A-pathy, no
emotion
B-ruised
U-nusual
injuries
S-erious
injuries
E-vidence of
old injuries not reported
The HYPERKALEMIA "Machine"
- Causes of Increased Serum K+
M -
Medications - ACE inhibitors, NSAIDS
A - Acidosis -
Metabolic and respiratory
C - Cellular
destruction - Burns, traumatic injury
H -
Hypoaldosteronism, hemolysis
I - Intake -
Excesssive
N - Nephrons,
renal failure
E - Excretion
- Impaired
MURDER Signs and Symptoms of Increased Serum K+
M - Muscle
weakness
U - Urine,
oliguria, anuria
R- Respiratory
distress
D - Decreased
cardiac contractility
E - ECG
changes
R - Reflexes,
hyperreflexia, or areflexia (flaccid)
To remember
which blood types are compatible,
visualize the letter "O" as an orb representing the universe, because
type O blood is the universal donor blood. Patients with any blood type can
receive it. But O also means "odd man out": Patients with type O
blood can receive only type O blood.
Think BEEP to
remember the signs of minor bleeding:
B: Bleeding
gums
E: Ecchymoses
(bruises)
E: Epistaxis
(nosebleed)
P: Petechiae
(tiny purplish spots)
Having
difficulty-distinguishing hypoplasia from
hyperplasia?
When you see
plasia in any word, think of "plastic." Plastic, in turn, means
forming or developing. As for hypo and hyper, that's the easy part. Hypo means
under, or below normal. Hyper means excessive, or above normal. Thus,
hypoplasia means underdevelopment, and hyperplasia means overdevelopment.
To remember
the four causes of cell injury,
Think of how
the injury tipped (or TIPD) the scale of homeostasis:
T: Toxin or
other lethal
(cytotoxic)
substance
I: Infection
P: Physical
insult or injury D: Deficit, or lack of water, oxygen, or nutrients.
When asking assessment questions, remember the
American
Cancer Society's mnemonic device CAUTION:
C: Change in
bowel or bladder habits A: A sore that doesn't heal U: Unusual bleeding or
discharge T: Thickening or lump I: Indigestion or difficulty swallowing O:
Obvious changes in a wart or mole N: Nagging cough or hoarseness.
Use the ABCD rule to assess a mole's malignant
potential:
A:
Asymmetry--Is the mole irregular in shape?
B: Border--Is the border irregular, notched,
or poorly defined?
C: Color--Does the color vary (for example,
between shades of brown, red, white, blue, or black)?
D:
Diameter--Is the diameter more than 6 mm?
Side effects of steroids. The 5 s's.
Sick- easier
to get sick
Sad-causes
depression
Sex-increases
libido
Salt-retains
more and causes weight gain
Sugar-raises
blood sugar
PERRLA
Pupils Equally
Round and
Reactive to
Light and
Accomodation
Learning the Systems of the Body?
MR DICE RUNS
M= Muscle
R= Respiratory
D=Digestive
I=
Integumentary
C= Circulatory
E= Endocrine
R=
Reproductive
U= Urinary N=
Nervous
S= Skeletal
Trouble figuring out which eye is which?
OS is left eye
OD is the
right eye
You can
remember which one is the right eye (OD), because you can make the D into an R
- You just have to draw to stick legs on the bottom of the D. Write it down on
paper, you'll see what I mean (it's hard to show you when all I can do is type)
S/S of Hyponatremia
S tupor/coma
A norexia,
N&V
L ethargy
T endon
reflexes decreased
L imp muscles
(weakness)
O rthostatic
hypotension
S
eizures/headache S tomach cramping
Immediate treatment of MI
Think :-MONA/ONAM/OMAN:
M Morphine
sulfate
O Oxygen
N
Nitroglycerin
A ASA
Treatment of CHF, think UNLOAD FAST:
U sit Upright
N Nitro
L Lasix
O Oxygen
A
Aminophylline
D Digoxin
F Fluids-
decrease
A Afterload -
decrease
S Sodium -
decrease
T Tests: dig
level, ABG, K+
Assistive devices -- Canes:
C Cane
O Opposite
A Affected
L Leg
Signs of a Cholinergic Crisis, think SLUD:
S Salivation
L Lacrimation
U Urination D
Defication
COMMENTS