Ace Your Maternity and Women's Health Care, 12th Ed., Lowerdermilk, Perry, Cashion & Aldon, 2020 Classes and Exams with Picmonic: #1 Visual Mnemonic Study Tool for Registered Nurse (RN) Students

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Maternity and Women's Health Care, 12th Ed., Lowerdermilk, Perry, Cashion & Aldon, 2020 | Registered Nurse (RN) School Study Aid

Mitral Stenosis

Murmur Follows Opening Snap

Late Diastolic Murmur

Enhanced by Expiration

Low-Pitched Rumbling

Dilation of Left Atrium (LA)

Recurrent Attacks of Rheumatic Fever

2 mins

Cardiovascular Effects of Beta-Blockers

Cardiac Myocytes and Vasculature

Decrease cAMP

Decreases SA and AV Node Conduction Velocity

Lower Blood Pressure

Decrease O2 Consumption

Decreases Mortality Post-MI

2 mins

Systemic Effects of Beta-Blockers

Respiratory

Bronchoconstriction

Metabolic

Decreased Insulin

Decreased Glycolysis and Lipolysis

Eye

Reduces Intraocular Pressure

1 min

Urinary Tract Infection Prevention and Treatment

Shower after Sex

Urinate after Sex

Wipe front to Back

I and Os with Daily Weights

Increase Water Intake

Antibiotics

Avoid Caffeine

Dr Appointment in 2 Weeks

Void every 2 - 4 hours

2 mins

Iron (Ferrous Sulfate)

Ferrous Salts

Anemia

GI Distress

Nausea and Vomiting

Dark Stools

Take Between Meals

Liquid can Stain Teeth

Keep out of Reach from Children

Caution with GI Disorders

Avoid Antacids

3 mins

Oxytocin (Pitocin)

Increase Uterine Contractions

Labor Induction

Control Postpartum Hemorrhage

Uterine Rupture

Water Intoxication

Fetal Lung Immaturity

Cervix Not Ripened

Active Genital Herpes Infection

Use Lowest Dose

IV Pump

3 mins

PT/PTT Lab Values

Prothrombin Time (PT)

10-14 seconds

Activated Partial Thromboplastin Time (PTT or aPTT)

25-35 seconds

1 min

Calcium Channel Blockers (Verapamil and Diltiazem)

Slows AV Conduction

Angina Pectoris

Arrhythmias

Essential Hypertension

Bradycardia

Hypotension

Constipation

Peripheral Edema

Gingival Hyperplasia

Medication Education

2 mins

Beta Blockers

"-olol" suffix

Decreases Heart Rate and Contractility

Decreases Peripheral Vascular Resistance

Decreases Renin Release

Hypertension

Heart Failure

Angina Pectoris

Asthma and Heart Block Patients

Assess Blood Pressure and Heart Rate

Masking Signs of Hypoglycemia

Do Not Stop Abruptly

2 mins

Mitral Regurgitation

Holosystolic

Blowing Murmur

Loudest at Apex

Radiates toward Axilla

Louder by Squatting

Hand Grip

Expiration

1 min

Pregnant Cardiac Patient Assessment

Cardiac Decompensation

Frequent Cough

Dyspnea

Palpitations

Excessive Fatigue

Pulse > 100 bpm

Crackles

2 mins

Aortic Stenosis

Age-related Calcifications

Bicuspid Aortic Valve

Crescendo-decrescendo Murmur

Systolic Murmur

Ejection Murmur

Ejection Click

Radiates to Carotids and Apex

Pulsus Parvus et Tardus

Syncope

Helmet Cells

2 mins

Endocarditis Assessment

Infection of Inner Layer and Valves

Fever

Fatigue

New or Changed Murmurs

Roth's Spots

Splinter Hemorrhages

Janeway Lesions

Osler's Nodes

Heart Failure

Embolization

2 mins

Endocarditis Interventions

IV Antibiotics

4-6 Weeks

Anticoagulants

Good Hygiene

Closely Monitor

Antibiotic Prophylaxis

Dental Procedures

Invasive Procedures

1 min

INR Lab Value

0.8-1.2 Normal Range

Warfarin

2.0-3.0

1 min

Heart Failure Interventions

Echocardiogram

Invasive Hemodynamic Monitoring

High Fowler's Position

Oxygen

Advanced Airway

Diuretics

Beta Blockers

Angiotensin II Receptor Blockers (ARBs)

ACE Inhibitors

Digoxin (Lanoxin)

Pacemaker

2 mins

Pregnant Cardiac Patient Interventions

Monitor for Cardiac Decompensation

Stool Softener

Calcium Channel Blockers

ECG Monitor

Open Glottis Pushing

Pulmonary Artery Catheter

No Beta-Adrenergic Medications

Penicillin Prophylaxis

Stress on Heart

2 mins

Angiotensin-Converting Enzyme (ACE) Inhibitors

"-pril" Suffix

Block Renin Angiotensin-Aldosterone System (RAAS)

Hypertension

Heart Failure

Dry Non-productive Cough

Hypotension

Dizziness

Possible Hyperkalemia

Angioedema

Slowly Change Position

Do Not Stop Abruptly

2 mins

Digoxin (Lanoxin)

Increases Inotropy

Heart Failure

Atrial Fibrillation

Bradycardia

Fatigue

Heart Block

Heart Rate Below 60

Hypokalemia

Monitor for Toxicity and Visual Changes

Digibind

2 mins

Lidocaine

Blocks Na+ Channels

Ventricular Arrhythmia

Anesthetic

Paresthesias

Seizures

Respiratory Depression

Drowsiness

Anesthetic Effects Extended with Epinephrine

1 min

Sodium Nitroprusside (Nitropress)

Venous and Arterial Dilation

Hypertensive Crisis

Cyanide Toxicity

Thiocyanate Toxicity

Hypotension

Short Term Administration

Light Sensitive, Use Container

Continuous BP Monitoring

2 mins

Heparin (Unfractionated)

Suppresses Coagulation

Deep Vein Thrombosis (DVT)

Pulmonary Embolism

Hemorrhage

Heparin-Induced Thrombocytopenia (HIT)

Monitor aPTT

Preferred (Safe) During Pregnancy

Protamine Sulfate

2 mins

Warfarin (Coumadin)

Inhibits Clotting Factors

Atrial Fibrillation

Venous Thrombosis

Pulmonary Embolism

PT/INR Levels

Observe for Bleeding

Pregnancy

Vitamin K and Fresh Frozen Plasma

Prolonged Therapeutic Onset

Maintain Same Diet

2 mins

Methylergonovine (Methergine) and Ergotamine (Ergot Alkaloids)

Smooth Muscle Contraction

Vasoconstriction

Migraine

Postpartum Hemorrhage

Nausea and Vomiting

Severe Hypertension

Tachycardia

2nd Line Agent

2 mins

Terbutaline (Brethine)

Beta-2 Agonists

Asthma

Tocolytic

Tremor

Tachycardia

Pulmonary Edema

Hypokalemia

Hyperglycemia

2 mins

Sickle Cell Anemia Assessment

Hemoglobin S (Genetic Defect)

Sickle Shaped RBCs

Jaundice

Vaso Occlusive Crisis

Fever

Priapism

Severe Pain

Prominent in African Americans

May be Asymptomatic

Increased Risk of Infection

2 mins

Sickle Cell Anemia Interventions

Increase Hydration

Analgesics

Oxygen

Warm Compress

Bone Marrow Transplant

Hydroxyurea

Avoid High Altitudes

Prophylactic Antibiotics

Avoid Strenuous Exercise

Vaccines

3 mins

Asthma Assessment

Triggers (Cold air, Dander, Dust, Infection, Mold, Pollen, Smoke)

Shortness of Breath (SOB)

Tachypnea and Tachycardia

Wheezing

Diaphoresis

Accessory Muscles

Decreased Pulmonary Function Tests

2 mins

Asthma Implementation and Education

Oxygen

Corticosteroids

Ipratropium (Anticholinergic)

Albuterol

Inhaler/nebulizer

Pulse Oximetry

Pursed Lip Breathing

Carry Inhaler

Rinse Mouth after Inhaler

Identify Trigger (Cold Air, Dander, Dust, Infection, Mold, Pollen, Smoke)

2 mins

Cystic Fibrosis Assessment

Thickened Mucus

Recurrent Pulmonary Infections

Pulmonary Congestion

Pancreatic Insufficiency

Steatorrhea

Fat-Soluble Vitamin Deficiencies

Salty Taste to Skin

Meconium Ileus

Delayed Growth and Poor Weight Gain

2 mins

Cystic Fibrosis Interventions

Bronchodilators

N-Acetylcysteine (Mucolytics)

Inhaled Hypertonic Saline

Early Antibiotics

Dornase Alfa (Mucolytic Agent)

Postural Drainage with Percussion

Fat Soluble Vitamin Supplements

Pancreatic Enzymes with Every Meal

High Protein, High Calorie Diet

Added Dietary Salt

Glucose Monitoring

2 mins

Acute Respiratory Distress Syndrome (ARDS) Assessment

Damaged Alveolar-Capillary Membrane

Restlessness

Dyspnea

Refractory Hypoxemia

Decreased PaO2

Diffuse Pulmonary Infiltrates

Atelectasis

Pulmonary Hypertension

2 mins

Acute Respiratory Distress Syndrome (ARDS) Interventions

Closely Monitor Patient

ABG's (Arterial Blood Gases)

Oxygen

Assess for O2 Toxicity

Mechanical Ventilation

PEEP

Assess for Pneumothorax

Permissive Hypercapnia

High Mortality Rate

2 mins

Seizure Interventions

Maintain Airway

Side-lying Position

Support Head

Move to Floor

Benzodiazepines

Never Restrain

No Objects in Mouth

Document Details

2 mins

Seizure Precautions

Reduce Environmental Stimuli

Identify Triggers

Aura

Pad Side Rails

Bed Lowest Position

Oxygen and Suction Available

Monitor Therapeutic Drug Levels

2 mins

Carbamazepine (Tegretol)

Inactivates Na+ Channels

Seizures

Bipolar Disorder

Trigeminal Neuralgia

Nystagmus

Ataxia

Hepatotoxicity

Blood Dyscrasias

Water Retention

Stevens-Johnson Syndrome

Avoid Grapefruit Juice

2 mins

Phenobarbital (Barbiturates)

Barbiturate

Seizures

Ataxia

Paradoxical Excitement

Fatigue/Drowsiness

Monitor Plasma Levels

High Potential for Abuse

1 min

Phenytoin (Dilantin)

Blocks Na+ Channels

Tonic-clonic Seizures

Ataxia

Nystagmus

Sedation

Gingival Hyperplasia

Purple Glove Syndrome

Hirsutism

Rash

Anemia

Individualized Dosing

2 mins

Valproic Acid (Depakote)

Blocks Na+ Channels

Increases GABA Concentration

Tonic-clonic Seizures

Bipolar Disorder

Migraine Prophylaxis

Hepatotoxicity

Blood Dyscrasias

GI Distress

Tremor

Pancreatitis

1 min

Multiple Sclerosis Assessment

Nerve Fiber Demyelination

Motor Issues

Cerebellar Signs

Fatigue

Paresthesias

Spasticity

Urinary Incontinence

Optic Neuritis

Women Between 20-50 Years Old

Relapse and Remission of Symptoms

2 mins

Multiple Sclerosis Interventions

Corticosteroids

Interferon Beta

Dimethyl Fumarate (Tecfidera)

Fingolimod (Gilenya)

Mitoxantrone (Novantrone)

Natalizumab (Tysabri)

Increase Exercise

Identify Triggers

2 mins

Systemic Lupus Erythematosus (SLE) Assessment

Multisystem Inflammatory Disorder

Malar Rash

Discoid Rash

Arrhythmias

Arthritis

Hemolytic Anemia

Seizures

Glomerulonephritis

Periods of Exacerbation and Remission

Diagnosed by ANA (Anti-nuclear antibody assay)

2 mins

Systemic Lupus Erythematosus (SLE) Interventions

Avoid Sunlight

Glucocorticoids

Methotrexate

NSAIDs

Hydroxychloroquine

Azathioprine

Monitor for Renal Failure (ARF)

Manage Pain

2 mins

Myasthenia Gravis Assessment

Weakness with Muscle Use

Diplopia

Ptosis

Dysphagia

Difficulty Speaking

Fatigue

Cholinergic Crisis

Overmedicated

Myasthenic Crisis

Not Enough Medication

Respiratory Muscle Paralysis

2 mins

Cholecystitis Assessment

RUQ Pain

Referred Shoulder Pain

Clay Colored Stools

Jaundice

Nausea and Vomiting

Dyspepsia (Indigestion)

Fever

Increased WBCs

Fatty or Spicy Foods

Ultrasound

2 mins

Cholecystitis Causes

Gallbladder Inflammation

Female

Fair (Caucasian)

Fat (Obese)

Fertile (Pregnant)

Forty (Advanced Age Over 40)

Flatulence

2 mins

Cholecystitis Interventions

Supportive Therapy

Antibiotics

Low Fat Diet

NG Tube

Analgesics

Lithotripsy

Cholecystectomy

T Tube

2 mins

Pyelonephritis Assessment

Ascending Urethral Bacteria

Dysuria

Fever

Fatigue

Flank Pain

Costovertebral Tenderness

Nausea and Vomiting

1 min

Pyelonephritis Interventions

Urinalysis

NSAIDs

Antibiotics

Increase Fluid Intake

Avoid Catheterization

Urosepsis

1 min

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