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Study Plan for Test Taking for the NCLEX® designed for Bolivar Technical College

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Local Anesthesia

Local Anesthesia

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5 Local Anesthesia NCLEX Questions

Question 1 of 5

Based on the nurse’s knowledge of local anesthesia the nurse realizes that the type of local anesthesia is chosen by the provider with all of the following in mind except which of the following?

Surgical site

Desired action

Patient’s health status

Immunization status

Question 2 of 5

Based on the nurse’s understanding of local anesthesia which of the following clients would give concern for the procedure? Select all that apply.

34-year-old client with an allergy to lidocaine

88-year-old client with an allergy to bupivacaine

10-year-old client with an allergy to amoxicillin

45-year-old client with an allergy to penicillin

76-year-old client with an allergy to cephalexin

Question 3 of 5

The perioperative nurse who is monitoring the client during the procedure has a good understanding of signs and symptoms associated with local anesthesia including local anesthesia systemic toxicity. The nurse knows that which of the following are signs of this issue? Select all that apply.

Numbness of lips

Metallic taste

Bradycardia

Shivering

Tachycardia

Question 4 of 5

The preoperative nurse is preparing the client for surgery and the client asks you what will happen during surgery with local anesthesia. Which of the following is the best response by the nurse?

“You will be hooked up to monitors when you enter the operating room by the monitoring nurse. The nurse will watch your vital signs and make sure you are comfortable during the procedure”

“When you enter the operating room you will be given medication to make you go to sleep. The nurse anesthetist will place a breathing tube into your trachea to make sure you are ventilated”

“You will be hooked up to monitors when you enter the operating room, given sedative and pain medications while the monitor nurse makes sure you are stable”

“You will be given sedative and pain medications to make sure you do not know what is going on so the surgeon can operate”

Question 5 of 5

You are the preoperative nurse and you are getting your client ready for their procedure and realize the client does not understand that they are receiving local anesthesia when they say which of the following?

“Will the surgeon talk to me during the procedure?”

“I am so happy I will be asleep during this procedure”

“I’m glad I won’t feel anything”

“You will talk to me during the procedure, right?”

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Local Anesthesia (Picmonic)

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Outline

Overview

What is local anesthesia?
1. Administration of anesthetic agent
  1. Specific area
    1. Topical
    2. Local infiltration
      1. Injection
  2. Procedure specifics
    1. Short
    2. Surgical
    3. Diagnostic
    4. Therapeutic
2. Choice of local
  1. Chosen/administered by
    1. Surgeon or provider
  2. Based on
    1. Desired action
    2. Surgery site
    3. Potency potential
    4. Patient’s health status
3. Anesthesia team not present
  1. Patient conscious and aware
  2. Monitored by perioperative RN
Common medications
1. Topical agents
  1. Tetracaine
  2. Cocaine hydrochloride
  3. Lidocaine
2. Local infiltration
  1. Lidocaine
  2. Bupivacaine
  3. With or without epinephrine

Nursing Points

General

RN must have knowledge of
1. Monitoring equipment
2. Data interpretation
3. Local anesthetic drug specifics
  1. Recommended dose
  2. Duration of action
  3. Contraindications
  4. Desired effects
  5. Maximum dosage
  6. Adverse effects
Know facility policy
1. Local anesthesia process
2. Monitoring guidelines
3. Nurse to patient ratio
  1. One RN dedicated to patient
    1. Minimum

Assessment

Nursing considerations
1. Assess patient before
  1. Medical history
  2. Baseline vital signs
  3. Allergies
  4. Lab results
  5. Cooperativeness
    1. Ability to follow directions
2. Assess patient during
  1. Heart rate and reqularity
  2. Respiratory rate
  3. Blood pressure
  4. Oxygen saturation
  5. Pain level
3. Report changes to surgeon
4. After local procedure
  1. Provide postop instructions

Therapeutic Management

Local anesthesia systemic toxicity (LAST)
1. Signs/symptoms
  1. Tacchycardia
    1. Initially
  2. Bradycardia
    1. with increased toxicity
  3. Metallic taste
  4. Numbness tongue/lips
  5. Tinnitus
  6. Slurred speech
  7. Shivering
  8. Confusion
  9. Seizures
  10. Respiratory arrest
2. Notify provider/anesthesia team immediately

Nursing Concepts

Comfort
Patient-centered care
Safety

Patient Education

Teach patient
1. Expected sequence of events
  1. Before, during, after local anesthesia
2. Ask questions!

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Transcript

Hey guys! Today I am going to talk to you a little bit about local anesthesia!

Ok so what is local anesthesia? Local anesthesia is when a specific medication is applied either topically or infiltrated (injected) into a specific area of the body that needs to be operated on. Specifically local anesthesia will be used for shorter procedures for therapeutic or diagnostic reasons. Guys we would NOT be using local anesthesia to replace a heart valve! Be sure to check out the other lessons we have on general anesthesia and moderate sedation!

Ok so lets talk about some more of the local anesthesia specifics! The type of medication is going to be chosen and also administered by the provider which is typically the surgeon. They will choose the medication they want based on the site they are operating on, the desired result they want to see, and also the health of the patient. It’s super important to understand that the anesthesia team is NOT present during local anesthesia procedures. The patient will be monitored by a perioperative RN during the procedure who is specifically dedicated to this patient. There will also be another perioperative RN involved in the procedure with circulating responsibilities. Guys check out our lesson on perioperative nursing roles!

Ok so here are some examples of topical anesthetic agents, tetracaine, lidocaine, and also cocaine hydrochloride. A few injectable local anesthetic examples are lidocaine and bupivacaine and these can be with or without epinephrine. Epinephrine is often used to prolong the effects of the local anesthetic, decrease systemic absorption of the medication, and can also decrease bleeding because of its vasoconstriction properties. But guys epinephrine typically is not used in areas where there are small vessels like fingers, toes, nose for fear of lack of blood supply and tissue death. And take caution with epinephrine guys in patients with cardiac issues again because of its vasoconstricting properties.

Because the perioperative RN is responsible for monitoring the patient during the procedure with local anesthesia they must have knowledge of the equipment and how to interpret the data they are seeing. Also guys you are going to want to have an understanding of these drugs including the recommended dose, maximum dose, how long they are going to last in the patient, contraindications and signs of reactions.

So before the procedure you are going to want to know your patient’s medical history, after all they are having a surgery. Make sure you know what their baseline vital signs are so you have something to compare in the event of a reaction. Allergies are huge because we are administering specific medications and we certainly do not want to see any reactions in our patients. And this is super important, remember the patient is completely awake during local anesthesia so they need to be able to communicate and follow directions.

Ok how and what do we do when we are monitoring the patient? So remember we have our baseline vital signs as a starting point. We are going to continuously monitor our patient’s heart rate, respiratory rate, blood pressure, oxygen saturation, and of course pain level. The anesthetic agent should be making the procedure tolerable for the patient so guys if your patient is telling you they are having pain or can feel what is going on make sure to communicate that to the provider. And of course report any changes to the provider during the procedure.

So guys facilities can have different policies or guidelines regarding the local anesthesia process, nurse to patient ratio, and postoperative guidelines so make sure you check these out for your specific state and facility!

I wanted to mention a serious issue that can be seen with local anesthesia known as local anesthesia systemic toxicity or LAST. Although it’s rare you need to know it exists and how to recognize it. So if your patient starts complaining of a metallic taste in their mouth or numbness and tingling of their lips, LAST should come to mind. Also guys you might see tachycardia initially but then bradycardia with increased toxicity. Respiratory arrest can occur if this issue is not recognized. This is why monitoring the patient and communicating with them is critical. Notify anesthesia immediately if your patient is exhibiting any of these issues!

Ok so nursing concepts that are important are of course comfort, that is the reason for local anesthesia. Safety is huge because after all our patient is having surgery! In surgery we focus on one patient at a time so we can provide the best patient-centered care!

Ok so look at some key points! Local anesthesia is the application of an anesthetic agent to a specific area of the body so a procedure can occur comfortably for the patient. The provider picks the agent based on the desired action and surgery site and administers it. Local anesthetic agents are topical or injectable, common medications are lidocaine and bupivacaine. Before the administration of local anesthesia we want to have an assessment including medical history, allergies, mental status, vital signs. During the procedure one RN is dedicated specifically to monitoring the patient and will keep an eye on all vital signs and pain level. Remember that local anesthesia systemic toxicity is an issue that can occur where there are mental status changes, metallic taste in the mouth, shivering, numbness or tingling of the lips. Contact anesthesia immediately if any of these issues occur. Finally teach your patient what they can expect before, during, and after the local anesthesia with emphasis on the fact that the patient will be conscious the entire time during the procedure.

Okay guys I hope you enjoyed this lesson on local anesthesia! Make sure you check out all the resources attached to this lesson, as well as the rest of the lessons in this course. Now, go out and be your best self today. And, as always, happy nursing!

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Study Plan for Test Taking for the NCLEX® designed for Bolivar Technical College

Concepts Covered:

Study Plan Lessons

Nursing Care and Pathophysiology of COPD (Chronic Obstructive Pulmonary Disease)

12 Points to Answering Pharmacology Questions

ABGs Nursing Normal Lab Values

Care of the Pediatric Patient

Menstrual Cycle

Time Management

54 Common Medication Prefixes and Suffixes

ABG (Arterial Blood Gas) Interpretation-The Basics

Nursing Care and Pathophysiology of Acute Kidney (Renal) Injury (AKI)

Addisons Disease

Advance Directives

Computed Tomography (CT)

Family Planning & Contraception

Informed Consent

Vitals (VS) and Assessment

Alveoli & Atelectasis

Nursing Care and Pathophysiology for Cushings Syndrome

Macular Degeneration

Magnetic Resonance Imaging (MRI)

Preoperative (Preop)Assessment

Pressure Ulcers/Pressure injuries (Braden scale)

Therapeutic Drug Levels (Digoxin, Lithium, Theophylline, Phenytoin)

Nursing Care and Pathophysiology for Diabetes Insipidus (DI)

Nursing Care and Pathophysiology for Disseminated Intravascular Coagulation (DIC)

Essential NCLEX Meds by Class

Nursing Care and Pathophysiology of Glomerulonephritis

Growth & Development – Infants

Nursing Care and Pathophysiology for Herpes Zoster – Shingles

Isotonic Solutions (IV solutions)

Nursing Care and Pathophysiology of Osteoarthritis (OA)

Nursing Care and Pathophysiology for Pancreatitis

Preoperative (Preop) Education

6 Rights of Medication Administration

Cerebral Angiography

Growth & Development – Toddlers

Health Promotion & Disease Prevention

Hypotonic Solutions (IV solutions)

Nursing Care and Pathophysiology of Osteoporosis

Nursing Care and Pathophysiology for Peptic Ulcer Disease (PUD)

Preoperative (Preop) Nursing Priorities

Respiratory Acidosis (interpretation and nursing interventions)

Thrombocytopenia

Blood Transfusions (Administration)

Cardiovascular Angiography

Growth & Development – Preschoolers

Nursing Care and Pathophysiology for Hyperthyroidism

Hypertonic Solutions (IV solutions)

Integumentary (Skin) Important Points

Preload and Afterload

Respiratory Alkalosis

Nursing Care and Pathophysiology of Urinary Tract Infection (UTI)

Echocardiogram (Cardiac Echo)

Growth & Development – School Age- Adolescent

Nursing Care and Pathophysiology for Hypothyroidism

Legal Considerations

Metabolic Acidosis (interpretation and nursing diagnosis)

Performing Cardiac (Heart) Monitoring

Metabolic Alkalosis

The SOCK Method – Overview

The SOCK Method – S

The SOCK Method – O

Base Excess & Deficit

The SOCK Method – C

The SOCK Method – K

Basics of Calculations

Brief CPR (Cardiopulmonary Resuscitation) Overview

Critical Thinking

Gestation & Nägele’s Rule: Estimating Due Dates

Potassium-K (Hyperkalemia, Hypokalemia)

Nursing Care and Pathophysiology of Angina

Nursing Care and Pathophysiology for Appendicitis

Nursing Care and Pathophysiology for Asthma

Bloom’s Taxonomy

Nursing Care and Pathophysiology of Chronic Kidney (Renal) Disease (CKD)

Nursing Care and Pathophysiology of Diabetes Mellitus (DM)

Dimensional Analysis Nursing (Dosage Calculations/Med Math)

Environmental Health

Fire and Electrical Safety

General Anesthesia

Generalized Anxiety Disorder

Gravidity and Parity (G&Ps, GTPAL)

Levels of Consciousness (LOC)

Sodium-Na (Hypernatremia, Hyponatremia)

Nursing Care and Pathophysiology of COPD (Chronic Obstructive Pulmonary Disease)

Diabetes Management

Dialysis & Other Renal Points

Local Anesthesia

Nursing Care and Pathophysiology of Myocardial Infarction (MI)

Oral Medications

Pediculosis Capitis

Post-Traumatic Stress Disorder (PTSD)

Routine Neuro Assessments

What is the NCLEX?

Adjunct Neuro Assessments

Anatomy of an NCLEX Question

Chloride-Cl (Hyperchloremia, Hypochloremia)

Nursing Care and Pathophysiology of Diabetic Ketoacidosis (DKA)

Fundal Height Assessment for Nurses

Injectable Medications

Moderate Sedation

Oncology Important Points

Technology & Informatics

Nursing Care and Pathophysiology of Coronary Artery Disease (CAD)

Fall and Injury Prevention

Hyperglycaemic Hyperosmolar Non-ketotic syndrome (HHNS)

Nursing Care and Pathophysiology for Inflammatory Bowel Disease (IBD)

IV Infusions (Solutions)

Malignant Hyperthermia

Maternal Risk Factors

Complex Calculations (Dosage Calculations/Med Math)

Intracranial Pressure ICP

Mood Disorders (Bipolar)

Nursing Care and Pathophysiology for Ulcerative Colitis(UC)

Cerebral Perfusion Pressure CPP

Nursing Care and Pathophysiology for Crohn’s Disease

Isolation Precaution Types (PPE)

Paranoid Disorders

Personality Disorders

Cognitive Impairment Disorders

Eating Disorders (Anorexia Nervosa, Bulimia Nervosa)

Alcohol Withdrawal (Addiction)

Suicidal Behavior

Normal Sinus Rhythm

Physiological Changes

Post-Anesthesia Recovery

Red Blood Cell (RBC) Lab Values

Sickle Cell Anemia

Nursing Care and Pathophysiology for Acquired Immune Deficiency Syndrome (AIDS)

Nursing Care and Pathophysiology for Cholecystitis

Discomforts of Pregnancy

Nursing Care and Pathophysiology for Heart Failure (CHF)

Hemoglobin (Hbg) Lab Values

Nursing Care and Pathophysiology for Influenza (Flu)

Nursing Care and Pathophysiology for Multiple Sclerosis (MS)

Postoperative (Postop) Complications

Sinus Bradycardia

Nursing Care and Pathophysiology for Anaphylaxis

Antepartum Testing

Hematocrit (Hct) Lab Values

Nursing Care and Pathophysiology for Hepatitis (Liver Disease)

Sinus Tachycardia

Nursing Care and Pathophysiology for Tuberculosis (TB)

Nursing Care and Pathophysiology for Cirrhosis (Liver Disease, Hepatic encephalopathy, Portal Hypertension, Esophageal Varices)

Discharge (DC) Teaching After Surgery

Nutrition in Pregnancy

Nursing Care and Pathophysiology of Pneumonia

White Blood Cell (WBC) Lab Values

Atrial Fibrillation (A Fib)

Communicable Diseases

Platelets (PLT) Lab Values

Coagulation Studies (PT, PTT, INR)

Disasters & Bioterrorism

Nursing Process

Acute vs Chronic

Miscellaneous Nerve Disorders

Premature Ventricular Contraction (PVC)

What do you want me to know?

Duplicate Facts

Ventricular Tachycardia (V-tach)

Repeating Words

Ventricular Fibrillation (V Fib)

Denying Feelings

NCLEX® Question Traps

Albumin Lab Values

Maslow’s Hierarchy of Needs in Nursing

Outline Question Method (Note taking)

Nursing Care and Pathophysiology for Pelvic Inflammatory Disease (PID)

Benzodiazepines

Cholesterol (Chol) Lab Values

Drawing Pictures

Nursing Care and Pathophysiology for Hemorrhagic Stroke (CVA)

Nursing Care and Pathophysiology of Hypertension (HTN)

Ammonia (NH3) Lab Values

Artificial Airways

Nursing Care and Pathophysiology for Endometriosis

Nursing Care and Pathophysiology for Ischemic Stroke (CVA)

Airway Suctioning

Chorioamnionitis

Nursing Care and Pathophysiology for Menopause

Stroke Assessment (CVA)

Nursing Care and Pathophysiology for Cardiomyopathy

Gestational Diabetes (GDM)

Stroke Therapeutic Management (CVA)

Disseminated Intravascular Coagulation (DIC)

Stroke Nursing Care (CVA)

Ectopic Pregnancy

Nursing Care and Pathophysiology for Thrombophlebitis (clot)

Hydatidiform Mole (Molar pregnancy)

Gestational HTN (Hypertension)

Infections in Pregnancy

Preeclampsia: Signs, Symptoms, Nursing Care, and Magnesium Sulfate

Blood Urea Nitrogen (BUN) Lab Values

Overview of the Nursing Process

Creatinine (Cr) Lab Values

Fetal Development

Nursing Care and Pathophysiology for Hypovolemic Shock

Seizure Causes (Epilepsy, Generalized)

Nursing Care and Pathophysiology for Cardiogenic Shock

Fetal Environment

Seizure Assessment

Chest Tube Management

Nursing Care and Pathophysiology for Distributive Shock

Fetal Circulation

Seizure Therapeutic Management

Urinalysis (UA)

Nursing Care and Pathophysiology for Seizure

Glucose Lab Values

Process of Labor

Pediatric Gastrointestinal Dysfunction – Diarrhea

Hemoglobin A1c (HbA1C)

Mechanisms of Labor

Therapeutic Communication

Defense Mechanisms

Leopold Maneuvers

Fetal Heart Monitoring (FHM)

Nursing Care and Pathophysiology for Meningitis

Intussusception

Constipation and Encopresis (Incontinence)

Patient Positioning

Complications of Immobility

Prolapsed Umbilical Cord

Acute Otitis Media (AOM)

Placenta Previa

Abruptio Placentae (Placental abruption)

Urinary Elimination

Bowel Elimination

Precipitous Labor

Pain and Nonpharmacological Comfort Measures

Overview of Developmental Theories

Postpartum Physiological Maternal Changes

Bronchiolitis and Respiratory Syncytial Virus (RSV)

Postpartum Discomforts

Cystic Fibrosis (CF)

Congenital Heart Defects (CHD)

Intake and Output (I&O)

Defects of Increased Pulmonary Blood Flow

Blood Glucose Monitoring

Postpartum Hemorrhage (PPH)

Defects of Decreased Pulmonary Blood Flow

Obstructive Heart (Cardiac) Defects

Mixed (Cardiac) Heart Defects

Specialty Diets (Nutrition)

Enteral & Parenteral Nutrition (Diet, TPN)

Histamine 1 Receptor Blockers

Initial Care of the Newborn (APGAR)

Nephrotic Syndrome

Newborn Physical Exam

Body System Assessments

Histamine 2 Receptor Blockers

Newborn Reflexes

Cerebral Palsy (CP)

Renin Angiotensin Aldosterone System

Head to Toe Nursing Assessment (Physical Exam)

Meconium Aspiration

Transient Tachypnea of Newborn

Hyperbilirubinemia (Jaundice)

Spina Bifida – Neural Tube Defect (NTD)

ACE (angiotensin-converting enzyme) Inhibitors

Autism Spectrum Disorders

Attention Deficit Hyperactivity Disorder (ADHD)

Newborn of HIV+ Mother

Angiotensin Receptor Blockers

Calcium Channel Blockers

Cardiac Glycosides

Metronidazole (Flagyl) Nursing Considerations

Ciprofloxacin (Cipro) Nursing Considerations

Vancomycin (Vancocin) Nursing Considerations

Anti-Infective – Penicillins and Cephalosporins

Atypical Antipsychotics

Rubeola – Measles

Varicella – Chickenpox

Pertussis – Whooping Cough

Autonomic Nervous System (ANS)

Sympathomimetics (Alpha (Clonodine) & Beta (Albuterol) Agonists)

Parasympathomimetics (Cholinergics) Nursing Considerations

Parasympatholytics (Anticholinergics) Nursing Considerations

Diuretics (Loop, Potassium Sparing, Thiazide, Furosemide/Lasix)

HMG-CoA Reductase Inhibitors (Statins)

Magnesium Sulfate

Corticosteroids

Hydralazine (Apresoline) Nursing Considerations

Nitro Compounds

Nursing Care and Pathophysiology of Acute Kidney (Renal) Injury (AKI)

Addiction – Behavioral Problems Nursing Mnemonic (The 5 D’s)

Addisons Assessment Nursing Mnemonic (STEROID)

ADLs (Activity of Daily Living) Nursing Mnemonic (BATTED)

Adrenal Gland Hormones Nursing Mnemonic (The 3 S’s)

Airborne Precaution Diseases Nursing Mnemonic (MTV)

Alcoholism – Outcomes Nursing Mnemonic (BAD)

Alkalosis and Acidosis Nursing Mnemonic (Kick Up, Drop Down)

Altered Mental Status Nursing Mnemonic (AEIOU TIPS)

Alzheimer – Diagnosis Nursing Mnemonic (The 5 A’s)

Nursing Care and Pathophysiology for Anemia

Anion Gap Acidosis 1 Nursing Mnemonic (KULT)

Anion Gap Acidosis 2 Nursing Mnemonic (MUDPILES)

Anorexia – Signs and Symptoms Nursing Mnemonic (ANOREXIA)

Anticholinergics – Side Effects Nursing Mnemonic (4 Can’ts)

Aortic Aneurysm – Management Nursing Mnemonic (CRAM)

Aortic Aneurysm – Thoracic signs Nursing Mnemonic (PEE BADS)

Aortic Stenosis Symptoms Nursing Mnemonic (SAD)

Appendicitis – Assessment Nursing Mnemonic (PAINS)

ARDS causes Nursing Mnemonic (GUT PASS)

Arterial Blood Gases Nursing Mnemonic (ROME)

Assessment for Myasthenic Crisis Nursing Mnemonic (BRISH)

Assessment of a Burn Nursing Mnemonic (SCALD)

Assessment of Guillain-Barre Syndrome Nursing Mnemonic (GBS=PAID)

Asthma management Nursing Mnemonic (ASTHMA)

At Risk for Gout Nursing Mnemonic (MALE)

AVPU Mnemonic (The AVPU Scale)

Bacterial Endocarditis – Symptoms Nursing Mnemonic (Be Joan Of Arc)

Benzodiazepines Nursing Mnemonic (Donuts and TLC)

Beta 1 and Beta 2 Nursing Mnemonic (1 Heart, 2 Lungs)

Bleeding Complications (Minor) Nursing Mnemonic (BEEP)

Bleeding Precautions Nursing Mnemonic (RANDI)

Blood Type O Nursing Mnemonic (Universally Odd)

BPH Symptoms Nursing Mnemonic (FUN WISE)

Bulimia – Signs and Symptoms 1 Nursing Mnemonic (BULIMIA)

Bulimia – Signs and Symptoms 2 Nursing Mnemonic (WASHED)

Cancer – Early Warning Signs Nursing Mnemonic (CAUTION UP)

Cancer – Nursing Priorities Nursing Mnemonic (CANCER)

Canes Nursing Mnemonic (COAL)

Cardiac Valves Blood Flow Nursing Mnemonic (Toilet Paper my Ass)

Caring Licensed Practical Nurse Nursing Mnemonic (CLPN)

Causes of Anaphylaxis Nursing Mnemonic (Many Boys Love Food)

Causes of Chorioamnionitis Nursing Mnemonic (Pregnancies Are Very Interesting)

Causes of Dyspnea Nursing Mnemonic (The 6 P’s)

Causes of Labor Dystocia Nursing Mnemonic (Having Extremely Frustrating Labor)

Causes of Pancreatitis Nursing Mnemonic (BAD HITS)

Causes of Poor Gas Exchange Nursing Mnemonic (All People Can Value Lungs)

Causes of Postpartum Hemorrhage Nursing Mnemonic (4 T’s)

Causes of Renal Calculi Nursing Mnemonic (Patients Complain of Pain and Difficulty Urinating)

Chest Tube Assessment Nursing Mnemonic (Two AA’s)

CHF Treatment Nursing Mnemonic (UNLOAD FAST)

Child Abuse/Neglect – Warning Signs Nursing Mnemonic (CHILD ABUSE)

CHO, CHO, CHON Nursing Mnemonic (CHO, CHO, CHON)

Cholinergic Crisis – Signs and Symptoms Nursing Mnemonic (SLUDGE)

Circulatory Checks (5 P’s) Nursing Mnemonic (The 5 P’s)

Cirrhosis Complications Nursing Mnemonic (Please Bring Happy Energy)

Cleft Lip Repair – Post Op Care Nursing Mnemonic (CLEFT LIP)

Common Pathogens for UTI Nursing Mnemonic (KEEPS)

Common Signs of Parkinson’s Nursing Mnemonic (SMART)

Community Health Tool Nursing Mnemonic (MAP-IT)

Complications of Spinal Cord Injuries Nursing Mnemonic (ABCDEFG)

Complications of Thoracentesis Nursing Mnemonic (Patients Sometimes Bleed Internally)

Nursing Care and Pathophysiology for Heart Failure (CHF)

COPD management Nursing Mnemonic (COPD)

Cor Pulmonale – Signs & Symptoms Nursing Mnemonic (Please Read His Text)

Coronary Arteries – Location Nursing Mnemonic (I have a RIGHT to CAMP if you LEFT off the AC)

Cranial Nerve Mnemonic 01 Nursing Mnemonic (Olympic Opium Occupies Troubled Triathletes After Finishing Vegas Gambling Vacations Still High)

Cranial Nerve Mnemonic 02 Nursing Mnemonic (Oh Oh Oh To Touch And Feel Very Good Velvet AH!)

Cranial Nerve Mnemonic 03 Nursing Mnemonic (On Old Obando Tower Top A Filipino Army Guards Villages And Huts)

Crohn’s Morphology and Symptoms Nursing Mnemonic (CHRISTMAS)

Cushings Assessment Nursing Mnemonic (STRESSED)

Cyanotic Defects Nursing Mnemonic (The 4 T’s)

Decrease ICP Nursing Mnemonic (Craniums Excite Me)

Dementia Nursing Mnemonic (DEMENTIA)

Depression Assessment Nursing Mnemonic (SIGNS)

Diabetes Insipidus Nursing Mnemonic (DDD)

Nursing Care and Pathophysiology of Diabetes Mellitus (DM)

Diabetes Mellitus Type 1- Signs & Symptoms Nursing Mnemonic (The 3 P’s)

Diagnostic Criteria for Lupus Nursing Mnemonic (SOAP BRAIN MD)

Diarrhea – Treatment Nursing Mnemonic (BRAT)

Dissociative Disorders

Diverticulitis Complications Nursing Mnemonic (Please Fix His Abscess SOon)

DKA Treatment Nursing Mnemonic (KING UFC)

Drug Interactions Nursing Mnemonic (These Drugs Can Interact)

Drugs for Bradycardia & Low Blood Pressure Nursing Mnemonic (IDEA)

Drugs that Cause SJS Nursing Mnemonic (I C NASA)

Electrolytes – Location in Body Nursing Mnemonic (PISO)

Emergency Drugs Nursing Mnemonic (LEAN)

Environmental Health Assessment Nursing Mnemonic (I PREPARE)

Epiglottitis – Signs and Symptoms Nursing Mnemonic (AIR RAID)

Episiotomy – Evaluation of Healing Nursing Mnemonic (REEDA)

Evaluation of Irregular Moles Nursing Mnemonic (ABCDE)

Exercise Guidelines Nursing Mnemonic (FIT)

Factors That Can Put a Pregnancy at Risk Nursing Mnemonic (RIBCAGE)

Fetal Distress Interventions Nursing Mnemonic (Stop MOAN)

Fetal Wellbeing Assessment Tests Nursing Mnemonic (ALONE)

Fire Safety 1 Nursing Mnemonic (PASS)

Fire Safety 2 Nursing Mnemonic (RACE)

Flu Symptoms Nursing Mnemonic (FACTS)

GERD causes Nursing Mnemonic (Reflux Is Probably Mean)

Global Symptoms for Brain Tumors Nursing Mnemonic (HAS)

Gluten Free Diet Nursing Mnemonic (BROW)

Heart Failure – Right Sided Nursing Mnemonic (HEAD)

Heart Failure-Left-Sided Nursing Mnemonic (CHOP)

Heart Failure-Origin Nursing Mnemonic (Left – Lung|Right – Rest)

Heart Sounds Nursing Mnemonic (APE To Man – All People Enjoy Time Magazine)

HELLP Syndrome – Signs and Symptoms Nursing Mnemonic (HELLP)

Nursing Care and Pathophysiology for Hemorrhagic Stroke (CVA)

Hemorrhagic Stroke Risk Factors Nursing Mnemonic (HATS)

Hiatal Hernia Symptoms Nursing Mnemonic (Her Belly Really Hurts Following Dinner)

High Pressure Vent Alarms Nursing Mnemonic (Kings Eat Big Cakes)

High Risk Behavior Nursing Mnemonic (HEADSS)

Hypercalcemia – Signs and Symptoms Nursing Mnemonic (GROANS, MOANS, BONES, STONES, OVERTONES)

Hyperglycemia Management Nursing Mnemonic (Dry and Hot – Insulin Shot)

Hyperkalemia – Causes Nursing Mnemonic (MACHINE)

Hyperkalemia – Management Nursing Mnemonic (AIRED)

Hyperkalemia – Signs and Symptoms Nursing Mnemonic (Murder)

Hypernatremia – Causes Nursing Mnemonic (MODEL)

Hypernatremia – Signs and Symptoms 2 Nursing Mnemonic (FRIED)

Hypernatremia – Signs and Symptoms 2 Nursing Mnemonic (SWINE)

Hypernatremia – Signs and Symptoms 3 Nursing Mnemonic (SALT)

Hypertension – Nursing care Nursing Mnemonic (DIURETIC)

Hypertension- Complications Nursing Mnemonic (The 4 C’s)

Hypocalcemia – Definition, Signs and Symptoms Nursing Mnemonic (CATS)

Hypoglycemia – Signs and Symptoms Nursing Mnemonic (TIRED)

Hypoglycemia Management Nursing Mnemonic (Cool and Clammy – Give ‘Em Candy)

Hypoglycemia symptoms Nursing Mnemonic (DIRE)

Hypokalemia – Signs and Symptoms Nursing Mnemonic (6 L’s)

Hyponatremia- Definition, Signs and Symptoms Nursing Mnemonic (SALT LOSS)

Hypoxia – Signs and Symptoms (in Pediatrics) Nursing Mnemonic (FINES)

Hypoxia – Signs and Symptoms Nursing Mnemonic (RAT BED)

IADLS (Instrumental Activities of Daily Living) Nursing Mnemonic (SCUM)

Increase MAP Nursing Mnemonic (VAK)

Inflammation- Signs and Symptoms Nursing Mnemonic (HIPER)

Insulin Mnemonic (Ready, Set, Inject, Love)

Interventions for Aphasia Nursing Mnemonic (PROP)

Intra Uterine Device – Potential Problems Nursing Mnemonic (PAINS)

Intrarenal Causes of Acute Kidney Injury Nursing Mnemonic (TONIC)

Leukemia – Signs and Symptoms Nursing Mnemonic (ANT)

Levels of consciousness Nursing Mnemonic (Never Carry Dirty Socks Or Smelly Clothes)

Lidocaine Toxicity – Signs and Symptoms Nursing Mnemonic (SAMS)

Low Pressure Vent Alarms Nursing Mnemonic (Cake Everyday)

Lymphoma – Signs and Symptoms Nursing Mnemonic (NURSE For Pete’s Sake)

Management of Glomerulonephritis Nursing Mnemonic (Please Help Deliver Diuretics)

Management of Lyme Disease Nursing Mnemonic (BAR)

Management of Pressure Ulcers (Pressure Injuries) Nursing Mnemonic (SKIN)

Manic Attack – Signs and Symptoms Nursing Mnemonic (DIG FAST)

MAO Inhibitors Nursing Mnemonic (TIPS)

Medication Classess for IBD Nursing Mnemonic (Sometimes I Can’t Answer)

Medications for Pancreatitis Nursing Mnemonic (Please Make Tummy Better)

Medications to Prevent Seizures Nursing Mnemonic (Pretty Little Liars Forever)

Meningitis Assessment Findings Nursing Mnemonic (FAN LIPS)

Mnemonic for Organ Systems (MR DICE RUNS)

Multiple Sclerosis Symptoms Nursing Mnemonic (DEMYELINATION)

Murmur locations Nursing Mnemonic (hARD ASS MRS. MSD)

Nursing Care and Pathophysiology of Myocardial Infarction (MI)

Myocardial Infarction Nursing Mnemonic (MONATAS)

OB Non-Stress Test Results Nursing Mnemonic (NNN)

OLD CARTS Mnemonic (OLD CARTS)

Oral Birth Control Pills – Serious Complications Nursing Mnemonic (Aches)

Pain Assessment Questions Nursing Mnemonic (OPQRST)

Nursing Care and Pathophysiology for Parkinsons

Pediatric Gastrointestinal Dysfunction – Diarrhea

Pharmacokinetics Nursing Mnemonic (ADME)

Planning Community Health Interventions Nursing Mnemonic (PRECEDE-PROCEED)

Pneumonia Risk Factors Nursing Mnemonic (VENTS)

Pneumothorax Signs and Symptoms Nursing Mnemonic (P-THORAX)

Possible Infections During Pregnancy Nursing Mnemonic (TORCH)

Post-Partum Assessment Nursing Mnemonic (BUBBLE)

Postpartum Hemorrhage (PPH)

Preeclampsia: Signs, Symptoms, Nursing Care, and Magnesium Sulfate

Pregnancy Outcomes Nursing Mnemonic (GTPAL)

Probable Signs of Pregnancy Nursing Mnemonic (CHOP BUGS)

Process of Labor – Mom Nursing Mnemonic (4 P’s)

Process of Labor – Baby Nursing Mnemonic (ALPPPS)

Promotion and Evaluation of Normal Elimination Nursing Mnemonic (POOPER SCOOP)

Prostate Nursing Mnemonic (FUN)

Proton Pump Inhibitors

Pulmonary edema treatment Nursing Mnemonic (MAD DOG)

Pupil Reactions Nursing Mnemonic (PERRLA)

Reactivation of Herpes Zoster Nursing Mnemonic (FICA)

Reasons for a Bronchoscopy Nursing Mnemonic (Please Assess His Weird Bronchoscopy Results)

Reasons for Chest Tube Nursing Mnemonic (Don’t Ever Fail)

Restrictive Lung Disease Causes Nursing Mnemonic (PAINT)

Rheumatoid Arthritis Assessment Nursing Mnemonic (RHEUMATOID)

Risk Factors for Cholelithiasis Nursing Mnemonic (5-F’s)

Risk Factors for Osteoporosis Nursing Mnemonic (ACCESS)

Safety Check Nursing Mnemonic (MADLE)

SBAR Communication Nursing Mnemonic (SBAR)

Scleroderma Symptoms Nursing Mnemonic (CREST)

Seizure Causes Nursing Mnemonic (VITAMIN)

Seizure Documentation Nursing Mnemonic (TDOC)

Senile Dementia – Assess for Changes Nursing Mnemonic (JAMCO)

Shock – Signs and symptoms Nursing Mnemonic (TV SPARC CUBE)

Nursing Care and Pathophysiology for SIADH (Syndrome of Inappropriate antidiuretic Hormone Secretion)

Signs of Osteoarthritis Nursing Mnemonic (OSTEO)

Sprains and Strains – Nursing Care Nursing Mnemonic (RICE)

SSRI’s Nursing Mnemonic (Effective For Sadness, Panic, and Compulsions)

Stages of Fetal Development Nursing Mnemonic (Proficiently Expanding Fetus)

Stages of Hepatitis Nursing Mnemonic (PIP)

Steps in the Nursing Process 1 Nursing Mnemonic (ADPIE)

Steps in the Nursing Process 2 Nursing Mnemonic (AAPIE)

Steps In The Nursing Process 3 Nursing Mnemonic (SOAPIE)

Steroids – Side Effects Nursing Mnemonic (6 S’s)

Stoke Assessments Nursing Mnemonic (FAST)

Symptoms of Hyperthyroidism Nursing Mnemonic (SWEATING)

Symptoms of Hypothyroidism Nursing Mnemonic (MOM’S SO TIRED)

Symptoms of Nephrotic Syndrome Nursing Mnemonic (NAPHROTIC)

Symptoms of Wernicke’s Encephalopathy Nursing Mnemonic (COAT)

TB Drugs Nursing Mnemonic (RIPE)

Toxicity Sepsis- Signs and Symptoms Nursing Mnemonic (The 6 T’s)

Tracheal Esophageal Fistula – Sign and Symptoms Nursing Mnemonic (The 3 C’s)

Traction – Nursing Care Nursing Mnemonic (TRACTION)

Transient Incontinence – Common Causes Nursing Mnemonic (P-DIAPERS)

Trauma – Assessment (Emergency) Nursing Mnemonic (ABCDEFGHI)

Trauma – Complications Nursing Mnemonic (TRAUMATIC)

Trauma Surgery – Medical History Nursing Mnemonic (AMPLE)

Treatment of Sickle Cell Nursing Mnemonic (HOP to the hospital)

Triage Nursing Mnemonic (START)

Two pathways of the peripheral nervous system Nursing Mnemonic (SAME)

Types of Anemia Nursing Mnemonic (Always Introduce Special Patients)

Types of Hemorrhoids Nursing Mnemonic (Pie)

Ulcerative Colitis – Assessment Nursing Mnemonic (MADE 10)

Umbilical Cord Vasculature Nursing Mnemonic (2A1V)

Vascular Disease – Deep Vein Thrombosis Nursing Mnemonic (HIS Leg Might Fall off)

Vascular disease – Raynaud’s symptoms Nursing Mnemonic (COLD HAND)

Vasospasm Therapy Nursing Mnemonic (Triple H Therapy)

VEAL CHOP Nursing Mnemonic (Fetal Accelerations and Decelerations) (VEAL CHOP)

Vitamins – Fat Soluble Nursing Mnemonic (All Dogs Eat Kibble)

Vitamins – Water Soluble Nursing Mnemonic (Birth Control)

Walkers Nursing Mnemonic (Wandering Wilma Always Late)

Who Needs Dialysis Nursing Mnemonic (AEIOU)

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