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

Metabolic Acidosis Assessment

Decreased pH < 7.35

Decreased HCO3 < 22

Abdominal Pain

CNS Depression

Coma

Hypotension

Arrhythmias

Increased Respirations

Kussmaul Respirations

Flushed, Warm, Dry Skin

Muscle Weakness

2 mins

Hyperkalemia

> 5.0 mEq/L K+

Abdominal Cramps

Muscle Weakness

Diarrhea

Arrhythmia

Tall, Peaked T Waves

IV Calcium

Infusion of Glucose and Insulin

Loop or Thiazide Diuretics

Kayexalate

Dialysis

Prevention Education

2 mins

Insulin

Rapid Acting

Insulin Lispro (Humalog)

Insulin Aspart (Novolog)

Insulin Glulisine (Apidra)

Short Acting

Regular Insulin (Humulin R)

Intermediate Acting

Isophane NPH (Humulin N)

Long Acting

Detemir (Levemir)

Glargine (Lantus)

2 mins

Chronic Kidney Disease Early Symptoms Assessment

GFR < 60mL/min

Accumulation of Waste Products

General Malaise

Hypertension

Proteinuria

Hyperkalemia

Mineral and Bone Disorders

Neuropathy

2 mins

Chronic Kidney Disease Late Symptoms Assessment

Metabolic Acidosis

Severe Uremia

Arrhythmias

Edema

CNS Depression

Anemia

Oliguria

Pruritus

End Stage Renal Disease (ESRD)

GFR < 15mL/min

2 mins

Erythropoietin

Stimulates RBC Production

Chronic Renal Failure

Anemia

Increased Risk of Thrombosis

Pelvic and Limb Pain

Hypertension

Do Not Shake

Monitor Hemoglobin (Hgb) Weekly

May Accelerate Tumor Progression

2 mins

Hyponatremia

< 135 mEq Na+

Nausea and Vomiting

Decreased LOC

Confusion / Lethargy

Seizures

Assess Airway

Reduce Diuretic Dosage

Mannitol (Osmitrol)

Fluid Restriction

Hypertonic Solution (3% or 5% NaCl)

2 mins

Hypocalcemia

Muscle Spasms

< 8.5 mg/dL Ca2+

Decreased Bone Density

Tetany

Chvostek's Sign

Trousseau's Sign

Increased DTR

ECG Changes

QT Prolongation

Oral and IV Replacement of Ca2+

Seizure Precautions

2 mins

Parathyroid Gland

Blood Calcium Sensor

Parathyroid Hormone

Bone Resorption

Blood Calcium Increases

Vitamin D Activation

Calcium Absorption From The Small Intestine

1 min

Chronic Kidney Disease Interventions

Daily Weights

Strict I/O

Renal Diet

Strict Medication Regimen

Erythropoietin

Manage Hyperkalemia

Manage CKD-MBD

Dialysis

Kidney Transplant

2 mins

Hemoglobin

Hemoglobin Has Four Iron Hemes

Lots Of Hemoglobin In Red Blood Cells

High O2 Levels Increase O2 Binding

High Temperature Reduces O2 Binding

High CO2 Levels Reduce O2 Binding

Low pH Reduces O2 Binding

Myoglobin Binds Oxygen in Muscle

2 mins

Primary Hyperparathyroidism

Hypercalcemia

Kidney Stones

Osteoporosis

Arrhythmias

Increased Calcium and Decreased Phosphorus

Prevent Injury

Medication Education

Surgery

1 min

Therapeutic Diets

High Fiber

Low Residue (Fiber)

Low Sodium

Low Cholesterol

Diabetic

Renal

Dysphagia

Diet Education

2 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

Dialysis

Hemodialysis

Rapid Shifts of Fluid and Electrolytes

Disequilibrium Syndrome

Hypotension

NO BP IN ARM with Shunt or Fistula

Assess for Thrill and Bruit

Peritoneal Dialysis

Slow Process

Peritonitis

Loss of Protein

Hyperglycemia

3 mins

Low Blood Pressure Response

Posterior Pituitary Releases Vasopressin

Vasoconstriction

Adrenal Cortex Releases Aldosterone

Increased Na+ and H2O Reabsorption

1 min

Kidney Transplant

End Stage Renal Disease (ESRD)

Selective Candidacy

Close Compatibility

Immunosuppressants

Monitor for Rejection

Monitor for Infection

Monitor Urine Output

2 mins

Prednisone (Glucocorticoids)

Glucocorticoid

Inflammatory Conditions

Organ Transplant Rejection

Cataracts and Glaucoma

Cushing's Syndrome

Osteoporosis

Immunosuppression

Hyperglycemia

Ulcers

Adrenal Insufficiency

Taper Gradually

2 mins

Varicella (Chickenpox)

Varicella Zoster Virus (VZV)

Red Maculopapular Rash

Vesicles Ooze and Crust

Pruritus

Centripetal

Varicella Immunization

Skin Care to Minimize Itching

Isolate until Vesicles Crust

2 mins

Cytomegalovirus (CMV) TORCH

Nonspecific TORCH symptoms

Intrauterine Growth Restriction (Retardation)

Deafness

Microcephaly

Seizures

Periventricular Calcifications

Petechial Rash

Blueberry Muffin Rash

Chorioretinitis

Urine Viral Culture or PCR

2 mins

Acyclovir (Zovirax)

Guanosine Analog

Inhibits Viral Replication

Thymidine Kinase Activation

Herpes Simplex Virus (HSV)

Varicella Zoster Virus (VZV)

Headache

GI Distress

CNS Toxicity

Nephrotoxicity (Crystalline Nephropathy)

Prevents Recurrent Episodes

Slow IV Infusion

2 mins

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