Nursing Mnemonics Best Collection for Students
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Nursing Care for
Sprains and Strains (RICE)
R- Rest
I - Ice
C - Compression
E- Elevation
Care of Client in
Traction (TRACTION)
T- Temperature
(Extremity, Infection)
R - Ropes hang
freely
A - Alignment
C - Circulation
Check (5 P's)
T- Type &
Location of fracture
I - Increase
fluide intake
O - Overhead
trapeze
N - No weights on
bed or floor
Steps in the
Nursing Process
ADPIE (A
Delicious PIE)
A-ssessment
D- iagnosis
P-lanning
I-mplementation
E-valuaton
Acid-Base (ROME)
R-espiratory
O-pposite
M-etabolic
E-qual
CANCER'S Early
Warning Signs
CAUTION UP
C-hange in bowel or
bladder
A- lesion that
does not heal
U-nusual bleeding
or discharge
T-hickening or
lump in breast or elsewhere
I-ndigestion or
difficulty swallowing
O-bvious changes
in wart or mole
N-agging cough or
persisten hoarseness
U-nexplained
weight loss
P-ernicious
Anemia
CANCER
Interventions
C-omfort
A-ltered Body
Image
N-utrition
C-hemotherapy
E-valuate
response to meds
R-espite for
caretakers
Hypoglycemia
(TIRED)
- an abnormal
decrease of blood in the sugar
T-achycardia
I-rritability
R-estless
E-xcessive Hunger
D-iaphoresis/
Depression
Adrenal Gland
Hormones (SSS)
S-ugar
(Glucocorticoids)
S-alt
(Mineralcorticoids)
S-ex (Androgens)
Pulmonary Edema
(MAD DOG)
M-Morphine
A-Aminophylline
D- Digitalis
D-Diuretics
(Lasix)
O- Oxygen
G- ases (Blood
Gases ABG's)
5 P's of
Circulatory Checks
P-Pain
P-Paresthesia
P-Paralysis
P-Pulse
P-Pallor
(Paleness)
Hypertension
Nursing Care (DIURETIC)
D-aily Weight
I- ntake and
Output (I & O)
U- rine Output
R-esponse of BP
E-lectrolytes
T-ake Pulses
I-schemic
Episodes (TIA)
C-omplications:
4C's
Evalution of
Episiotomy Healing (REEDA)
R- Redness
E- Edema
E - Ecchymosis
D - Discharge,
Drainage
A - Approximation
Evalution of
Episiotomy Healing (REEDA)
R- Redness
E- Edema
E - Ecchymosis
D - Discharge,
Drainage
A - Approximation
Post-Partum
Assessment (BUBBLE)
B-reasts
U-terus
B-owels
B-ladder
L-ochia
E-pisiotomy/lateration/C-section
incision
Tracheal Esophageal
Fistula (3 C's)
C- Choking
C- Coughing
C - Cyanosis
Cleft Lip - Post Op
Care (CLEFT LIP)
C-hoking
L-ie on back
E-valuate Airway
F-eed Slowly
T-eaching
L-arger nipple
opening
I-ncidence
incerase in males
P-revent crust
formation and aspiration
Situations
requiring Crisis Situation: RAPE
R- Ruthless
A- Abusive
P- Personal
E- Experience
Warning Signs of a
Child Abuse/ Neglect: CHILD ABUSE
C-hild's excessive
knowledge on sex & abusive words
H-air growth in
various lengths
I-nconsistent
stories from the child & parent/s
L-ow self-esteem
D-epression
A-pathy, no
emotion
B-ruised
U-nusual injuries
S-erious injuries
E-vidence of old
injuries not reported
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
MURDER
Signs and
Symptoms of Increased Serum K+
M - Muscle weakness
U - Urine,
oliguria, anuria
R- Respiratory
distress
D - Decreased
cardiac contractility
E - ECG changes
R - Reflexes,
hyperreflexia, or areflexia (flaccid)
To remember which
blood types are compatible, visualize the letter "O" as an orb
representing the universe, because type O blood is the universal donor blood.
Patients with any blood type can receive it. But O also means "odd man out":
Patients with type O blood can receive only type O blood. Think BEEP to
remember the signs of minor bleeding:
B: Bleeding gums
E: Ecchymoses
(bruises)
E: Epistaxis
(nosebleed)
P: Petechiae
(tiny purplish spots)
Having difficulty
distinguishing hypoplasia from hyperplasia?
When you see plasia in
any word, think of "plastic." Plastic, in turn, means forming or
developing. As for hypo and hyper, that's the easy part. Hypo means under, or
below normal. Hyper means excessive, or above normal. Thus, hypoplasia means
underdevelopment, and hyperplasia means overdevelopment.
To remember the
four causes of cell injury, think of how the injury tipped (or TIPD) the scale
of homeostasis:
T: Toxin or other
lethal (cytotoxic) substance
I: Infection
P: Physical
insult or injury
D: Deficit, or
lack of water, oxygen, or nutrients.
When asking
assessment questions, remember the American Cancer Society's mnemonic device
CAUTION:
C: Change in bowel or
bladder habits
A: A sore that
doesn't heal
U: Unusual
bleeding or discharge
T: Thickening or
lump
I: Indigestion or
difficulty swallowing
O: Obvious
changes in a wart or mole
N: Nagging cough
or hoarseness.
Use the ABCD rule
to assess a mole's malignant potential:
A: Asymmetry--Is the
mole irregular in shape?
B: Border--Is the
border irregular, notched, or poorly defined?
C: Color--Does
the color vary (for example, between shades of brown, red, white, blue, or
black)?
D: Diameter--Is
the diameter more than 6 mm?
Side effects of
steroids. The 5 S's.
Sick- easier to get
sick
Sad-causes
depression
Sex-increases
libido
Salt-retains more
and causes weight gain
Sugar-raises
blood sugar
PERRLA
Pupils Equally Round
and Reactive to Light and Accomodation
Learning the
Systems of the Body?
MR DICE RUNS
M= Muscle
R= Respiratory
D=Digestive
I= Integumentary
C= Circulatory
E= Endocrine
R= Reproductive
U= Urinary
N= Nervous
S= Skeletal
Trouble figuring
out which eye is which?
OS is left eye
OD is the right
eye
You can remember
which one is the right eye (OD), because you can make the D into an R - You
just have to draw to stick legs on the bottom of the D. Write it down on paper,
you'll see what I mean (it's hard to show you when all I can do is type)
S/S of Hyponatremia
S tupor/coma
A norexia,
N&V
L ethargy
T endon reflexes
decreased
L imp muscles
(weakness)
O rthostatic hypotension
S
eizures/headache
S tomach cramping
Immediate treatment
of MI, think MONA:
M Morphine sulfate
O Oxygen
N Nitroglycerin
A ASA
Treatment of CHF,
think UNLOAD FAST:
U sit Upright
N Nitro
L Lasix
O Oxygen
A Aminophylline
D Digoxin
F Fluids- decrease
A Afterload -
decrease
S Sodium -
decrease
T Tests: dig
level, ABG, K+
Assistive devices
-- Canes:
C Cane
O Opposite
A Affected
L Leg
Signs of a
Cholinergic Crisis, think SLUD:
S Salivation
L Lacrimation
U Urination
D Defication
Memory Trick:Need
to remember which kind of beta blocker has which action?
B1 Blocks the heart
(you have only one heart)
B2 Blocks the
lungs (you have two lungs)
fetal accelerations
and decelerations!!!
Just remember
VEAL CHOP
Variable Cord
compression
Early Head
compression
Accelerations OK
Late Placental
insufficiency
Heart sounds:
S3= Heart fail-ure (3
syllables)
S4=Hy-per-ten-sion
(4 syllables)
effects of
anticholinergics:
Can't see
Can't pee
Can't spit
Can't --defecate
Nine-point
Postpartum Assessment...
BUBBLEHER
B- Breasts
U- Uterus
B- Bladder
B- Bowel function
L- Lochia
E- Episiotomy
H- Homan's sign
E- Emotional
Status
R- Respiratory
System
The 5 P's of
circulation loss in a limb.
Pain, Pallor,
Pulselessness, Parasthesia, Poikilothermia
side effects &
adverse reactions to immunizations:
F- Fever
I- Itching
S- Stiffness
H- Headache
E- Edema
R- Redness
F- Fussy
L- Localized
Tenderness
A- Appetite
decrease
G- General Aches
Pains
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
Can also use this
one:
SALT
S = Skin flushed
A = Agitation
L = Low-grade
fever
T = Thirst
"CATS" of
"HYPOCALCEMIA"
C - Convulsions
A- Arrhythmias
T - Tetany
S - Spasms and
stridor
Remember that here
in the USA you D drive on the right side of the road.
O= optical
A= auditory
AD - right ear
AS - left ear
AU - both ears
OD - right eye
OS - left eye
OU - both eyes
Mneumonic device
for remembering questions to ask emergency room admits:
Car? (circumstances of
event)
Please
(precipitating events)
Listen (location
of event)
To This: (Time of
event)
Watch (when
symptoms appeared)
Underage (unconsciousness
after injury?)
Alcoholics
(arrival time in ER)
Heading (hospital
admits previously?)
Home (previous
history/health status)
And (allergies)
Maybe
(medications)
Flattening (fears
for safety)
My (meal, time of
last)
Poodle (period,
time of last menstrual)
Dog (primary
doctor, name and location of)
Tonight (tetanus,
date of last immunization)
Everyone knows to
make the ABCD (airway breathing circulation and neurologic disability)
assessment first. Then as soon as possible, further assessment/intervention is
done, which includes:
His (health history)
Head (head to toe
assessment)
Is (insert monitoring
devices -- caths, ECG, arterial lines)
So (splints for
fractures)
Wide (wound care)
Olivia (other
interventions)
The pathophysiology
of ARDS:
Assault on the
respiratory system
Respiratory
distress
Decreased lung
compliance
Severe
respiratory failure
Diagnostic criteria
of ARDS
Acute onset
Ratio
(PaCO2/FiO2) <200 span="">
Diffuse
infiltration
Swan-Ganz wedge
pressure (PAWP) <18mm hg="" span="">
Complications of
thrombolytic therapy: The 3 B's
Bleeding
Brady's
(dysrhythmias)
Bloodclots (d/t
excessive thrombin)
Complications of
cardiopulmonary bypass (CPB): The 3 H's
Hypothermia (to
decrease O2 consumption)...Effects SVR (vasoconstriction) and causes myocardial
depression (decreases contractility)
Hemodilution (to
improve macrocirculation)...fluid shifting (third-spacing), e-lyte imbalances
(K+, Mg+ & Ca++ often need replacing!)
Heparinzation (to
prevent clots in circuit)...monitor aPTT.
Signs and symptoms
of cardiac tamponade (Beck's Triad): The Three D's
Distant heart sounds
Distended jugular
veins
Decreased pulse
pressure (think of a narrow pulse pressure as opposed to a wide one)
Atrial Arrhythmias:
ABCDE
Adenosine/amiodorone
or anticoagulate (if Afib/Flutter has been present >48h)
Beta blockers
Calcium channel
blockers
Digoxin
Electrocardiovert
(if <48h span="">
For ventricular
arrhythmias: AL
Amiodorone
Lidocaine
NSAID Drugs
N - Naproxen
S - Salicylates
A - Advil
I - Ibuprofen
D - Diclofenac
S - Sulinclac
8 A's for
Hepatotoxic Drugs (Check SGPT/SGOT)
Antituberculosis
Anticonvulsant
S - sodium
Luminal
G - gabapentin
P - phenytoin
T - tegretol
Anticancer
Aspirin
Alcohol
Antifamily
(contraceptice pills)
Acetaminophen
Aflatoxins
Parkinson's
Medications: "Ali Loves Boxing Matches"
A-Amantadine
L- Levodopa
B- Bromocriptine
M-MAO inhibitors
The 4 H's that
invalidate a neuro exam:
Hypotension
Hpoxia
Hypoglycemia
Hypothermia*
Pinpoint pupils:
Drugs, drops & nearly dead
Drugs: opiates
Drops: meds for
glaucoma
Nearly dead:
damage in the pons area of the brainstem
Dilated pupils:
Fear, Fits & Fast Living
Fear: panic, extreme
anxiety
Fits: seizures
Fast Living:
cocaine, crack, phencyclidine (PCP)
ADLs (Activity of
Daily Living)
BATTED
B-athing
A-mbulation
T-oileting
T-ransfers
E-ating
D-ressing
IADLS (Instrumental
Activities of Daily Living) SCUM
S-hopping
C-ooking and
Cleaning
U-sing telephone
or transportaiton
M-anaging money
and medications
Bleeding
Precautions (RANDI)
R- Razor Electric/
Blades
A- Aspirin
N- No needles
(esp. in small gauge)
D- Do decrease in
needle sticks)
I - Injury
(Protect from)
Canes and Walkers
(COAL)
C- Cane
O- Opposite
A- Affected
L- Leg
Canes and Walkers
(WWAL)
Wandering
Wilma's Always Late
W- Walker
W- With
A- Affected
L - Leg
Common Causes of
Transient Incontinence (DIAPPERS)
D-elirium
I-nfection
A-trophic Urethra
P-harmaceuticals
P-sychologic
E-xcess Urine
Output
R-estricted
Mobility
S-tool Impaction
Promotion of Normal
Elimination (POOPER SCOOP)
P-osition
O-utput
O-ffer Fluids
P-rivacy
E-xercise
R-eport Results
S-ize (Amount)
C-onsistency
O-ccult Blood
O-dor
P-eristalsis
Emergency Trauma
Assessment
(ABCDEFGHI)
A-irway
B-reathing
C-irculation
D-isability
E-xamine
F-ahrenheit
G-et Vitals
H-ead to Toe
Assessment
I-ntervention
Trauma Surgery
(AMPLE)
after initial
assessment
A-llergies
M-edications
P-ast Medical
History
L-ast Meal
E-vents
Surrounding Injury
Trauma Surgery
(AMPLE)
after initial
assessment
A-llergies
M-edications
P-ast Medical
History
L-ast Meal
E-vents
Surrounding Injury
6 P's of Dyspnea
P- Pulmonary Bronchial
Constriction
P- Possible
Foreign Body
P- Pulmonary
Embolus
P- Pneumothorax
P- Pump Failure
P- Pneumonia
Lidocaine Toxicity
(SAMS)
S-lurred Speech
A-ltered Central
Nervous System
M-uscle Twitching
S-eizures
TDCI (These Drugs
Can Interact)
T - Theophyline
D - Dilantin
C - Coumadin
I - losone
(Erythromycin)
Serious
Complications of Oral Birth Control Pills (ACHES)
A- Abdominal Pain
C - Chest Pain
H - Headache
E - Eye Problems
S - Severe Leg
Pain
Emergency Drugs to
LEAN on
L- Lidocaine
E - Epinephrine
A- Atropine
Sulfate
N - Narcan
Drugs for
Bradycardia & low BP (IDEA)
I - Isoproterenol
D - Dopamine
E - Epinephrine
A - Atropine
Sulfate
Cholinergic Crisis
(SLUD)
S-alivation
L-acrimation
U-rination
D-efecation
Depression
Assessment (SIG)
S-leep Disturbances
I-nterest
Decreased
G-uilty Feelings
Energy Decreased
(CAPS)
C-oncentration
decreased
A-ppetite
P-sychomotor
function decreased
S-uicidal
Ideations
5 A's to Alzheimer
Diagnosis
A-mnesia
A-nomia
A-praxia
A-gnosia
A-phasia
Major Symptoms of a
Manic Attack (DIG FAST)
D- Distractibility
I - Indiscretion
G - Grandiosity
F- Flight of
Ideas
A- Activity
Increase
S- Sleep Deficit
T - Talkative
3 P's of Blindness
P- Preventable
P- Painless
P- Permanent
Symptoms of Hypoxia
(in Pediatrics) - FINES
F-eeding difficulty
I-nspiratory
Stridor
N-ares Flares
E-xpiratory
Grunting
S-ternal
Retractions
Management of
ASTHMA
A-drenergics
(Albuterol)
S-teroids
T-heophylline
H-ydration (IV)
M-ask (Oxygen)
A-ntibiotics
Epiglottitis (AIR
RAID)
A-irway Closed
I-ncreased Pulse
R-estlessness
R-etractions
A-nxiety
Increased
I-nspiratory
Stridor
D-rooling
Blood Flow Through
the Cardiac Valves (Tissue Paper My Assets)
T-ricuspid
P-ulmonic
M-itrial
A-ortic
Immediate Treatment
of a Myocardial Infarction Client (MONA)
M- Morphine
O- Oxygen
N- Nitroglycerine
A- ASA
Treating CHF
(UNLOAD FAST)
U-pright Position
N-itrates (in low
dose)
L-asix
O-xygen
A-minophylline
D-igoxin
F-luids
(decrease)
A-fterload
(decrease)
S-odium
restriction
T-est (Dig level,
ABGs, K level)
DEMENTIA
Make sure they don't
have problems with:
D-rug and alcohol
E-yes and ears
M-etabolic and
endocrine disorders
E-motional
disorders
N-eurologic
disorders
T-umors and
trauma
I-nfection
A-rteriovascular
disease
Osteoporosis Risk
Factors (ACCESS)
A-lcohol Use
C-orticosteroid
Use
C-alcium low
E-strogen low
S-moking
S-edentary
lifestyle/s
ACCESS leads to
OSTEOPOROSIS
Who needs dialysis?
(Check the vowels: AEIOU)
A- Acid-Base Problems
E- Electrolyte
Problems
I- Intoxications
O- Overload of
fluids
U - Uremic
Symptoms
Prostate Problems
are no... FUN
F- Frequency
U- Urgency
N- Nocturia
BRAT Diet (for
severe dehydration)
B- Banana
R- Rice
A- Apple
T- Toasted Bread
Gluten Free Diet
(ROW)
R- Rye
O- Oats
W- Wheat
Assess Changes in
Senile Dementia (JAMCO)
J- Judgment
A- Affect
M- Memory
C- Cognition
O- Orientation
3 P's of Diabetes
Mellitus - Type 1 Signs & Symptoms
P- Polyuria (excessive
urination)
P- Polydypsia
(excessive thirst)
P- Polyphagia
(excessive hunger)
Right-Sided Heart
Failure (HEAD)
H- Hepatomegaly
E- Edema
(Bipedal)
A- Ascites
D- Distended Neck
Vein
Left-Sided Heart
Failure (CHOP)
C- Cough
H- Hemoptysis
O- Orthopnea
P- Pulmonary
Congestion (crackles/ rales)
Hyperkalemia
Management (KIND)
K- Kayexalate (orally/
enema)
I- Insulin
N- Na HCO3
D- Diuretics
(Furosemide & Thiazides)
Management of
Myocardial Infarction (MONATAS)
M- Morphine
O- Oxygen
N- Nitrates
(Nitroglycerin)
A- Aspirin (ASA)
T- Thormbolytics
A-
Anti-Coagulants
S- Stool
Softeners
Electrolytes - PISO
P- Potassium
I- Inside
S- Sodium
O- Outside
Eating Disorder:
ANOREXIA
A-menorrhea delayed
N-o organic
factors accounts for weight loss
O-bviously thin
but feels FAT
R-efusal to
maintain normal body weight
E-pigastric
discomfort is common
X-symptoms
(peculiar symptoms)
I-ntense fears of
gaining weight
A-lways thinking
of foods
Symptoms of
Leukemia (ANT)
A- Anemia
N- Neutropenia
T-
Thrombocytopenia
Exercise Guide for
Diabetic Fitness (FIT)
F - Frequency (3x per
week)
I - Intensity
(60-80% of Maximal Heart Rate)
T- Time (Aerobic
Activity)
Symptoms of Hypoxia
(RAT BED)
Early Hypoxia:
R-estlessness
A-nxiety
T-achycardia/
Tachypnea
Late Hypoxia:
B-radycardia
E-xtreme
Restlessness
D-yspnea
Eating Disorder:
BULIMIA
B-inge eating
U-nder strict
dieting
L-acks control
over-eating
I-nduced vomiting
M-inimum of to
binge eating episodes
I-ncrease/Persistent
concern of body size/shape
A-buse of
diuretics & laxatives
Findings of a
Bulimia client: WASHED
W-eight loss of 15% of
original body weight
A-menorrhea
S-ocial
withdrawal
H-istory of high
activity & achievement
E-lectrolyte
Imbalance
D-epression/
Distorted Body Image
Outcome of
Alcoholism: BAD
B- Brain Damage
A- Alcoholic
Hallucinosis
D- Death
5 D's of Behavioral
Problems of Alcoholism
D- Denial
D- Dependency
D- Demanding
D- Destructive
D- Domineering
Breast self
examination (i made a song out of this)
♫ ♪
♪ ♫1
little 2, little 3 little fingers
Do BSE 7 days
after menses
Press nipple once
check for discharge
Call your doctor
I'm sure you will
do it more...♫ ♪
♪ ♫
Alkalosis and
Acidosis
Alkalosis - has a 'k'
- Kicking the pH up
Acidosis - has a 'd'
- Dropping the pH down
Solutions:
Isotonic, Hypotonic, Hypertonic
Isotonic - "Same
as I" - the solution used will be the same as normal body fluid
composition. Fluids remain inside intravascular space.
Hypotonic -
"Hypo, hippo" - the solution pulls fluid from the intravascular space
into the ICF - the cell "swells like a hippo".
For remembering the
coronary arteries and which side they are on:
I have a RIGHT
to CAMP if you LEFT off the AC
Right = Right
C=oronary
A=Artery
M=Marginal Artery
P=Posterior
Interventricular Artery
Left=Left
A=Anterior
Interventricular Artery
C=Circumflex
Artery
Inflammation
(HIPER)
H-eat
I-nduration
P-ain
E-dema
R-edness
4 C's of
Hypertension (Complications)
C- Coronary Artery
Disease
C- Coronary
Rheumatic Fever
C- Congestive
Heart Failure
C- Cardio
Vascular Accident
Complications of
Trauma Client (TRAUMATIC)
T-issue Perfusion
Problems
R-espiratory
Problems
A-nxiety
U-nstable
Clotting Factors
M-alnutrition
A-ltered Body
Image
T-hromboembolism
I-nfection
C-oping Problems
Cyanotic Defects: 4
T's
T- Tetralogy of Fallot
T- Truncus
Arteriosus
T- Transportation
of the Great Vessels
T- Tricuspid
Atresia
Cranial Nerve
Mnemonic 01
O-Lympic (Olfactory)
O-Pium (Optic)
O-Ccupies
(Oculomotor)
T-ROubled
(Trochlear)
T-RIathletes
(Trigeminal)
A-fter (Abducens)
F-inishing
(Facial)
V-Egas
(Vestibulocochlear)
G-ambling
(Glossopharyngeal)
V-Acations
(Vagus)
S-till (Spinal
Accessory)
H-igh
(Hypoglossal)
Cranial Nerve
Mnemonic 02
O- Oh
O- Oh
O- Oh
T- To
T- Touch
A- And
F - Feel
A
G - irl's
V - agina
S - So
H- Heavenly
Cranial Nerve
Mnemonic 03
O- On
O -Old
O- Obando
T- Tower
T- Top
A-
F- Filipino
A - Army
G - Guards
V - Villages
A - And
H - Huts
Cranial Nerve
Mnemonics
(Sensory, Motor
or Both)
S - Some
S - Says
M- Marilyn
M- Monroe
B - But
M- My
B- Brother
S- Says
B- Bridget
B - Bardot
M- Mmm
M- Mmm
Cranial Nerve
Mnemonics 02
(Sensory, Motor
or Both)
S- Some
S- Say
M - Marry
M- Money
B- But
M- My
B - Brother
S- Says
B- Bad
B- Business
M - Marry
M - Money
OB Non-Stress Test
(NNN)
3 negatives in a
row to interpret results of Non-Stress Test
N - Non-reactive
N - Non- Stress
is
N - Not good
Severe
Pre-Eclampsia (HELLP)
H- emolysis
E- levated
L- iver function
tests
L- ow
P- latelet count
Assessment Tests
for Fetal Well-Being (ALONE)
A- Amniocentesis
L- L/S Ratio
O - Oxytocin Test
N - Non-Stress
Test
E - Estriol Level
Don't forget to visit my other best posts in Mnemonics section.
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