Ace Your Medical-Surgical Nursing, 10th Ed., Lewis, Dirksen, Heitkemper & Bucher Classes and Exams with Picmonic: #1 Visual Mnemonic Study Tool for Registered Nurse (RN) Students

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Medical-Surgical Nursing, 10th Ed., Lewis, Dirksen, Heitkemper & Bucher | Registered Nurse (RN) School Study Aid

Postoperative Care

Head to Toe Assessment

Hemorrhage

Clotting

Pain

Dehiscence or Evisceration

Respiratory Complications

Paralytic Ileus

Infection

2 mins

Hypoxia (Early Symptoms)

Diaphoresis

Restlessness

Tachypnea

Dyspnea on Exertion

Tachycardia

Hypertension

Arrhythmias

Decreased Urine Output

Unexplained Fatigue

1 min

Hypoxia (Late Symptoms)

Cyanosis

Cool, Clammy Skin

Use of Accessory Muscles

Retractions

Hypotension

Arrhythmias

2 mins

Pulmonary Embolism Causes

FAT BAT Mnemonic

Fat

Air

Deep Vein Thrombosis (DVT)

Bacteria

Amniotic Fluid

Tumor

Hypercoagulable

Central Venous Lines

Immobilized

1 min

Pulmonary Embolism Assessment

Shortness of Breath (SOB)

Pleuritic Chest Pain

Tachypnea

Hemoptysis

Hypoxemia

Sudden Death

52 secs

Oxygen Delivery Methods

Nasal Cannula

Simple Face Mask

Non-Rebreather Mask

Venturi-Mask

Oxygen In Use Sign

No Electrical Sparks

Six Feet Away from Open Flames

Dry Nasal and Upper Airway Mucosa

Skin Irritation

Home Education

1 min

Patient Position Overview

Trochanter Roll

Trapeze Bar

Ankle-Foot Orthotic (AFO) Devices

Fowlers Position

Supine Position

Trendelenburg

Side-Lying Position

Prone Position

Sims' Position

Reposition q2 Hours/Prevent Skin Breakdown

Confirm Body Alignment

2 mins

Superficial Thrombophlebitis

IV Catheter Irritation

Erythema

Cord-like Vein

Edema

Remove IV Catheter

Elevate

Warm Compress

Rotate Sites Q3 Days

Aseptic Technique

2 mins

Venous Thromboembolism (DVT) Assessment

Venous Wall Inflammation caused by Thrombus

Tenderness

Edema

Warmth

Asymmetry

Could be Asymptomatic

Monitor for Pulmonary Embolism

58 secs

Hypokalemia

< 3.5 mEq/L

Muscle Weakness

Arrhythmia

U Wave

Ileus

Hyporeflexia

IV K+ Infusion at 5-10 mEq/hr

Give Orally with Food

Monitor Respiratory Status

3 mins

Anxiety Assessment

Increased Alertness

Heightened Perception

Perception Narrowed

Short Attention Span

Shaking

Ineffective Problem Solving

Automatic Behavior

Hyperventilation

Hallucinations

Inability to Function or Communicate

2 mins

Delirium

Rapid Onset

Reversible

Hallucinations

Decline in Cognition

Short Attention Span

Rapid Speech

Change in Activity Level

Mood Swings

2 mins

Alcohol Use Disorder Assessment (Formerly Alcohol Abuse Assessment)

CNS Depression

Wernicke-Korsakoff Syndrome

GI Distress

Cardiomyopathy

Pancreatitis

Cirrhosis

Immunosuppression

Sexual Dysfunction

Screening (Assessments)

3 mins

NSAIDs

Anti-inflammatory

Analgesic

Fever

Closure of Patent Ductus Arteriosus

Reversible Inhibition of COX-1 and COX-2

Block Prostaglandin Synthesis

Interstitial Nephritis

Gastric Ulcer

Renal Ischemia

1 min

Pain Assessment

Acute Pain

Chronic Pain

Onset

Provoking or Palliative

Quality

Radiation

Severity

Timing

Subjective Findings

Objective Findings

Reassessment of Pain

2 mins

Postoperative Fever

5 W's

Atelectasis

Pneumonia

Urinary Tract Infection from Catheter

Deep Vein Thrombosis (DVT)

Pulmonary Embolism

Infection

Drugs

2 mins

Local Anesthetic Overview

Minor Procedures

Epidurals

Blocks Na+ Channels

State Dependent

Combined with Vasoconstrictors

Infected Tissue Requires Higher Dose

Esters

Amides

Arrhythmias

Cardiotoxicity

1 min

Hypothermia Interventions

Remove From Environment

Remove Wet Clothing

Warm Clothing

Heated Blankets

Warm IV Solutions

Heated Oxygen

Warm Gastric Lavage

Warm Trunk BEFORE Extremities

2 mins

Fever

Flushed skin, warm to touch

Chills

Sweating

Change in LOC

Provide adequate fluids

Monitor Electrolytes and Fluid

Monitor vital signs, esp temperature

Remove excess clothing and blankets

Sponge bath with tepid water

2 mins

Wound Drainage Types and Devices

Serous

Serosanguineous

Sanguineous

Purulent

T-tube

Penrose

Jackson-Pratt (JP)

Hemovac

Record Drainage Amounts

Check Device Function

2 mins

I-SBAR-R

Identify

Situation

Background

Assessment

Recommendation

Readback

1 min

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