Which kind of beta blocker has which action?
B1 Blocks the
heart (you have only one heart)
B2 Blocks the
lungs (you have two lungs)
Fetal accelerations and decelerations!!! Just remember
VEAL CHOP
Variable Cord
compression
Early Head
compression
Accelerations
OK
Late Placental
insufficiency
Heart sounds:
S3= Heart
fail-ure (3 syllables)
S4=Hy-per-ten-sion
(4 syllables)
Effects of anticholinergics:
Can't see
Can't pee
Can't spit
Can't
--defecate
Nine-point Postpartum Assessment... BUBBLEHER
B- Breasts
U- Uterus
B- Bladder
B- Bowel
function
L- Lochia
E- Episiotomy
H- Homan's
sign
E- Emotional
Status
R- Respiratory
System
The 5 P's of circulation loss in a limb.
Pain,
Pallor,
Pulselessness,
Parasthesia,
Poikilothermia
Side effects & adverse reactions to immunizations:
F- Fever
I- Itching
S- Stiffness
H- Headache
E- Edema
R- Redness
F- Fussy
L- Localized
Tenderness A- Appetite decrease
G- General
Aches Pains
HYPERNATREMIA "You Are Fried"
F - Fever (low
grade), flushed skin
R - Restless
(irritable)
I - Increased
fluid retention and increased BP
E - Edema
(peripheral and pitting)
D - Decreased
urinary output, dry mouth
Can also use
this one:
SALT
S = Skin
flushed
A = Agitation
L = Low-grade
fever
T = Thirst
"CATS" of "HYPOCALCEMIA"
C - Convulsions
A- Arrhythmias
T - Tetany
S - Spasms and
stridor
Mnemonic device for remembering questions to ask
emergency room admits:
Car? (Circumstances
of event)
Please
(precipitating events)
Listen
(location of event)
To this: (Time
of event)
Watch (when
symptoms appeared)
Underage
(unconsciousness after injury?)
Alcoholics
(arrival time in ER)
Heading
(hospital admits previously?)
Home (previous
history/health status)
And
(allergies)
Maybe
(medications)
Flattening
(fears for safety)
My (meal, time
of last)
Poodle
(period, time of last menstrual)
Dog (primary
doctor, name and location of)
Tonight
(tetanus, date of last immunization)
Everyone knows
to make the ABCD (airway breathing
circulation and neurologic disability) assessment first. Then as soon as
possible, further assessment/intervention
is done, which includes:
His (health
history)
Head (head to
toe assessment) Is (insert monitoring devices -- caths, ECG, arterial lines) So
(splints for fractures)
Wide (wound
care)
Olivia (other
interventions)
The pathophysiology of ARDS:
Assault on the
respiratory system
Respiratory
distress
Decreased lung
compliance
Severe
respiratory failure
Diagnostic criteria of ARDS
Acute onset
Ratio (paco2/fio2)
less than 200mm Hg
Diffuse
infiltration
Swan-Ganz
wedge pressure
(PAWP) less
than 18 mm hg
Complications of thrombolytic therapy: The 3 B's
Bleeding
Brady's
(dysrhythmias)
Bloodclots
(d/t excessive thrombin)
Complications of cardiopulmonary bypass (CPB): The 3
H's
Hypothermia
(to decrease O2 consumption)...Effects SVR (vasoconstriction) and causes
myocardial depression (decreases contractility)
Hemodilution
(to improve macrocirculation)...fluid shifting (third-spacing), e-lyte
imbalances (K+, Mg+ & Ca++ often need replacing!)
Heparinzation
(to prevent clots in circuit)...monitor aptt.
Signs and symptoms of cardiac tamponade (Beck's
Triad): The Three D's
Distant heart
sounds
Distended
jugular veins Decreased pulse pressure (think of a narrow pulse pressure as
opposed to a wide one)
Atrial Arrhythmias: ABCDE
Adenosine/amiodorone
or anticoagulate (if Afib/Flutter has been present more than 48h)
Beta blockers
Calcium
channel blockers
Digoxin
Electrocardiovert
(if less than 48h )
For ventricular arrhythmias: AL
Amiodorone
Lidocaine
NSAID Drugs
N - Naproxen
S -
Salicylates
A - Advil
I - Ibuprofen
D - Diclofenac
S - Sulinclac
8 A's for Hepatotoxic Drugs (Check SGPT/SGOT)
Antituberculosis
Anticonvulsant
S - sodium
Luminal
G - gabapentin
P - phenytoin
T - tegretol
Anticancer
Aspirin
Alcohol
Antifamily
(contraceptice pills)
Acetaminophen
Aflatoxins
Parkinson's Medications: "Ali Loves Boxing
Matches"
A-Amantadine
L- Levodopa
B-
Bromocriptine
M-MAO
inhibitors
The 4 H's that invalidate a neuro exam:
Hypotension
Hypoxia
Hypoglycaemia
Hypothermia
Pinpoint pupils: Drugs, drops & nearly dead
Drugs: opiates
Drops: meds
for glaucoma Nearly dead: damage in the pons area of the brainstem
Dilated pupils: Fear, Fits & Fast Living
Fear: panic,
extreme anxiety
Fits: seizures
Fast Living: cocaine, crack, phencyclidine (PCP)
ADLs (Activity of Daily Living) BATTED
B-athing
A-mbulation
T-oileting
T-ransfers
E-ating
D-ressing
IADLS (Instrumental Activities of Daily Living) SCUM
S-hopping
C-ooking and
Cleaning
U-sing
telephone or transportaiton
M-anaging
money and medications
Bleeding Precautions (RANDI)
R- Razor
Electric/ Blades
A-Aspirin N-
No needles (esp. In small gauge)
D- Do decrease
in needle sticks)
I - Injury
(Protect from)
Common Causes of Transient Incontinence (DIAPPERS)
D-elirium
I-nfection
A-trophic Urethra
P-harmaceuticals
P-sychologic
E-xcess Urine
Output
R-estricted
Mobility
S-tool
Impaction
Promotion of Normal Elimination (POOPER SCOOP)
P-osition
O-utput
O-ffer Fluids
P-rivacy
E-xercise
R-eport
Results
S-ize (Amount)
C-onsistency
O-ccult Blood
O-dor
P-eristalsis
Emergency Trauma Assessment (ABCDEFGHI)
A-irway
B-reathing
C-irculation
D-isability
E-xamine
F-ahrenheit
G-et Vitals
H-ead to Toe
Assessment I-ntervention
Trauma Surgery (AMPLE) after initial assessment
A-llergies
M-edications
P-ast Medical
History
L-ast Meal
E-vents
Surrounding Injury
6 P's of Dyspnea
P- Pulmonary
Bronchial
Constriction
P- Possible
Foreign Body
P- Pulmonary
Embolus
P-
Pneumothorax
P- Pump
Failure
P- Pneumonia
Lidocaine Toxicity (SAMS)
S-lurred
Speech
A-ltered
Central Nervous
System
M-uscle
Twitching
S-eizures
COMMENTS