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VEAL CHOP About Fetal Accelerations and Decelerations!

VEAL CHOP about fetal accelerations and decelerations! Variable - Cord compression Early - Head compression Accelerations - OK Late - Placental insufficiency To assess the postpartum pt. think BUBBLE B-breast U-uterus B-Bowels B-bonding L-lochia E-episiotomy S/E of Pitocin P= pressure is elevated I= intake and output T= tetanic contractions O=O2 decreases in fetus C=cardiac arrhythmia I=Irregularity in fetal heart rate N=N/V

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89 views

VEAL CHOP About Fetal Accelerations and Decelerations!

VEAL CHOP about fetal accelerations and decelerations! Variable - Cord compression Early - Head compression Accelerations - OK Late - Placental insufficiency To assess the postpartum pt. think BUBBLE B-breast U-uterus B-Bowels B-bonding L-lochia E-episiotomy S/E of Pitocin P= pressure is elevated I= intake and output T= tetanic contractions O=O2 decreases in fetus C=cardiac arrhythmia I=Irregularity in fetal heart rate N=N/V

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ulc
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
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VEAL CHOP about fetal accelerations and decelerations!

Variable - Cord compression


Early - Head compression
Accelerations - OK
Late - Placental insufficiency

To assess the postpartum pt. think BUBBLE

B-breast
U-uterus
B-Bowels
B-bonding
L-lochia
E-episiotomy

S/E of Pitocin

P= pressure is elevated
I= intake and output
T= tetanic contractions
O=O2 decreases in fetus
C=cardiac arrhythmia
I=Irregularity in fetal heart rate
N=N/V

INTRAUTERINE DEVICES (IUD) - complications

P - Period late; abnormal spotting or bleeding


A - Abdominal pain; pain with coitus
I - Infection exposure, abnormal vaginal discharge
N - Not feeling well, fever or chills
S - String missing, shorter or longer

POSPARTUM COMPLICATIONS: Ms.PITCH


M=mastitis
S=subinvolution

P=pulmonary embolism
I=infection
T=thrombophlebitis
C=cystitis
H=hematoma
SPECIAL assessment for Mastitis, pospartum complication
S=swelling
P=pain
E=elevated temperature
C=complain of flu like symptoms
I=infxn
A=and
L=localized heat
CRETINISM-CONGENITAL HYPOTHYROIDISM
C - onstipation
R - est and sleeps a lot
E - dematous face
T - ongue and belly enlargement
I - nfertility
N - o or stunted growth
I - ncreasing jaundice
S - hort stature
M - ental retardation (DOC:SYNTHROID)

FOSCARNET (foscaVIR IV ) - Foscarnet is used to treat the symptoms


of cytomegalovirus (CMV) infection of the eyes in patients with AIDS.
Foscarnet will not cure this eye infection, but it may help to control
worsening of the symptoms. It is also used to treat herpes simplex
virus (HSV) infections of the skin and mucous membranes

NITROPRUSSIDE (HFQ)

1. Indicated for patients with hypertensive crisis


2. Also for patients with CHF
3. Dilution: 50 mg of NITROPRESS must be further diluted in 250-
1000 mL of sterile 5% dextrose injection.
4 . The diluted solution should be protected from light, using the
supplied opaque sleeve, aluminum foil, or other opaque material

SINUSITIS
Sinusitis is a condition consisting of inflammation of the paranasal
sinuses, which may or may not be as a result of infection, from
bacterial, fungal, viral, allergic or autoimmune

HFQ: DIET FOR SINUSITIS


Patients should take a balanced diet. Most persons with sinus
trouble also suffer from acidity. Their diet should, therefore; veer to
the alkaline side. The intake of salt should be reduced to the
minimum as salt leads to accumulation of water in the tissues and
expels calcium from the body.
In the acute stage of the disease, when fever is pre¬sent, the
patient should abstain from all solid foods and only drink fresh fruit
and vegetable juices diluted with water in the proportion of 50:50.
After the fever subsides, he may adopt a low-calorie raw fruit and
vegetable diet with plenty of raw juices.

After the acute symptoms are over, the patient may gradually
embark upon a well-balanced diet of three basic food groups,
namely seeds, nuts and grains; vegetables and fruits. In persistent
chronic conditions, repeated short juice fasts may be undertaken for
a week or so at intervals of two months.

MI management: MONA
Morphine
O2
Nitroglycerine
Aspirin

HYPOGLYCEMIA: TIRED
T Tired
I Irritability
R Restless
E Excessive hunger
D Diaphoresis-Depression

HEART MURMURS: SPASM


S Stenosis
P Partial obstruction
A Aneurysms
S Septal defect
M Mitral regurgitation

Hyperthyroidism (s/s)
THYROIDISM
Tremor
Heart rate up
Yawning (fatigueability)
Restlessness
Oligomenorrhea & amenorrhea
Intolerance to heat
Diarrhea
Irritability
Sweating
Muscle wasting & weight loss

Miotic: Little word=Little pupil


Mydriatic: Big word=Big pupil
Anticholingergics Side Effects:
Can't see
Can't pee
Can't spit
Can't sh*t

5W's of common causes of post-op fever

Wind (think pneumonia, splinting, incentive spirometer exercises not done, DB+ coughing not
done)
Water (dehydration...)
Wound (infection, dehiscence...)
Walking (PE...)
Wonder drug (approriate antibiotic...)

Cranial Nerves

Oh Olfactory Some
Oh Optic Say
Oh Oculomotor Marry
To Trochlear Money
Touch Trigeminal But
And Abducens My
Feel Facial Brother
Virgin Vestibulocochlear Says
Girl's Glossopharangeal Big
Violins Vagus Breasts
Ah Accessory Mean
Heaven Hypoglossal More

For the third column, S stands for sensory, M for motor, and B is both. Also, you have one
nose, so Olfactory is CNI, two eyes, so optic is CNII. To remember which order the As come in,
ABducens comes before ACcessory alphabetically.

Acute Pancreatitis: I GET SMASHED

I - idiopathic
G - gallstone
E - EtOH
T - trauma
S - steroids
M - mumps (paramyxovirus) and other viruses (EBV, CMV)
A - autoimmune
S - scorpion sting / snake bite
H - hypercalcemia, hyperlipidemia and hypothermia
E - ERCP
D - drugs, duodenal ulcers

To apply a telemetry monitor:


White over right (top right shoulder)
Black beside the white (Over lt shoulder)
Checkers (red below the black)
Christmas (Green beside the red)
Then ofcourse, the brown will be in the middle!

The HYPERKALEMIA "Machine" - Causes of Increased Serum K+


M - Medications - ACE inhibitors, NSAIDS
A - Acidosis - Metabolic and respiratory
C - Cellular destruction - Burns, traumatic injury
H - Hypoaldosteronism, hemolysis
I - Intake - Excesssive
N - Nephrons, renal failure
E - Excretion - Impaired

Signs and Symptoms of Increased Serum K+: MURDER


M - Muscle weakness
U - Urine, oliguria, anuria
R- Respiratory distress
D - Decreased cardiac contractility
E - ECG changes
R - Reflexes, hyperreflexia, or areflexia (flaccid)

HYPERNATREMIA
"You Are Fried"

F - Fever (low grade), flushed skin


R - Restless (irritable)
I - Increased fluid retention and increased BP
E - Edema (peripheral and pitting)
D - Decreased urinary output, dry mouth

"CATS" of "HYPOCALCEMIA"

C - Convulsions
A- Arrhythmias
T - Tetany
S - Spasms and stridor

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