Benzodiazepines

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Study Tools For Benzodiazepines

Generalized Anxiety Disorder Pathochart (Cheatsheet)
Seizure Pathochart (Cheatsheet)
Medication Antidotes (Cheatsheet)
140 Must Know Meds (Book)
Diazepam (Valium) (Picmonic)
Benzodiazepine Intoxication Assessment (Picmonic)
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Outline

Overview

  1. Benzodiazepines
    1. Medications ending in “zepam
      1. Diazepam- widely used
      2. Lorazepam- widely used
      3. Temazepam
      4. Oxazepam
      5. Clonazepam
      6. Flurazepam
    2. Indications
      1. Anxiety
      2. Sedation
      3. Seizures
      4. Alcohol withdrawal
      5. Post-operative muscle spasms
    3. How Benzodiazepines work-
      1. Increase secretion and effect of GABA in the brain
        1. GABA (Gamma-aminobutyric acid = neurotransmitter in the brain)
          1. Causes inhibition and sedation
          2. Relaxes muscles
          3. Has anticonvulsant effect
      2. Metabolized in the liver

Nursing Points

General

  1. Very common medication, widely used in hospitals

Assessment

  1. Assess for side effects
    1. CNS depression
      1. Sedation
      2. Ataxia
      3. Decrease in cognitive function
    2. Amnesia (with high doses)
    3. Respiratory depression (with high doses)
    4. Hypotension
    5. Cardiac arrest
    6. Withdrawal symptoms
      1. Paranoia
      2. Hallucinations
      3. Muscle twitching
      4. Panic attacks

Therapeutic Management

  1. Monitor respirations and sedation closely.
  2.  Contraindications
    1. Sleep apnea
    2. Respiratory depression
    3. Liver disease (medication will buid up and become toxic)
  3. Antidote
    1. Flumazenil
      1. Reverses respiratory depression

Nursing Concepts

  1. Cognition
    1. Benzodiazepines can cause sedation and decreased cognitive function and should not be taken when operating heavy machinery.
  2. Mood Affect
    1. Benzodiazepines may be prescribed to help treat anxiety.
  3. Pharmacology

Patient Education

  1. Patients should avoid driving and operating heavey machinery.
  2. Patient who have been taking these medications for 6-12 months or more should not stop medication abruptly because it can cause a paradoxical response (insomnia, euphoria, anxiety).
  3. Patients should NOTdrink alcohol or use over-the-counter medications with benzodiazepines because severe respiratory depression and sedation will occur.

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Transcript

Benzodiazepines. So, we gonna go over today the Benzodiazepine, one of the most widely used medications in the hospitals settings. First of all, let’s take a look at the mechanism of action of Benzodiazepines. So, we have a GABA, which is also called, the full name is Gamma-aminobutyric acid which is a neurotransmitter in our brain. In the brain. So, gamma neurotransmitter is actually inhibitory neurotransmitter in the brain. So, when your brain secretes this gamma neurotransmitter, it causes the sedation, it helps you relax, it relaxes your muscles, and also, the anticonvulsant effects. What it means, so, in your brain, when the neurons are firing, like, constantly, when this neurotransmitter releases, those firing rates of neurons will significantly decrease. So, it causes the decrease in electrical activity in brain as well. That’s why, it causes the anticonvulsant effect as well. So, basically, these benzodiazepine drugs, what it does, when you give this benzodiazepine drugs, it increases the effect and secretion of GABA in the brain. So, when you give this benzodiazepine medication, it increases the secretion of this GABA neurotransmitter in brain and it increases, it potentates the effect of GABA in our brain and will cause this more sedation, relaxation and decrease in neuron firing rate which is anti-convulsant effect in our brain. So, that’s how basically the benzodiazepine works.

There are many many use of this benzodiazepine. First of all, if you take a look at it, it is used as a anti-anxiety medication. So, if a patient has a generalized anxiety disorder or panic disorder, we can give this medication to help them calm and reduce their panic attacks as well. This medication is also used more often in critical care in hospital for sedation and for relaxation as well. This medication is also used for insomnia and sleep disorder since it causes the sedation and dizziness, it will help you feel relaxed and will help you sleep better. However, these medications has to be prescribed by the doctors/physician. This is not the over-the-counter medication because it has very very many side effects an also, this can actually make you dependent on this drug really badly. So, that’s why, this is kinda controlled substance as well. This medication, as we talked, this medication will decrease the neuron firing rate in our brain. So, that’s why these medications can be used for seizures as well. And one of the two medication we’ll talk about later in this video that we usually use for seizures in emergency. This medication is also used for the alcohol withdrawal symptoms. So, whenever some person comes to the hospital and they are alcoholic, they drinks a lot of alcohol at home. Now, suddenly, they are not gonna drink or they won’t be getting any alcohol in hospital. So, they will go to the alcohol withdrawal symptoms like agitation, tachycardia, and hypertension, they’ll be anxious all the time. So, these are the symptoms of alcohol withdrawal. These medications are widely used to these alcohol withdrawal symptoms for patient who has a long history of alcoholism and so forth. Alright, those are the indications.

What are the side effects? Alright. Many side effects. First of all, the CNS depression, Central Nervous System Depression. It can cause sedation, ataxia, decrease in cognitive function and so forth. Like, it decreases the CNS system. So, whenever you have a patient on this medication, you will really teach him like a, when you take this medication, avoid driving for sure, do not operate heavy machinery or do not do any kind of activity that in which you have to use your mind significantly. Because this one actually significantly decrease their ability to perform any kind of work that requires high cognitive functions. Since it also causes ataxia, so, if they need to do some small works, like it needs to be really careful, like in driving that requires really good skills. They can’t really focus and do really well. Now, this medication, if you give this medication in a high doses, it can cause the amnesia, it means it can impair their memory for short period of time. So, it can cause Anterograde amnesia. This medication can cause the respiratory depression. So, you have to be really careful when you give this medication to patient. However, these medications are kinda like safe, as first, we’ve talked about the respiratory depression. Like, you may have seen patient getting barbiturates, which is often used for seizures and anxiety, like those kind of stuff. But these medications are kinda safe compared to barbiturates in respiratory depression. You have to give this medication in really really high dose in order to cause respiratory depression compared to barbiturates. But it still can cause respiratory depression. This medication can cause a significant hypotension, cardiac or respiratory arrest. Now, sometime, if a patient is on this medication and they suddenly stops, like if they are taking this medication for 6 months / 12 months and they suddenly stops, this can cause the paradoxical response. So, it can cause the opposite. So, it can cause a very bad insomnia, excitation, euphoria and anxiety. So, you don’t really wanna suddenly stop these medications as well. You wanna teach patient about that too. Like, do not suddenly stop this medication because it can cause the paradoxical response. And then, they won’t be able to sleep, they’ll be anxious all the time, hyperactive, and so forth. And sometime, this can, this medication can cause withdrawal symptoms as well. Paranoia, panic attacks, muscle twitching and hallucination. So, those are the bad side effects of these medications.

Now, what are the contraindication for this medication? As we talked in the previous slide, that this can cause the significant respiratory depression, cardiac depression, this one has a significant sedation effect as well. So, you don’t really wanna give this medication to patient who has a sleep apnea, respiratory depression, obviously the liver disease because this medication is metabolized by liver. So, it metabolized by liver and goes into the inactive form. Now, if someone has a liver disease, this medication won’t be metabolized by liver and will not be converted into the inactive form. And what will happen? This medication will build up into up to the toxic level in the body and can cause really bad side effects like respiratory depression, they’ll stop breathing, cardiac arrest, and like those really serious side effects. And, you don’t, you want to be really teaching your patient as well, like do not take this medication and then drink. Because, if you take this medication with alcohol, they can cause like really really bad respiratory depression and sedation, and could be really lethal. Barbiturates, opioids, and any other sedative medication like Benadryl, let’s say for example, which is also used for allergic reaction. However, they can cause a really significant sedation. And many people uses Benadryl over-the-counter medication for, so they can sleep better. However, if they are in this medication, benzodiazepine, you want to tell them that do not use any over-the-counter medication without talking to your physician. ‘Cause some medication can cause really bad sedation and respiratory depression as well. So, you wanna be actually teaching your patient about that too.

Now, what is the antidote of these medications? If you have a patient and somehow the patient got high dose of this medication, and had really bad respiratory depression, what would you do? Or, cardiac arrest, or cardiac depression, like that. The antidote is Flumazenil. So, this is the antidote of this medication, this group of medication. Benzodiazepine. It will reverse the respiratory depression. So, you really wanna be careful because these medications are widely widely used in hospitals.

Now, what are the examples of this medication? All the -zepam, usually, like if you see that, Diazepam, Lorazepam, Temazepam, Oxazepam, Clonazepam, Flurazepam. This is only the different medication, the name, Chlordiazepoxide and that’s really actually old benzodiazepine medication. It’s been in the market for a while. But these are the medication, like easy to remember, anything ends with a -zepam, is benzodiazepine. And usually, these Lorazepam and Diazepam are widely used medication. They are used for seizures, often in the critical care especially if you are working in neuro ICU, you’ll see this medication a lot to control the seizures. Then, you will use this as a anti-anxiety medication. This one also for panic disorders. So, these 2 medication are widely actually used for, in a wide variety of settings, like critical care and also some people, some patient goes on this medication at home. So, you want to be really teaching about that we run into the previous slides.

Alright, that was it about the benzodiazepine. If you have any questions, just let us know or e-mail us. Thanks for watching.

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Monalisa’s Study Plan

Concepts Covered:

  • Community Health Overview
  • Circulatory System
  • Urinary System
  • Communication
  • Prenatal Concepts
  • Test Taking Strategies
  • Respiratory Disorders
  • EENT Disorders
  • Developmental Theories
  • Legal and Ethical Issues
  • Prefixes
  • Suffixes
  • Acute & Chronic Renal Disorders
  • Disorders of the Adrenal Gland
  • Preoperative Nursing
  • Integumentary Disorders
  • Integumentary Disorders
  • Prioritization
  • Bipolar Disorders
  • Disorders of the Posterior Pituitary Gland
  • Hematologic Disorders
  • Immunological Disorders
  • Renal Disorders
  • Childhood Growth and Development
  • Labor Complications
  • Upper GI Disorders
  • Medication Administration
  • Developmental Considerations
  • Adulthood Growth and Development
  • Disorders of Pancreas
  • Musculoskeletal Disorders
  • Musculoskeletal Trauma
  • Disorders of the Thyroid & Parathyroid Glands
  • Integumentary Important Points
  • Pregnancy Risks
  • Urinary Disorders
  • Cardiac Disorders
  • Learning Pharmacology
  • Documentation and Communication
  • Anxiety Disorders
  • Basic
  • Factors Influencing Community Health
  • Prenatal and Neonatal Growth and Development
  • Lower GI Disorders
  • Eating Disorders
  • Trauma-Stress Disorders
  • Microbiology
  • Oncology Disorders
  • Somatoform Disorders
  • Fundamentals of Emergency Nursing
  • Dosage Calculations
  • Concepts of Population Health
  • Understanding Society
  • Depressive Disorders
  • Personality Disorders
  • Cognitive Disorders
  • Substance Abuse Disorders
  • Psychological Emergencies
  • Hematologic Disorders
  • Liver & Gallbladder Disorders
  • Emergency Care of the Cardiac Patient
  • Female Reproductive Disorders
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  • Basics of NCLEX
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  • Studying
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  • Labor and Delivery
  • Gastrointestinal Disorders
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  • Intraoperative Nursing
  • Digestive System
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  • Postpartum Care
  • Cardiovascular Disorders
  • Newborn Care
  • Renal and Urinary Disorders
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  • Neurologic and Cognitive Disorders
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  • Proteins
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  • Basics of Human Biology
  • Neurological Trauma
  • Concepts of Pharmacology
  • Statistics
  • Emergency Care of the Neurological Patient
  • Basics of Sociology
  • Central Nervous System Disorders – Spinal Cord
  • Infectious Respiratory Disorder
  • Psychotic Disorders
  • Emergency Care of the Trauma Patient

Study Plan Lessons

Community Health Course Introduction
EKG (ECG) Course Introduction
Fluid & Electrolytes Course Introduction
Fundamentals Course Introduction
OB Course Introduction
12 Points to Answering Pharmacology Questions
Care of the Pediatric Patient
Electrical A&P of the Heart
Glaucoma
Intro to Community Health
Menstrual Cycle
Overview of Developmental Theories
What Guides Nurses Practice
54 Common Medication Prefixes and Suffixes
Nursing Care and Pathophysiology of Acute Kidney (Renal) Injury (AKI)
Addisons Disease
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Burn Injuries
Cataracts
Community Health Nursing Theories
Electrolytes Involved in Cardiac (Heart) Conduction
Family Planning & Contraception
Fluid Pressures
Kohlberg’s Theory of Moral Development
Vitals (VS) and Assessment
Community Health Education
Nursing Care and Pathophysiology for Cushings Syndrome
Fluid Shifts (Ascites) (Pleural Effusion)
Macular Degeneration
Nursing Care Delivery Models
Piaget’s Theory of Cognitive Development
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Therapeutic Drug Levels (Digoxin, Lithium, Theophylline, Phenytoin)
Nursing Care and Pathophysiology for Diabetes Insipidus (DI)
Nursing Care and Pathophysiology for Disseminated Intravascular Coagulation (DIC)
Epidemiology
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Erikson’s Theory of Psychosocial Development
Essential NCLEX Meds by Class
Nursing Care and Pathophysiology of Glomerulonephritis
Growth & Development – Infants
Health Promotion Model
Nursing Care and Pathophysiology for Herpes Zoster – Shingles
Isotonic Solutions (IV solutions)
Nursing Care and Pathophysiology of Osteoarthritis (OA)
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6 Rights of Medication Administration
Environmental and Genetic Influences on Growth & Development
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Health Promotion Assessments
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Nursing Care and Pathophysiology of Osteoporosis
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Family Structure and Impact on Development
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Body Image Changes Throughout Development
Growth & Development – School Age- Adolescent
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Legal Considerations
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Discomforts of Pregnancy
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Practice Settings
Sinus Bradycardia
Sinus Bradycardia
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Antepartum Testing
Community Aggregates
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Growth & Development – Toddlers
Hemophilia
Nursing Care and Pathophysiology for Hepatitis (Liver Disease)
Sinus Tachycardia
Sinus Tachycardia
Atrial Flutter
Care of Vulnerable Populations
Nursing Care and Pathophysiology for Cirrhosis (Liver Disease, Hepatic encephalopathy, Portal Hypertension, Esophageal Varices)
Growth & Development – Preschoolers
Nutrition in Pregnancy
Nutrition in Pregnancy
Pacemakers
SBAR Communication
Atrial Fibrillation (A Fib)
Atrial Fibrillation (A Fib)
Communicable Diseases
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Growth & Development – School Age- Adolescent
Handoff Report
Disasters & Bioterrorism
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Growth & Development -Transitioning to Adult Care
Premature Atrial Contraction (PAC)
Continuity of Care
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Ventricular Fibrillation (V Fib)
Ventricular Fibrillation (V Fib)
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2nd Degree AV Heart Block Type 2 (Mobitz II)
3rd Degree AV Heart Block (Complete Heart Block)
Abortion in Nursing: Spontaneous, Induced, and Missed
Growth & Development – Early Adulthood
Nursing Care and Pathophysiology for Pelvic Inflammatory Disease (PID)
Anemia in Pregnancy
Benzodiazepines
Delegation
Growth & Development – Middle Adulthood
Nursing Care and Pathophysiology of Hypertension (HTN)
Cardiac (Heart) Disease in Pregnancy
Nursing Care and Pathophysiology for Endometriosis
Growth & Development – Late Adulthood
Nephroblastoma
Prioritization
Chorioamnionitis
Nursing Care and Pathophysiology for Menopause
Triage
Nursing Care and Pathophysiology for Cardiomyopathy
Gestational Diabetes (GDM)
Disseminated Intravascular Coagulation (DIC)
Ectopic Pregnancy
Hematomas in OB Nursing: Causes, Symptoms, and Nursing Care
Nursing Care and Pathophysiology for Thrombophlebitis (clot)
Hydatidiform Mole (Molar pregnancy)
Hydatidiform Mole (Molar pregnancy)
Gestational HTN (Hypertension)
Gestational HTN (Hypertension)
Infections in Pregnancy
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Preeclampsia: Signs, Symptoms, Nursing Care, and Magnesium Sulfate
Preeclampsia: Signs, Symptoms, Nursing Care, and Magnesium Sulfate
HELLP Syndrome
Fertilization and Implantation
Fever
Overview of the Nursing Process
Dehydration
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Nursing Care and Pathophysiology for Hypovolemic Shock
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Nursing Care and Pathophysiology for Distributive Shock
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Critical Thinking
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The Nurse Routine
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Vomiting
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Self Concept
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Overview of Developmental Theories
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Postpartum Physiological Maternal Changes
Kohlberg’s Theory of Moral Development
Postpartum Interventions
Bronchiolitis and Respiratory Syncytial Virus (RSV)
MAOIs
Piaget’s Theory of Cognitive Development
Postpartum Discomforts
Postpartum Discomforts
Breastfeeding
Breastfeeding
Erikson’s Theory of Psychosocial Development
Asthma
Family Structure and Impact on Development
SSRIs
Body Image Changes Throughout Development
Cystic Fibrosis (CF)
Cultural Awareness and Influences on Development
Developmental Considerations for the Hospitalized Individual
TCAs
Congenital Heart Defects (CHD)
Intake and Output (I&O)
Postpartum Hematoma
Defects of Increased Pulmonary Blood Flow
Blood Glucose Monitoring
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Postpartum Thrombophlebitis
Specialty Diets (Nutrition)
Enteral & Parenteral Nutrition (Diet, TPN)
Hierarchy of O2 Delivery
Histamine 1 Receptor Blockers
Initial Care of the Newborn (APGAR)
Initial Care of the Newborn (APGAR)
Nephrotic Syndrome
Artificial Airways
Enuresis
Newborn Physical Exam
Newborn Physical Exam
Airway Suctioning
Body System Assessments
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Histamine 2 Receptor Blockers
Newborn Reflexes
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Babies by Term
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Cerebral Palsy (CP)
Introduction to Health Assessment
Renin Angiotensin Aldosterone System
Head to Toe Nursing Assessment (Physical Exam)
Meconium Aspiration
Meningitis
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Transient Tachypnea of Newborn
Retinopathy of Prematurity (ROP)
Hyperbilirubinemia (Jaundice)
Spina Bifida – Neural Tube Defect (NTD)
ACE (angiotensin-converting enzyme) Inhibitors
Autism Spectrum Disorders
Erythroblastosis Fetalis
Addicted Newborn
Attention Deficit Hyperactivity Disorder (ADHD)
Newborn of HIV+ Mother
Newborn of HIV+ Mother
Angiotensin Receptor Blockers
Calcium Channel Blockers
Cardiac Glycosides
Tocolytics
Betamethasone and Dexamethasone
Scoliosis
Magnesium Sulfate
Metronidazole (Flagyl) Nursing Considerations
Opioid Analgesics
Prostaglandins
Uterine Stimulants (Oxytocin, Pitocin)
Meds for PPH (postpartum hemorrhage)
Rh Immune Globulin (Rhogam)
Lung Surfactant
Eye Prophylaxis for Newborn (Erythromycin)
Phytonadione (Vitamin K)
Hb (Hepatitis) Vaccine
Ciprofloxacin (Cipro) Nursing Considerations
Vancomycin (Vancocin) Nursing Considerations
Anti-Infective – Penicillins and Cephalosporins
Atypical Antipsychotics
Rubeola – Measles
Mumps
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)
Epoetin Alfa
HMG-CoA Reductase Inhibitors (Statins)
Magnesium Sulfate
NSAIDs
Corticosteroids
Hydralazine (Apresoline) Nursing Considerations
Nitro Compounds
Vasopressin
ABG (Arterial Blood Gas) Interpretation-The Basics
ABG (Arterial Blood Gas) Oxygenation
ABG Course (Arterial Blood Gas) Introduction
ABGs Nursing Normal Lab Values
ABGs Tic-Tac-Toe interpretation Method
Absolute Neutrophil Count (ANC) Lab Values
Absolute Neutrophil Count (ANC) Lab Values
Absolute Reticulocyte Count (ARC) Lab Values
Absolute Reticulocyte Count (ARC) Lab Values
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)
Alanine Aminotransferase (ALT) Lab Values
Alanine Aminotransferase (ALT) Lab Values
Albumin Lab Values
Albumin Lab Values
Alcoholism – Outcomes Nursing Mnemonic (BAD)
Alkaline Phosphatase (ALK PHOS) Lab Values
Alkaline Phosphatase (ALK PHOS) Lab Values
Alkalosis and Acidosis Nursing Mnemonic (Kick Up, Drop Down)
Alpha-fetoprotein (AFP) Lab Values
Alpha-fetoprotein (AFP) Lab Values
Altered Mental Status Nursing Mnemonic (AEIOU TIPS)
Alzheimer – Diagnosis Nursing Mnemonic (The 5 A’s)
Ammonia (NH3) Lab Values
Ammonia (NH3) Lab Values
Anion Gap
Anion Gap
Anion Gap Acidosis 1 Nursing Mnemonic (KULT)
Anion Gap Acidosis 2 Nursing Mnemonic (MUDPILES)
Anorexia – Signs and Symptoms Nursing Mnemonic (ANOREXIA)
Antepartum Testing
Anticholinergics – Side Effects Nursing Mnemonic (4 Can’ts)
Antinuclear Antibody Lab Values
Antinuclear Antibody Lab Values
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)
Base Excess & Deficit
Benzodiazepines Nursing Mnemonic (Donuts and TLC)
Beta 1 and Beta 2 Nursing Mnemonic (1 Heart, 2 Lungs)
Beta Hydroxy (BHB) Lab Values
Beta Hydroxy (BHB) Lab Values
Bicarbonate (HCO3) Lab Values
Bicarbonate (HCO3) Lab Values
Bleeding Complications (Minor) Nursing Mnemonic (BEEP)
Bleeding Precautions Nursing Mnemonic (RANDI)
Blood Type O Nursing Mnemonic (Universally Odd)
Blood Urea Nitrogen (BUN) Lab Values
Blood Urea Nitrogen (BUN) Lab Values
BPH Symptoms Nursing Mnemonic (FUN WISE)
Brain Natriuretic Peptide (BNP) Lab Values
Brain Natriuretic Peptide (BNP) Lab Values
Bulimia – Signs and Symptoms 1 Nursing Mnemonic (BULIMIA)
Bulimia – Signs and Symptoms 2 Nursing Mnemonic (WASHED)
C-Reactive Protein (CRP) Lab Values
C-Reactive Protein (CRP) Lab Values
Cancer – Early Warning Signs Nursing Mnemonic (CAUTION UP)
Cancer – Nursing Priorities Nursing Mnemonic (CANCER)
Canes Nursing Mnemonic (COAL)
Carbon Dioxide (Co2) Lab Values
Carbon Dioxide (Co2) Lab Values
Carboxyhemoglobin Lab Values
Carboxyhemoglobin Lab Values
Cardiac (Heart) Enzymes
Cardiac (Heart) Enzymes
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)
Cholesterol (Chol) Lab Values
Cholesterol (Chol) Lab Values
Cholinergic Crisis – Signs and Symptoms Nursing Mnemonic (SLUDGE)
Chorioamnionitis
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)
Coagulation Studies (PT, PTT, INR)
Coagulation Studies (PT, PTT, INR)
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)
Congestive Heart Failure (CHF) Labs
Congestive Heart Failure (CHF) Labs
COPD (Chronic Obstructive Pulmonary Disease) Labs
COPD (Chronic Obstructive Pulmonary Disease) Labs
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)
Cortisol Lab Vales
Cortisol Lab Vales
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)
Creatine Phosphokinase (CPK) Lab Values
Creatine Phosphokinase (CPK) Lab Values
Creatinine (Cr) Lab Values
Creatinine (Cr) Lab Values
Creatinine Clearance Lab Values
Creatinine Clearance Lab Values
Crohn’s Morphology and Symptoms Nursing Mnemonic (CHRISTMAS)
Cultures
Cultures
Cushings Assessment Nursing Mnemonic (STRESSED)
Cyanotic Defects Nursing Mnemonic (The 4 T’s)
Cyclic Citrullinated Peptide (CCP) Lab Values
Cyclic Citrullinated Peptide (CCP) Lab Values
D-Dimer (DDI) Lab Values
D-Dimer (DDI) Lab Values
Decrease ICP Nursing Mnemonic (Craniums Excite Me)
Dementia Nursing Mnemonic (DEMENTIA)
Depression Assessment Nursing Mnemonic (SIGNS)
Diabetes Insipidus Nursing Mnemonic (DDD)
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)
Direct Bilirubin (Conjugated) Lab Values
Direct Bilirubin (Conjugated) Lab Values
Disseminated Intravascular Coagulation (DIC)
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)
Dysrhythmias Labs
Dysrhythmias Labs
Ectopic Pregnancy
Eczema
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)
Erythrocyte Sedimentation Rate (ESR) Lab Values
Erythrocyte Sedimentation Rate (ESR) Lab Values
Evaluation of Irregular Moles Nursing Mnemonic (ABCDE)
Exercise Guidelines Nursing Mnemonic (FIT)
Factors That Can Put a Pregnancy at Risk Nursing Mnemonic (RIBCAGE)
Family Planning & Contraception
Fetal Alcohol Syndrome (FAS)
Fetal Distress Interventions Nursing Mnemonic (Stop MOAN)
Fetal Wellbeing Assessment Tests Nursing Mnemonic (ALONE)
Fibrin Degradation Products (FDP) Lab Values
Fibrin Degradation Products (FDP) Lab Values
Fibrinogen Lab Values
Fibrinogen Lab Values
Fire Safety 1 Nursing Mnemonic (PASS)
Fire Safety 2 Nursing Mnemonic (RACE)
Flu Symptoms Nursing Mnemonic (FACTS)
Fluid Compartments
Free T4 (Thyroxine) Lab Values
Free T4 (Thyroxine) Lab Values
Gamma Glutamyl Transferase (GGT) Lab Values
Gamma Glutamyl Transferase (GGT) Lab Values
GERD causes Nursing Mnemonic (Reflux Is Probably Mean)
Gestational Diabetes (GDM)
Global Symptoms for Brain Tumors Nursing Mnemonic (HAS)
Glomerular Filtration Rate (GFR)
Glomerular Filtration Rate (GFR)
Glucagon Lab Values
Glucagon Lab Values
Glucose Lab Values
Glucose Lab Values
Glucose Tolerance Test (GTT) Lab Values
Glucose Tolerance Test (GTT) Lab Values
Gluten Free Diet Nursing Mnemonic (BROW)
Gravidity and Parity (G&Ps, GTPAL)
Growth Hormone (GH) Lab Values
Growth Hormone (GH) Lab Values
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)
Hematocrit (Hct) Lab Values
Hematocrit (Hct) Lab Values
Hemodynamics
Hemoglobin (Hbg) Lab Values
Hemoglobin (Hbg) Lab Values
Hemoglobin A1c (HbA1C)
Hemoglobin A1c (HbA1C)
Hemorrhagic Stroke Risk Factors Nursing Mnemonic (HATS)
Hepatitis B Virus (HBV) Lab Values
Hepatitis B Virus (HBV) Lab Values
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)
Homocysteine (HCY) Lab Values
Homocysteine (HCY) Lab Values
Human Growth & Development Course Introduction
Hyperbilirubinemia (Jaundice)
Hypercalcemia – Signs and Symptoms Nursing Mnemonic (GROANS, MOANS, BONES, STONES, OVERTONES)
Hyperemesis Gravidarum
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)
Incompetent Cervix
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)
Ionized Calcium Lab Values
Ionized Calcium Lab Values
Iron (Fe) Lab Values
Iron (Fe) Lab Values
Ischemic (CVA) Stroke Labs
Ischemic (CVA) Stroke Labs
Lab Panels
Lab Panels
Lab Values Course Introduction
Lab Values Course Introduction
Lactate Dehydrogenase (LDH) Lab Values
Lactate Dehydrogenase (LDH) Lab Values
Lactic Acid
Leukemia – Signs and Symptoms Nursing Mnemonic (ANT)
Levels of consciousness Nursing Mnemonic (Never Carry Dirty Socks Or Smelly Clothes)
Levels of Prevention
Lidocaine Toxicity – Signs and Symptoms Nursing Mnemonic (SAMS)
Lipase Lab Values
Lipase Lab Values
Lithium Lab Values
Lithium Lab Values
Liver Function Tests
Liver Function Tests
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)
Maslow’s Hierarchy of Needs in Nursing
Mastitis
Maternal Risk Factors
Mean Corpuscular Volume (MCV) Lab Values
Mean Corpuscular Volume (MCV) Lab Values
Mean Platelet Volume (MPV) Lab Values
Mean Platelet Volume (MPV) Lab Values
Meconium Aspiration
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)
Menstrual Cycle
Metabolic Acidosis (interpretation and nursing diagnosis)
Metabolic Alkalosis
Methemoglobin (MHGB) Lab Values
Methemoglobin (MHGB) Lab Values
Mnemonic for Organ Systems (MR DICE RUNS)
Multiple Sclerosis Symptoms Nursing Mnemonic (DEMYELINATION)
Murmur locations Nursing Mnemonic (hARD ASS MRS. MSD)
Myocardial Infarction Nursing Mnemonic (MONATAS)
Myoglobin (MB) Lab Values
Myoglobin (MB) Lab Values
OB Non-Stress Test Results Nursing Mnemonic (NNN)
OLD CARTS Mnemonic (OLD CARTS)
Oral Birth Control Pills – Serious Complications Nursing Mnemonic (Aches)
Order of Lab Draws
Order of Lab Draws
Pain Assessment Questions Nursing Mnemonic (OPQRST)
Pediatric Bronchiolitis Labs
Pediatric Bronchiolitis Labs
Pharmacokinetics Nursing Mnemonic (ADME)
Phosphorus (PO4) Blood Test Lab Values
Phosphorus (PO4) Blood Test Lab Values
Planning Community Health Interventions Nursing Mnemonic (PRECEDE-PROCEED)
Platelets (PLT) Lab Values
Platelets (PLT) Lab Values
Pneumonia Labs
Pneumonia Labs
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)
Potassium-K (Hyperkalemia, Hypokalemia)
Prealbumin (PAB) Lab Values
Prealbumin (PAB) Lab Values
Pregnancy Labs
Pregnancy Labs
Pregnancy Outcomes Nursing Mnemonic (GTPAL)
Premature Rupture of the Membranes (PROM)
Preterm Labor
Probable Signs of Pregnancy Nursing Mnemonic (CHOP BUGS)
Procalcitonin (PCT) Lab Values
Procalcitonin (PCT) Lab Values
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)
Prostate Specific Antigen (PSA) Lab Values
Prostate Specific Antigen (PSA) Lab Values
Protein (PROT) Lab Values
Protein (PROT) Lab Values
Protein in Urine Lab Values
Protein in Urine Lab Values
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)
Red Blood Cell (RBC) Lab Values
Red Blood Cell (RBC) Lab Values
Red Cell Distribution Width (RDW) Lab Values
Red Cell Distribution Width (RDW) Lab Values
Renal (Kidney) Failure Labs
Renal (Kidney) Failure Labs
Respiratory Acidosis (interpretation and nursing interventions)
Respiratory Alkalosis
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)
ROME – ABG (Arterial Blood Gas) Interpretation
Safety Check Nursing Mnemonic (MADLE)
SBAR Communication Nursing Mnemonic (SBAR)
Schizophrenia
Scleroderma Symptoms Nursing Mnemonic (CREST)
Seizure Causes Nursing Mnemonic (VITAMIN)
Seizure Documentation Nursing Mnemonic (TDOC)
Senile Dementia – Assess for Changes Nursing Mnemonic (JAMCO)
Sepsis Labs
Sepsis Labs
Shock – Signs and symptoms Nursing Mnemonic (TV SPARC CUBE)
Shorthand Lab Values
Shorthand Lab Values
Nursing Care and Pathophysiology for SIADH (Syndrome of Inappropriate antidiuretic Hormone Secretion)
Signs of Osteoarthritis Nursing Mnemonic (OSTEO)
Signs of Pregnancy (Presumptive, Probable, Positive)
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)
Thyroid Stimulating Hormone (TSH) Lab Values
Thyroid Stimulating Hormone (TSH) Lab Values
Thyroxine (T4) Lab Values
Thyroxine (T4) Lab Values
Total Bilirubin (T. Billi) Lab Values
Total Bilirubin (T. Billi) Lab Values
Total Iron Binding Capacity (TIBC) Lab Values
Total Iron Binding Capacity (TIBC) Lab Values
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)
Triiodothyronine (T3) Lab Values
Triiodothyronine (T3) Lab Values
Troponin I (cTNL) Lab Values
Troponin I (cTNL) Lab Values
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)
Urinalysis (UA)
Urinalysis (UA)
Urinary Elimination
Urine Culture and Sensitivity Lab Values
Urine Culture and Sensitivity Lab Values
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)
Vitamin B12 Lab Values
Vitamin B12 Lab Values
Vitamin D Lab Values
Vitamin D Lab Values
Vitamins – Fat Soluble Nursing Mnemonic (All Dogs Eat Kibble)
Vitamins – Water Soluble Nursing Mnemonic (Birth Control)
Walkers Nursing Mnemonic (Wandering Wilma Always Late)
White Blood Cell (WBC) Lab Values
White Blood Cell (WBC) Lab Values
Who Needs Dialysis Nursing Mnemonic (AEIOU)