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Ep31 Appendicitis (PAINS)

PAINS Pain (RLQ) – pain in the right lower quadrant of the abdomen Anorexia – loss of appetite Increased temperature, WBC (15,000-20,000) Nausea Signs (McBurney’s,

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Ep30 Arterial Blood Gases (Rome)

ROME Respiratory Opposite Metabolic Equal pH pCO2 HCO3 Metabolic acidosis Low Normal Low Equal Metabolic alkalosis High Normal High Equal Respiratory acidosis Low High Normal

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Ep28 Alzheimer (5 As)

The 5 A’s Amnesia – loss of memories Anomia – unable to recall names of everyday objects Apraxia – unable to perform tasks of movement

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Lactulose: Kristalose (laxative)

Generic Name lactulose Trade Name Kristalose Indication Constipation, portal-systemic encephalopathy Action draws water into the stool and softens stool, inhibits ammonia passing into the colon

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Ep25 Steroids (6 S’s)

6 S’s Sugar – hyperglycemia Soggy Bones – causes osteoporosis Sick – decreased immunity Sad – depression Salt – water and salt retention (hypertension) Sex

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Ep24: Traction (TRACTION)

TRACTION Temperature (Extremity, Infection) Ropes hang freely Alignment Circulation Check (5 Ps) Type & Location of fracture Increase fluid intake Overhead trapeze No weights on

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Ep19: ECG Lead Placement (BEEP)

White – right Clouds over grass (white over green) Smoke over fire (black over red) Chocolate on the stomach (brown) BEEP Bleeding gums Epistaxis (nose

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Hydralazine: Apresoline (anti-hypertensive)

Generic Name hydralazine Trade Name Apresoline Indication hypertension Action arterial vasodilation by unclarified mechanism Therapeutic Class anti-hypertensive Pharmacologic Class vasodilator Nursing Considerations may cause tachycardia,

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Heparin: Hep-Lock (anticoagulant)

Generic Name heparin Trade Name Hep-Lock Indication Venous thromboembolism prophylaxis and treatment, low dose used to ensure patency of IV catheters Action increases the inhibitory

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Haloperidol: Haldol (Antipsychotic)

Generic Name haloperidol Trade Name Haldol Indication Schizophrenia, mania, aggressive and agitated patient Action Alters the effect of dopamine Therapeutic Class Antipsychotic Pharmacologic Class butyrophenones

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Ep7: Hyponatremia (SALT LOSS)

SALT LOSS Stupor/coma Anorexia, N&V Lethargy Tendon Reflexes decreased Limp muscles (weakness) Orthostatic hypotension Seizures/headache Stomach cramping

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Furosemide: Lasix (diuretics)

Generic Name Furosemide Trade Name Lasix Indication edema, hypertension Action prevents reabsorption of sodium and chloride in the kidneys, increase excretion of water, sodium, chloride,

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Ep3: Hyperkalemia (MACHINE, MURDER, AIRED)

Hyperkalemia Nursing Mnemonics The hyperkalemia MACHINE  Medications – ACE Inhibitors, NSAIDS, potassium-sparing diuretics Acidosis – Metabolic and respiratory Cellular destruction – burns, traumatic injury, hemolysis

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Aspartate Aminotransferase (AST)

Normal 12-37 U/L Indications Monitor progression of: Liver disease Response to treatments. Monitor liver toxic medications Description Aspartate aminotransferase (AST) is an enzyme primarily found

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