Hypoglacemia R OME Pulmonary Edema 5 P’s Circulatory Inflammation

T Tachycardia M Morphine Check L

I Irritability R Respiratory A Airway S
R estless O Opposite (Bronchodilator) P Pain H
E Excessive M Metabolic D Digitalis P Paresthesia A
Hunger E Equal P Paralysis R
D Diaphoresis D Diuretics P Pulse
Depression O Oxygen P Pallor
G Bloog Gasses
(ABG’s)
Bleeding During OB Non-Stress Test Assessment Test for Severe pre- Post-partum
Preganancy 3 Negatives in a row fetal Well-being eclampsia Assessment
A Abruption to interprest results H Hemolysis B Breast
Placenta of non-stress test A Amniocentesis E Elevated U Uterus
L Liver function B Bowel
P Placenta Previa L L/S Ration
test B Bladder
E Ectopic N Non-reactive O Oxytocin Test L Low L Lochia
Preganancy N Non-stress is N Non-stress test P Platelet E Episiotomy
A Abortion N Not good E Estriol Level C Count H Hemorrage
Evaluation of Gluten Free Diet Acid Ash Diet for UTI Ear Drops Inflammation
Episiotomy Administration
R Rye P Plums H Heat
R Redness O Oats C Cranberries Adult: Up I Induration
Pull ear back and
E Edema W Wheat P Prunes P Pain
up for Adult
E Eccymosis E Edema
D Discharge Child: Down R Redness
D Drainage Pull ear back and
A Approximation down for Child
Mngt of HPN Auscultating Heart Preload and After Load CHF CHF
Sounds Preload Left Right
-Volume coming into -Paroxysmal
D Daily Weight -Fatigue
ventricles (end nocturnal dyspnea
II&O A Aortic diastolic pressure) -Increased
-Elevated
U Urine Output P Pulmonic Increased in: peripheral
pulmonary
R Response of BP E Hypervolemia, capillary wedge venous pressure
E Electrolytes To Tricuspid Regurgitation of pressure -Ascites
T Take Pulses Man Mitral Cardiac values -cough -enlarged liver
I Ischemic -crackles and spleen
episodes After Load -wheezes -distended
C Complications -Resistance-Left -blood tinged jugular veins
ventricle must sputum
CAD -anorexia and
overcome to circulate -restlessness
CRF complaints of GI
blood -confusion
CHF Increased in: distress
-orthopnea
CVA Hypertension, -swelling in
-tachycardia
Vasoconstriction -exertional hands and
-Increase after load dyspnea fingers
Increase cardiac work -cyanosis -dependent
load edema
Cyanotic Defects Acyanotic (L to R Abnormal Posturing Sprains and Traction
(R to L Shunt) Shunt) Strains
T Temperature
4T Patent Ductus (extremity infection)
Tetralogy of Fallot Arteriosus 1. Flexor Posturing R Rest R Ropes hang freely
Truncus Arteriosus Atrial Septal Defect (Decorticate) I Ice A Alignment
Transposition of Ventricular Septal * to the cord C Compression C Circulation check
(5 P’s)
the great vessels Defect E Elevation T Type & Location of
Tricuspid Atresia 2. Extensor Fracture
Fatigue Posturing I Increase fluid intake
S Squatting Murmur (Decerebrate) O Overhead trapeze
C Cyanosis Increase risk * Lot’s of E’s N No weights on bed
or floor
C Clubbing endocarditis
S Syncope CHF 3. Flaccid
Growth retardation
Hypernatremia Hyperkalemia (S/ Sx) Hyperkalemia Hypocalcemia Signs Minor
(Causes) Bleeding
You are Fried M Muscle weakness M Medications (ACE C Convulsions
F Fever(low), U Urine: oliguria, inhibitors, NSAID) A Arrhythmias B Bleeding gums
flushed skin anuria A Acidosis T Tetany E Ecchymoses
R Restless R respiratory (Metabolic, S Spasms and (bruises)
(irritable) distress Respiratory) stridor E Epistaxis (nose
I Increased fluid D Decreased cardiac C Cellular bleed)
retention and contractility destruction (burns, P Petechiae (tiny
increased BP E ECG Changes traumatic injury) purplish spots)
E Edema R Reflexes: H
(peripheral and Hyperreflexia/ Hypoaldosteronism/
pitting) areflexia (flaccid) hemolysis
D Decreased I Intake (excessive)
urinary output, N Nephrons (renal
dry mouth failure)
SALT E Excretion –
S Skin flushed impaired
A Agitation
L Low grade fever
T Thirst
Serum Sickness Cancer Assessment Respiratory Croup Neonatal
F Fever depression inducing Symptoms 3 S resuscitation
A Arthralgia C Change in bowel/ drugs steps:
R Rash bladder habit S Stridor Do What
Pediatricians Say
M Malaise A A sore that does S Sedatives and S Sublottic
To you, Or Be
not heal hypnotics swelling Inviting Costly
U Unusual bleeding/ T Trimethroprim S Seal-bark Malpractice
discharge O Opiates cough
T Thinkening or P Polymyxins D Drying
lump W Warming
I Indigestion P Positioning
O Obvious changes S Suctioning
in wart or mole T Tactile
stimulation
N Nagging cough or
O Oxygen
hoarseness of voice
B Bagging
I Intubate
endotracheally
C Chest
compressions
M Medication

Asthma Acute Pneumonia Risk Asthma: Management of RDS (Respiratory Lung Cancer:
Attack Factors INSPIRATION: acute severe Distress main sites for
5 Life Threatening I Immunosupression Syndrome in distant
“O-SHIT”
signs SHOCK: N Neoplasia Infants): Major metastasis
S Secretion retention
S Silent chest O Oxygen (high dose Risk factors BLAB:
P Pulmonary edema >60%)
H Hypotension I Impaired alveolar PCD B Bone
S Salbutamol (5mg via
O One third of macrophages oxygen-driven nebulizer)
(Primary Ciliary L Liver
best/ predicted R RTI prior H Hydrocortisone (or Dyskinesia- A Adrenals
PFR A Antiobiotics and prednisone) cause of RDS) B Brain
C Cyanosis cytotoxics I Ipratropium Bromide (if P Prematurity
K Confusion T Tracheal life threatening) C Cesarean
instrumentation T Theophylline (or
preferably aminophylline section
I IV drig abuse D Diabetic
if life threatening)
O Others (general
mother
debility, immobility)
N Neurologic
impairment of cough
reflex, (eg NMJ
disorders)
Pneomothorax Beta-1 Vs. Beta 2 Shortness of breath TB Antibiotics Auscultation
Symptoms: receptor differential: Crackles (rales)
P-THORAX “You only have 1 AAAA PPPP STRIPE “PEBles”:
heart and 2 lungs”: P Pneumonia
P Pleuritic pain
Beta 1: Primarily on A Airway obstruction ST Streptomycin E Edema of lung
T Trachea deviation
H Hyperresonance heart A Angina R Rifampicin B Bronchitis
O Onset (sudden) Beta 2: Primarily on A Anxiety I Isoniazid
R Reduced breath lungs A Asthma P Pyrizinamide
sounds (& dyspnea) P Pneumonia E Ethambutol
A Absent fremitus P Pneumothorax
X Xray shows P Pulmonary edema
collapse P Pulmonary
embolus
Drugs used for Kubler-Ross Stages
Viral Respiratory of Grieving:
Infections “Death Always
ARO: Brings Great
A Amantadine Acceptance”
R Rimantadine
O Oseltamivir D Denial
A Anger
B Bargaining
G Grieving
A Acceptance
Antidotes to Common Medications

Medications Antidotes
Acetaminophen acetylcysteine or mucomyst
Anticholinesterase atropine or pralidoxime
Anticholinergics physostigmine
Antifreeze: fomepizole ethanol
Benzodiazepines Romazicon (flumazenil)
Beta-Blocking Agents Glucagon, epinephrine
Ca++ Channel Blockers Ca+ chloride, glucagon
Carbon Monoxide (CO) hyperbaric, oxygen
Coumadin phytonadione or vitamin K
Cyanide amyl nitrite, sodium nitrite, or sodium thiosulfate
Cyclophosphamide mesna
Digoxin Digibind or Digoxin Immune Fab
Dopamine Rigitine
EPS(Extra Pyramidal Benadryl (diphenhydramine)
Symptoms)
Ethylene Glycol fomepizole
Fluorouracil leucovorin calcium
Heroin Narcan (naloxone) or nalmefene
Heparin protamine sulfate
Insulin Reaction IV glucose (D50)
Iron (Fe) deferoxamine
Lead edetate calcium disodium, dimercaprol, or succimer
Malignant Hyperthermia dantrolene
(MH)
Methanol ethanol
Methotrexate leucovorin calcium
Narcotics Narcan (naloxone) or nalmefene
Opioid Analgesics Narcan (naloxone) or nalmefene
Organophosphate (OPP) atropine, pralidoxime
Potassium (K) Insulin and glucose, NaHCO3, albuterol inhaler, or
Kayexalate(sodium polystyrene sulfonate)

Rohypnol Romazicon (flumazenyl)

TCA (tricyclic physostigmine or NaHCO3
antidepressants)
Tranquilizers-EPS symptoms Benadryl (diphenhydramine)
Tylenol acetylcysteine
Warfarin phytonadione or vitamin K
Those who are reviewing for major exams like the November 2008 Nurse Licensure Examination
are surely experiencing a significant amount of stress. While stress can be positive and motivate
examinees to some extent, excessive stress can affect their overall functioning negatively.

Stress, when left unmanaged, can result in alterations in sleep and eating patterns, lowered self-esteem,
mood changes, increased anxiety, frequent body aches, decreased ability to complete tasks, decreased
concentration, and memory impairment. So to avoid experiencing these symptoms, the task then, for
those who are reviewing for the November 2008 Nurse Licensure Examination (NLE), is to manage and
maintain stress at healthy levels. Here’s how:

Develop a relaxing ritual. If you are experiencing symptoms of stress, one way of managing it is by
starting your day with a relaxing ritual. You can do this by thinking of good memories such as a family
outing or your achievements in school, or by simply counting your blessings as soon as you wake up in the
morning. This early morning ritual will make you realize that you have accomplished a lot of things and
that you have a lot to be thankful for, leaving you with a warm feeling throughout the day.

Breathe deeply. Breathing deeply for 3 to 5 minutes for at least three times a day will help defuse stress.
It will help reduce tension and free your mind of distracting thoughts.

Take a walk. When you are feeling stressed out and can’t seem to concentrate on your review for the
November 2008 Nurse Licensure Examination, taking a brisk walk for 15 minutes will help you relax and
reduce anxiety. Physical activity such as brisk-walking will also improve your circulation and prevent body
aches, a manifestation of stress.

Listen to relaxing music. Whenever you feel tension and anxiety build up, put aside your review
materials for a few minutes and give yourself a mental break by listening to relaxing music. Soothing
music will help ease tension and will help you focus more as you get on with your review.

Pamper yourself. By now, you probably have spent months reviewing for the Nurse Licensure
Examination so you should at least give yourself enough time for rest and relaxation. You can use your
free time to catch up on much-needed sleep, meet some friends, attend a family gathering, have a
massage, read a book, or even watch a movie. Indulging yourself in these simple pleasures will help
reduce stress levels and help prevent burnout.

Surround yourself with cool colors. Come to think of it, colors like green and blue will help calm and
relax you. So whenever you get increasingly frustrated after long hours of self-study in preparation for the
November 2008 NLE, going to the park or staying in a room with light blue and green interiors will help
relieve stress
Visualize success. One way of relieving stress as you prepare for the November 2008 Nurse Licensure
Examination is by visualizing yourself actually attending the oathtaking ceremony as a registered nurse.
Engaging your mind in this relaxing activity will boost your confidence, reduce anxiety, and lower your
stress levels significantly.

Talk to a friend or a family member. As the nursing board exam date draws near, you will surely
experience increasing levels of stress. One way of defusing stress is by talking to a trusted person who
knows how to listen, is impartial, and understands that you just need to vent your frustration. Talking to
someone you trust about topics other than the November 2008 Nurse Licensure Examination will also
keep your mind off the exam for a while and calm your nerves.

Evaluate your progress each day. Before retiring each night (or day depending on your body clock),
evaluate your progress. Most of those who review for major exams like the November 2008 Nurse
Licensure Examination think that they haven’t covered a lot of materials yet. But the thing is, if only they
will take time to evaluate their daily progress, then they will know that they actually know more than they
think they do. Evaluating your daily progress as a habit that will help you realize that you have reviewed
well for the NLE this November and help reduce stress and anxiety in the process.

And lastly, pray. A lot of people read the Bible or recite their favorite Bible verse whenever they are
experiencing a lot of stress. If you believe in the power of prayer, then saying the Prayer to St. Joseph of
Cupertino or reading verses from the Bible will have a profound calming effect on you as you review for
the November 2008 Nurse Licensure Examination