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

Vancomycin

Inhibits Bacterial Cell Wall Synthesis

Serious Gram-Positive Infections

Nephrotoxicity

Ototoxicity

Red Man Syndrome

Thrombophlebitis

Culture Samples First

Infuse IV Over 60 Minutes

Take Around the Clock

2 mins

Clostridium difficile (Clostridioides difficile) Treatments

Oral Vancomycin

Fidaxomicin

Metronidazole

Stool Transplant

2 mins

Enema Administration

Tap Water/Soapsuds

Normal Saline

Hypertonic Solution

Medication

Oil Retention

Procedure Education

Wear PPE

Put Patient in Sims Position

Insert Tip

Start Flow Slowly

Stop With Discomfort

Potential for Vagus Response

2 mins

Severe Sepsis and Septic Shock Assessment

Microthrombi

DIC

Decreased Oxygen Saturation

Decreased WBC

Oliguria

High Output Heart Failure

Multiple Organ Failure

2 mins

Appendicitis Assessment

Obstruction of Appendix

Periumbilical Pain

RLQ Pain

Nausea/Vomiting/Anorexia

Increased White Blood Cells

Rebound Tenderness

Fever

Peritonitis

Sepsis

2 mins

Appendicitis Interventions

Appendectomy

Antibiotics

IV Fluids

No Enema or Laxative

Semi-Fowler's Position

Nasogastric Tube

Diet as Tolerated

Pain Management

Early Ambulation

2 mins

Gastroenteritis

Viruses

Bacteria

Food Intolerances

Flu-Like Symptoms

GI Distress

Bloody Stool

Oral Rehydration

Self-Limiting

Prevention

2 mins

Crohn's Disease Assessment

Diarrhea

5-6 per day

Cramping Abdominal Pain

Fever

Weight Loss

Malabsorption

Anemia

Obstruction

Fistulas

2 mins

Ulcerative Colitis Assessment

Cramping Abdominal Pain

Tenesmus

Bloody Diarrhea

Up to 10-20 / Day

Fever

Hemorrhage

1 min

Irritable Bowel Syndrome (IBS) Assessment

Abdominal Pain

Relieved by Defecation

Alternating Diarrhea and Constipation

Fatigue

Excessive Flatulence

Sensation of Incomplete Evacuation

Stressors

Food Intolerances

More Common in Women

Rule Out Other Disorders

2 mins

Irritable Bowel Syndrome (IBS) Interventions

Identify Triggers

Increase Fiber Intake

Probiotics

Anticholinergics

Tricyclic Antidepressants (TCAs)

Loperamide

Linaclotide

Tegaserod (Zelnorm)

Lubiprostone (Amitiza)

Alosetron (Lotronex)

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

Intussusception

Telescoping of Bowel Segments

Lead Point

Episodic Abdominal Pain

Diarrhea

Sausage-Shaped Mass

Red Currant Jelly Stools

Ultrasound/CT

Target Sign

More Common in Children

Rotavirus Vaccine Contraindicated

Air or Hydrostatic Enema

Surgical Reduction

3 mins

Types of Intestinal Obstruction

Adhesions

Hernia

Volvulus

Intussusception

Tumor

Mesenteric Artery Occlusion

Spinal Injury

Paralytic Ileus

2 mins

Intestinal Obstruction

Severe Abdominal Pain

Vomiting

High Pitched Bowel Sounds

Abdominal Distention

Increased Peristalsis

Absent Bowel Sounds

Paralytic Ileus

1 min

Colorectal Cancer Assessment

3rd Most Common Cancer

Change in Bowel Habits

Bowel Obstruction

Rectal Bleeding

Anemia

Weight Loss

Ascites

Colonoscopy

FOBT and FIT

2 mins

Colorectal Cancer Interventions

Surgical Colon Resection

Radiation

Chemotherapy

Bowel Cleansing

Screening

Colostomy

Dietary Consult

Body Image

3 mins

Colostomy Care

Wash with Warm Water

Cut 1/8 inch Around Stoma

Decreases Skin Irritation

Empty When 1/3 to 1/2 Full

Change 3-7 Days

Avoid Odor Causing Foods

Irrigate at Same Time

2 mins

Ileostomy Care

Antibiotics

Monitor Skin Breakdown

Drains Continuously

Fluid and Electrolyte Imbalance

Low Fiber Diet

2 mins

Diverticulosis and Diverticulitis Assessment

Outpouching

Inflamed Diverticula

Abdominal Pain

Abdominal Distention

Flatulence

Fever

Rectal Bleeding

Alternating Constipation and Diarrhea

Peritonitis

2 mins

Types of Hernias

Hiatal

Gastroesophageal Reflux Disease (GERD)

Inguinal

Men

Femoral

Women

Incisional

Umbilical

Strangulation

1 min

Diverticulosis and Diverticulitis Interventions

High Fiber Diet

Reduce Intra-abdominal Pressure

Stool Softeners

Exercise

Anticholinergics

Antibiotics

Bowel Resection

2 mins

Hernia Interventions

Reduce Intra Abdominal Pressure

Avoid Straining and Lifting

Open Mouth Sneezing

Excision

Herniorrhaphy

Hernioplasty

Scrotal Support

1 min

Celiac Disease

Intestinal Mucosa Damage

Ingestion Wheat, Barley, Rye

GI Distress

Steatorrhea

Weight Loss

Dermatitis Herpetiformis

Gluten-free Diet

Screening

2 mins

Therapeutic Diets

High Fiber

Low Residue (Fiber)

Low Sodium

Low Cholesterol

Diabetic

Renal

Dysphagia

Diet Education

2 mins

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