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

Graves' Disease Characteristics

Women 20-40 years old

Anti-TSH Receptor Antibodies

Ophthalmopathy

Exophthalmos

Hyperthyroidism

Goiter

Pretibial Myxedema

1 min

Graves' Disease Labs and Treatment

Decreased TSH

Increased T3

Increased T4

Radioactive Iodine Uptake (RAIU)

Beta blocker

Methimazole

Radioiodine Ablation

1 min

Transdermal Medication Administration

Patch or Disc

Directly on Skin of Arms, Chest, Upper Back

Avoids First Pass Metabolism

Sustained Administration of Medication

Clean Skin After Removal

Rotate Sites of Patches

Apply to Dry Skin

Avoid Shaved Skin

Avoid Heat

Nitro Effects Lost After 24 Hours

2 mins

Metformin (Glucophage)

Decrease Glucose Production

Increase Insulin Sensitivity

Type 2 Diabetes

Polycystic Ovary Syndrome (PCOS)

GI Distress

Decreased Appetite

Lactic Acidosis

IV Contrast

Limit Alcohol Consumption

2 mins

Hemoglobin A1c Lab Value

4-6%

1 min

Diabetes Assessment

Juvenile Onset

Absent Insulin Production

Ketosis Prone

Adult Onset

Insulin Resistance

Obesity

Onset During Pregnancy

Glucose Intolerance

Retinopathy

Peripheral Vascular Disease

Nephropathy

Neuropathy

2 mins

Pregnant Diabetic Patient Interventions

Increase Insulin then Decrease

Metformin

Nutrition

Exercise

Increase Insulin

More Likely to Develop Hypoglycemia than Hyperglycemia

Double or Quadruple Insulin

Early Delivery

Drastically Decrease Insulin

Monitor Neonate for Hypoglycemia

3 mins

Hyperglycemia

Insulin Resistance

Too Little Insulin/Medication

Infection/Illness

Corticosteroids

Elevated Blood Glucose

Polyphagia

Polydipsia

Polyuria

Hypotension

Fatigue/Drowsiness

1 min

Hypoglycemia Intervention

Mild to Moderate Hypoglycemia

Simple Carbohydrate (Oral Dextrose, Fruit Juice, Candies)

Complex Carbohydrate (Whole Grains, Vegetables)

Severe Hypoglycemia or Unconscious

50% Dextrose

Glucagon

Monitor Blood Glucose Q 10-15 Minutes

Give Small Meal After Intervention

Hypoglycemia Prevention

Encourage Self-Monitoring

3 mins

Hypoglycemia Assessment

Too much insulin

Decreased glucose

< 70 mg/dL

Change in LOC

Lethargic

Confusion and Irritability

Tremors

Diaphoresis

Tachycardia

Vision Changes

Weakness

Seizures

2 mins

Diabetes Interventions

Early Diagnosis

Insulin

Oral Hypoglycemics

Glucose Monitoring

Routine Exercise

Diabetic Diet

Monitor for Complications

Insulin Therapy

Diabetic Ketoacidosis (DKA)

2 mins

Mixing NPH and Regular Insulin for Injection

Verify Order

Roll NPH Insulin

Alcohol to Multiuse Vials

Inject Air into NPH Insulin (Cloudy)

Inject Air into Regular Insulin (Clear)

Withdraw Regular Insulin Units

Withdraw NPH Units

Verify with 2nd Nurse

Discard if Error

3 mins

Insulin

Rapid Acting

Insulin Lispro (Humalog)

Insulin Aspart (Novolog)

Insulin Glulisine (Apidra)

Short Acting

Regular Insulin (Humulin R)

Intermediate Acting

Isophane NPH (Humulin N)

Long Acting

Detemir (Levemir)

Glargine (Lantus)

2 mins

Diabetes Education

Self-Monitoring (Blood Glucose)

SubQ Injection Technique

Lifestyle Changes

Symptoms of Hyperglycemia and Hypoglycemia

Sick Day Care

Foot Care

Exercise Therapy

Medication

1 min

Glucagon (GlucaGen)

Increases Glucose

Hypoglycemic Emergency

Nausea and Vomiting

Reconstitute Powder

Consume Oral Carbohydrates

50% Dextrose IV (If No Effect)

2 mins

Oral Glucose Tolerance Test (OGTT)

Used for Diabetes Screening

Fasting State

Baseline

Normal < 100 mg/dL

30 and 60 Minutes

Normal < 200 mg/dL

120 Minutes

Normal < 140 mg/dL

2 mins

Glyburide and Glipizide (2nd Generation Sulfonylureas)

2nd Generation Sulfonylureas

Blocks Potassium Channels in Beta Cells

Stimulate Release of Insulin

Type 2 Diabetes

Hypoglycemia

More Potent

Beta Blockers Reduce Effects

Avoid Alcohol

Avoid Breastfeeding

2 mins

Hyperemesis Gravidarum

Excessive Vomiting

Significant Weight Loss

Dehydration

Hypotension

Electrolyte Imbalance

Antiemetics

Frequent Small Meals

IV Therapy

2 mins

Chlorpromazine (Thorazine)

Low Potency Antipsychotic

Schizophrenia

Hiccups

Sedation

Weight Gain

Orthostatic Hypotension

Anticholinergic Effects

QT Prolongation

Neuroendocrine Effects

Caution in Seizure Patients

Corneal Deposits

2 mins

Promethazine (Phenergan)

Histamine H1 Receptor Antagonist

Weak Dopamine Antagonist

Nausea and Vomiting

Motion Sickness

Respiratory Depression

Sedation

Anticholinergic Effects

Extrapyramidal Symptoms

Use Large Bore IV

Monitor for Tissue Necrosis

2 mins

Hyperthyroidism Assessment

Heat Intolerance

Exophthalmos

Warm, Moist Skin and Silky Hair

Tremors

Goiter

Diarrhea

Weight Loss

Tachycardia

Hypertension

Amenorrhea

Decreased TSH with Elevated Free T4

Radioactive Iodine Uptake (RAIU)

2 mins

Hyperthyroidism Interventions

Propylthiouracil (PTU)

Methimazole (Tapazole)

Iodine

Beta Blockers

Radioiodine Ablation

Thyroidectomy

Thyrotoxicosis

Post-Surgery Hypocalcemia

2 mins

Propylthiouracil (PTU) and Methimazole (MMI)

Hyperthyroidism

Inhibits Thyroid Peroxidase

PTU Blocks Peripheral Conversion of T4 to T3

Agranulocytosis

Skin Rash

Hepatotoxicity (PTU)

Teratogen (MMI)

1 min

Hypothyroidism Assessment

Weight Gain - Edema

Lethargy

Cold Intolerance

Bradycardia

Hypertension

Brittle Nails and Dry Skin

Constipation

Goiter

Prolonged Menses

Slowed Thinking

Decreased Free T4

Increased TSH

2 mins

Hypothyroidism Intervention

Levothyroxine (Synthroid)

Liothyronine (Cytomel)

Myxedema Coma

Lifelong Replacement Hormone

Monitor Vital Signs

Fluids and Fiber

Low Calorie, Low Fat Diet

Medication Education

No Switching Brands

2 mins

Levothyroxine (Synthroid)

Synthetic T4

Hypothyroidism

Thyrotoxicosis

Tremors

Heat Intolerance

Insomnia

Tachycardia

Do Not Use for Obesity

TSH Monitoring

2 mins

Phenylketonuria (PKU)

Autosomal Recessive Genetic Disorder

Enzyme Deficiency

Failure to Thrive

Irritability

Musty or Mousy Odor

Cognitive Impairment

Low Phenylalanine Diet

Low Protein Foods (Diet)

Avoid Aspartame

Sapropterin (Kuvan)

Guthrie Blood Test

2 mins

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