-
PAIN
- Priority / First
- Anticipate
- Intervene
- Next
-
ADPIE
- Assessment
- Diagnosis
- Planning
- Implementation
- Evaluation
-
CLAMIE
- check
- look
- ask
- monitor
- inspect
- evaluate
-
ABC
- Airway
- Breathing
- Circulation
-
6 P's of Circulation
- Pulselessness
- Pallor
- Parasthesia
- Pain
- Paralysis
- Pokliothermia
-
AWFERS
- Air
- Water
- Food
- Elimination
- Rest
- Socialization
- Hazards
-
PQRST
- P: what provokes pain?
- Q: what is the quality of the pain?
- R: does it radiate?
- S: what is the severity?
- T; what was the time of onset?
-
Left sided CVA
- slow cautiuos speech
- impaired function
- R hemiplagia
-
Right sided CVA
- quick impulsive
- neglects left side
- left hemiplagia
-
Oh Oh Oh To Touch And Feel A Girls Vagina So Heavenly
- I. Olfactory
- II. Optic
- III. Occulomotor (most eye mvmt)
- IV. Trochlear (eye mvmt inward and upward)
- V. Trigeminal (jaw and chewing)
- VI. Abducens (eye mvmt lateral)
- VII. Facial (mvmt and taste)
- VIII. Acoustic (hearing and balance)
- IX. Glossopharyngeal (taste on post 1/3 of tongue and gag reflex)
- X. Vagus (taste and palate sensation, talking, swallowing)
- XI. Spinal Accessory (mvmt of head, neck, shoulder)
- XII. Hypoglossal (mvmt of tongue -protruded)
-
IPPA
- Inspect
- Palpation
- Percussion
- Auscultation
-
IAPP
- Inspect
- Auscultation
- Percussion
- Palpation
-
KNIVES
- Kidney disorders
- Neuropathy
- Infection
- Vascular changes
- Eye damage
- Skin lesions
-
Hot and Dry
Glucose is high
-
Wet and clammy
give hard candy
-
Increase salty snacks with ABCL
- Addisons disease
- Burns
- Cystic Fibrosis
- Lithium
-
-
CAP
- Colchicine- decrease VitB12 absorp, diarrhea
- Allopurinol- Bone marrow depression
- Probenicid- nausea, rash, constip
-
V point up = elevate
Venous
-
A point down = keep dependent
Arterial
-
ELEVATED
- Exertion SOB
- Lack of Activity
- Early morn. H/A
- Vascular changes
- Anxiety increases
- Tired
- Epistaxis
- Diastolic pressure increases
-
RAT
- Right Atrium Tricuspid
- S/S in body - backs up to body
-
LAMB
- Left Atrium Mitral Bicuspid
- S/S in lungs causes resp. s/s
-
-
HOP
- Hydrate
- Oxygenate
- Pain relief
-
RANDI
- Razors electrical
- Aspirin NO!
- Needles small gauge
- Decrease sticks
- Injury Prevention
-
NOAH
- Nebulizer
- O2
- Antibiotic
- Hydrocortisone
-
CAUTION
- Change in bowel / bladder
- A sore throat that does not heal
- Unusual bleeding or discharge
- Thickening or lump
- Indigestion or difficulty swallowing
- Obvious change in wart oe mole
- Nagging cough or hoarseness
-
CANCER
- Chemotherapy
- Assess body image
- Nutritional needs
- Comfort
- Evaluate
- Rest
-
5 F's
- Fair
- Fat
- Female
- Forty
- Fertile
-
Damage to the cortex of brain
Decorticate - come to the core
-
Damage to the mid stem of brain
Decerebrate - E outward
-
-
-
OLD CART
- Onset of ss
- Location of ss
- Duration of ss
- Characteristics client used to describe ss
- Aggravating factors
- Relieving factors
- Tx received before arrival
-
-
-
5 H's
- HTN
- HA
- Hyperglycemia
- Hyperhydrosis
- Hypermetabolism
-
5 F's
- Fair
- Fat
- Female
- Forty
- Fertile
-
6 P's
- Pain
- Pallor
- Pulselessness
- Parasthesia
- Paralysis
- Pokliothermia
-
3 N's
- Non reactive
- Non stress is
- Not good
-
-
5 P's
- Passenger
- Passage
- Power
- Placenta
- Psyche of mother
-
-
-
GLAD SHOP
- Glomerulonephritis
- Lupus
- Analgesics
- DM
- Systemic vascular disease
- HTN
- Obstruction
- Polycystic Kidney disease
-
CATS
- Convulsions
- Arrythmias
- Tetany
- Spasms
-
-
STOP
- Stop Pitocin
- Turn on L side
- Oxygen
- Push IV fluids if hypovolemic
-
V - C
E - H
A - O
L - P
- Variable - Cord
- Early - Head
- Accelerations - OK
- Late - Placenta
-
BUBBLE HE
- Bladder
- Uterus
- Bowels
- Breasts
- Lochia
- Episiotomy
- Homan's Sign NO! Assess for DVT
- Emotions
-
PISSCAGE
- Psychomotor movemt
- Interest decreased
- Suicidal
- Sleep increase or decrease
- Concentration decreased
- Appetite decreased or increased
- Guilt
- Energy decreased
-
-
4 A's
- Affect
- Associative
- Ambivalence
- Autistic thinking
|
|
