Professional Documents
Culture Documents
D-Diuretics (Lasix)
O- Oxygen
G- ases (Blood Gases ABG's)
• 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
• R- Rest
I - Ice
C - Compression
E- Elevation
• R- Redness
E- Edema
E - Ecchymosis
D - Discharge, Drainage
A - Approximation
• R- Redness
E- Edema
E - Ecchymosis
D - Discharge, Drainage
A - Approximation
S-ize (Amount)
C-onsistency
O-ccult Blood
O-dor
P-eristalsis
Arianne R. Reyes, BSN, RN
rnpedia042811
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
Arianne R. Reyes, BSN, RN
rnpedia042811
Trauma Surgery (AMPLE)
after initial assessment
• A-llergies
M-edications
P-ast Medical History
L-ast Meal
E-vents Surrounding Injury
• I - Isoproterenol
D - Dopamine
E - Epinephrine
A - Atropine Sulfate
F- Flight of Ideas
A- Activity Increase
S- Sleep Deficit
T - Talkative
Late Hypoxia:
B-radycardia
E-xtreme Restlessness
D-yspnea
Arianne R. Reyes, BSN, RN
rnpedia042811
Symptoms of Hypoxia (in Pediatrics) - FINES
• F-eeding difficulty
I-nspiratory Stridor
N-ares Flares
E-xpiratory Grunting
S-ternal Retractions
R-etractions
A-nxiety Increased
I-nspiratory Stridor
D-rooling
F-luids (decrease)
A-fterload (decrease)
S-odium restriction
T-est (Dig level, ABGs, K level)
Arianne R. Reyes, BSN, RN
rnpedia042811
DEMENTIA
• Make sure they don't have problems with:
• J- Judgment
A- Affect
M- Memory
C- Cognition
O- Orientation
• D- Denial
D- Dependency
D- Demanding
D- Destructive
D- Domineering
• R- Ruthless
A- Abusive
P- Personal
E- Experience
A-pathy, no emotion
B-ruised
U-nusual injuries
S-erious injuries
E-vidence of old injuries not reported
Arianne R. Reyes, BSN, RN
rnpedia042811
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
D=Digestive
I= Integumentary
C= Circulatory
E= Endocrine
R= Reproductive
U= Urinary
N= Nervous
S= Skeletal
Arianne R. Reyes, BSN, RN
rnpedia042811
Assistive devices -- Canes:
• C Cane
O Opposite
A Affected
L Leg
• S Salivation
L Lacrimation
U Urination
D Defication
• Pain,
• Pallor,
• Pulselessness,
• Parasthesia,
• Poikilothermia
O= optical
A= auditory
• AD - right ear
AS - left ear
AU - both ears
OD - right eye
OS - left eye
OU - both eyes
Arianne R. Reyes, BSN, RN
rnpedia042811
Mneumonic 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) Arianne R. Reyes, BSN, RN
rnpedia042811
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)
Arianne R. Reyes, BSN, RN
rnpedia042811
Parkinson's Medications: "Ali Loves Boxing
Matches"
• A-Amantadine
L- Levodopa
B- Bromocriptine
M-MAO inhibitors
• Hypotension
Hpoxia
Hypoglycemia
Hypothermia*
• Drugs: opiates
Drops: meds for glaucoma
Nearly dead: damage in the pons area of the
brainstem
Left=Left
A=Anterior Interventricular Artery
C=Circumflex Artery
Arianne R. Reyes, BSN, RN
rnpedia042811