RULE OF NINES

Total body surface area (TBSA)

- Head 9%
- Chest 9%
- Abdomen 9%
- Upper back 9%
- Anterior leg, each 9%
- Posterior leg, each 9%
- Entire arm, each 9%
- Genitalia/ perineum 1%
RULE OF PALMS:
- The surface area of the patient palm represents 1% of TBSA

PRIORITIZATION
P-riority
H-ierarchy
A-BCs
N-ursing Process
NURSING PROCESS
Assess BEFORE you implement!
ADPIE
Assessment
Diagnosis
Planning
Implementation
Evaluation
PATIENT HANDOFF
I-SBAR patient handoff reporting supports the National Patient Safety Goal #2 to
improve effectiveness of communication among caregivers
I-Identity
S-Situation
B-Background
A-Assessment
R-Recommendation

PRIMARY HYPERTENSION RISK FACTORS

SOSAD IC
S-Sodium and fat intake
O-Obesity
S-Stress
A-Alcohol

D- Vitamin Deficiency
I-Inactivity
C-Caffeine
MELANOMA CHARACTERISTICS
ABCDE
A-Asymetrical
B-Borders irregular
C-Color dark and variation
D-Diameter is large (>6mm)
E-Evolving
CRANIAL NERVES
NEPHRITIC SYNDROME
PHARAOH
P-Proteinuria & Edema
H-Hematuria
A-Azotemia
R-RBC casts
A-Anti strep titres (if post-strep)
O-Oliguria
H-Hypertension
ENDOCARDITIS
FROM JANE
F-Fever
R-Roths spots
O-Oslers nodes
M-Murmur
J-Janeway lesions
A-Anemia
N-Nail hemorrhage (splinter hemorrhages)
E-Emboli
LIMITED SCLERODERMA
Limited Scleroderma or Limited cutaneous systemic scleroderma
CREST syndrome
C-Calcinosis
R-Raynauds syndrome
E-Esophageal Motility Disorder
S-Sclerodactyly
T-Telangiectasia

NEUROLEPTIC MALIGNANT SYNDROME

FEVER
F-Fever
E-Encephalopathy
V-Vitals unstable
E-Elevated enzymes (CK)
R-Rigidity of muscles
HYPOTHALAMUS FUNCTIONS
TAN HATS
T-Thirst
Adenohypophysis
Neurohypophysis
Hunger and satiety
Autonomic regulation
Temperature regulation
Sexual urges and emotions
DISEASES CAUSED BY STREPTOCOCCUS PYOGENES
GET NIPPLES
Glumerulonephritis
Endocarditis (Heart Valves)
Toxic shock syndrome
Necrotizing fasciitis and myositis
Impetigo
Pharyngitis
Pneumonia
Lympangitis
Erysipelas and Cellulitis
Scarlet fever/Rheumatic fever
BARTHOLOMEWS RULE OF FOURS
12 weeks: Symphysis pubis
16 weeks: Midway bet symphysis pubis and umibilicus
20 weeks: Umbilicus
36 weeks: Xyphoid process

COMMON COLD
CREAR
Coronavirus
Rhinovirus
Enterovirus

Adenovirus
RSV
CONGENITAL SIGNS OF RUBELLA
Rubber Ducky, I so Blue
Rubella
Patent Ductus arteriosus
Eyes
Blueberry muffin rash
PRIMARY SYPHILIS
PRESS
Painless lesion
Regional lymphadenopathy
Exudate
Single lesion
Sexual contact can cause
SECONDARY SYPHILIS
CAMP
Condyloma Lata
Acute infection symptoms (fever, sore throat, malaise, wt loss)
Mucocutaneous lesion, mucous patches
Papules and pustules
TERTIARY SYPHILIS
CLASS
Cardiovasucluar disorder
Late benign suphilis (gumma)
Asymptomatic neurosyphilis
Symptomatic neurosyphilis
Seizures and apathy (sx of meningeal involvement)

ATTENUATED VACCINES
ROME is My Best Place to Yell
Rubella
Oral polio vaccine
Measles
Epidemic typhus
Influenza

Mumps
BCG
Plague
Typhoid oral vaccine
Yellow fever