NSAIDs

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Tarang Patel
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Outline

Overview

  1. NSAID = Non-steroidal anti-inflammatory drugs
  2. Indication
    1. Mild to moderate pain
    2. Inflammation
    3. Fever
    4. Myocardial infarction and Stroke (Aspirin)
  3. Patho background
    1. Cox-1 prostaglandin functions to
      1. Protect stomach
      2. Increase clot formation (stop bleeding faster)
      3. Protects kidneys (causes vasodilation)
    2. Cox-2 pronstaglandin (inflammatory prostoglandin)
      1. Causes inflammation, pain and increased temperature at injury sites
  4. Mechanism of action
    1. Non-selective NSAIDS block Cox-1 and Cox-2
    2. Selective NSAID only blocks Cox-2

Nursing Care

Overview

  1. Examples
    1. Selective (block only Cox-2)
      1. Celecoxi
    2. Non-selective (block both Cox-1 and 2)
      1. Aspirin
      2. Ibuprofen
      3. Diclofenac
      4. Fenoprofen
      5. Ketoprofen
      6. Naproxen

Assessment

  1. Assess for side effects
    1. Salicylism
      1. Tinnitus (ring in ear)
      2. Dizziness
      3. Headache
      4. Excessive sweating
    2. Prolonged bleeding
    3. Nasea and vomiting
    4. Dyspepsia
    5. Kidney failure
      1. Fluid retension
      2. Edema

Therapeutic Management

  1. Monitor for bleeding and signs of peptic ulcer disease
  2. NSAIDS may increase risk for cardiovascular disease
    1. Hypertension, MI, Stroke
  3. Monitor pain for effectiveness
  4. Contraindications
    1. Kidney disease
    2. Heart failure

Nursing Concepts

  1. Comfort
    1. NSAIDs are often given to treat pain that is associated with inflammation,
  2. Pharmacology
    1. NSAIDs are a commonly presecribed medication.

Patient Education

  1. Patients should be educated to monitor for signs of bleeding.
  2. Parents should be informed not to give Aspirin to children because of the risk of Reye’s Syndrome.

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Transcript

Non-steroidal anti-inflammatory drugs, often known as NSAIDs. In this one, in this video, we will look at the mechanism of action, in which disease process, what are the indication to use this medication, side effects, nursing consideration and some examples.

So, let’s talk about the mechanism of action. So we have a Arachidonic acid in the body which is often converted into cytoprotective prostaglandins in our body by COX-1. Now, what is COX-1? COX is cyclooxygenase enzyme. Now, what is the function of this cytoprotective prostaglandin? The first, gastric protection. This prostaglandin protects the stomach by producing the mucus that protects stomach against its own acids. The second one, it increases platelet aggression. So, blood clot formation happens really fast and it stops the bleeding anywhere from the body which is kinda protective mechanism from this cytoprotective prostaglandin does have. It also protects the kidneys as well. It causes the vasodilation and also the bronchodilation. Now, whenever there is a tissue injury in our body, anywhere, tissue injury, this arachidonic acid will be converted into the inflammatory prostaglandins by COX-2 which is cyclooxygenase enzyme 2. Now, what does this inflammatory prostaglandin does? it causes the inflammation, pain, it regulates hypothalamic temperature. So, what it does, it increases the temperature of the body whenever there’s a tissue injury, either at the site or generalized body temperature. So, those are the inflammatory prostaglandin works is. Now, this non-steroidal anti-inflammatory drugs blocks these COX-1 and COX-2 both. So, these drugs which blocks COX-1 and COX-2 called as non-selective NSAIDs. Now, there is only one drug available in the market which only blocks COX-2 called as selective NSAIDs. And we’ll take a look at some of the examples of non-selective and selective NSAIDs in the following slides. So, this is the basic mechanism of action of Non-steroidal anti-inflammatory drug that blocks cyclooxygenase enzyme 1 and 2, that’s why it’s often called cyclooxygenase inhibitors as well. And by blocking cyclooxygenase 2, it blocks the inflammation, it decreases the pain, and it decreases the temperature of the body.

So, as you know now that it decreases inflammation, pain and temperature, what is the use of this medication? It is use as a mild to moderate pain, it is also used as a anti inflammation to decrease the inflammation, and also used as antipyretic to decrease the body temperature. Now, these drugs are often used for the pain which is associated with inflammation. Not any other kind of pain, because it works better if the pain is due to the inflammation. So, these are the 3 main reason these medications are used for. However, you may have seen patient on aspirin after myocardial infarction or stroke. So, there’s a drug, Aspirin, and this non-steroidal anti-inflammatory drugs. Now, if you take a look at back here, it blocks the cycooxygenase 1, so, it’s gonna, instead of increase it, it’s gonna decrease the platelet aggression, so, it’s gonna make blood thin. So, because of that, this aspirin is used after myocardial infarction to prevent the further formation of the clot and stroke, and also myocardial infarction and stroke, to prevent the further M.I. and stroke. However, if the patient is on Aspirin, they still can have M.I. and stroke but this one actually decreases the significant chance of happening M.I. and stroke. So, it’s not guaranteed that if the patient is on aspirin after myocardial infarction or stroke, that they not gonna have myocardial infarction or stroke. But, this decreases the chances of happening those in future, these drugs, Aspirin.

Now, what are the side effects and what, as a nurse, what do you have to look for, what are the contraindication? So, this is the main one often asked on NCLEX as well, Salicylism, often happens with the aspirin. It doesn’t happen with any of the NSAIDs usually and often happens with the aspirin only. In salicylism, you feel tinnitus, dizziness, headache, and excessive sweating. So, when a patient goes on aspirin at home, you wanna teach them about like if you see any like a ringing in ears, like tinnitus, any dizziness, consistent headaches, or any kind of excessive sweating, call your doctor as soon as possible. Now, since we understood the mechanism of action, now, if we block the COX-1, cyclooxygenase 1 enzyme, it’s not gonna protect the stomach anymore, so it can cause the gastric bleeding and as well as the peptic ulcer. Now, since it’s gonna decrease the platelet aggression, it can cause the prolonged bleeding. So, after like a cut or some kind of trauma, there will be blood will take longer to clot than usual time. This drug can cause nausea, vomiting, diarrhea, dizziness and rash as well. Since one of the main function of cyclooxygenase 1 enzyme that converts into this cytoprotective prostaglandin that protects the kidney. Now, it’s not gonna be protected anymore since this non-selective anti-inflammatory drugs gonna block that COX-1, so, it can cause a kidney failure especially ibuprofen. Ibuprofen. And, this medication can cause the retention of fluid and edema as well.

The next slide is covering the some examples of non-steroidal non-inflammatory drugs. Now, we talked, there are some anti-inflammatory drugs that’s non-steroidal are non-selective and some of them, there’s only one which is selective. So, these examples are all non-selective NSAIDs. So, these drugs blocks COX-1 and COX-2, both. While this Celecoxib, it only blocks COX-2. So, Celecoxib doesn’t have the side effects like stomach bleeding, kidney failure, prolonged bleeding, those kinds of. Because it only, it decreases, it only blocks COX-2 enzyme, not the COX-1. There were many drugs in the market that only inhibits COX-2 which is often called as a selective NSAIDs because it selectively blocks COX enzymes, cycooxygenase 2, so, COX-2. However, there was a data coming from the users that it can cause the cardiac, went like edema, there were high risk of a heart failure, like so forth, so, most company took those drugs out of the market. There’s only one drug in the market right now which is a selective NSAID is Celecoxib. So, that’s the only difference between these non-selective and selective. And often they, on NCLEX they either use the Aspirin, the Ibuprofen, Diclofenac, Fenoprofen, Ketoprofen, Naproxen. Those are the most often tested drugs in NCLEX.

So, that was it about the NSAIDs. If you have any questions, you can contact us or put a comment.

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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
Glaucoma
Menstrual Cycle
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Essential NCLEX Meds by Class
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Same
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Albumin Lab Values
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Benzodiazepines
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Ammonia (NH3) Lab Values
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Nephroblastoma
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Infections in Pregnancy
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Nursing Care and Pathophysiology for Meningitis
Appendicitis
Intussusception
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Patient Positioning
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MAOIs
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Mastitis
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Specialty Diets (Nutrition)
Enteral & Parenteral Nutrition (Diet, TPN)
Histamine 1 Receptor Blockers
Initial Care of the Newborn (APGAR)
Nephrotic Syndrome
Enuresis
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Renin Angiotensin Aldosterone System
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Meconium Aspiration
Meningitis
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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
Scoliosis
Metronidazole (Flagyl) Nursing Considerations
Ciprofloxacin (Cipro) Nursing Considerations
Vancomycin (Vancocin) Nursing Considerations
Anti-Infective – Penicillins and Cephalosporins
Atypical Antipsychotics
Rubeola – Measles
Mumps
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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
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)
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)
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)
Fractures
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)
Hemodynamics
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
Asthma
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)
Schizophrenia
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)