Fundamental TopicsLab ValuesFluid & ElectrolytesAcid-BaseCardiovascular TopicsRespiratory TopicsNeurological TopicsMusculoskeletal TopicsGastrointestinal TopicsGenitourinary TopicsEndocrine TopicsImmune TopicsRenal TopicsNutrition RemindersTrauma RemindersOB RemindersMental Health Reminders

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FUNDAMENTAL TOPICS

Steps in the Nursing Process: ADPIE (A Delicious PIE)A-ssessmentD-iagnosisP-lanningI-mplementationE-valuaton

Activity of Daily Living: BATTEDB-athingA-mbulationT-oiletingT-ransfersE-atingD-ressing

Post-Operative Teaching: TCDB

T-urnC-oughD-eepB-breath

Bleeding Precautions: RANDIR-azor Electric/ BladesA-spirinN-o needles (esp. in small gauge)D-o decrease in needle sticks)I-njury (Protect from)

Nursing Care for Sprains and Strains: RICER-estI-ceC-ompressionE-levation

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TDCI (These Drugs Can Interact)T-heophylineD-ilantinC-oumadinI-osone (Erythromycin)

Pain Management: SAI�S-ubjective: Pain is whatever the patient states it is and it exists when the patient states it exists�A-ssessment: involves type, location, grading, length of time, description, etc�Interventions

Warning Signs of a Child Abuse/ Neglect: CHILD ABUSEC-hild's excessive knowledge on sex & abusive words

H-air growth in various lengthsI-nconsistent stories from the child & parent/sL-ow self-esteemD-epression

A-pathy, no emotionB-ruisedU-nusual injuriesS-erious injuriesE-vidence of old injuries not reported

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LAB VALUE REMINDERS

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FLUID & ELECTROLYTES

Electrolytes: PISOP-otassiumI-nsideS-odiumO-utside

Hyperkalemia Management: KINDK-ayexalate (orally/ enema)I-nsulin N-a HCO3D-iuretics (Furosemide & Thiazides)

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ACID-BASE BALANCE

Acid-Base: ROMER-espiratoryO-ppositeM-etabolicE-qual

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CARDIOVASCULAR TOPICS

5 P's of Circulatory ChecksP-ainP-aresthesiaP-aralysisP-ulseP-allor (Paleness)

Hypertension Nursing Care: DIURETICD-aily WeightI-ntake and Output (I & O)U-rine OutputR-esponse of BPE-lectrolytesT-ake PulsesI-schemic Episodes (TIA)C-omplications: 4C's

4 C's of Hypertension (Complications)C-oronary Artery DiseaseC-oronary Rheumatic FeverC-ongestive Heart FailureC-ardio Vascular Accident

Cyanotic Defects: 4 T'sT-etralogy of FallotT-runcus ArteriosusT-ransportation of the Great VesselsT-ricuspid Atresia

Immediate Treatment of a Myocardial Infarction Client: MONAM-orphineO-xygenN-itroglycerineA-spirin 325 mg

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Management of Myocardial Infarction: MONATASM-orphineO-xygenN-itrates (Nitroglycerin)A-spirin (ASA)T-hormbolyticsA-nti-CoagulantsS-tool Softeners

Treating CHF: UNLOAD FASTU-pright PositionN-itrates (in low dose)L-asixO-xygenA-minophyllineD-igoxin

F-luids (decrease)A-fterload (decrease)S-odium restrictionT-est (Dig level, ABGs, K level)

Right-Sided Heart Failure: HEADH-epatomegalyE-dema (Bipedal)A-scitesD-istended Neck Vein

Left-Sided Heart Failure: CHOPC-oughH-emoptysisO-rthopneaP-ulmonary Congestion (crackles/ rales)

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RESPIRATORY TOPICS6 P's of DyspneaP-ulmonary Bronchial ConstrictionP-ossible Foreign BodyP-ulmonary EmbolusP-neumothoraxP-ump FailureP-neumonia

Pulmonary Edema: MAD DOGM-orphineA-minophyllineD-igitalis

D-iuretics (Lasix)O-xygenG-ases (Blood Gases ABG's)

Symptoms of Hypoxia: RAT BEDEarly Hypoxia:R-estlessnessA-nxietyT-achycardia/ Tachypnea

Late Hypoxia:B-radycardiaE-xtreme RestlessnessD-yspnea

Symptoms of Hypoxia (in Pediatrics): FINESF-eeding difficultyI-nspiratory StridorN-ares FlaresE-xpiratory GruntingS-ternal Retractions

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Management of ASTHMAA-drenergics (Albuterol)S-teroidsT-heophyllineH-ydration (IV)M-ask (Oxygen)A-ntibiotics

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NEUROLOGICAL TOPICS

Cranial Nerve MnemonicO-n (Olfactory)O-ld (Optic)O-lympus (Oculomotor)T-owering (Trochlear)T-ops (Trigeminal)A-a (Abducens)F-in (Facial)A-and (Auditory/Vestibulocochlear)G-erman (Glossopharyngeal)V-iewed (Vagus)S-ome (Spinal Accessory)H-ops (Hypoglossal)

Cranial Nerve Mnemonics (Sensory, Motor or Both)S-omeS-ayM-arryM-oneyB-utM-yB-rotherS-aysB-ad B-usinessM-arryM-oney

Intracranial Pressure

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MUSCULOSKELETAL TOPICS

Care of Client in Traction: TRACTIONT-emperature (Extremity, Infection)R-opes hang freelyA-lignmentC-irculation Check (5 P's)T-ype & Location of fractureI-ncrease fluide intakeO-verhead trapezeN-o weights on bed or floor

Canes and Walkers: COALC-aneO-ppositeA-ffected L-Leg

Canes and Walkers: WWAL (Wandering Wilma's Always Late)W-alkerW-ithA-ffectedL-eg

Osteoporosis Risk Factors: ACCESSA-lcohol UseC-orticosteroid UseC-alcium lowE-strogen lowS-mokingS-edentary lifestyle/s

ACCESS leads to OSTEOPOROSIS

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GASTROINTESTINAL TOPICS

Promotion of Normal Elimination: POOPER SCOOPP-ositionO-utputO-ffer FluidsP-rivacyE-xerciseR-eport Results

S-ize (Amount)C-onsistencyO-ccult BloodO-dorP-eristalsis

GI Bleeding

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GENITOURINARY TOPICS

Common Causes of Transient Incontinence: DIAPPERSD-eliriumI-nfectionA-trophic UrethraP-harmaceuticalsP-sychologicE-xcess Urine OutputR-estricted MobilityS-tool Impaction

Prostate Problems are no...FUNF- FrequencyU- UrgencyN- Nocturia

ENDOCRINE TOPICS

Hypoglycemia: TIREDT-achycardiaI-rritabilityR-estlessE-xcessive HungerD-iaphoresis/ Depression

Cool and Clammy – Need some candyHot and Dry – Sugar high

3 P's of Diabetes Mellitus - Type 1 Signs & SymptomsP-olyuria (excessive urination)P-olydypsia (excessive thirst)P-olyphagia (excessive hunger)

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Exercise Guide for Diabetic Fitness: FITF-requency (3x per week)I-ntensity (60-80% of Maximal Heart Rate)T-ime (Aerobic Activity)

Insulin Regimen

Adrenal Gland Hormones: SSSS-ugar (Glucocorticoids)S-alt (Mineralcorticoids)S-ex (Androgens)

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IMMUNE TOPICS

Inflammation: HIPERH-eatI-ndurationP-ainE-demaR-edness

CANCER'S Early Warning Signs: CAUTION UPC-hange in bowel or bladderA-lesion that does not healU-nusual bleeding or dischargeT-hickening or lump in breast or elsewhereI-ndigestion or difficulty swallowingO-bvious changes in wart or moleN-agging cough or persisten hoarseness

U-nexplained weight lossP-ernicious Anemia

CANCER Interventions: CANCERC-omfortA-ltered Body ImageN-utritionC-hemotherapyE-valuate response to medsR-espite for caretakers

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RENAL TOPICS

Acute Renal Failure: PIP�P-rerenal: Reduced renal blood flow �I-ntrarenal: Acute tubular necrosis�P-ostrenal: Urinary tract obstruction**� Clinical Course: Prerenal and postrenal etiologies usually resolve quickly**Involves Oliguiric, diuretic and recovery phases

Chronic Renal Failure: PIGS�P-rogressiveI-rreversible loss of kidney function�G-FR < 60mL/min for 3 months�S-ystemic disease**� 80% of GFR lost before symptoms apparent

**� 90% nephron function lost before symptoms apparent**� Prognosis depends on: patient condition, age, and comorbidities

Dialyis: SOD�S-olutes and water move across the semipermeable membrane from the blood or dialysate into the dialysate or blood �O-smosis: movement of fluid from an area of lesser concentration to an area of higher concentration D-iffusion: movement of solutes from an area of greater concentration to a lesser concentration

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Dialysis - Who needs dialysis? (Check the vowels: AEIOU)A-cid-Base ProblemsE-lectrolyte ProblemsI-ntoxicationsO-verload of fluidsU-remic Symptoms

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NUTRITION REMINDERS

Eating Disorder: ANOREXIAA-menorrhea delayedN-o organic factors accounts for weight lossO-bviously thin but feels FATR-efusal to maintain normal body weightE-pigastric discomfort is commonX-symptoms (peculiar symptoms)I-ntense fears of gaining weightA-lways thinking of foods

Eating Disorder: BULIMIAB-inge eatingU-nder strict dieting L-acks control over-eatingI-nduced vomitingM-inimum of to binge eating episodes

I-ncrease/Persistent concern of body size/shapeA-buse of diuretics & laxatives

Findings of a Bulimia client: WASHEDW-eight loss of 15% of original body weightA-menorrheaS-ocial withdrawalH-istory of high activity & achievementE-lectrolyte ImbalanceD-epression/ Distorted Body Image

BRAT Diet (for severe dehydration)B-ananaR-iceA-ppleT-oasted Bread

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Gluten Free Diet: ROWR-RyeO-OatsW-Wheat

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TRAUMA REMINDERSEmergency Trauma Assessment: ABCDEFGHIA-irwayB-reathingC-irculationD-isabilityE-xamineF-ahrenheitG-et VitalsH-ead to Toe AssessmentI-ntervention

Trauma Surgery: AMPLE (after initial assessment)A-llergiesM-edicationsP-ast Medical HistoryL-ast Meal

E-vents Surrounding Injury

Complications of Trauma Client: TRAUMATICT-issue Perfusion ProblemsR-espiratory ProblemsA-nxietyU-nstable Clotting FactorsM-alnutritionA-ltered Body ImageT-hromboembolismI-nfectionC-oping Problems

Emergency Drugs to LEAN onL-idocaineE-pinephrineA-tropine SulfateN-arcan

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Lidocaine Toxicity: SAMSS-lurred SpeechA-ltered Central Nervous SystemM-uscle TwitchingS-eizures

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OB REMINDERSOB Non-Stress Test: NNN3 negatives in a row to interpret results of Non-Stress TestN-on reactiveN-on Stress isN-ot good

Severe Pre-Eclampsia: HELLPH-emolysisE-levatedL-iver function testsL-ow P-latelet count

Assessment Tests for Fetal Well-Being: ALONEA-mniocentesisL-L/S Ratio

O-xytocin TestN-on-Stress TestE-striol Level

Post-Partum Assessment: BUBBLEB-reastsU-terusB-owelsB-ladderL-ochiaE-pisiotomy/lateration/C-section incision

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MENTAL HEALTH REMINDERS5 A's to Alzheimer DiagnosisA-mnesiaA-nomiaA-praxiaA-gnosiaA-phasia

DEMENTIAMake sure they don't have problems with:D-rug and alcoholE-yes and earsM-etabolic and endocrine disordersE-motional disordersN-eurologic disordersT-umors and traumaI-nfectionA-rteriovascular disease

Assess Changes in Senile Dementia: JAMCOJ-udgmentA-ffectM-emoryC-ognitionO-rientation

Major Symptoms of a Manic Attack: DIG FASTD-istractibilityI-ndiscretionG-randiosity

F-light of IdeasA-ctivity IncreaseS-leep DeficitT-alkative

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Depression Assessment: SIGS-leep DisturbancesI-nterest DecreasedG-uilty Feelings

Outcome of Alcoholism: BADB-rain DamageA-lcoholic HallucinosisD-eath

5 D's of Behavioral Problems of AlcoholismD-enialD-ependencyD-emandingD-estructiveD-omineerin

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