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Mnemonics Nursing

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Morphine: side-effects 

MORPHINE:
Myosis
Out of it (sedation)
Respiratory depression
Pneumonia (aspiration)
Hypotension
Infrequency (constipation, urinary retention)
Nausea
Emesis

Tricyclic antidepressants: members worth knowing


"I have to hide, the CIA is after me":
Clomipramine Imipramine Amitrptyline
· If want the next 3 worth knowing, the DND is also after me: Desipramine Norrtriptyline Doxepin

Patent ductus arteriosus: treatment


"Come In and Close the door": INdomethacin is used to Close PDA

SIADH-inducing drugs ABCD:
Analgesics: opioids, NSAIDs
Barbiturates
Cyclophosphamide/ Chlorpromazine/ Carbamazepine
Diuretic (thiazide)

Vir-named drugs: use"-vir at start, middle or end means for virus": · Drugs:


Abacavir,
Acyclovir,
Amprenavir,
Cidofovir,
Denavir,
Efavirenz,
Indavir,
Invirase,
Famvir,
Ganciclovir,
Norvir,
Oseltamivir,
Penciclovir,
Ritonavir,
Saquinavir,
Valacyclovir,
Viracept,
Viramune,
Zanamivir,
Zovirax.

Phenobarbitone: side effects


Children are annoying (hyperkinesia, irritability, insomnia, aggression).
Adults are dosy (sedation, dizziness, drowsiness).

Thrombolytic agents USA:
Urokinase Streptokinase Alteplase (tPA)

Narcotic antagonists
The Narcotic Antagonists are NAloxone and NAltrexone. · Important clinically to treat narcotic overdose.

Routes of entry: most rapid ways meds/toxins enter body


"Stick it, Sniff it, Suck it, Soak it":
Stick = Injection
Sniff = inhalation
Suck = ingestion
Soak = absorption
Anticholinergic side effects
"Know the ABCD'S of anticholinergic side effects":
Anorexia
Blurry vision
Constipation/ Confusion
Dry Mouth
Sedation/ Stasis of urine

Atropine use: tachycardia or bradycardia


"A goes with B": Atropine used clinically to treat Bradycardia.

Aspirin: side effects ASPIRIN:


Asthma
Salicyalism
Peptic ulcer disease/ Phosphorylation-oxidation uncoupling/ PPH/ Platelet disaggregation/ Premature closure of PDA
Intestinal blood loss
Reye's syndrome
Idiosyncracy
Noise (tinnitus)

Beta-1 vs Beta-2 receptor location "You have 1 heart and 2 lungs":


Beta-1 are therefore primarily on heart. Beta-2 primarily on lungs.

SSRIs: side effects SSRI:


Serotonin syndrome
Stimulate CNS
Reproductive dysfunctions in male
Insomnia

Warfarin: action, monitoring WePT:


Warfarin works on the extrinsic pathway and is monitored by PT.

Propranolol and related '-olol' drugs: usage"olol" is just two backwards lower case b's. Backward b's stand for "beta
blocker". · Beta blockers include acebutolol, betaxolol, bisoprolol, oxprenolol, propranolol.

Depression: 5 drugs causing it PROMS:


Propranolol
Reserpine
Oral contraceptives
Methyldopa
Steroids

Lead poisoning: presentation ABCDEFG:


Anemia
Basophilic stripping
Colicky pain
Diarrhea
Encephalopathy
Foot drop
Gum (lead line)

Cholinergics (eg organophosphates): effects


If you know these, you will be "LESS DUMB":
Lacrimation
Excitation of nicotinic synapses
Salivation
Sweating
Diarrhea
Urination
Micturition
Bronchoconstriction
Benzodiazepines: actions
"Ben SCAMs Pam into seduction not by brain but by muscle":
Sedation
anti-Convulsant
anti-Anxiety
Muscle relaxant
Not by brain: No antipsychotic activity.

Teratogenic drugs "W/ TERATOgenic":


Warfarin
Thalidomide
Epileptic drugs: phenytoin, valproate, carbamazepine
Retinoid
ACE inhibitor
Third element: lithium
OCP and other hormones (eg danazol)

Gynaecomastia-causing drugs DISCOS:
Digoxin
Isoniazid
Spironolactone
Cimetidine
Oestrogens
Stilboestrol

Osmotic diuretics: members GUM:


Glycerol
Urea
Mannitol

Antibiotics contraindicated during pregnancy MCAT:


Metronidazole
Chloramphenicol
Aminoglycoside
Tetracycline

Lithium: side effects LITH:


Leukocytosis
Insipidus [diabetes insipidus, tied to polyuria]
Tremor/ Teratogenesis
Hypothyroidism

Supraventricular tachycardia treatment


ABCDE
Adenosine
Beta Blocker
Calcium channel Blocker
Digoxin
Excitation (vagal Stimulation)

Ventricular Tachycardia treatment


LAMB:
Lidocaine
Amiodarone
Mexiltene/ Magnesium
Beta-blocker
Beta Blocker: Cardioselective

"Betablockers Acting Exclusively At Myocardium"
· Cardioselective betablockers are:

Betaxolol
Acebutelol
Esmolol
Atenolol
Metoprolol

CABG
DUST:
Depressed ventricular function
Unstable angina
Stenosis of the left main stem
Triple vessel disease

Heart Murmurs
"hARD ASS MRS. MSD":
hARD: Aortic Regurg = Diastolic
ASS: Aortic Stenosis = Systolic
MRS: Mitral Regurg = Systolic
MSD: Mitral Stenosis = Diastolic

PASS: Pulmonic & Aortic Stenosis=Systolic.
PAID: Pulmonic & Aortic Insufficiency=Diastolic.

MR-men predominant Mitral Regurgitation


MS-women predominant Mitral Stenosis

Aortic Stenosis---SAD-Syncope, Angina, Dyspnea

Cyanotic Pediatric Heart Diseases


Use your five fingers:
1 finger up: Truncus Arteriosus (1 vessel)
2 fingers up: Dextroposition of the Great Arteries (2 vessels transposed)
3 fingers up: Tricuspid Atresia (3=Tri)
4 fingers up: Tetralogy of Fallot (4=Tetra)
5 fingers up: Total Anomalous Pulmonary Venous Return (5=5 words)

Breastfeeding Contraindicated Drugs


BREAST:
Bromocriptine/ Benzodiazepines
Radioactive isotopes/ Rizatriptan
Ergotamine/ Ethosuximide
Amiodarone/ Amphetamines
Stimulant laxatives/ Sex hormones
Tetracycline/ Tretinoin

TRIPS BIAS
TRIcuspid
Pulmonary
Semilunar
BIcuspid
Aortic
Semilunar

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