1
Acronyms to Remember
• All People Eat Taco Meat
o Aortic Regurgitation – listen to 2nd intercostal
• VEAL CHOP MINE
o Variation deceleration cord compression Move patient side to side
o Early deceleration head compression Identify Labor progress
o Acceleration okay Nothing
o Late deceleration placental insufficiency execute actions immediately
• CWS (chips with salsa)
o Cane weak then strong
• COAL
o Cane opposite of affected leg
• If R is far from P, its first degree Heart Block
• If Ps and Qs don’t agree, you have a 3rd degree Heart Block
• RICE rest, ice, compression, elevate for tractions!
o 2 common types
▪ skin or skeletal
• For skeletal pin site care & manage weight
▪ Ice should be on for 30 min, then out of 30 min
• 6 P’s
o Pain
o Paresthesia (pins and needles)
o Pallor
o Pressure
o Paralysis
o pulselessness
Assessments to Remember
• To check Mcburney’s point – lower right side of stomach for appendicitis
• To asses for Liver Tenderness – palpate right upper quadrant
• To assess for venous thrombolytic event (VTE) – assess dorsiflexion and extension of the foot
o Homan’s sign
Medication to Remember
• Bronchodilator endings “terol”
o Beta agonist
o Promote beta system relax smooth muscles in body
▪ Causing bronchodilation & increased HR
▪ S/E increased myocardial
• 3 step plan for pain management
o Mild pain NSAIDs & acetaminophen (non-opioid)
, 2
o Moderate pain opioids (hydromorphone [morphine]) & combo (Vicodin, Percocet)
o Severe pain adjuvants (anti-seizure [Neurontin, gabapentin], SSRIs, marijuana)
▪ In this step, you are adding onto the pain regiment by trying to alternate the perception
of pain
, 3
• Opioid Agonist
o Hydromorphone
▪ Use: pain
▪ SE: Respiratory depression, nausea (makes everything low and slow)
• If RR depression occurs x<10 while on IV hydromorphone, stop hydromorphone
& contact the provider. Might need naloxone
• Insulins
o Long acting insulin (Detemire, Lantus)
▪ Indication: DM1 & DM2 (usually for surgery since they are NPO for a long time)
• Taken once a day at night, just like how pancreas does it
▪ SE: N/V, hypoglycemia
o Give in between meal snack before peak, because then risk for hypoglycemic
o Rapid Acting insulin (aspart)
▪ SE: hypoglycemia
▪ Give it 5-10 min prior to eating
Type Onset Peak Duration
Rapid 5-10 minutes
Short
Inter
Long 6-8 hours
• Oral Anti-diabetic (Reglan, Metformin)
o Indication: type 2 diabetic with good urinary system
o SE: Anorexia, nausea, diarrhea
▪ Hypoglycemia not an expected effect unless combined with other medication
▪ Tip: For Metformin, hold 2 days before and 2 days after IV contrast
• Risk for Lactic Acidosis [metabolic acidosis]
o Lactic acid is a metabolic acid
• If they have kidney problem, give Acetylcysteine (Mucomyst)
• Ergot Alkaloid (Methylergonovine)
o Indication: Postpartum bleeding (massive vasoconstrictors)
o SE: Nausea, headache, hypertension (vasoconstriction causes BP to go up)
▪ Risk for postpartum hemorrhage (boggy uterus) retained placenta, full bladder,
overstretched or overworked uterus (twins, many labor, long labor, injured), uterine
atony, impaired maternal clotting
• Intervention: fundal massage (Credes massage), check bladder and empty if
necessary, give oxytocin (IV, IM, breast feeding) or methylergonovine
o Do not give methylergonovine if they are hypertensive!
o CHECK labs! prostaglandins (prost-) as it causes massive smooth
muscle contracts like GI
o Last resort, hysterectomy
• Antineoplastic/Immunosuppressants (Methotrexate)
o Indication: RA, cancer, psoriasis, Crohn’s
▪ Works on rapidly dividing cells & lowers inflammation by decreasing those WBC action
, 4
• Anticonvulsant (Neurontin & pregablin)
o Indication: Partial seizures, neuropathic pain
Acronyms to Remember
• All People Eat Taco Meat
o Aortic Regurgitation – listen to 2nd intercostal
• VEAL CHOP MINE
o Variation deceleration cord compression Move patient side to side
o Early deceleration head compression Identify Labor progress
o Acceleration okay Nothing
o Late deceleration placental insufficiency execute actions immediately
• CWS (chips with salsa)
o Cane weak then strong
• COAL
o Cane opposite of affected leg
• If R is far from P, its first degree Heart Block
• If Ps and Qs don’t agree, you have a 3rd degree Heart Block
• RICE rest, ice, compression, elevate for tractions!
o 2 common types
▪ skin or skeletal
• For skeletal pin site care & manage weight
▪ Ice should be on for 30 min, then out of 30 min
• 6 P’s
o Pain
o Paresthesia (pins and needles)
o Pallor
o Pressure
o Paralysis
o pulselessness
Assessments to Remember
• To check Mcburney’s point – lower right side of stomach for appendicitis
• To asses for Liver Tenderness – palpate right upper quadrant
• To assess for venous thrombolytic event (VTE) – assess dorsiflexion and extension of the foot
o Homan’s sign
Medication to Remember
• Bronchodilator endings “terol”
o Beta agonist
o Promote beta system relax smooth muscles in body
▪ Causing bronchodilation & increased HR
▪ S/E increased myocardial
• 3 step plan for pain management
o Mild pain NSAIDs & acetaminophen (non-opioid)
, 2
o Moderate pain opioids (hydromorphone [morphine]) & combo (Vicodin, Percocet)
o Severe pain adjuvants (anti-seizure [Neurontin, gabapentin], SSRIs, marijuana)
▪ In this step, you are adding onto the pain regiment by trying to alternate the perception
of pain
, 3
• Opioid Agonist
o Hydromorphone
▪ Use: pain
▪ SE: Respiratory depression, nausea (makes everything low and slow)
• If RR depression occurs x<10 while on IV hydromorphone, stop hydromorphone
& contact the provider. Might need naloxone
• Insulins
o Long acting insulin (Detemire, Lantus)
▪ Indication: DM1 & DM2 (usually for surgery since they are NPO for a long time)
• Taken once a day at night, just like how pancreas does it
▪ SE: N/V, hypoglycemia
o Give in between meal snack before peak, because then risk for hypoglycemic
o Rapid Acting insulin (aspart)
▪ SE: hypoglycemia
▪ Give it 5-10 min prior to eating
Type Onset Peak Duration
Rapid 5-10 minutes
Short
Inter
Long 6-8 hours
• Oral Anti-diabetic (Reglan, Metformin)
o Indication: type 2 diabetic with good urinary system
o SE: Anorexia, nausea, diarrhea
▪ Hypoglycemia not an expected effect unless combined with other medication
▪ Tip: For Metformin, hold 2 days before and 2 days after IV contrast
• Risk for Lactic Acidosis [metabolic acidosis]
o Lactic acid is a metabolic acid
• If they have kidney problem, give Acetylcysteine (Mucomyst)
• Ergot Alkaloid (Methylergonovine)
o Indication: Postpartum bleeding (massive vasoconstrictors)
o SE: Nausea, headache, hypertension (vasoconstriction causes BP to go up)
▪ Risk for postpartum hemorrhage (boggy uterus) retained placenta, full bladder,
overstretched or overworked uterus (twins, many labor, long labor, injured), uterine
atony, impaired maternal clotting
• Intervention: fundal massage (Credes massage), check bladder and empty if
necessary, give oxytocin (IV, IM, breast feeding) or methylergonovine
o Do not give methylergonovine if they are hypertensive!
o CHECK labs! prostaglandins (prost-) as it causes massive smooth
muscle contracts like GI
o Last resort, hysterectomy
• Antineoplastic/Immunosuppressants (Methotrexate)
o Indication: RA, cancer, psoriasis, Crohn’s
▪ Works on rapidly dividing cells & lowers inflammation by decreasing those WBC action
, 4
• Anticonvulsant (Neurontin & pregablin)
o Indication: Partial seizures, neuropathic pain
