Ace Your Medical-Surgical Nursing, 9th Ed., Lewis, Dirksen, Heitkemper & Bucher Classes and Exams with Picmonic: #1 Visual Mnemonic Study Tool for Registered Nurse (RN) Students

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Medical-Surgical Nursing, 9th Ed., Lewis, Dirksen, Heitkemper & Bucher | Registered Nurse (RN) School Study Aid

High Blood Pressure Response

Atria Release Atrial Natriuretic Peptide

Vasodilation

Antagonizes Aldosterone

Na+ and Water Excreted

1 min

Low Blood Pressure Response

Posterior Pituitary Releases Vasopressin

Vasoconstriction

Adrenal Cortex Releases Aldosterone

Increased Na+ and H2O Reabsorption

1 min

Alpha 1 Receptor

Gq Subunit

Increase Vascular Smooth Muscle Contraction

Increase Pupillary Dilator Muscle Contraction

Increase Intestinal and Bladder Sphincter Muscle Contraction

1 min

Alpha 2 Receptor

Gi Subunit

Decrease Sympathetic Outflow

Decrease Insulin Release

Decrease Lipolysis

Increase Platelet Aggregation

Decrease Aqueous Humor Production

2 mins

Beta-1 Receptor

Gs Protein Class

Increased Heart Rate

Increased Contractility

Increase Renin Release

Increased Lipolysis

44 secs

Beta-2 Receptor

Gs Protein Class

Increased Heart Rate

Increased Contractility

Bronchodilation

Increased Lipolysis

Increased Insulin

Increased Glycogenolysis

Increased Cellular Potassium Uptake

Increased Aqueous Humor Production

Vasodilation

Decrease Uterine Tone

2 mins

Hypertension Assessment

Essential Hypertension

Secondary Hypertension

Headache

Vision Changes

Nosebleed (Epistaxis)

Chest Pain

Syncope (Fainting)

Average 2 Sets, 2 Minutes Apart

After 2 or More Visits (within 1-4 weeks)

Take BP Both Arms

Common in African Americans

2 mins

Hypertension Intervention

Weight Reduction and Exercise

Diet Changes

Relaxation Techniques

Smoking Cessation

Medications

Encourage Self Monitoring

1 min

Hypertension Medications

Diuretics

ACE Inhibitors

Angiotensin Receptor Blockers (ARBs)

Beta Blockers

Dihydropyridine Calcium Channel Blockers

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

Hydrochlorothiazide HCTZ

Inhibits Reabsorption NaCl and H₂O

Edema

Mild to Moderate Hypertension

Hypokalemia

Hyponatremia

Dehydration

Hyperglycemia

Gout

Sulfa Allergy

Pregnancy and Breastfeeding

1 min

Ethacrynic Acid

Non-sulfa Drug

Phenoxyacetic Acid Derivative

Loop Diuretic

Inhibits Na+-K+-2Cl- Cotransporter

Thick Ascending Loop of Henle

Diuresis

Hypokalemia

Ototoxicity

Gout

2 mins

Nitroglycerin

Decreases Preload

Angina

Up to 3 doses q 5 mins

Headache

Hypotension

Viagra (Sildenafil)

Assess Blood Pressure

Protect From Light

Use Glass Bottle and Special Tubing

Gloves for Applying Topically

2 mins

Angiotensin II Receptor Blockers (ARBs)

Ends in "-sartan"

Blocks Angiotensin II Receptor

Hypertension

Angioedema

Renal Artery Stenosis

Pregnancy

1 min

Minoxidil (Loniten, Rogaine)

Vasodilates Arterioles

Severe Hypertension

Baldness

Reflex Tachycardia

Blood Volume Expansion

Hypertrichosis

Pericardial Effusion

Rash

Give with Beta Blocker and Diuretic

2 mins

Prazosin (Minipress)

-osin suffix

Selective Alpha-1 Receptor Blocker

Hypertension

Benign Prostatic Hyperplasia (BPH)

Nightmares

Orthostatic Hypotension

Tachycardia

Priapism / Inhibition of Ejaculation

Nasal Congestion

First Dose Effect

Administer at Bedtime

2 mins

Hydralazine (Apresoline)

Severe Hypertension

CHF

Reduced Afterload

Pregnancy

Vasodilates Arterioles

Drug-induced Lupus

Reflex Tachycardia

Hypotension

Combined with Diuretic and Beta Blocker

1 min

Nitroprusside

Direct Release of NO

Increase cGMP

Short Half-Life

Malignant Hypertension

Cyanide Toxicity

1 min

Monoamine Oxidase Inhibitor (MAOI) Contraindications

Wine and Cheese

Hypertensive Crisis

Serotonin Drugs

Serotonin Syndrome

1 min

Tyramine Containing Foods

Aged Cheeses

Pepperoni

Pickled Foods

Wine

49 secs

Eclampsia

Increased Central Nervous System Irritability

Hyperreflexia

Positive Ankle Clonus

Headaches

Visual Disturbances

Epigastric or RUQ Pain

Seizures

Coma

Don't Leave Bedside

Magnesium Sulfate

2 mins

Severe Preeclampsia

Vasospasm and Decreased Organ Perfusion

Intravascular Coagulation

Increased Permeability and Capillary Leakage

Hypertension

Proteinuria or End-Organ Dysfunction

Hepatic Dysfunction and Hemolysis

Elevated Liver Enzymes

Low Platelet Counts

3 mins

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