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Mnemonics
Submit a mnemonic
Assessment Mnemonics
     Cardiac Ascultation
     Neurologic
    Pulmonary Ascultation
Diagnostic Mnemonics
     Cancer
    Mentation
    Neurologic
Treatment Mnemonics
    ACLS
    Admitting Orders
    Iron Replacement Therapy
    Musculoskeletal
Links to Mnemonics
Credits



Assessment Mnemonics

Cardiac Ascultation

Aortic Pulmonic Erb's Tricuspid Mitral
All Physicans Earn Too Much
Ape to Man

Aortic Pulmonic Tricuspid Mitral
All Physicans Take Money

Common Systolic Murmurs
MR PASS, MVP 1 (Mitral regurg, physiologic, aortic stenosis, systolic, mitral valve prolapse)

Common Diastolic Murmurs
MS ARD 1 (Mitral stenosis, aortic regurg, diastolic)

Physiologic S2 Heart Sound
A physiologic S2 heart sound split INcreases in INspiration. 1
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Neurologic

Argyll-Robertson Pupil (ARP)
Accommodation Reflex present, Pupillary reflex absent
Syphilitic pupil (AKA "Prostitute's pupil" - Accommodates, but doesn't react )

Cranial Nerves
I II III IV V VI VII VIII IX X XI XII
Olfactory Optic Oculomotor Trochlear Trigeminal Abducens Facial Acoustic Glossopharyngeal Vagus Spinal Accessory Hypoglosseal
Oh Oh Oh To Touch And Feel A Great Vein Ah Heaven!
On Old Olympus' Towering Tops A Finn And German Viewed Some Hops!
Old Factories Open Only Trying To Abduct Foreigners Vying Gladly Very Accessible Higher Wages
To remember what cranial nerve is Motor, Sensory, or Both use these.
Some Say Marry Money, But My Brother Says Big Bras Matter Most.
Some Say Marilyn Monroe But My Brother Says Bridget Bardot Mmm, Mmm!
Some Say Marry Mary But My Brother Says Bad Business, Marry Money.

Cranial Nerve I (Olfactory) vs. Cranial Nerve II (Optic)
You have I nose. You have II eyes.

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Pulmonary Ascultation

Vocal Fremitus
Vocal fremitus INcreases with INcreased tissue density. 1

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Diagnostic Mnemonics

Cancer

Signs and symptoms that may be associated with child cancer.
Continued, unexplained weight loss
Headaches, often with vomiting, at night or early morning
Increased swelling or persistent pain in bones, joints, back or legs
Lump or mass, especially in the abdomen, neck, chest, pelvis or armpits
Development of excessive bruising, bleeding or rash

Constant infections
A whitish color behind the pupil
Nausea which persists or vomiting without nausea
Constant tiredness or noticeable paleness
Eye or vision changes that occur suddenly or persist
Recurrent fevers of unknown origin
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Mentation

Causes of Deliriums
Drugs (digoxin, theophylline, cimetidine, anticholinergics)
Emotional (agitated depression, mania)
Low PO2 (myocardial infarction, CVA, anemia, pulmonary embolus)
Infections
Retention of urine or feces
Ictal and postical states
Undernutrition, dehydration, electrolyte disorders
Metabolic (thyroid disorders, Addison's disease, vitamin B12 deficiency)
Subdural hematomas

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Neurologic

Aphasia
"Broken aphasia" (Broca's aphasia-broken speech)
"Wordys aphasia" (Wernicke's aphasia- wordy, but making no sense)

Cerebellar lesions lead to VANISHeD
Vertigo, Ataxia, Nystagmus, Intention tremor, Slurred speech, Hypotonic reflexes, Dysdiadochokinesia.

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Treatment Mnemonics

ACLS

VF/pulseless VT
Shock (defib 200J), Shock (defib 200-300J), Shock (defib 360J), Everybody (epinephrine 1mg), Shock (defib 360J), Little (lidocaine 1.5mg/kg), Shock (defib 360J), Big (bretylium 5mg/kg), Shock (defib 360J), Mama (MgSO4 1-2g), Shock (defib 360J), Papa (procainamide 30mg/min), Shock (defib 360J), Arm & Hammer (sodium bicarb 1mEq/kg), Shock (defib 360J).

V Tach with Pulse
If pulse and awake, (not unstable) drugs they must take. Let (lidocaine) Pulse (procainamide) Be (bretylium). If pulse and a nap, (unstable) zap, zap, zap, zap. (synchronized cardioversion)

Pulseless Electrical Activity (PEA) previously known as Electromechanical Dissociation (EMD), hence the mnemonic.
E (epinephrine 1mg), M (memorize), D (differential)

Asystole
Eat (epinephrine 1mg), Apples (atropine 1mg), Please (transcutaneous pacer) or Please Eat Apples

Bradycardia
Atropine (atropine .5-1.0mg), then a pace machine (TCPacer). Don't (Dopamine 5-20 mcg/kg) Eat (epinephrine 2-10 mcg/min) Ice-cream (Isoproterenol).

For remembering the ACLS drugs and the order given in Pulseless V Tach V Fib
Elvis (epinephrine) Loved (lidocaine) Big (bretyllium) Mama (magnesium sulfate) Presley (procainamide).3
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Admitting Orders

The "5 D's"
Admit to:
1. Diagnosis & Condition:
2. Diet (Activity restrictions if necessary):
3. Directives (Intake & Output, Weight, Vital signs, Blood glucose checks):
4. Diagnostics (Labs, X-rays, EKG, etc)
5. Drugs (Medications oral, IV, IM, etc)

BIMOXLS
Bowel, bath, bed
I & O, IV, fluid
Medications ordered by problem
Observations
X-rays
Labs
Special tests (like a CEA level)

A Daffy Colleague Very Astutely Asserts: Nincompoop Doctors Invite Many Laughs. 2
ADorable DIane COntrolled VIcious ACcusations ALleging NUptial DIscord INvolving MErry LAdies. 2
Admit to:
Diagnosis
Condition
Vitals
Activities
Allergies
Nursing Orders
Diet
Intravenous
Medications
Labs & other tests

ABC David
Admit to Clinician _______________, floor if you know it
Because (Diagnosis)
Condition
Diet
Activities
Vitals
Iv's
Drugs, etc
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Iron Replacement Therapy

To help remember which iron compound is best tolerated by the gut.
Ferrous sulfate is strong, while ferrous gluconate is great.
Ferrous sulfate = strong. Ferrous gluconate = gastric.
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Musculoskeletal

Pressure, Rest, Ice, Compression, Elevation, Support.
PRICES

Rest, Ice, Compression, Elevation
RICE

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Links to Mnemonics

Emergency Medicine Mnemonics VUMC's List of Interesting Emergency Medicine Mnemonics
Nutrition Checklist for Older Adults the "DETERMINE" Mnemonic
Urinary Incontinence Treatable Causes the "DIAPPERS" Mnemonic
MD4sure.com - Medical Mnemonics
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Credits
  1. Authored by Margaret A. Fitzgerald, MS, RN, CS-FNP
  2. Created by Bob McCarthy in a discussion on NP-clinical, September 1998. He attached this to his work: Disclaimer: according to my lawyer, the reference to Doctors a) does not intend to imply that any doctors are Nincompoops but simply a legitimate use of poetic license; b) that any reference to any Doctor, living or dead, is purely coincidental; and c) is protected under the 1st Amendment, i.e. freedom of speech.
  3. Authored by Robin Bates, R.N.,S.R.N.A. of the Elvis Presley Memorial Trauma Center in Memphis, Tennessee.
Kas Healy, MSN, FNP for sharing her rather large collection of mnemonics.
The members of NP-clinical for their discussions, submissions and encouragement.

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