Uploaded by ssahu831935

Short tricks of-WPS Office

advertisement
Shor
tt
r
i
cksofi
mpor
t
antt
opi
cs
Bykef
Car
eofCl
i
enti
nTr
act
i
on(
TRACTI
ON)
T-Temper
at
ur
e(
Ext
r
emi
t
y
,
I
nf
ect
i
on)
R-Ropeshangf
r
eel
y
A-Al
i
gnment
C-Ci
r
cul
at
i
onCheck(
5P'
s)
T-Ty
pe&Locat
i
onoff
r
act
ur
e
I-I
ncr
easef
l
ui
dei
nt
ake
O-Ov
er
headt
r
apeze
N-Nowei
ght
sonbedorf
l
oor
St
epsi
nt
heNur
si
ngPr
ocess
ADPI
E(
ADel
i
ci
ousPI
E)
Assessment
D-i
agnosi
s
Pl
anni
ng
I
mpl
ement
at
i
on
Ev
al
uat
on
Aci
dBase(
ROME)
Respi
r
at
or
y
Opposi
t
e
Met
abol
i
c
Equal
CANCER'
SEar
l
yWar
ni
ngSi
gns
CAUTI
ONUP
Changei
nbowel
orbl
adder
A-l
esi
ont
hatdoesnotheal
Unusual
bl
eedi
ngordi
schar
ge
Thi
ckeni
ngorl
umpi
nbr
eastorel
sewher
e
I
ndi
gest
i
onordi
f
f
i
cul
t
yswal
l
owi
ng
Obv
i
ouschangesi
nwar
tormol
e
Naggi
ngcoughorper
si
st
enhoar
seness
Unexpl
ai
nedwei
ghtl
oss
Per
ni
ci
ousAnemi
a
CANCERI
nt
er
v
ent
i
ons
Comf
or
t
Al
t
er
edBodyI
mage
Nut
r
i
t
i
on
Chemot
her
apy
Ev
al
uat
er
esponset
omeds
Respi
t
ef
orcar
et
aker
s
Hy
pogl
y
cemi
a(
TI
RED)
-anabnor
mal
decr
easeofbl
oodi
nt
hesugar
Tachy
car
di
a
I
r
r
i
t
abi
l
i
t
y
Rest
l
ess
Excessi
v
eHunger
Di
aphor
esi
s/Depr
essi
on
Adr
enal
Gl
andHor
mones(
SSS)
Sugar(
Gl
ucocor
t
i
coi
ds)
Sal
t(
Mi
ner
al
cor
t
i
coi
ds)
Sex(
Andr
ogens)
Pul
monar
yEdema(
MADDOG)
MMor
phi
ne
AAmi
nophy
l
l
i
ne
D-Di
gi
t
al
i
s
DDi
ur
et
i
cs(
Lasi
x)
O-Oxy
gen
G-ases(
Bl
oodGasesABG'
s)
5P'
sofCi
r
cul
at
or
yChecks
PPai
n
PPar
est
hesi
a
PPar
al
y
si
s
PPul
se
PPal
l
or(
Pal
eness)
Hy
per
t
ensi
onNur
si
ngCar
e(
DI
URETI
C)
Dai
l
yWei
ght
I
-nt
akeandOut
put(
I&O)
U-r
i
neOut
put
ResponseofBP
El
ect
r
ol
y
t
es
TakePul
ses
I
schemi
cEpi
sodes(
TI
A)
Compl
i
cat
i
ons:
4C'
s
Ev
al
ut
i
onofEpi
si
ot
omyHeal
i
ng(
REEDA)
R-Redness
E-Edema
E-Ecchy
mosi
s
D-Di
schar
ge,
Dr
ai
nage
A-Appr
oxi
mat
i
on
Ev
al
ut
i
onofEpi
si
ot
omyHeal
i
ng(
REEDA)
R-Redness
E-Edema
E-Ecchy
mosi
s
D-Di
schar
ge,
Dr
ai
nage
A-Appr
oxi
mat
i
on
Post
Par
t
um Assessment(
BUBBLE)
Br
east
s
Ut
er
us
Bowel
s
Bl
adder
Lochi
a
Epi
si
ot
omy
/
l
at
er
at
i
on/
Csect
i
oni
nci
si
on
Tr
acheal
Esophageal
Fi
st
ul
a(
3C'
s)
C-Choki
ng
C-Coughi
ng
C-Cy
anosi
s
Cl
ef
tLi
p-PostOpCar
e(
CLEFTLI
P)
Choki
ng
Li
eonback
Ev
al
uat
eAi
r
way
FeedSl
owl
y
Teachi
ng
Lar
gerni
ppl
eopeni
ng
I
nci
dencei
ncer
asei
nmal
es
Pr
ev
entcr
ustf
or
mat
i
onandaspi
r
at
i
on
Si
t
uat
i
onsr
equi
r
i
ngCr
i
si
sSi
t
uat
i
on:
RAPE
R-Rut
hl
ess
A-Abusi
v
e
P-Per
sonal
E-Exper
i
ence
War
ni
ngSi
gnsofaChi
l
dAbuse/Negl
ect
:
CHI
LDABUSE
Chi
l
d'
sexcessi
v
eknowl
edgeonsex&abusi
v
ewor
ds
Hai
rgr
owt
hi
nv
ar
i
ousl
engt
hs
I
nconsi
st
entst
or
i
esf
r
om t
hechi
l
d&par
ent
/
s
Lowsel
f
est
eem
Depr
essi
on
Apat
hy
,
noemot
i
on
Br
ui
sed
Unusual
i
nj
ur
i
es
Ser
i
ousi
nj
ur
i
es
Ev
i
denceofol
di
nj
ur
i
esnotr
epor
t
ed
TheHYPERKALEMI
A"
Machi
ne"-CausesofI
ncr
easedSer
um K+
M -Medi
cat
i
ons-ACEi
nhi
bi
t
or
s,
NSAI
DS
A-Aci
dosi
s-Met
abol
i
candr
espi
r
at
or
y
C-Cel
l
ul
ardest
r
uct
i
on-Bur
ns,
t
r
aumat
i
ci
nj
ur
y
H-Hy
poal
dost
er
oni
sm,
hemol
y
si
s
I-I
nt
ake-Excesssi
v
e
N-Nephr
ons,
r
enal
f
ai
l
ur
e
E-Excr
et
i
on-I
mpai
r
ed
MURDER
Si
gnsandSy
mpt
omsofI
ncr
easedSer
um K+
M -Muscl
eweakness
U-Ur
i
ne,
ol
i
gur
i
a,
anur
i
a
R-Respi
r
at
or
ydi
st
r
ess
D-Decr
easedcar
di
accont
r
act
i
l
i
t
y
E-ECGchanges
R-Ref
l
exes,
hy
per
r
ef
l
exi
a,
orar
ef
l
exi
a(
f
l
acci
d)
Tor
ememberwhi
chbl
oodt
y
pesar
ecompat
i
bl
e,
v
i
sual
i
zet
hel
et
t
er"
O"asanor
br
epr
esent
i
ng
t
heuni
v
er
se,
becauset
y
peObl
oodi
st
heuni
v
er
sal
donorbl
ood.Pat
i
ent
swi
t
hanybl
oodt
y
pe
canr
ecei
v
ei
t
.ButOal
someans"
oddmanout
"
:
Pat
i
ent
swi
t
ht
y
peObl
oodcanr
ecei
v
eonl
yt
y
pe
Obl
ood.Thi
nkBEEPt
or
emembert
hesi
gnsofmi
norbl
eedi
ng:
B:
Bl
eedi
nggums
E:
Ecchy
moses(
br
ui
ses)
E:
Epi
st
axi
s(
nosebl
eed)
P:
Pet
echi
ae(
t
i
nypur
pl
i
shspot
s)
Hav
i
ngdi
f
f
i
cul
t
ydi
st
i
ngui
shi
nghy
popl
asi
af
r
om hy
per
pl
asi
a?
Wheny
ouseepl
asi
ai
nanywor
d,
t
hi
nkof"
pl
ast
i
c.
"Pl
ast
i
c,
i
nt
ur
n,
meansf
or
mi
ngordev
el
opi
ng.
Asf
orhy
poandhy
per
,
t
hat
'
st
heeasypar
t
.Hy
pomeansunder
,
orbel
ownor
mal
.Hy
permeans
excessi
v
e,
orabov
enor
mal
.Thus,
hy
popl
asi
ameansunder
dev
el
opment
,
andhy
per
pl
asi
ameans
ov
er
dev
el
opment
.
Tor
emembert
hef
ourcausesofcel
l
i
nj
ur
y
,
t
hi
nkofhowt
hei
nj
ur
yt
i
pped(
orTI
PD)t
hescal
eof
homeost
asi
s:
T:
Toxi
norot
herl
et
hal
(
cy
t
ot
oxi
c)subst
ance
I
:
I
nf
ect
i
on
P:
Phy
si
cal
i
nsul
tori
nj
ur
y
D:
Def
i
ci
t
,
orl
ackofwat
er
,
oxy
gen,
ornut
r
i
ent
s.
Whenaski
ngassessmentquest
i
ons,
r
emembert
heAmer
i
canCancerSoci
et
y
'
smnemoni
c
dev
i
ceCAUTI
ON:
C:
Changei
nbowel
orbl
adderhabi
t
s
A:
Asor
et
hatdoesn'
theal
U:
Unusual
bl
eedi
ngordi
schar
ge
T:
Thi
ckeni
ngorl
ump
I
:
I
ndi
gest
i
onordi
f
f
i
cul
t
yswal
l
owi
ng
O:
Obv
i
ouschangesi
nawar
tormol
e
N:
Naggi
ngcoughorhoar
seness.
Uset
heABCDr
ul
et
oassessamol
e'
smal
i
gnantpot
ent
i
al
:
A:
Asy
mmet
r
y
I
st
hemol
ei
r
r
egul
ari
nshape?
B:
Bor
der
I
st
hebor
deri
r
r
egul
ar
,
not
ched,
orpoor
l
ydef
i
ned?
C:
Col
or
Doest
hecol
orv
ar
y(
f
orexampl
e,
bet
weenshadesofbr
own,
r
ed,
whi
t
e,
bl
ue,
orbl
ack)
?
D:
Di
amet
er
I
st
hedi
amet
ermor
et
han6mm?
Si
deef
f
ect
sofst
er
oi
ds.The5S'
s.
Si
ck-easi
ert
ogetsi
ck
Sadcausesdepr
essi
on
Sexi
ncr
easesl
i
bi
do
Sal
t
r
et
ai
nsmor
eandcauseswei
ghtgai
n
Sugar
r
ai
sesbl
oodsugar
PERRLA
Pupi
l
sEqual
l
yRoundandReact
i
v
et
oLi
ghtandAccomodat
i
on
Lear
ni
ngt
heSy
st
emsoft
heBody
?
MRDI
CERUNS
M=Muscl
e
R=Respi
r
at
or
y
D=Di
gest
i
v
e
I
=I
nt
egument
ar
y
C=Ci
r
cul
at
or
y
E=Endocr
i
ne
R=Repr
oduct
i
v
e
U=Ur
i
nar
y
N=Ner
v
ous
S=Skel
et
al
Tr
oubl
ef
i
gur
i
ngoutwhi
chey
ei
swhi
ch?
OSi
sl
ef
tey
e
ODi
st
her
i
ghtey
e
Youcanr
ememberwhi
chonei
st
her
i
ghtey
e(
OD)
,
becausey
oucanmaket
heDi
nt
oanR-You
j
usthav
et
odr
awt
ost
i
ckl
egsont
hebot
t
om oft
heD.Wr
i
t
ei
tdownonpaper
,
y
ou'
l
l
seewhatI
mean(
i
t
'
shar
dt
oshowy
ouwhenal
l
Icandoi
st
y
pe)
S/
SofHy
ponat
r
emi
a
St
upor
/
coma
Anor
exi
a,
N&V
Let
har
gy
Tendonr
ef
l
exesdecr
eased
Li
mpmuscl
es(
weakness)
Or
t
host
at
i
chy
pot
ensi
on
Sei
zur
es/
headache
St
omachcr
ampi
ng
I
mmedi
at
et
r
eat
mentofMI
,
t
hi
nkMONA:
M Mor
phi
nesul
f
at
e
OOxy
gen
NNi
t
r
ogl
y
cer
i
n
AASA
Tr
eat
mentofCHF,
t
hi
nkUNLOADFAST:
Usi
tUpr
i
ght
NNi
t
r
o
LLasi
x
OOxy
gen
AAmi
nophy
l
l
i
ne
DDi
goxi
n
FFl
ui
ds-decr
ease
AAf
t
er
l
oad-decr
ease
SSodi
um -decr
ease
TTest
s:
di
gl
ev
el
,
ABG,
K+
Assi
st
i
v
edev
i
ces-Canes:
CCane
OOpposi
t
e
AAf
f
ect
ed
LLeg
Si
gnsofaChol
i
ner
gi
cCr
i
si
s,
t
hi
nkSLUD:
SSal
i
v
at
i
on
LLacr
i
mat
i
on
UUr
i
nat
i
on
DDef
i
cat
i
on
Memor
yTr
i
ck:
Needt
or
ememberwhi
chki
ndofbet
abl
ockerhaswhi
chact
i
on?
B1Bl
ockst
hehear
t(
y
ouhav
eonl
yonehear
t
)
B2Bl
ockst
hel
ungs(
y
ouhav
et
wol
ungs)
f
et
al
accel
er
at
i
onsanddecel
er
at
i
ons!
!
!
Justr
ememberVEALCHOP
Var
i
abl
eCor
dcompr
essi
on
Ear
l
yHeadcompr
essi
on
Accel
er
at
i
onsOK
Lat
ePl
acent
al
i
nsuf
f
i
ci
ency
Hear
tsounds:
S3=Hear
tf
ai
l
ur
e(
3sy
l
l
abl
es)
S4=Hy
per
t
ensi
on(
4sy
l
l
abl
es)
ef
f
ect
sofant
i
chol
i
ner
gi
cs:
Can'
tsee
Can'
tpee
Can'
tspi
t
Can'
tdef
ecat
e
Ni
nepoi
ntPost
par
t
um Assessment
.
.
.
BUBBLEHER
B-Br
east
s
U-Ut
er
us
B-Bl
adder
B-Bowel
f
unct
i
on
L-Lochi
a
E-Epi
si
ot
omy
H-Homan'
ssi
gn
E-Emot
i
onal
St
at
us
R-Respi
r
at
or
ySy
st
em
The5P'
sofci
r
cul
at
i
onl
ossi
nal
i
mb.
Pai
n,
Pal
l
or
,
Pul
sel
essness,
Par
ast
hesi
a,
Poi
ki
l
ot
her
mi
a
si
deef
f
ect
s&adv
er
ser
eact
i
onst
oi
mmuni
zat
i
ons:
F-Fev
er
I
-I
t
chi
ng
S-St
i
f
f
ness
H-Headache
E-Edema
R-Redness
F-Fussy
L-Local
i
zedTender
ness
A-Appet
i
t
edecr
ease
G-Gener
al
AchesPai
ns
HYPERNATREMI
A
"
YouAr
eFr
i
ed"
F-Fev
er(
l
owgr
ade)
,
f
l
ushedski
n
R-Rest
l
ess(
i
r
r
i
t
abl
e)
I-I
ncr
easedf
l
ui
dr
et
ent
i
onandi
ncr
easedBP
E-Edema(
per
i
pher
al
andpi
t
t
i
ng)
D-Decr
easedur
i
nar
yout
put
,
dr
ymout
h
Canal
souset
hi
sone:
SALT
S=Ski
nf
l
ushed
A=Agi
t
at
i
on
L=Lowgr
adef
ev
er
T=Thi
r
st
"
CATS"of"
HYPOCALCEMI
A"
C-Conv
ul
si
ons
A-Ar
r
hy
t
hmi
as
T-Tet
any
S-Spasmsandst
r
i
dor
Remembert
hather
ei
nt
heUSAy
ouDdr
i
v
eont
her
i
ghtsi
deoft
her
oad.
O=opt
i
cal
A=audi
t
or
y
AD-r
i
ghtear
AS-l
ef
tear
AU-bot
hear
s
OD-r
i
ghtey
e
OS-l
ef
tey
e
OU-bot
hey
es
Mneumoni
cdev
i
cef
orr
emember
i
ngquest
i
onst
oaskemer
gencyr
oom admi
t
s:
Car
?(
ci
r
cumst
ancesofev
ent
)
Pl
ease(
pr
eci
pi
t
at
i
ngev
ent
s)
Li
st
en(
l
ocat
i
onofev
ent
)
ToThi
s:
(
Ti
meofev
ent
)
Wat
ch(
whensy
mpt
omsappear
ed)
Under
age(
unconsci
ousnessaf
t
eri
nj
ur
y
?
)
Al
cohol
i
cs(
ar
r
i
v
al
t
i
mei
nER)
Headi
ng(
hospi
t
al
admi
t
spr
ev
i
ousl
y
?
)
Home(
pr
ev
i
oushi
st
or
y
/
heal
t
hst
at
us)
And(
al
l
er
gi
es)
May
be(
medi
cat
i
ons)
Fl
at
t
eni
ng(
f
ear
sf
orsaf
et
y
)
My(
meal
,
t
i
meofl
ast
)
Poodl
e(
per
i
od,
t
i
meofl
astmenst
r
ual
)
Dog(
pr
i
mar
ydoct
or
,
nameandl
ocat
i
onof
)
Toni
ght(
t
et
anus,
dat
eofl
asti
mmuni
zat
i
on)
Ev
er
y
oneknowst
omaket
heABCD(
ai
r
waybr
eat
hi
ngci
r
cul
at
i
onandneur
ol
ogi
cdi
sabi
l
i
t
y
)
assessmentf
i
r
st
.Thenassoonaspossi
bl
e,
f
ur
t
herassessment
/
i
nt
er
v
ent
i
oni
sdone,
whi
ch
i
ncl
udes:
Hi
s(
heal
t
hhi
st
or
y
)
Head(
headt
ot
oeassessment
)
I
s(
i
nser
tmoni
t
or
i
ngdev
i
ces-cat
hs,
ECG,
ar
t
er
i
al
l
i
nes)
So(
spl
i
nt
sf
orf
r
act
ur
es)
Wi
de(
woundcar
e)
Ol
i
v
i
a(
ot
heri
nt
er
v
ent
i
ons)
Thepat
hophy
si
ol
ogyofARDS:
Assaul
tont
her
espi
r
at
or
ysy
st
em
Respi
r
at
or
ydi
st
r
ess
Decr
easedl
ungcompl
i
ance
Sev
er
er
espi
r
at
or
yf
ai
l
ur
e
Di
agnost
i
ccr
i
t
er
i
aofARDS
Acut
eonset
Rat
i
o(
PaCO2/
Fi
O2)<200span="
"
>
Di
f
f
usei
nf
i
l
t
r
at
i
on
SwanGanzwedgepr
essur
e(
PAWP)<18mm hg="
"span="
"
>
Compl
i
cat
i
onsoft
hr
ombol
y
t
i
ct
her
apy
:
The3B'
s
Bl
eedi
ng
Br
ady
'
s(
dy
sr
hy
t
hmi
as)
Bl
oodcl
ot
s(
d/
texcessi
v
et
hr
ombi
n)
Compl
i
cat
i
onsofcar
di
opul
monar
yby
pass(
CPB)
:
The3H'
s
Hy
pot
her
mi
a(
t
odecr
easeO2consumpt
i
on)
.
.
.
Ef
f
ect
sSVR(
v
asoconst
r
i
ct
i
on)andcauses
my
ocar
di
al
depr
essi
on(
decr
easescont
r
act
i
l
i
t
y
)
Hemodi
l
ut
i
on(
t
oi
mpr
ov
emacr
oci
r
cul
at
i
on)
.
.
.
f
l
ui
dshi
f
t
i
ng(
t
hi
r
dspaci
ng)
,
el
y
t
ei
mbal
ances(
K+,
Mg+&Ca++of
t
enneedr
epl
aci
ng!
)
Hepar
i
nzat
i
on(
t
opr
ev
entcl
ot
si
nci
r
cui
t
)
.
.
.
moni
t
oraPTT.
Si
gnsandsy
mpt
omsofcar
di
act
amponade(
Beck'
sTr
i
ad)
:
TheThr
eeD'
s
Di
st
anthear
tsounds
Di
st
endedj
ugul
arv
ei
ns
Decr
easedpul
sepr
essur
e(
t
hi
nkofanar
r
owpul
sepr
essur
easopposedt
oawi
deone)
At
r
i
al
Ar
r
hy
t
hmi
as:
ABCDE
Adenosi
ne/
ami
odor
oneorant
i
coagul
at
e(
i
fAf
i
b/
Fl
ut
t
erhasbeenpr
esent>48h)
Bet
abl
ocker
s
Cal
ci
um channel
bl
ocker
s
Di
goxi
n
El
ect
r
ocar
di
ov
er
t(
i
f<48hspan="
"
>
Forv
ent
r
i
cul
arar
r
hy
t
hmi
as:
AL
Ami
odor
one
Li
docai
ne
NSAI
DDr
ugs
N-Napr
oxen
S-Sal
i
cy
l
at
es
A-Adv
i
l
I-I
bupr
of
en
D-Di
cl
of
enac
S-Sul
i
ncl
ac
8A'
sf
orHepat
ot
oxi
cDr
ugs(
CheckSGPT/
SGOT)
Ant
i
t
uber
cul
osi
s
Ant
i
conv
ul
sant
S-sodi
um Lumi
nal
G-gabapent
i
n
P-pheny
t
oi
n
T-t
egr
et
ol
Ant
i
cancer
Aspi
r
i
n
Al
cohol
Ant
i
f
ami
l
y(
cont
r
acept
i
cepi
l
l
s)
Acet
ami
nophen
Af
l
at
oxi
ns
Par
ki
nson'
sMedi
cat
i
ons:
"
Al
i
Lov
esBoxi
ngMat
ches"
AAmant
adi
ne
L-Lev
odopa
B-Br
omocr
i
pt
i
ne
MMAOi
nhi
bi
t
or
s
The4H'
st
hati
nv
al
i
dat
eaneur
oexam:
Hy
pot
ensi
on
Hpoxi
a
Hy
pogl
y
cemi
a
Hy
pot
her
mi
a*
Pi
npoi
ntpupi
l
s:
Dr
ugs,
dr
ops&near
l
ydead
Dr
ugs:
opi
at
es
Dr
ops:
medsf
orgl
aucoma
Near
l
ydead:
damagei
nt
heponsar
eaoft
hebr
ai
nst
em
Di
l
at
edpupi
l
s:
Fear
,
Fi
t
s&FastLi
v
i
ng
Fear
:
pani
c,
ext
r
emeanxi
et
y
Fi
t
s:
sei
zur
es
FastLi
v
i
ng:
cocai
ne,
cr
ack,
phency
cl
i
di
ne(
PCP)
ADLs(
Act
i
v
i
t
yofDai
l
yLi
v
i
ng)
BATTED
Bat
hi
ng
Ambul
at
i
on
Toi
l
et
i
ng
Tr
ansf
er
s
Eat
i
ng
Dr
essi
ng
I
ADLS(
I
nst
r
ument
al
Act
i
v
i
t
i
esofDai
l
yLi
v
i
ng)SCUM
Shoppi
ng
Cooki
ngandCl
eani
ng
Usi
ngt
el
ephoneort
r
anspor
t
ai
t
on
Managi
ngmoneyandmedi
cat
i
ons
Bl
eedi
ngPr
ecaut
i
ons(
RANDI
)
R-RazorEl
ect
r
i
c/Bl
ades
A-Aspi
r
i
n
N-Noneedl
es(
esp.i
nsmal
l
gauge)
D-Dodecr
easei
nneedl
est
i
cks)
I-I
nj
ur
y(
Pr
ot
ectf
r
om)
CanesandWal
ker
s(
COAL)
C-Cane
O-Opposi
t
e
A-Af
f
ect
ed
L-Leg
CanesandWal
ker
s(
WWAL)
Wander
i
ngWi
l
ma'
sAl
way
sLat
e
W-Wal
ker
W-Wi
t
h
A-Af
f
ect
ed
L-Leg
CommonCausesofTr
ansi
entI
ncont
i
nence(
DI
APPERS)
Del
i
r
i
um
I
nf
ect
i
on
At
r
ophi
cUr
et
hr
a
Phar
maceut
i
cal
s
Psy
chol
ogi
c
ExcessUr
i
neOut
put
Rest
r
i
ct
edMobi
l
i
t
y
St
ool
I
mpact
i
on
Pr
omot
i
onofNor
mal
El
i
mi
nat
i
on(
POOPERSCOOP)
Posi
t
i
on
Out
put
Of
f
erFl
ui
ds
Pr
i
v
acy
Exer
ci
se
Repor
tResul
t
s
Si
ze(
Amount
)
Consi
st
ency
Occul
tBl
ood
Odor
Per
i
st
al
si
s
Emer
gencyTr
aumaAssessment
(
ABCDEFGHI
)
Ai
r
way
Br
eat
hi
ng
Ci
r
cul
at
i
on
Di
sabi
l
i
t
y
Exami
ne
Fahr
enhei
t
GetVi
t
al
s
Headt
oToeAssessment
I
nt
er
v
ent
i
on
Tr
aumaSur
ger
y(
AMPLE)
af
t
eri
ni
t
i
al
assessment
Al
l
er
gi
es
Medi
cat
i
ons
PastMedi
cal
Hi
st
or
y
LastMeal
Ev
ent
sSur
r
oundi
ngI
nj
ur
y
Tr
aumaSur
ger
y(
AMPLE)
af
t
eri
ni
t
i
al
assessment
Al
l
er
gi
es
Medi
cat
i
ons
PastMedi
cal
Hi
st
or
y
LastMeal
Ev
ent
sSur
r
oundi
ngI
nj
ur
y
6P'
sofDy
spnea
P-Pul
monar
yBr
onchi
al
Const
r
i
ct
i
on
P-Possi
bl
eFor
ei
gnBody
P-Pul
monar
yEmbol
us
P-Pneumot
hor
ax
P-PumpFai
l
ur
e
P-Pneumoni
a
Li
docai
neToxi
ci
t
y(
SAMS)
Sl
ur
r
edSpeech
Al
t
er
edCent
r
al
Ner
v
ousSy
st
em
Muscl
eTwi
t
chi
ng
Sei
zur
es
TDCI(
TheseDr
ugsCanI
nt
er
act
)
T-Theophy
l
i
ne
D-Di
l
ant
i
n
C-Coumadi
n
I-l
osone(
Er
y
t
hr
omy
ci
n)
Ser
i
ousCompl
i
cat
i
onsofOr
al
Bi
r
t
hCont
r
ol
Pi
l
l
s(
ACHES)
A-Abdomi
nal
Pai
n
C-ChestPai
n
H-Headache
E-Ey
ePr
obl
ems
S-Sev
er
eLegPai
n
Emer
gencyDr
ugst
oLEANon
L-Li
docai
ne
E-Epi
nephr
i
ne
A-At
r
opi
neSul
f
at
e
N-Nar
can
Dr
ugsf
orBr
ady
car
di
a&l
owBP(
I
DEA)
I-I
sopr
ot
er
enol
D-Dopami
ne
E-Epi
nephr
i
ne
A-At
r
opi
neSul
f
at
e
Chol
i
ner
gi
cCr
i
si
s(
SLUD)
Sal
i
v
at
i
on
Lacr
i
mat
i
on
Ur
i
nat
i
on
Def
ecat
i
on
Depr
essi
onAssessment(
SI
G)
Sl
eepDi
st
ur
bances
I
nt
er
estDecr
eased
Gui
l
t
yFeel
i
ngs
Ener
gyDecr
eased(
CAPS)
Concent
r
at
i
ondecr
eased
Appet
i
t
e
Psy
chomot
orf
unct
i
ondecr
eased
Sui
ci
dal
I
deat
i
ons
5A'
st
oAl
zhei
merDi
agnosi
s
Amnesi
a
Anomi
a
Apr
axi
a
Agnosi
a
Aphasi
a
Maj
orSy
mpt
omsofaMani
cAt
t
ack(
DI
GFAST)
D-Di
st
r
act
i
bi
l
i
t
y
I-I
ndi
scr
et
i
on
G-Gr
andi
osi
t
y
F-Fl
i
ghtofI
deas
A-Act
i
v
i
t
yI
ncr
ease
S-Sl
eepDef
i
ci
t
T-Tal
kat
i
v
e
3P'
sofBl
i
ndness
P-Pr
ev
ent
abl
e
P-Pai
nl
ess
P-Per
manent
Sy
mpt
omsofHy
poxi
a(
i
nPedi
at
r
i
cs)-FI
NES
Feedi
ngdi
f
f
i
cul
t
y
I
nspi
r
at
or
ySt
r
i
dor
Nar
esFl
ar
es
Expi
r
at
or
yGr
unt
i
ng
St
er
nal
Ret
r
act
i
ons
ManagementofASTHMA
Adr
ener
gi
cs(
Al
but
er
ol
)
St
er
oi
ds
Theophy
l
l
i
ne
Hy
dr
at
i
on(
I
V)
Mask(
Oxy
gen)
Ant
i
bi
ot
i
cs
Epi
gl
ot
t
i
t
i
s(
AI
RRAI
D)
Ai
r
wayCl
osed
I
ncr
easedPul
se
Rest
l
essness
Ret
r
act
i
ons
Anxi
et
yI
ncr
eased
I
nspi
r
at
or
ySt
r
i
dor
Dr
ool
i
ng
Bl
oodFl
owThr
ought
heCar
di
acVal
v
es(
Ti
ssuePaperMyAsset
s)
Tr
i
cuspi
d
Pul
moni
c
Mi
t
r
i
al
Aor
t
i
c
I
mmedi
at
eTr
eat
mentofaMy
ocar
di
al
I
nf
ar
ct
i
onCl
i
ent(
MONA)
M-Mor
phi
ne
O-Oxy
gen
N-Ni
t
r
ogl
y
cer
i
ne
A-ASA
Tr
eat
i
ngCHF(
UNLOADFAST)
Upr
i
ghtPosi
t
i
on
Ni
t
r
at
es(
i
nl
owdose)
Lasi
x
Oxy
gen
Ami
nophy
l
l
i
ne
Di
goxi
n
Fl
ui
ds(
decr
ease)
Af
t
er
l
oad(
decr
ease)
Sodi
um r
est
r
i
ct
i
on
Test(
Di
gl
ev
el
,
ABGs,
Kl
ev
el
)
DEMENTI
A
Makesur
et
heydon'
thav
epr
obl
emswi
t
h:
Dr
ugandal
cohol
Ey
esandear
s
Met
abol
i
candendocr
i
nedi
sor
der
s
Emot
i
onal
di
sor
der
s
Neur
ol
ogi
cdi
sor
der
s
Tumor
sandt
r
auma
I
nf
ect
i
on
Ar
t
er
i
ov
ascul
ardi
sease
Ost
eopor
osi
sRi
skFact
or
s(
ACCESS)
Al
cohol
Use
Cor
t
i
cost
er
oi
dUse
Cal
ci
um l
ow
Est
r
ogenl
ow
Smoki
ng
Sedent
ar
yl
i
f
est
y
l
e/
s
ACCESSl
eadst
oOSTEOPOROSI
S
Whoneedsdi
al
y
si
s?(
Checkt
hev
owel
s:
AEI
OU)
A-Aci
dBasePr
obl
ems
E-El
ect
r
ol
y
t
ePr
obl
ems
I
-I
nt
oxi
cat
i
ons
O-Ov
er
l
oadoff
l
ui
ds
U-Ur
emi
cSy
mpt
oms
Pr
ost
at
ePr
obl
emsar
eno.
.
.FUN
F-Fr
equency
U-Ur
gency
N-Noct
ur
i
a
BRATDi
et(
f
orsev
er
edehy
dr
at
i
on)
B-Banana
R-Ri
ce
A-Appl
e
T-Toast
edBr
ead
Gl
ut
enFr
eeDi
et(
ROW)
R-Ry
e
O-Oat
s
W-Wheat
AssessChangesi
nSeni
l
eDement
i
a(
JAMCO)
J-Judgment
A-Af
f
ect
M-Memor
y
C-Cogni
t
i
on
O-Or
i
ent
at
i
on
.*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
Bykef
*
*
*
*
*
3P'
sofDi
abet
esMel
l
i
t
us-Ty
pe1Si
gns&Sy
mpt
oms
P-Pol
y
ur
i
a(
excessi
v
eur
i
nat
i
on)
P-Pol
y
dy
psi
a(
excessi
v
et
hi
r
st
)
P-Pol
y
phagi
a(
excessi
v
ehunger
)
Ri
ght
Si
dedHear
tFai
l
ur
e(
HEAD)
H-Hepat
omegal
y
E-Edema(
Bi
pedal
)
A-Asci
t
es
D-Di
st
endedNeckVei
n
Lef
t
Si
dedHear
tFai
l
ur
e(
CHOP)
C-Cough
H-Hemopt
y
si
s
O-Or
t
hopnea
P-Pul
monar
yCongest
i
on(
cr
ackl
es/r
al
es)
Hy
per
kal
emi
aManagement(
KI
ND)
K-Kay
exal
at
e(
or
al
l
y
/enema)
I
-I
nsul
i
n
N-NaHCO3
D-Di
ur
et
i
cs(
Fur
osemi
de&Thi
azi
des)
ManagementofMy
ocar
di
al
I
nf
ar
ct
i
on(
MONATAS)
M-Mor
phi
ne
O-Oxy
gen
N-Ni
t
r
at
es(
Ni
t
r
ogl
y
cer
i
n)
A-Aspi
r
i
n(
ASA)
T-Thor
mbol
y
t
i
cs
A-Ant
i
Coagul
ant
s
S-St
ool
Sof
t
ener
s
El
ect
r
ol
y
t
es-PI
SO
P-Pot
assi
um
I
-I
nsi
de
S-Sodi
um
O-Out
si
de
Eat
i
ngDi
sor
der
:
ANOREXI
A
Amenor
r
headel
ay
ed
Noor
gani
cf
act
or
saccount
sf
orwei
ghtl
oss
Obv
i
ousl
yt
hi
nbutf
eel
sFAT
Ref
usal
t
omai
nt
ai
nnor
mal
bodywei
ght
Epi
gast
r
i
cdi
scomf
or
ti
scommon
Xsy
mpt
oms(
pecul
i
arsy
mpt
oms)
I
nt
ensef
ear
sofgai
ni
ngwei
ght
Al
way
st
hi
nki
ngoff
oods
Sy
mpt
omsofLeukemi
a(
ANT)
A-Anemi
a
N-Neut
r
openi
a
T-Thr
ombocy
t
openi
a
Exer
ci
seGui
def
orDi
abet
i
cFi
t
ness(
FI
T)
F-Fr
equency(
3xperweek)
I-I
nt
ensi
t
y(
6080%ofMaxi
mal
Hear
tRat
e)
T-Ti
me(
Aer
obi
cAct
i
v
i
t
y
)
Sy
mpt
omsofHy
poxi
a(
RATBED)
Ear
l
yHy
poxi
a:
Rest
l
essness
Anxi
et
y
Tachy
car
di
a/Tachy
pnea
Lat
eHy
poxi
a:
Br
ady
car
di
a
Ext
r
emeRest
l
essness
Dy
spnea
Eat
i
ngDi
sor
der
:
BULI
MI
A
Bi
ngeeat
i
ng
Underst
r
i
ctdi
et
i
ng
Lackscont
r
ol
ov
er
eat
i
ng
I
nducedv
omi
t
i
ng
Mi
ni
mum oft
obi
ngeeat
i
ngepi
sodes
I
ncr
ease/
Per
si
st
entconcer
nofbodysi
ze/
shape
Abuseofdi
ur
et
i
cs&l
axat
i
v
es
Fi
ndi
ngsofaBul
i
mi
acl
i
ent
:
WASHED
Wei
ghtl
ossof15%ofor
i
gi
nal
bodywei
ght
Amenor
r
hea
Soci
al
wi
t
hdr
awal
Hi
st
or
yofhi
ghact
i
v
i
t
y&achi
ev
ement
El
ect
r
ol
y
t
eI
mbal
ance
Depr
essi
on/Di
st
or
t
edBodyI
mage
Out
comeofAl
cohol
i
sm:
BAD
B-Br
ai
nDamage
A-Al
cohol
i
cHal
l
uci
nosi
s
D-Deat
h
5D'
sofBehav
i
or
al
Pr
obl
emsofAl
cohol
i
sm
D-Deni
al
D-Dependency
D-Demandi
ng
D-Dest
r
uct
i
v
e
D-Domi
neer
i
ng
Br
eastsel
fexami
nat
i
on(
i
madeasongoutoft
hi
s)
♫♪♪♫1l
i
t
t
l
e2,
l
i
t
t
l
e3l
i
t
t
l
ef
i
nger
s
DoBSE7day
saf
t
ermenses
Pr
essni
ppl
eoncecheckf
ordi
schar
ge
Cal
l
y
ourdoct
or
I
'
m sur
ey
ouwi
l
l
doi
tmor
e.
.
.
♫♪♪♫
Al
kal
osi
sandAci
dosi
s
Al
kal
osi
s-hasa'
k'
-Ki
cki
ngt
hepHup
Aci
dosi
s-hasa'
d'
-Dr
oppi
ngt
hepHdown
Sol
ut
i
ons:
I
sot
oni
c,
Hy
pot
oni
c,
Hy
per
t
oni
c
I
sot
oni
c-"
SameasI
"-t
hesol
ut
i
onusedwi
l
l
bet
hesameasnor
mal
bodyf
l
ui
dcomposi
t
i
on.
Fl
ui
dsr
emai
ni
nsi
dei
nt
r
av
ascul
arspace.
Hy
pot
oni
c-"
Hy
po,
hi
ppo"-t
hesol
ut
i
onpul
l
sf
l
ui
df
r
om t
hei
nt
r
av
ascul
arspacei
nt
ot
heI
CF-t
he
cel
l
"
swel
l
sl
i
keahi
ppo"
.
Forr
emember
i
ngt
hecor
onar
yar
t
er
i
esandwhi
chsi
det
heyar
eon:
Ihav
eaRI
GHTt
oCAMPi
fy
ouLEFTof
ft
heAC
Ri
ght=Ri
ght
C=or
onar
y
A=Ar
t
er
y
M=Mar
gi
nal
Ar
t
er
y
P=Post
er
i
orI
nt
er
v
ent
r
i
cul
arAr
t
er
y
Lef
t
=Lef
t
A=Ant
er
i
orI
nt
er
v
ent
r
i
cul
arAr
t
er
y
C=Ci
r
cumf
l
exAr
t
er
y
I
nf
l
ammat
i
on(
HI
PER)
Heat
I
ndur
at
i
on
Pai
n
Edema
Redness
4C'
sofHy
per
t
ensi
on(
Compl
i
cat
i
ons)
C-Cor
onar
yAr
t
er
yDi
sease
C-Cor
onar
yRheumat
i
cFev
er
C-Congest
i
v
eHear
tFai
l
ur
e
C-Car
di
oVascul
arAcci
dent
Compl
i
cat
i
onsofTr
aumaCl
i
ent(
TRAUMATI
C)
Ti
ssuePer
f
usi
onPr
obl
ems
Respi
r
at
or
yPr
obl
ems
Anxi
et
y
Unst
abl
eCl
ot
t
i
ngFact
or
s
Mal
nut
r
i
t
i
on
Al
t
er
edBodyI
mage
Thr
omboembol
i
sm
I
nf
ect
i
on
Copi
ngPr
obl
ems
Cy
anot
i
cDef
ect
s:
4T'
s
T-Tet
r
al
ogyofFal
l
ot
T-Tr
uncusAr
t
er
i
osus
T-Tr
anspor
t
at
i
onoft
heGr
eatVessel
s
T-Tr
i
cuspi
dAt
r
esi
a
Cr
ani
al
Ner
v
eMnemoni
c01
OLy
mpi
c(
Ol
f
act
or
y
)
OPi
um (
Opt
i
c)
OCcupi
es(
Ocul
omot
or
)
TROubl
ed(
Tr
ochl
ear
)
TRI
at
hl
et
es(
Tr
i
gemi
nal
)
Af
t
er(
Abducens)
Fi
ni
shi
ng(
Faci
al
)
VEgas(
Vest
i
bul
ocochl
ear
)
Gambl
i
ng(
Gl
ossophar
y
ngeal
)
VAcat
i
ons(
Vagus)
St
i
l
l
(
Spi
nal
Accessor
y
)
Hi
gh(
Hy
pogl
ossal
)
Cr
ani
al
Ner
v
eMnemoni
c02
O-Oh
O-Oh
O-Oh
T-To
T-Touch
A-And
F-Feel
A
G-i
r
l
'
s
V-agi
na
S-So
H-Heav
enl
y
Cr
ani
al
Ner
v
eMnemoni
c03
O-On
OOl
d
O-Obando
T-Tower
T-Top
AF-Fi
l
i
pi
no
A-Ar
my
G-Guar
ds
V-Vi
l
l
ages
A-And
H-Hut
s
Cr
ani
al
Ner
v
eMnemoni
cs
(
Sensor
y
,
Mot
ororBot
h)
S-Some
S-Say
s
M-Mar
i
l
y
n
M-Monr
oe
B-But
M-My
B-Br
ot
her
S-Say
s
B-Br
i
dget
B-Bar
dot
M-Mmm
M-Mmm
Cr
ani
al
Ner
v
eMnemoni
cs02
(
Sensor
y
,
Mot
ororBot
h)
S-Some
S-Say
M -Mar
r
y
M-Money
B-But
M-My
B-Br
ot
her
S-Say
s
B-Bad
B-Busi
ness
M -Mar
r
y
M -Money
OBNonSt
r
essTest(
NNN)
3negat
i
v
esi
nar
owt
oi
nt
er
pr
etr
esul
t
sofNonSt
r
essTest
N-Nonr
eact
i
v
e
N-Non-St
r
essi
s
N-Notgood
Sev
er
ePr
eEcl
ampsi
a(
HELLP)
H-emol
y
si
s
E-l
ev
at
ed
L-i
v
erf
unct
i
ont
est
s
L-ow
P-l
at
el
etcount
AssessmentTest
sf
orFet
al
Wel
l
Bei
ng(
ALONE)
A-Amni
ocent
esi
s
LCar
eofCl
i
enti
nTr
act
i
on(
TRACTI
ON)
T-Temper
at
ur
e(
Ext
r
emi
t
y
,
I
nf
ect
i
on)
R-Ropeshangf
r
eel
y
A-Al
i
gnment
C-Ci
r
cul
at
i
onCheck(
5P'
s)
T-Ty
pe&Locat
i
onoff
r
act
ur
e
I-I
ncr
easef
l
ui
dei
nt
ake
O-Ov
er
headt
r
apeze
N-Nowei
ght
sonbedorf
l
oor
St
epsi
nt
heNur
si
ngPr
ocess
ADPI
E(
ADel
i
ci
ousPI
E)
Assessment
D-i
agnosi
s
Pl
anni
ng
I
mpl
ement
at
i
on
Ev
al
uat
on
Aci
dBase(
ROME)
Respi
r
at
or
y
Opposi
t
e
Met
abol
i
c
Equal
CANCER'
SEar
l
yWar
ni
ngSi
gns
CAUTI
ONUP
Changei
nbowel
orbl
adder
A-l
esi
ont
hatdoesnotheal
Unusual
bl
eedi
ngordi
schar
ge
Thi
ckeni
ngorl
umpi
nbr
eastorel
sewher
e
I
ndi
gest
i
onordi
f
f
i
cul
t
yswal
l
owi
ng
Obv
i
ouschangesi
nwar
tormol
e
Naggi
ngcoughorper
si
st
enhoar
seness
Unexpl
ai
nedwei
ghtl
oss
Per
ni
ci
ousAnemi
a
CANCERI
nt
er
v
ent
i
ons
Comf
or
t
Al
t
er
edBodyI
mage
Nut
r
i
t
i
on
Chemot
her
apy
Ev
al
uat
er
esponset
omeds
Respi
t
ef
orcar
et
aker
s
Hy
pogl
y
cemi
a(
TI
RED)
-anabnor
mal
decr
easeofbl
oodi
nt
hesugar
Tachy
car
di
a
I
r
r
i
t
abi
l
i
t
y
Rest
l
ess
Excessi
v
eHunger
Di
aphor
esi
s/Depr
essi
on
Adr
enal
Gl
andHor
mones(
SSS)
Sugar(
Gl
ucocor
t
i
coi
ds)
Sal
t(
Mi
ner
al
cor
t
i
coi
ds)
Sex(
Andr
ogens)
Pul
monar
yEdema(
MADDOG)
MMor
phi
ne
AAmi
nophy
l
l
i
ne
D-Di
gi
t
al
i
s
DDi
ur
et
i
cs(
Lasi
x)
O-Oxy
gen
G-ases(
Bl
oodGasesABG'
s)
5P'
sofCi
r
cul
at
or
yChecks
PPai
n
PPar
est
hesi
a
PPar
al
y
si
s
PPul
se
PPal
l
or(
Pal
eness)
Hy
per
t
ensi
onNur
si
ngCar
e(
DI
URETI
C)
Dai
l
yWei
ght
I
-nt
akeandOut
put(
I&O)
U-r
i
neOut
put
ResponseofBP
El
ect
r
ol
y
t
es
TakePul
ses
I
schemi
cEpi
sodes(
TI
A)
Compl
i
cat
i
ons:
4C'
s
Ev
al
ut
i
onofEpi
si
ot
omyHeal
i
ng(
REEDA)
R-Redness
E-Edema
E-Ecchy
mosi
s
D-Di
schar
ge,
Dr
ai
nage
A-Appr
oxi
mat
i
on
Ev
al
ut
i
onofEpi
si
ot
omyHeal
i
ng(
REEDA)
R-Redness
E-Edema
E-Ecchy
mosi
s
D-Di
schar
ge,
Dr
ai
nage
A-Appr
oxi
mat
i
on
Post
Par
t
um Assessment(
BUBBLE)
Br
east
s
Ut
er
us
Bowel
s
Bl
adder
Lochi
a
Epi
si
ot
omy
/
l
at
er
at
i
on/
Csect
i
oni
nci
si
on
Tr
acheal
Esophageal
Fi
st
ul
a(
3C'
s)
C-Choki
ng
C-Coughi
ng
C-Cy
anosi
s
Cl
ef
tLi
p-PostOpCar
e(
CLEFTLI
P)
Choki
ng
Li
eonback
Ev
al
uat
eAi
r
way
FeedSl
owl
y
Teachi
ng
Lar
gerni
ppl
eopeni
ng
I
nci
dencei
ncer
asei
nmal
es
Pr
ev
entcr
ustf
or
mat
i
onandaspi
r
at
i
on
Si
t
uat
i
onsr
equi
r
i
ngCr
i
si
sSi
t
uat
i
on:
RAPE
R-Rut
hl
ess
A-Abusi
v
e
P-Per
sonal
E-Exper
i
ence
War
ni
ngSi
gnsofaChi
l
dAbuse/Negl
ect
:
CHI
LDABUSE
Chi
l
d'
sexcessi
v
eknowl
edgeonsex&abusi
v
ewor
ds
Hai
rgr
owt
hi
nv
ar
i
ousl
engt
hs
I
nconsi
st
entst
or
i
esf
r
om t
hechi
l
d&par
ent
/
s
Lowsel
f
est
eem
Depr
essi
on
Apat
hy
,
noemot
i
on
Br
ui
sed
Unusual
i
nj
ur
i
es
Ser
i
ousi
nj
ur
i
es
Ev
i
denceofol
di
nj
ur
i
esnotr
epor
t
ed
TheHYPERKALEMI
A"
Machi
ne"-CausesofI
ncr
easedSer
um K+
M -Medi
cat
i
ons-ACEi
nhi
bi
t
or
s,
NSAI
DS
A-Aci
dosi
s-Met
abol
i
candr
espi
r
at
or
y
C-Cel
l
ul
ardest
r
uct
i
on-Bur
ns,
t
r
aumat
i
ci
nj
ur
y
H-Hy
poal
dost
er
oni
sm,
hemol
y
si
s
I-I
nt
ake-Excesssi
v
e
N-Nephr
ons,
r
enal
f
ai
l
ur
e
E-Excr
et
i
on-I
mpai
r
ed
MURDER
Si
gnsandSy
mpt
omsofI
ncr
easedSer
um K+
M -Muscl
eweakness
U-Ur
i
ne,
ol
i
gur
i
a,
anur
i
a
R-Respi
r
at
or
ydi
st
r
ess
D-Decr
easedcar
di
accont
r
act
i
l
i
t
y
E-ECGchanges
R-Ref
l
exes,
hy
per
r
ef
l
exi
a,
orar
ef
l
exi
a(
f
l
acci
d)
Tor
ememberwhi
chbl
oodt
y
pesar
ecompat
i
bl
e,
v
i
sual
i
zet
hel
et
t
er"
O"asanor
br
epr
esent
i
ng
t
heuni
v
er
se,
becauset
y
peObl
oodi
st
heuni
v
er
sal
donorbl
ood.Pat
i
ent
swi
t
hanybl
oodt
y
pe
canr
ecei
v
ei
t
.ButOal
someans"
oddmanout
"
:
Pat
i
ent
swi
t
ht
y
peObl
oodcanr
ecei
v
eonl
yt
y
pe
Obl
ood.Thi
nkBEEPt
or
emembert
hesi
gnsofmi
norbl
eedi
ng:
B:
Bl
eedi
nggums
E:
Ecchy
moses(
br
ui
ses)
E:
Epi
st
axi
s(
nosebl
eed)
P:
Pet
echi
ae(
t
i
nypur
pl
i
shspot
s)
Hav
i
ngdi
f
f
i
cul
t
ydi
st
i
ngui
shi
nghy
popl
asi
af
r
om hy
per
pl
asi
a?
Wheny
ouseepl
asi
ai
nanywor
d,
t
hi
nkof"
pl
ast
i
c.
"Pl
ast
i
c,
i
nt
ur
n,
meansf
or
mi
ngordev
el
opi
ng.
Asf
orhy
poandhy
per
,
t
hat
'
st
heeasypar
t
.Hy
pomeansunder
,
orbel
ownor
mal
.Hy
permeans
excessi
v
e,
orabov
enor
mal
.Thus,
hy
popl
asi
ameansunder
dev
el
opment
,
andhy
per
pl
asi
ameans
ov
er
dev
el
opment
.
Tor
emembert
hef
ourcausesofcel
l
i
nj
ur
y
,
t
hi
nkofhowt
hei
nj
ur
yt
i
pped(
orTI
PD)t
hescal
eof
homeost
asi
s:
T:
Toxi
norot
herl
et
hal
(
cy
t
ot
oxi
c)subst
ance
I
:
I
nf
ect
i
on
P:
Phy
si
cal
i
nsul
tori
nj
ur
y
D:
Def
i
ci
t
,
orl
ackofwat
er
,
oxy
gen,
ornut
r
i
ent
s.
Whenaski
ngassessmentquest
i
ons,
r
emembert
heAmer
i
canCancerSoci
et
y
'
smnemoni
c
dev
i
ceCAUTI
ON:
C:
Changei
nbowel
orbl
adderhabi
t
s
A:
Asor
et
hatdoesn'
theal
U:
Unusual
bl
eedi
ngordi
schar
ge
T:
Thi
ckeni
ngorl
ump
I
:
I
ndi
gest
i
onordi
f
f
i
cul
t
yswal
l
owi
ng
O:
Obv
i
ouschangesi
nawar
tormol
e
N:
Naggi
ngcoughorhoar
seness.
Uset
heABCDr
ul
et
oassessamol
e'
smal
i
gnantpot
ent
i
al
:
A:
Asy
mmet
r
y
I
st
hemol
ei
r
r
egul
ari
nshape?
B:
Bor
der
I
st
hebor
deri
r
r
egul
ar
,
not
ched,
orpoor
l
ydef
i
ned?
C:
Col
or
Doest
hecol
orv
ar
y(
f
orexampl
e,
bet
weenshadesofbr
own,
r
ed,
whi
t
e,
bl
ue,
orbl
ack)
?
D:
Di
amet
er
I
st
hedi
amet
ermor
et
han6mm?
Si
deef
f
ect
sofst
er
oi
ds.The5S'
s.
Si
ck-easi
ert
ogetsi
ck
Sadcausesdepr
essi
on
Sexi
ncr
easesl
i
bi
do
Sal
t
r
et
ai
nsmor
eandcauseswei
ghtgai
n
Sugar
r
ai
sesbl
oodsugar
PERRLA
Pupi
l
sEqual
l
yRoundandReact
i
v
et
oLi
ghtandAccomodat
i
on
Lear
ni
ngt
heSy
st
emsoft
heBody
?
MRDI
CERUNS
M=Muscl
e
R=Respi
r
at
or
y
D=Di
gest
i
v
e
I
=I
nt
egument
ar
y
C=Ci
r
cul
at
or
y
E=Endocr
i
ne
R=Repr
oduct
i
v
e
U=Ur
i
nar
y
N=Ner
v
ous
S=Skel
et
al
Tr
oubl
ef
i
gur
i
ngoutwhi
chey
ei
swhi
ch?
OSi
sl
ef
tey
e
ODi
st
her
i
ghtey
e
Youcanr
ememberwhi
chonei
st
her
i
ghtey
e(
OD)
,
becausey
oucanmaket
heDi
nt
oanR-You
j
usthav
et
odr
awt
ost
i
ckl
egsont
hebot
t
om oft
heD.Wr
i
t
ei
tdownonpaper
,
y
ou'
l
l
seewhatI
mean(
i
t
'
shar
dt
oshowy
ouwhenal
l
Icandoi
st
y
pe)
S/
SofHy
ponat
r
emi
a
St
upor
/
coma
Anor
exi
a,
N&V
Let
har
gy
Tendonr
ef
l
exesdecr
eased
Li
mpmuscl
es(
weakness)
Or
t
host
at
i
chy
pot
ensi
on
Sei
zur
es/
headache
St
omachcr
ampi
ng
I
mmedi
at
et
r
eat
mentofMI
,
t
hi
nkMONA:
M Mor
phi
nesul
f
at
e
OOxy
gen
NNi
t
r
ogl
y
cer
i
n
AASA
Tr
eat
mentofCHF,
t
hi
nkUNLOADFAST:
Usi
tUpr
i
ght
NNi
t
r
o
LLasi
x
OOxy
gen
AAmi
nophy
l
l
i
ne
DDi
goxi
n
FFl
ui
ds-decr
ease
AAf
t
er
l
oad-decr
ease
SSodi
um -decr
ease
TTest
s:
di
gl
ev
el
,
ABG,
K+
Assi
st
i
v
edev
i
ces-Canes:
CCane
OOpposi
t
e
AAf
f
ect
ed
LLeg
Si
gnsofaChol
i
ner
gi
cCr
i
si
s,
t
hi
nkSLUD:
SSal
i
v
at
i
on
LLacr
i
mat
i
on
UUr
i
nat
i
on
DDef
i
cat
i
on
Memor
yTr
i
ck:
Needt
or
ememberwhi
chki
ndofbet
abl
ockerhaswhi
chact
i
on?
B1Bl
ockst
hehear
t(
y
ouhav
eonl
yonehear
t
)
B2Bl
ockst
hel
ungs(
y
ouhav
et
wol
ungs)
f
et
al
accel
er
at
i
onsanddecel
er
at
i
ons!
!
!
Justr
ememberVEALCHOP
Var
i
abl
eCor
dcompr
essi
on
Ear
l
yHeadcompr
essi
on
Accel
er
at
i
onsOK
Lat
ePl
acent
al
i
nsuf
f
i
ci
ency
Hear
tsounds:
S3=Hear
tf
ai
l
ur
e(
3sy
l
l
abl
es)
S4=Hy
per
t
ensi
on(
4sy
l
l
abl
es)
ef
f
ect
sofant
i
chol
i
ner
gi
cs:
Can'
tsee
Can'
tpee
Can'
tspi
t
Can'
tdef
ecat
e
Ni
nepoi
ntPost
par
t
um Assessment
.
.
.
BUBBLEHER
B-Br
east
s
U-Ut
er
us
B-Bl
adder
B-Bowel
f
unct
i
on
L-Lochi
a
E-Epi
si
ot
omy
H-Homan'
ssi
gn
E-Emot
i
onal
St
at
us
R-Respi
r
at
or
ySy
st
em
The5P'
sofci
r
cul
at
i
onl
ossi
nal
i
mb.
Pai
n,
Pal
l
or
,
Pul
sel
essness,
Par
ast
hesi
a,
Poi
ki
l
ot
her
mi
a
si
deef
f
ect
s&adv
er
ser
eact
i
onst
oi
mmuni
zat
i
ons:
F-Fev
er
I
-I
t
chi
ng
S-St
i
f
f
ness
H-Headache
E-Edema
R-Redness
F-Fussy
L-Local
i
zedTender
ness
A-Appet
i
t
edecr
ease
G-Gener
al
AchesPai
ns
HYPERNATREMI
A
"
YouAr
eFr
i
ed"
F-Fev
er(
l
owgr
ade)
,
f
l
ushedski
n
R-Rest
l
ess(
i
r
r
i
t
abl
e)
I-I
ncr
easedf
l
ui
dr
et
ent
i
onandi
ncr
easedBP
E-Edema(
per
i
pher
al
andpi
t
t
i
ng)
D-Decr
easedur
i
nar
yout
put
,
dr
ymout
h
Canal
souset
hi
sone:
SALT
S=Ski
nf
l
ushed
A=Agi
t
at
i
on
L=Lowgr
adef
ev
er
T=Thi
r
st
"
CATS"of"
HYPOCALCEMI
A"
C-Conv
ul
si
ons
A-Ar
r
hy
t
hmi
as
T-Tet
any
S-Spasmsandst
r
i
dor
Remembert
hather
ei
nt
heUSAy
ouDdr
i
v
eont
her
i
ghtsi
deoft
her
oad.
O=opt
i
cal
A=audi
t
or
y
AD-r
i
ghtear
AS-l
ef
tear
AU-bot
hear
s
OD-r
i
ghtey
e
OS-l
ef
tey
e
OU-bot
hey
es
Mneumoni
cdev
i
cef
orr
emember
i
ngquest
i
onst
oaskemer
gencyr
oom admi
t
s:
Car
?(
ci
r
cumst
ancesofev
ent
)
Pl
ease(
pr
eci
pi
t
at
i
ngev
ent
s)
Li
st
en(
l
ocat
i
onofev
ent
)
ToThi
s:
(
Ti
meofev
ent
)
Wat
ch(
whensy
mpt
omsappear
ed)
Under
age(
unconsci
ousnessaf
t
eri
nj
ur
y
?
)
Al
cohol
i
cs(
ar
r
i
v
al
t
i
mei
nER)
Headi
ng(
hospi
t
al
admi
t
spr
ev
i
ousl
y
?
)
Home(
pr
ev
i
oushi
st
or
y
/
heal
t
hst
at
us)
And(
al
l
er
gi
es)
May
be(
medi
cat
i
ons)
Fl
at
t
eni
ng(
f
ear
sf
orsaf
et
y
)
My(
meal
,
t
i
meofl
ast
)
Poodl
e(
per
i
od,
t
i
meofl
astmenst
r
ual
)
Dog(
pr
i
mar
ydoct
or
,
nameandl
ocat
i
onof
)
Toni
ght(
t
et
anus,
dat
eofl
asti
mmuni
zat
i
on)
Ev
er
y
oneknowst
omaket
heABCD(
ai
r
waybr
eat
hi
ngci
r
cul
at
i
onandneur
ol
ogi
cdi
sabi
l
i
t
y
)
assessmentf
i
r
st
.Thenassoonaspossi
bl
e,
f
ur
t
herassessment
/
i
nt
er
v
ent
i
oni
sdone,
whi
ch
i
ncl
udes:
Hi
s(
heal
t
hhi
st
or
y
)
Head(
headt
ot
oeassessment
)
I
s(
i
nser
tmoni
t
or
i
ngdev
i
ces-cat
hs,
ECG,
ar
t
er
i
al
l
i
nes)
So(
spl
i
nt
sf
orf
r
act
ur
es)
Wi
de(
woundcar
e)
Ol
i
v
i
a(
ot
heri
nt
er
v
ent
i
ons)
Thepat
hophy
si
ol
ogyofARDS:
Assaul
tont
her
espi
r
at
or
ysy
st
em
Respi
r
at
or
ydi
st
r
ess
Decr
easedl
ungcompl
i
ance
Sev
er
er
espi
r
at
or
yf
ai
l
ur
e
Di
agnost
i
ccr
i
t
er
i
aofARDS
Acut
eonset
Rat
i
o(
PaCO2/
Fi
O2)<200span="
"
>
Di
f
f
usei
nf
i
l
t
r
at
i
on
SwanGanzwedgepr
essur
e(
PAWP)<18mm hg="
"span="
"
>
Compl
i
cat
i
onsoft
hr
ombol
y
t
i
ct
her
apy
:
The3B'
s
Bl
eedi
ng
Br
ady
'
s(
dy
sr
hy
t
hmi
as)
Bl
oodcl
ot
s(
d/
texcessi
v
et
hr
ombi
n)
Compl
i
cat
i
onsofcar
di
opul
monar
yby
pass(
CPB)
:
The3H'
s
Hy
pot
her
mi
a(
t
odecr
easeO2consumpt
i
on)
.
.
.
Ef
f
ect
sSVR(
v
asoconst
r
i
ct
i
on)andcauses
my
ocar
di
al
depr
essi
on(
decr
easescont
r
act
i
l
i
t
y
)
Hemodi
l
ut
i
on(
t
oi
mpr
ov
emacr
oci
r
cul
at
i
on)
.
.
.
f
l
ui
dshi
f
t
i
ng(
t
hi
r
dspaci
ng)
,
el
y
t
ei
mbal
ances(
K+,
Mg+&Ca++of
t
enneedr
epl
aci
ng!
)
Hepar
i
nzat
i
on(
t
opr
ev
entcl
ot
si
nci
r
cui
t
)
.
.
.
moni
t
oraPTT.
Si
gnsandsy
mpt
omsofcar
di
act
amponade(
Beck'
sTr
i
ad)
:
TheThr
eeD'
s
Di
st
anthear
tsounds
Di
st
endedj
ugul
arv
ei
ns
Decr
easedpul
sepr
essur
e(
t
hi
nkofanar
r
owpul
sepr
essur
easopposedt
oawi
deone)
At
r
i
al
Ar
r
hy
t
hmi
as:
ABCDE
Adenosi
ne/
ami
odor
oneorant
i
coagul
at
e(
i
fAf
i
b/
Fl
ut
t
erhasbeenpr
esent>48h)
Bet
abl
ocker
s
Cal
ci
um channel
bl
ocker
s
Di
goxi
n
El
ect
r
ocar
di
ov
er
t(
i
f<48hspan="
"
>
Forv
ent
r
i
cul
arar
r
hy
t
hmi
as:
AL
Ami
odor
one
Li
docai
ne
NSAI
DDr
ugs
N-Napr
oxen
S-Sal
i
cy
l
at
es
A-Adv
i
l
I-I
bupr
of
en
D-Di
cl
of
enac
S-Sul
i
ncl
ac
8A'
sf
orHepat
ot
oxi
cDr
ugs(
CheckSGPT/
SGOT)
Ant
i
t
uber
cul
osi
s
Ant
i
conv
ul
sant
S-sodi
um Lumi
nal
G-gabapent
i
n
P-pheny
t
oi
n
T-t
egr
et
ol
Ant
i
cancer
Aspi
r
i
n
Al
cohol
Ant
i
f
ami
l
y(
cont
r
acept
i
cepi
l
l
s)
Acet
ami
nophen
Af
l
at
oxi
ns
Par
ki
nson'
sMedi
cat
i
ons:
"
Al
i
Lov
esBoxi
ngMat
ches"
AAmant
adi
ne
L-Lev
odopa
B-Br
omocr
i
pt
i
ne
MMAOi
nhi
bi
t
or
s
The4H'
st
hati
nv
al
i
dat
eaneur
oexam:
Hy
pot
ensi
on
Hpoxi
a
Hy
pogl
y
cemi
a
Hy
pot
her
mi
a*
Pi
npoi
ntpupi
l
s:
Dr
ugs,
dr
ops&near
l
ydead
Dr
ugs:
opi
at
es
Dr
ops:
medsf
orgl
aucoma
Near
l
ydead:
damagei
nt
heponsar
eaoft
hebr
ai
nst
em
Di
l
at
edpupi
l
s:
Fear
,
Fi
t
s&FastLi
v
i
ng
Fear
:
pani
c,
ext
r
emeanxi
et
y
Fi
t
s:
sei
zur
es
FastLi
v
i
ng:
cocai
ne,
cr
ack,
phency
cl
i
di
ne(
PCP)
ADLs(
Act
i
v
i
t
yofDai
l
yLi
v
i
ng)
BATTED
Bat
hi
ng
Ambul
at
i
on
Toi
l
et
i
ng
Tr
ansf
er
s
Eat
i
ng
Dr
essi
ng
I
ADLS(
I
nst
r
ument
al
Act
i
v
i
t
i
esofDai
l
yLi
v
i
ng)SCUM
Shoppi
ng
Cooki
ngandCl
eani
ng
Usi
ngt
el
ephoneort
r
anspor
t
ai
t
on
Managi
ngmoneyandmedi
cat
i
ons
Bl
eedi
ngPr
ecaut
i
ons(
RANDI
)
R-RazorEl
ect
r
i
c/Bl
ades
A-Aspi
r
i
n
N-Noneedl
es(
esp.i
nsmal
l
gauge)
D-Dodecr
easei
nneedl
est
i
cks)
I-I
nj
ur
y(
Pr
ot
ectf
r
om)
CanesandWal
ker
s(
COAL)
C-Cane
O-Opposi
t
e
A-Af
f
ect
ed
L-Leg
CanesandWal
ker
s(
WWAL)
Wander
i
ngWi
l
ma'
sAl
way
sLat
e
W-Wal
ker
W-Wi
t
h
A-Af
f
ect
ed
L-Leg
CommonCausesofTr
ansi
entI
ncont
i
nence(
DI
APPERS)
Del
i
r
i
um
I
nf
ect
i
on
At
r
ophi
cUr
et
hr
a
Phar
maceut
i
cal
s
Psy
chol
ogi
c
ExcessUr
i
neOut
put
Rest
r
i
ct
edMobi
l
i
t
y
St
ool
I
mpact
i
on
Pr
omot
i
onofNor
mal
El
i
mi
nat
i
on(
POOPERSCOOP)
Posi
t
i
on
Out
put
Of
f
erFl
ui
ds
Pr
i
v
acy
Exer
ci
se
Repor
tResul
t
s
Si
ze(
Amount
)
Consi
st
ency
Occul
tBl
ood
Odor
Per
i
st
al
si
s
Emer
gencyTr
aumaAssessment
(
ABCDEFGHI
)
Ai
r
way
Br
eat
hi
ng
Ci
r
cul
at
i
on
Di
sabi
l
i
t
y
Exami
ne
Fahr
enhei
t
GetVi
t
al
s
Headt
oToeAssessment
I
nt
er
v
ent
i
on
Tr
aumaSur
ger
y(
AMPLE)
af
t
eri
ni
t
i
al
assessment
Al
l
er
gi
es
Medi
cat
i
ons
PastMedi
cal
Hi
st
or
y
LastMeal
Ev
ent
sSur
r
oundi
ngI
nj
ur
y
Tr
aumaSur
ger
y(
AMPLE)
af
t
eri
ni
t
i
al
assessment
Al
l
er
gi
es
Medi
cat
i
ons
PastMedi
cal
Hi
st
or
y
LastMeal
Ev
ent
sSur
r
oundi
ngI
nj
ur
y
6P'
sofDy
spnea
P-Pul
monar
yBr
onchi
al
Const
r
i
ct
i
on
P-Possi
bl
eFor
ei
gnBody
P-Pul
monar
yEmbol
us
P-Pneumot
hor
ax
P-PumpFai
l
ur
e
P-Pneumoni
a
Li
docai
neToxi
ci
t
y(
SAMS)
Sl
ur
r
edSpeech
Al
t
er
edCent
r
al
Ner
v
ousSy
st
em
Muscl
eTwi
t
chi
ng
Sei
zur
es
TDCI(
TheseDr
ugsCanI
nt
er
act
)
T-Theophy
l
i
ne
D-Di
l
ant
i
n
C-Coumadi
n
I-l
osone(
Er
y
t
hr
omy
ci
n)
Ser
i
ousCompl
i
cat
i
onsofOr
al
Bi
r
t
hCont
r
ol
Pi
l
l
s(
ACHES)
A-Abdomi
nal
Pai
n
C-ChestPai
n
H-Headache
E-Ey
ePr
obl
ems
S-Sev
er
eLegPai
n
Emer
gencyDr
ugst
oLEANon
L-Li
docai
ne
E-Epi
nephr
i
ne
A-At
r
opi
neSul
f
at
e
N-Nar
can
Dr
ugsf
orBr
ady
car
di
a&l
owBP(
I
DEA)
I-I
sopr
ot
er
enol
D-Dopami
ne
E-Epi
nephr
i
ne
A-At
r
opi
neSul
f
at
e
Chol
i
ner
gi
cCr
i
si
s(
SLUD)
Sal
i
v
at
i
on
Lacr
i
mat
i
on
Ur
i
nat
i
on
Def
ecat
i
on
Depr
essi
onAssessment(
SI
G)
Sl
eepDi
st
ur
bances
I
nt
er
estDecr
eased
Gui
l
t
yFeel
i
ngs
Ener
gyDecr
eased(
CAPS)
Concent
r
at
i
ondecr
eased
Appet
i
t
e
Psy
chomot
orf
unct
i
ondecr
eased
Sui
ci
dal
I
deat
i
ons
5A'
st
oAl
zhei
merDi
agnosi
s
Amnesi
a
Anomi
a
Apr
axi
a
Agnosi
a
Aphasi
a
Maj
orSy
mpt
omsofaMani
cAt
t
ack(
DI
GFAST)
D-Di
st
r
act
i
bi
l
i
t
y
I-I
ndi
scr
et
i
on
G-Gr
andi
osi
t
y
F-Fl
i
ghtofI
deas
A-Act
i
v
i
t
yI
ncr
ease
S-Sl
eepDef
i
ci
t
T-Tal
kat
i
v
e
3P'
sofBl
i
ndness
P-Pr
ev
ent
abl
e
P-Pai
nl
ess
P-Per
manent
Sy
mpt
omsofHy
poxi
a(
i
nPedi
at
r
i
cs)-FI
NES
Feedi
ngdi
f
f
i
cul
t
y
I
nspi
r
at
or
ySt
r
i
dor
Nar
esFl
ar
es
Expi
r
at
or
yGr
unt
i
ng
St
er
nal
Ret
r
act
i
ons
ManagementofASTHMA
Adr
ener
gi
cs(
Al
but
er
ol
)
St
er
oi
ds
Theophy
l
l
i
ne
Hy
dr
at
i
on(
I
V)
Mask(
Oxy
gen)
Ant
i
bi
ot
i
cs
Epi
gl
ot
t
i
t
i
s(
AI
RRAI
D)
Ai
r
wayCl
osed
I
ncr
easedPul
se
Rest
l
essness
Ret
r
act
i
ons
Anxi
et
yI
ncr
eased
I
nspi
r
at
or
ySt
r
i
dor
Dr
ool
i
ng
Bl
oodFl
owThr
ought
heCar
di
acVal
v
es(
Ti
ssuePaperMyAsset
s)
Tr
i
cuspi
d
Pul
moni
c
Mi
t
r
i
al
Aor
t
i
c
I
mmedi
at
eTr
eat
mentofaMy
ocar
di
al
I
nf
ar
ct
i
onCl
i
ent(
MONA)
M-Mor
phi
ne
O-Oxy
gen
N-Ni
t
r
ogl
y
cer
i
ne
A-ASA
Tr
eat
i
ngCHF(
UNLOADFAST)
Upr
i
ghtPosi
t
i
on
Ni
t
r
at
es(
i
nl
owdose)
Lasi
x
Oxy
gen
Ami
nophy
l
l
i
ne
Di
goxi
n
Fl
ui
ds(
decr
ease)
Af
t
er
l
oad(
decr
ease)
Sodi
um r
est
r
i
ct
i
on
Test(
Di
gl
ev
el
,
ABGs,
Kl
ev
el
)
DEMENTI
A
Makesur
et
heydon'
thav
epr
obl
emswi
t
h:
Dr
ugandal
cohol
Ey
esandear
s
Met
abol
i
candendocr
i
nedi
sor
der
s
Emot
i
onal
di
sor
der
s
Neur
ol
ogi
cdi
sor
der
s
Tumor
sandt
r
auma
I
nf
ect
i
on
Ar
t
er
i
ov
ascul
ardi
sease
Ost
eopor
osi
sRi
skFact
or
s(
ACCESS)
Al
cohol
Use
Cor
t
i
cost
er
oi
dUse
Cal
ci
um l
ow
Est
r
ogenl
ow
Smoki
ng
Sedent
ar
yl
i
f
est
y
l
e/
s
ACCESSl
eadst
oOSTEOPOROSI
S
Whoneedsdi
al
y
si
s?(
Checkt
hev
owel
s:
AEI
OU)
A-Aci
dBasePr
obl
ems
E-El
ect
r
ol
y
t
ePr
obl
ems
I
-I
nt
oxi
cat
i
ons
O-Ov
er
l
oadoff
l
ui
ds
U-Ur
emi
cSy
mpt
oms
Pr
ost
at
ePr
obl
emsar
eno.
.
.FUN
F-Fr
equency
U-Ur
gency
N-Noct
ur
i
a
BRATDi
et(
f
orsev
er
edehy
dr
at
i
on)
B-Banana
R-Ri
ce
A-Appl
e
T-Toast
edBr
ead
Gl
ut
enFr
eeDi
et(
ROW)
R-Ry
e
O-Oat
s
W-Wheat
AssessChangesi
nSeni
l
eDement
i
a(
JAMCO)
J-Judgment
A-Af
f
ect
M-Memor
y
C-Cogni
t
i
on
O-Or
i
ent
at
i
on
3P'
sofDi
abet
esMel
l
i
t
us-Ty
pe1Si
gns&Sy
mpt
oms
P-Pol
y
ur
i
a(
excessi
v
eur
i
nat
i
on)
P-Pol
y
dy
psi
a(
excessi
v
et
hi
r
st
)
P-Pol
y
phagi
a(
excessi
v
ehunger
)
Ri
ght
Si
dedHear
tFai
l
ur
e(
HEAD)
H-Hepat
omegal
y
E-Edema(
Bi
pedal
)
A-Asci
t
es
D-Di
st
endedNeckVei
n
Lef
t
Si
dedHear
tFai
l
ur
e(
CHOP)
C-Cough
H-Hemopt
y
si
s
O-Or
t
hopnea
P-Pul
monar
yCongest
i
on(
cr
ackl
es/r
al
es)
Hy
per
kal
emi
aManagement(
KI
ND)
K-Kay
exal
at
e(
or
al
l
y
/enema)
I
-I
nsul
i
n
N-NaHCO3
D-Di
ur
et
i
cs(
Fur
osemi
de&Thi
azi
des)
ManagementofMy
ocar
di
al
I
nf
ar
ct
i
on(
MONATAS)
M-Mor
phi
ne
O-Oxy
gen
N-Ni
t
r
at
es(
Ni
t
r
ogl
y
cer
i
n)
A-Aspi
r
i
n(
ASA)
T-Thor
mbol
y
t
i
cs
A-Ant
i
Coagul
ant
s
S-St
ool
Sof
t
ener
s
El
ect
r
ol
y
t
es-PI
SO
P-Pot
assi
um
I
-I
nsi
de
S-Sodi
um
O-Out
si
de
Eat
i
ngDi
sor
der
:
ANOREXI
A
Amenor
r
headel
ay
ed
Noor
gani
cf
act
or
saccount
sf
orwei
ghtl
oss
Obv
i
ousl
yt
hi
nbutf
eel
sFAT
Ref
usal
t
omai
nt
ai
nnor
mal
bodywei
ght
Epi
gast
r
i
cdi
scomf
or
ti
scommon
Xsy
mpt
oms(
pecul
i
arsy
mpt
oms)
I
nt
ensef
ear
sofgai
ni
ngwei
ght
Al
way
st
hi
nki
ngoff
oods
Sy
mpt
omsofLeukemi
a(
ANT)
A-Anemi
a
N-Neut
r
openi
a
T-Thr
ombocy
t
openi
a
Exer
ci
seGui
def
orDi
abet
i
cFi
t
ness(
FI
T)
F-Fr
equency(
3xperweek)
I-I
nt
ensi
t
y(
6080%ofMaxi
mal
Hear
tRat
e)
T-Ti
me(
Aer
obi
cAct
i
v
i
t
y
)
Sy
mpt
omsofHy
poxi
a(
RATBED)
Ear
l
yHy
poxi
a:
Rest
l
essness
Anxi
et
y
Tachy
car
di
a/Tachy
pnea
Lat
eHy
poxi
a:
Br
ady
car
di
a
Ext
r
emeRest
l
essness
Dy
spnea
Eat
i
ngDi
sor
der
:
BULI
MI
A
Bi
ngeeat
i
ng
Underst
r
i
ctdi
et
i
ng
Lackscont
r
ol
ov
er
eat
i
ng
I
nducedv
omi
t
i
ng
Mi
ni
mum oft
obi
ngeeat
i
ngepi
sodes
I
ncr
ease/
Per
si
st
entconcer
nofbodysi
ze/
shape
Abuseofdi
ur
et
i
cs&l
axat
i
v
es
Fi
ndi
ngsofaBul
i
mi
acl
i
ent
:
WASHED
Wei
ghtl
ossof15%ofor
i
gi
nal
bodywei
ght
Amenor
r
hea
Soci
al
wi
t
hdr
awal
Hi
st
or
yofhi
ghact
i
v
i
t
y&achi
ev
ement
El
ect
r
ol
y
t
eI
mbal
ance
Depr
essi
on/Di
st
or
t
edBodyI
mage
Out
comeofAl
cohol
i
sm:
BAD
B-Br
ai
nDamage
A-Al
cohol
i
cHal
l
uci
nosi
s
D-Deat
h
5D'
sofBehav
i
or
al
Pr
obl
emsofAl
cohol
i
sm
D-Deni
al
D-Dependency
D-Demandi
ng
D-Dest
r
uct
i
v
e
D-Domi
neer
i
ng
Br
eastsel
fexami
nat
i
on(
i
madeasongoutoft
hi
s)
♫♪♪♫1l
i
t
t
l
e2,
l
i
t
t
l
e3l
i
t
t
l
ef
i
nger
s
DoBSE7day
saf
t
ermenses
Pr
essni
ppl
eoncecheckf
ordi
schar
ge
Cal
l
y
ourdoct
or
I
'
m sur
ey
ouwi
l
l
doi
tmor
e.
.
.
♫♪♪♫
Al
kal
osi
sandAci
dosi
s
Al
kal
osi
s-hasa'
k'
-Ki
cki
ngt
hepHup
Aci
dosi
s-hasa'
d'
-Dr
oppi
ngt
hepHdown
Sol
ut
i
ons:
I
sot
oni
c,
Hy
pot
oni
c,
Hy
per
t
oni
c
I
sot
oni
c-"
SameasI
"-t
hesol
ut
i
onusedwi
l
l
bet
hesameasnor
mal
bodyf
l
ui
dcomposi
t
i
on.
Fl
ui
dsr
emai
ni
nsi
dei
nt
r
av
ascul
arspace.
Hy
pot
oni
c-"
Hy
po,
hi
ppo"-t
hesol
ut
i
onpul
l
sf
l
ui
df
r
om t
hei
nt
r
av
ascul
arspacei
nt
ot
heI
CF-t
he
cel
l
"
swel
l
sl
i
keahi
ppo"
.
Forr
emember
i
ngt
hecor
onar
yar
t
er
i
esandwhi
chsi
det
heyar
eon:
Ihav
eaRI
GHTt
oCAMPi
fy
ouLEFTof
ft
heAC
Ri
ght=Ri
ght
C=or
onar
y
A=Ar
t
er
y
M=Mar
gi
nal
Ar
t
er
y
P=Post
er
i
orI
nt
er
v
ent
r
i
cul
arAr
t
er
y
Lef
t
=Lef
t
A=Ant
er
i
orI
nt
er
v
ent
r
i
cul
arAr
t
er
y
C=Ci
r
cumf
l
exAr
t
er
y
I
nf
l
ammat
i
on(
HI
PER)
Heat
I
ndur
at
i
on
Pai
n
Edema
Redness
4C'
sofHy
per
t
ensi
on(
Compl
i
cat
i
ons)
C-Cor
onar
yAr
t
er
yDi
sease
C-Cor
onar
yRheumat
i
cFev
er
C-Congest
i
v
eHear
tFai
l
ur
e
C-Car
di
oVascul
arAcci
dent
Compl
i
cat
i
onsofTr
aumaCl
i
ent(
TRAUMATI
C)
Ti
ssuePer
f
usi
onPr
obl
ems
Respi
r
at
or
yPr
obl
ems
Anxi
et
y
Unst
abl
eCl
ot
t
i
ngFact
or
s
Mal
nut
r
i
t
i
on
Al
t
er
edBodyI
mage
Thr
omboembol
i
sm
I
nf
ect
i
on
Copi
ngPr
obl
ems
Cy
anot
i
cDef
ect
s:
4T'
s
T-Tet
r
al
ogyofFal
l
ot
T-Tr
uncusAr
t
er
i
osus
T-Tr
anspor
t
at
i
onoft
heGr
eatVessel
s
T-Tr
i
cuspi
dAt
r
esi
a
Cr
ani
al
Ner
v
eMnemoni
c01
OLy
mpi
c(
Ol
f
act
or
y
)
OPi
um (
Opt
i
c)
OCcupi
es(
Ocul
omot
or
)
TROubl
ed(
Tr
ochl
ear
)
TRI
at
hl
et
es(
Tr
i
gemi
nal
)
Af
t
er(
Abducens)
Fi
ni
shi
ng(
Faci
al
)
VEgas(
Vest
i
bul
ocochl
ear
)
Gambl
i
ng(
Gl
ossophar
y
ngeal
)
VAcat
i
ons(
Vagus)
St
i
l
l
(
Spi
nal
Accessor
y
)
Hi
gh(
Hy
pogl
ossal
)
Cr
ani
al
Ner
v
eMnemoni
c02
O-Oh
O-Oh
O-Oh
T-To
T-Touch
A-And
F-Feel
A
G-i
r
l
'
s
V-agi
na
S-So
H-Heav
enl
y
Cr
ani
al
Ner
v
eMnemoni
c03
O-On
OOl
d
O-Obando
T-Tower
T-Top
AF-Fi
l
i
pi
no
A-Ar
my
G-Guar
ds
V-Vi
l
l
ages
A-And
H-Hut
s
Cr
ani
al
Ner
v
eMnemoni
cs
(
Sensor
y
,
Mot
ororBot
h)
S-Some
S-Say
s
M-Mar
i
l
y
n
M-Monr
oe
B-But
M-My
B-Br
ot
her
S-Say
s
B-Br
i
dget
B-Bar
dot
M-Mmm
M-Mmm
Cr
ani
al
Ner
v
eMnemoni
cs02
(
Sensor
y
,
Mot
ororBot
h)
S-Some
S-Say
M -Mar
r
y
M-Money
B-But
M-My
B-Br
ot
her
S-Say
s
B-Bad
B-Busi
ness
M -Mar
r
y
M -Money
OBNonSt
r
essTest(
NNN)
3negat
i
v
esi
nar
owt
oi
nt
er
pr
etr
esul
t
sofNonSt
r
essTest
N-Nonr
eact
i
v
e
N-Non-St
r
essi
s
N-Notgood
Sev
er
ePr
eEcl
ampsi
a(
HELLP)
H-emol
y
si
s
E-l
ev
at
ed
L-i
v
erf
unct
i
ont
est
s
L-ow
P-l
at
el
etcount
AssessmentTest
sf
orFet
al
Wel
l
Bei
ng(
ALONE)
A-Amni
ocent
esi
s
L-L/
SRat
i
o
O-Oxy
t
oci
nTest
N-NonSt
r
essTest
E-Est
r
i
ol
Lev
el
-L/
SRat
i
o
O-Oxy
t
oci
nTest
N-NonSt
r
essTest
E-Est
r
i
ol
Lev
el
Download