Ray Michael Casupanan, RN, MANc

-mycin (AMINOGLYCOSIDE) -olol (BETA BLOCKER) -dipine (Ca CHANNEL BLOCKER) -thromycin (MACROLIDE) nitr/nitro- (ANTIANGINAL) -floxacin (FLUOROQUINOLONE) -tryptilene (TCA) -cycline (TETRACYCLINE) -bendazole (ANTIHELMINTHIC)-xetine/traline (SSRI) -zapine (ATYPICAL ANTI-PSYCHO -conazole (ANTIFUNGAL) -nidazole (ANTIPROTOZOAL) -tadine/mine (ANTIHISTAMINE) -statin (ANTILIPIDEMICS) -vir (ANTIVIRAL) -rin -coxib (SELECTIVE NSAID) (ANTICOAGULANT/ANTIPLATEL -sone/sterone (CORTICOSTEROID) -kinase (THROMBOLYTIC) -pam (ANTICONVULSANT) -cysteine/cisteine (MUCOLYTIC) -pril (ACE INHIBITOR) -hydroxide (ANTACID) -sartan (ANGIOTENSIN II BLOCKER) -prazole/-tidine (ANTISECRETORY)

ANTIDOTES:
BenzodiaZEpine toxicity = flumaZEnil FErrous sulfate toxicity = deFEroxamine ACETaminophen toxicity = ACETylcysteine NARCotic (Morphine) toxicity = NARCan/naloxone carbon monOXide toxicity = OXygen chOlinergic crisis thru neOstigmine, physOstigmine, or pyridOstigmine toxicity = atrOpine [P]rotamine sulfate = he[P]arin [F]ytomenadione = war[F]arin Potassium (K) toxicity = [K]ayexalate DIGoxin toxicity = DIGIbind MagneSIUM sulfate toxicity = calcIUM gluconate methotrexate = Leucovorine (mL) beta b[L]ocker toxicity = g[L]ucagon isoniaz[ID] toxicity = pyr[ID]oxine or vit.B6 lead (pronounced as LED) toxicity = EDta

SERUM ELECTROLYTES MNEMONICS: Mg-PKCasing Na Cla (THE MAGIC 5) 1.5 - 2.5 mg/dL ------ Mg (Magnesium) 2.5 - 4.5 mg/dL ------ P (Phosphate/Phosphorus) 3.5 - 5 mEq/L -------- K (Potassium) 4.5 - 5.5 mEq/L ------ Ca (Calcium) 135 - 145 mEq/L ----- Na (Sodium) 95-105 mEq/L -------- Cl (Chlorine)

HEMATOLOGY (MAGIC 5) 40-50 % ---------------- Hematocrit 15g/dL (12-18g/dL) ------- Hemoglobin 4.5-5.5 Million per cubic mm ----------- RBC 5-10 Thousand per cubic mm ----------- WBC 150-450 Thousand per cubic mm ------ Platelet OTHERS 1-2 mg/dL ------ Creatinine (Bente-sinco-sibente-uno) 2.5 to 7.1 mmol/L ----- BUN 7-25 mmHg ----- ICP 12-21 mmHg ----- IOP 80-120 mg/dL ----- Glucose

CARDIAC ENZYMES MNEMONICS:

Sobrang Toxic Talaga sa LMC!

[S]GOT/AST = [S]ometimes reliable (first used) [T]roponin I = [T]agal! ---> lasting duration is 7-10 days; very reliable [T]roponin T= [T]agal Talaga ----> lasts about 10-14days or more [L]actic Dehydrogenase = [L]ubos ang sakit ----> indicates myocardial injury causing "PAIN" due to lactic acid formation in anaerobic metabolism [M]yoglobin = [M]aaga ---> Earliest enzyme to appear: about 2 hours [C]K-MB = [C]onfirmatory/Definitive ----> specific to cardiac muscle injury

LIVER BIOPSY First: Wheres the liver? RIGHT TURN TO THE LEFT (to puncture the liver) TURN TO THE RIGHT (to pressure & prevent bleeding)
THORACENTESIS First: Where are the lungs? BACK (LATERAL-DORSAL PORTION) BEND TO FRONT / ORTHOPNEIC (to puncture the site) TURN TO THE UNAFFECTED (to AVOID pressure & promote healing) LUMBAR TAP/ PUNCTURE First: Where is the spine? BACK (MEDIAL-DORSAL PORTION) COIL TO THE SIDE (to puncture the site) FLAT POSITION (to pressure the site, prevent leaking, and promote healing)

VITAL SIGNS (ASSESSMENT) HYPOTACHYTACHY (early signs of shock) through bleeding (hypovolemic shock) through infection (septic shock) through myocardial ischemia (cardiogenic shock) through depressed neuro/brain stem (vasogenic shock) HYPERBRADYBRADY (early signs of Increased ICP) RR PRECAUTION (Narcotics/sedatives/magnesium sulfate) HR PRECAUTION (digoxin) TEMP PRECAUTION (clozapine)

ELECTROLYTE & HORMONE SYMBIOSES (RELATIONSHIPS) MAGNESIUM --- relaxes muscles (smooth, skeletal, and cardiac) CALCIUM --- constricts muscles (smooth, skeletal, and cardiac) POTASSIUM --- contracts heart muscles in small amount --- major intracellular electrolyte SODIUM --- absorbs water in large amount --- major extracellular electrolyte CALCITONIN --- protects the bone, reduces blood calcium PTH --- destroys the bone, elevates blood calcium GLUCAGON --- increases blood sugar INSULIN --- decreases blood sugar

SURGICAL ASEPSIS ----- Sterile (Postop wounds, Respiratory, Urinary) MEDICAL ASEPSIS ------ Clean (Infected wounds, Gastrointestinal, Skin) ELEVATION OF HOB ----- Respiratory (initial/immediate action) TURN TO SIDE ------- Vomiting/Drool/Respiratory (immediate) ELEVATE LEG ABOVE HEART ------- Promote venous circulation ELEVATE LEG AT LEVEL OF HEART ------- Promote arterial circulation RESTRICT FLUIDS --------- congested/edematous PROMOTE FLUIDS -------- fever/elimination of dye/waste/discharges ADMINISTER FLUIDS -------- severely dehydrated

Psychosexual Psychosocial
by S. Freud by E .Erikson

Piagets
Cognitive

Personal
Virtue

Play

Pulse

Pain

Pressures
(Fears and Anxiety)

Problems
(Common risks)

Point
(Focus)

Priority
(Nsg Care)

Phonetics
(Vocalization)

Newborn
(birth28days) ORAL Trust vs. Mistrust Sensorimotor stage WILL Parallel 90-110 HOPE Solitary 100-120 ------------------120 Harsh & shrill cry, Tremors of extremities, grimace ------Asphyxiation, Suffocation, Aspiration (ASA) ------Mother Nutrition Da-da, de-de, ma-ma, ya-ya 15mos 4-6 words 18mos >10 words 2-3yrs 300 words 4yrs 800 words 6yrs >1,500 words

Infant
(1mo-1yr)

Separation anxiety Fear of needles, thermometer, school (3yrs

old)

Toddler
(1yr-3yrs)

ANAL

Autonomy vs. Shame & Doubt

Guarding, tantrum

Burns, Poisoning, Drowning, Child abuse, Fractures (Shinbone) UTI, AGN, AGE, sibling rivalry, insomnia (bedtime) Scabies, Pediculosis, Tinea capitis, Tinea pedis, Fractures (Greenstick)

I (self)

Safety

Preschooler
(3yrs-6yrs)
PHALLIC

Initiative vs. Guilt

Preoperational thought stage

PURPOSE

Cooperative / Associative

80-100

Pain is believed as punishment

Fear of darkness, punishment, mutilation, castration, blood/wound Fear of Physical harm (dogs, snakes, spiders, and even bullies)

Family

Love (Appreciation)

Schooler
(6yrs-13yrs)

LATENT

Industry vs. Inferiority

Concrete operational thought stage

COMPETENCE

Competitive

70-100

Pain can be described

Teacher (School)

Family/ Society (Friends)

--------

Adolescent
(13yrs-18yrs)

GENITAL

Identity vs. Role Confusion

Formal operational thought stage

FIDELITY

60-100 (Nonathlete) 55-95 (Athlete)

Pain can be bargained

Fear of peer rejection

STD, MVA, Substance Abuse (SMS)

Peers

Image

--------

RA 9173----- Nursing Act of 2002 RA 7164----- Nursing Act of 1991

RA 9165----- Dangerous Drugs Act of 2002 RA 6425----- Dangerous Drugs Act of 1972 RA 10354--- RH Law RA 7160----- Local Government Code RA 7170----- Organ Donation Law RA 7305----- Magna Carta of Public Health Workers RA 7600----- Rooming-in and Breastfeeding Act RA 7875----- National Health Insurance Act of 1995 (PHILHEALTH)

PD 856---- Sanitation Code PD 825---- Anti-Garbage Disposal PD 651---- Birth registration by health worker within 30 days PD 603---- Child and Youth Welfare Code EO 51----- Milk Code

Ray Michael Casupanan, RN, MANc

A male client is admitted for the treatment of the syndrome of inappropriate antidiuretic hormone (SIADH), a disorder associated to excess level of ADH. Which nursing intervention is appropriate: a. Infusing IV fluids rapidly as ordered b. Encouraging oral fluid intake c. Restricting fluids d. Administering glucose as ordered

The nurse was preparing citicoline IV to a lethargic client with TIA. She then witnessed the client suddenly fell from the bed because the side rail wasn't placed properly. What is the initial action of the nurse: A. Write an incident report B. Call your senior nurse C. Ask what happened D. Assess the client for injury

Republic Act No. 9173, otherwise known as the Philippine Nursing Act of 2002 was implemented to define the scope of nursing practice, licensing requirements, and standards of nursing care. It also defines the powers and duties of the Board of Nursing (BON). Which of the following statements is NOT part of the BON's power and duty? a. Revoke certificates of registration for the practice of nursing b. Investigate nurse practitioners who were complained for unethical and unprofessional conduct. c. Close any school of nursing that is not meeting the expected standards of quality nursing education. d. Conduct the licensure examination for nurses.