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• T-Tricuspid
• P-Pulmonic
• M-Mitral
• A-Aortic

This simple mnemonic helps to remember the order in which blood passes through the four heart valves in sequential order.

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• C-Change in bowel or bladder
• A-A lesion that does not heal
• U-Unusual bleeding or discharge
• T-Thickening or lump in breast or elsewhere
• I-Indigestion or difficulty swallowing
• O-Obvious changes in wart or mole
• N-Nagging cough or persistent hoarseness
•  
• U-Unexplained weight loss
• P-Pernicious Anemia

Cancer can sometimes be difficult to identify, but the earlier it is detected the better chance treatment will be effective.

• C-Comfort
• A-Altered Body Image
• N-Nutrition
• C-Chemotherapy
• E-Evaluate response to meds
• R-Respite for caretakers

These are the top nursing priorities for a patient with CANCER

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• R-Razor Electric/Blades
• A-Aspirin
• N-Needles- small gauge
• D-Decrease needle sticks
• I-Injury (Protect from)

If a patient is taking an anticoagulant to prevent blood clots there is increase risk for bleeding. Be careful with blades when shaving. Do not take aspirin as it interferes with blood clotting and can magnify the effect of the medication. Avoid excess needle sticks and protect the patient from injury.

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• A-Adrenergic (albuterol)
• S-Steroids
• T-Theophylline
• H-Hydration (IV)
• M-Mask (oxygen)
• A-Antibiotics

The therapeutic management for a patient with asthma. Asthma is a spasming of the airways, which causes difficulty breathing.

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• P-Pain in the right lower quadrant of the abdomen
• A-Anorexia-loss of appetite
• I-Increased temperature, WBC (15,000-20,000)
• N-Nausea
• S-Signs (McBurney’s, Psoas)

Psoas sign is pain when a patient extends their thigh while lying on their side with knees extended. It indicates irritation to certain abdominal muscles. McBurney’s sign is if there is deep tenderness at McBurney’s point, which is located on the right side of the abdomen, one-third the distance from the anterior superior iliac spine to the navel.

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• R-Respiratory
• O-Opposite
• M-Metabolic
• E-Equal

First look at the pH: if it is low it is acidosis, high indicates alkalosis. Second use the ROME mnemonic to determine if you have respiratory vs. metabolic. For Metabolic look at HCO3. For Respiratory, look at pCO2. Metabolic Acidosis – pH Low, HCO3 Low. Metabolic Alkalosis – pH High, HCO3 High. Respiratory Acidosis – pH Low, pCO2 High. Respiratory Alkalosis – pH High, pCO2 Low.

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• A-Alcohol/durgs
• E-Endocrine
• I-Insulin
• O-Overdose
• U-Uremia
• T-Trauma
• I-Infection
• P-Psychiatric
• S-Shock

There are many reasons why a patient may present with altered mental status. Neurological injury is not the only reason for AMS! Make sure you explore all possibilities.

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• A-Amnesia – loss of memories
• A-Anomia – unable to recall names of everyday objects
• A-Apraxia – unable to perform tasks of movement
• A-Agnosia – inability to process sensory information
• A-Aphasia – disruption with ability to communicate

The 5 A’s of Alzhemiers Disease. These signs point to a diagnosis of Alzheimer’s Type Dementia

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• S-Sugar (Glucocorticoids)
• S-Salt (Mineralcorticoids)
• S-Sex (Androgens)

There are three different adrenal gland hormones which can be remembered as the 3 Ss: sugar (glucocorticoids) affects glucose utilization, fat metabolism and aid in reducing inflammation. Salt (mineralcorticoids) plays a role in electrolyte regulation. Androgens are commonly referred to as sex hormones.

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• A-Vitamin A
• D-Vitamin D
• E-Vitamin E
• K-Vitamin K

Vitamins A, D, E, and K are all fat soluble vitamins. Dogs get fat eating too much kibble