The MnemoNurse Recall Binder

Read the full Memory Team story

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  Acidotic Andy

  Metabolic Acidosis

  Kussmaul breathing, fruity breath, pH ↓ · HCO₃⁻ ↓

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  Alkalotic Alice

  Metabolic Alkalosis

  Vomiting and diuretics, tingling fingers, pH ↑ · HCO₃⁻ ↑

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  Retaining Ray

  Respiratory Acidosis

  COPD, CO₂ narcosis, pH ↓ · PaCO₂ ↑

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  Panicking Pam

  Respiratory Alkalosis

  Hyperventilation, numb lips, pH ↑ · PaCO₂ ↓

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  Potassium Pete

  Hyperkalemia

  Peaked T waves, muscle cramps, hold the bananas

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  Low-K Lena

  Hypokalemia

  Flat T waves, U waves, silent belly, never IV push

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  Salty Sal

  Hypernatremia

  Thirsty, dry, agitated — Na⁺ > 150, correct it slowly

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  Diluted Dana

  Hyponatremia / SIADH

  Too much water, Na⁺ < 135, headache to seizure

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  Chvostek Chuck

  Hypocalcemia

  Twitchy face, tingling lips, watch the airway

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  Stony Stella

  Hypercalcemia

  Stones, bones, groans and psychiatric overtones

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  Magnesium Maggie

  Magnesium Imbalance

  Low Mg = torsades; high Mg = reflexes gone

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  Septic Sam

  Distributive Shock

  Warm flushed skin early, then BP bottoms out

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  Pumpless Paul

  Cardiogenic Shock

  Pump fails: cold, clammy, crackles, high filling pressures

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  Bleeding Bea

  Hypovolemic Shock

  Tank is empty: tachycardia first, hypotension late

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  Anaphylactic Ana

  Anaphylaxis

  Airway closing — epinephrine IM, thigh, now

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  Embolic Emma

  Pulmonary Embolism

  Sudden dyspnea — High-Fowler's + oxygen first

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  Rigid Rita

  ARDS

  Refractory hypoxemia, stiff lungs, white-out on x-ray

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  Wheezing Wanda

  Asthma Exacerbation

  A silent chest is worse than a loud one

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  Consolidated Carl

  Pneumonia

  Crackles, rusty sputum, confusion in the elderly

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  Vented Vince

  Mechanical Ventilation

  High-pressure alarm = obstruction; low = disconnection

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  Ketone Kyle

  Diabetic Ketoacidosis

  Type 1, glucose > 250, ketones, acidosis — fluids first

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  Hyperosmolar Hank

  Hyperosmolar Hyperglycemic State

  Type 2, glucose > 600, no ketones, profound dehydration

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  Shaky Shawna

  Hypoglycemia

  Cold and clammy, need some candy — 15 and 15

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  Storming Tori

  Thyroid Storm

  Everything accelerates: fever, tachycardia, delirium

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  Sluggish Myra

  Myxedema Coma

  Everything slows: hypothermia, bradycardia, hypoventilation

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  Addison Ada

  Adrenal Crisis

  Bronze skin, low Na⁺, high K⁺, hypotension — steroids now

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  Cushing Cora

  Cushing's Syndrome

  Moon face, buffalo hump, high Na⁺, low K⁺, high glucose

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  Dry Dwayne

  Diabetes Insipidus

  Liters of pale urine, Na⁺ ↑, specific gravity < 1.005

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  Pressured Priya

  Increased Intracranial Pressure

  Cushing's triad is late — act on the early changes

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  Stroke Stan

  Ischemic Stroke

  Time is brain — last known well decides everything

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  Seizing Simone

  Seizures & Status Epilepticus

  Protect, don't restrain — time the seizure

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  Failing Frank

  Heart Failure

  Left = lungs, right = rest of the body; weigh daily

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  Infarcting Ivan

  Myocardial Infarction

  Crushing pain unrelieved by rest — MONA, then reperfusion

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  Fibrillating Fay

  Atrial Fibrillation

  Irregularly irregular — rate, rhythm, and clot prevention

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  Warfarin Wally

  Anticoagulation

  Warfarin → INR → vitamin K; heparin → aPTT → protamine

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  Ammonia Amy

  Cirrhosis & Hepatic Encephalopathy

  Jaundice, ascites, asterixis — lactulose until 2–3 stools a day

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  Anuric Alan

  Acute Kidney Injury

  Urine < 30 mL/hr, K⁺ ↑, creatinine ↑ — find the cause first

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  Digoxin Dot

  Digoxin Toxicity

  Nausea, yellow-green halos, HR < 60 — check K⁺ and the level

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  Preeclamptic Penny

  Preeclampsia & Magnesium Sulfate

  BP ≥ 140/90 after 20 weeks + proteinuria — headache means danger

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  Pancreatic Pablo

  Acute Pancreatitis

  Boring epigastric pain to the back, lipase ↑, Ca²⁺ ↓ — NPO and rest the gland

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  Sober Sully

  Alcohol Withdrawal & Delirium Tremens

  Tremors at hour 6, seizures at 24, DTs at 72 — CIWA drives the dose

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  Manic Mia

  Bipolar Mania & Lithium Toxicity

  Pressured speech, no sleep for days — then lithium 1.8, coarse tremor, vomiting

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  Voices Victor

  Schizophrenia & Antipsychotic Side Effects (EPS, NMS, tardive dyskinesia)

  Auditory hallucinations, then a rigid jaw, then a 104°F fever — stop the drug, call the doctor

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  Sinking Sadie

  Major Depression & Suicide Risk

  A sudden calm after weeks of despair is not recovery — it may mean a plan

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  Flashback Felix

  PTSD & Panic Disorder

  Fireworks trigger a flashback; racing heart and doom feel like a heart attack — it isn't

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  Narcan Nate

  Opioid Overdose & Withdrawal

  Pinpoint pupils, RR 6, unresponsive — naloxone now, then watch for it to wear off first

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  Mirror Mila

  Anorexia Nervosa & Refeeding Syndrome

  BMI 14, bradycardic and 'fine' — feed her slowly, watch the phosphorus crash

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  Serotonin Sylvia

  Serotonin Syndrome

  Two serotonergic drugs, then agitation, clonus and a 102°F fever — stop both now

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  Wheezy Winnie

  Bronchiolitis & RSV

  Infant, wheezing, nasal flaring — suction, humidified O2, no routine antibiotics

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  Sickled Simon

  Sickle Cell Vaso-Occlusive Crisis

  Severe bone pain, dactylitis, priapism risk — hydrate, oxygenate, treat pain around the clock

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  Cystic Cassie

  Cystic Fibrosis

  Salty skin, greasy foul stools, thick mucus — airway clearance and pancreatic enzymes with every meal

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  Strawberry Kai

  Kawasaki Disease

  Fever ≥5 days, strawberry tongue, peeling hands — IVIG + aspirin, watch the coronaries

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  Telescope Tommy

  Intussusception

  Currant jelly stool, sausage-shaped mass, sudden inconsolable crying — think emergency, not colic

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  Droopy Dani

  Infant Dehydration & Gastroenteritis

  Sunken fontanel, no tears, < 4 wet diapers/day — weigh-based oral or IV rehydration now

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  Leaded Liam

  Lead Poisoning

  Pica, old paint chips, blood lead ≥3.5 mcg/dL — remove the source, chelate if high

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  Gushing Gwen

  Postpartum Hemorrhage & Uterine Atony

  Boggy fundus, soaked pad in 15 min — fundal massage first, always

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  Previa Paula

  Placenta Previa

  Painless bright red bleeding — NEVER do a vaginal exam

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  Abrupting Abby

  Placental Abruption

  Sudden pain + dark bleeding + rigid uterus — fetal distress races the clock

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  Sugary Selena

  Gestational Diabetes

  Fasting glucose ↑, macrosomic baby risk — diet and monitoring come first

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  Decel Dina

  Fetal Heart Rate Decelerations & Intrapartum Monitoring

  VEAL CHOP: Variable=Cord, Early=Head, Accel=Okay, Late=Placenta

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  Yellow Yusuf

  Newborn Hyperbilirubinemia & Phototherapy

  Jaundice head-to-toe by day 2-3 — eyes covered, skin bare under lights

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  Cord Callie

  Umbilical Cord Prolapse

  Cord visible or felt pulsating — knee-chest, lift the presenting part off it NOW

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  Feverish Fiona

  Postpartum Infection & Mastitis

  Fever ≥100.4°F after day 1, foul lochia, or a hot red breast wedge

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  Neutropenic Nia

  Neutropenia & Chemotherapy Precautions

  ANC < 500, temp ≥ 100.4°F — a single fever is an emergency

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  Lysing Luis

  Tumor Lysis Syndrome

  K⁺ ↑, uric acid ↑, phosphate ↑, Ca²⁺ ↓ — cells burst 24–72 hrs post-chemo

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  Transfusing Tina

  Blood Transfusion Reactions

  Fever, flank pain, hives within minutes — STOP the transfusion first

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  Clotless Clara

  Disseminated Intravascular Coagulation

  Bleeding AND clotting at once — oozing IV sites plus low platelets and fibrinogen

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  Pale Priscilla

  Iron Deficiency Anemia

  Fatigue, pallor, spoon nails, pica — low hemoglobin, low ferritin

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  Spore Sean

  Clostridioides difficile & Isolation Precautions

  Watery diarrhea after antibiotics — soap and water, not hand sanitizer

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  CD4 Hana

  HIV & Opportunistic Infections

  CD4 < 200 = AIDS-defining risk — white oral patches, cough, weight loss

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  Butterfly Bella

  Systemic Lupus Erythematosus

  Butterfly rash, joint pain, photosensitivity — protect skin, watch the kidneys

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  Compartment Cody

  Fractures & Compartment Syndrome

  Pain out of proportion, unrelieved by opioids — pallor and pulselessness are late

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  Reflexive Rex

  Spinal Cord Injury & Autonomic Dysreflexia

  Pounding headache, BP 220/120, bradycardia — sit him up and find the trigger

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  Myasthenic Marge

  Myasthenia Gravis & Myasthenic Crisis

  Ptosis and diplopia worsen with use — watch for crisis when swallowing and breathing fail

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  Tremor Tomas

  Parkinson's Disease

  Resting tremor, rigidity, bradykinesia — time levodopa exactly, never abruptly stop it

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  Barrel Bart

  COPD

  Barrel chest, pursed-lip breathing, low-flow O₂ — his drive to breathe is low oxygen

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  Tarry Tara

  Upper GI Bleed & Peptic Ulcer Disease

  Black tarry stools, coffee-ground emesis, dropping BP — airway first, then fluids

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  Blocked Bruno

  Bowel Obstruction

  No stool, no flatus, high-pitched bowel sounds above the block — vomiting relieves, then it's silence

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  Crisis Camila

  Hypertensive Crisis

  BP 220/130 with a pounding headache and blurred vision — end-organ damage is the emergency, not the number alone

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  Aneurysm Arturo

  Abdominal Aortic Aneurysm

  Pulsatile abdominal mass, sudden tearing back pain, and a dropping BP — never palpate deeply once rupture is suspected

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  Claudicating Clara

  Peripheral Arterial Disease vs Venous Insufficiency

  Cold, pale legs that hurt with walking and improve with dangling — arterial disease is the opposite of venous

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  Endocarditis Eli

  Infective Endocarditis

  New murmur, fever, and tiny splinter hemorrhages under the nails — bacteria are colonizing his heart valves

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  Pericardial Pearl

  Pericarditis & Cardiac Tamponade

  Sharp chest pain that eases leaning forward, then muffled heart sounds and a falling BP — the pericardial sac is filling

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  Valve Vera

  Valvular Heart Disease & Rheumatic Fever

  A childhood strep throat left scarred valves — now a harsh murmur and signs of failure decades later

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  Paced Pia

  Pacemakers & ICDs

  Hiccups after pacemaker placement can mean the lead is stimulating the diaphragm — check the pocket and the rhythm strip

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  Clotted Cliff

  Deep Vein Thrombosis & VTE Prevention

  Unilateral calf swelling, warmth, and a positive Homans-like tenderness — never massage the leg, a clot may already be loose

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  Appendix Annie

  Appendicitis & Peritonitis

  Pain migrates to McBurney's point, then suddenly stops — that relief can mean rupture, not recovery

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  Gallstone Gina

  Cholecystitis & Cholelithiasis

  RUQ pain after a fatty meal, radiating to the right shoulder — a positive Murphy's sign clinches it

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  Crohn's Colin

  Inflammatory Bowel Disease (Crohn's vs Ulcerative Colitis)

  Skip lesions and fistulas mean Crohn's; continuous rectal bleeding means ulcerative colitis

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  Diverticular Dee

  Diverticulitis

  LLQ pain, fever and a change in bowel habits — perforation turns this into peritonitis fast

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  Hepatitis Hugo

  Viral Hepatitis A, B & C

  Jaundice, dark urine, clay stools and RUQ tenderness — know your route of transmission to know your teaching

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  Dialysis Dina

  Chronic Kidney Disease & Hemodialysis

  Never take a BP or draw blood from the fistula arm — a thrill and bruit confirm it's still patent

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  Kidney Kwame

  UTI & Pyelonephritis

  Burning and frequency stay in the bladder — flank pain, fever and chills mean it's climbed to the kidney

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  Prostate Percy

  BPH & TURP Care

  Bright red urine with clots post-TURP is expected briefly — watch for bladder spasms and clot retention

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  Burned Bella

  Burns & Fluid Resuscitation

  Deep partial-thickness burns over 40% TBSA — the Parkland formula tells you how much fluid, but urine output tells you if it's working

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  Ulcer Uma

  Pressure Injury Staging & Prevention

  Non-blanchable redness over the sacrum is Stage 1 — waiting for an open wound means waiting too long

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  Confused Connie

  Delirium vs Dementia & Restraint Alternatives

  Sudden confusion that fluctuates hour to hour is delirium until proven otherwise — and it usually has a treatable cause

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  Delegating Deb

  Delegation, Assignment & Scope of Practice

  The five rights of delegation exist because the RN keeps accountability even after handing off the task

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  Insulin Ike

  Insulin Types, Peaks & Administration Safety

  Know the peak, know the risk — hypoglycemia strikes hardest when the insulin is working hardest

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  Triage Theo

  Disaster Triage & Prioritization

  In a mass casualty event, the sickest client doesn't always go first — resources go where they can save the most lives

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  Consent Carmen

  Informed Consent, Advance Directives & Privacy

  The provider obtains informed consent — the nurse verifies it was given freely and understood

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  ACE Angie

  ACE Inhibitors: Cough, Angioedema & Hyperkalemia

  Lisinopril lowers her blood pressure beautifully — until the dry cough starts and her lips begin to swell

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  Beta Betty

  Beta Blockers: Apical Pulse, Masked Hypoglycemia & Rebound

  Metoprolol keeps her heart calm — but check the apical pulse first, and never let her stop it cold turkey

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  Lasix Larry

  Loop Diuretics: Hypokalemia & Ototoxicity

  Furosemide drains the fluid from his failing heart — and flushes his potassium out with it

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  Lithium Lila

  Lithium: Therapeutic Levels, Toxicity & Sodium Balance

  Lithium steadies her moods — but it rides on sodium, and one sweaty week or skipped salt can push her into toxicity

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  Tyramine Tessa

  MAOIs & the Tyramine Hypertensive Crisis

  Phenelzine finally lifts her depression — until aged cheese and tap beer send her blood pressure through the roof

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  Nitro Nina

  Nitroglycerin: Sublingual Rules, Headache & Dangerous Combinations

  One tablet under the tongue melts her angina in minutes — one tablet with the wrong pill can drop her pressure to the floor

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  Heparin Holly

  Heparin: aPTT, Protamine Sulfate & HIT

  The heparin drip keeps her clot from growing — but the aPTT tells the nurse how fast it runs, and protamine turns it off

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  Phenytoin Phil

  Phenytoin: Narrow Range, Nystagmus & Gummy Smiles

  Phenytoin stops his seizures at 10-20 — but nystagmus says the level is climbing, and his gums grow over his teeth

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  Rhabdo Rory

  Rhabdomyolysis: Tea-Colored Urine, Potassium & Kidney Rescue

  He pushed through the workout, then collapsed — and his urine came out the color of iced tea

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  Osteo Opal

  Osteoporosis: Silent Bone Loss, Fall Prevention & Bisphosphonates

  She lost two inches of height and never felt a thing — until a hug fractured a vertebra

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  Glaucoma Gloria

  Glaucoma: Silent Peripheral Loss vs Acute Angle-Closure Emergency

  She lost her side vision so slowly she never noticed — then one night her eye turned to stone

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  Meningitis Mia

  Bacterial Meningitis: Stiff Neck, Droplet Precautions & Rapid Antibiotics

  A college dorm, a fever, and a neck too stiff to touch her chin to her chest

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  Sclerosis Sadie

  Multiple Sclerosis: Demyelination, Relapses & Heat Intolerance

  Her symptoms come, go, and come back somewhere else — and a hot bath makes every one of them worse

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  Gout Gus

  Gout: Uric Acid Crystals, the Angry Big Toe & Purine Teaching

  He woke at 2 a.m. with a big toe so hot and swollen the bedsheet felt like a blade

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  Meniere Mira

  Meniere's Disease: Vertigo, Tinnitus & Hearing Loss

  The room spins without warning, one ear roars, and she has to grab the wall to stay upright

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  Rheumatoid Rosa

  Rheumatoid Arthritis: Symmetric Joints, Morning Stiffness & DMARDs

  Both hands, the same joints, every morning for over an hour — this is not wear and tear

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  Obsessive Owen

  OCD: Obsessions, Compulsions & Anxiety Relief

  He has washed his hands until they bleed — because stopping makes the anxiety unbearable

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  Hyperemesis Hazel

  Hyperemesis Gravidarum: Vomiting, Ketones & Dehydration

  This is not morning sickness — she has lost 12 pounds and her urine is full of ketones

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  Mastitis Mabel

  Mastitis: Flu-Like Fever, a Red Wedge & Keep Nursing

  A hot red wedge on one breast and a 102 fever — and the treatment is to keep breastfeeding, not stop

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  Nephrotic Nolan

  Childhood Nephrotic Syndrome: Puffy Eyes, Frothy Urine & Protein Loss

  His eyelids are swollen shut in the morning and his urine foams — protein is leaking straight out of him

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  Phosphate Franklin

  Phosphorus Imbalance: The Calcium See-Saw & Binders With Meals

  His phosphorus climbs, his calcium falls, and he itches everywhere — the binder only works if he takes it with food

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  Overloaded Olive

  Fluid Volume Overload: Crackles, Bounding Pulse & Stop the Infusion

  The IV ran wide open, and now she is coughing pink froth with veins standing out in her neck

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  Collapsing Callum

  Tension Pneumothorax & Chest Tubes: Tracheal Deviation and the Water Seal

  He was stabbed in the chest, now he cannot catch his breath — and his windpipe is sliding away from the wound

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  Ascending Abe

  Guillain-Barré Syndrome: Weakness That Climbs Toward the Lungs

  His tingling toes became weak legs, then a weak chest — the paralysis is climbing, and the only question that matters is his breathing

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  Sundowning Sid

  Alzheimer's Disease: Sundowning, Safety and Calm Redirection

  Every evening the sun goes down and Sid goes looking for a job he retired from twenty years ago

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  Quarantined Quinn

  Tuberculosis: Airborne Precautions, Rifampin and the Orange Secret

  She has coughed for three weeks, lost ten pounds, and sweats through the night — now she lives behind a negative-pressure door

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  Croupy Cora

  Croup vs Epiglottitis: The Barking Cough and the Child You Never Lie Down

  Her cough sounds like a seal barking at midnight — but if she starts drooling and leaning forward, the rules change completely

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  Fractured Frida

  Hip Fracture & Fat Embolism: The Shortened Leg and the Confusion That Follows

  Her leg is shorter and turned outward after the fall — and two days later her confusion is not from the pain medicine

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  Shingles Sheila

  Herpes Zoster: The One-Sided Band of Blisters and Airborne Rules

  A stripe of blisters wraps one side of her chest like a belt that stops at the midline — and the pain arrived days before the rash

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  Warfarin Winnie

  Warfarin & INR: Vitamin K, Bleeding Precautions and the Salad Problem

  Her nosebleed will not stop, her INR is 6.5, and the only thing that changed was a week of kale smoothies — then a week without them

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  Slow-Drip Delia

  IV Potassium Safety: Never Push, Always Dilute, Always Pump

  The order says potassium — and the single most dangerous thing a nurse can do with it is give it fast

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  Central Line Cesar

  Central Lines & Air Embolism: Clamp It, Position It, Protect It

  His tubing came apart for only a few seconds — and suddenly he is gasping, dizzy and dropping his pressure

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  Infiltrated Ivy

  Infiltration vs Extravasation vs Phlebitis: Cool and Swollen or Red and Warm

  Her IV arm is puffy, pale and cool to the touch — the fluid is going into the tissue, not the vein

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  Trach Tomas

  Tracheostomy & Suctioning Safety: Oxygenate First, Suction Out Only

  His secretions are thick, his saturation is dropping, and the safest suction is the shortest one

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  Feeding Fiona

  Enteral Feeding & Aspiration Prevention: Head of Bed Up, Placement Verified

  One flat-lying tube feeding is all it takes to turn nutrition into pneumonia

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  Steroid Stan

  Corticosteroid Therapy: Never Stop Abruptly, Watch Sugar and Hidden Infection

  He felt better, so he stopped his prednisone on Friday — by Sunday his pressure was bottoming out

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  Levo Lucy

  Levothyroxine: Empty Stomach, Same Time, Lifelong — and the Signs of Too Much

  She takes her thyroid pill with breakfast and a calcium chew — and wonders why she still feels exhausted

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  Vanco Vera

  Vancomycin: Slow the Infusion, Watch the Trough, Protect the Kidneys and Ears

  His face and neck turned red twenty minutes into the infusion — the drug is not the problem, the speed is

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  Oxygen Omar

  Oxygen Delivery Devices: Matching the Mask to the Need — and Fire Safety

  The right oxygen device is not the biggest one — it is the one that matches the liters, the diagnosis and the risk

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  Post-Op Priya

  Postoperative Complications: The Day-by-Day Timeline Every Nurse Watches

  Day one her lungs, day three her bowel, day five her wound — every post-op day has its own emergency

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  PCA Pablo

  PCA & Opioid Safety: Only the Patient Presses the Button

  His daughter pressed the button while he slept, because she loves him — and that is exactly how an overdose happens

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  Restraint Rita

  Restraints & Fall Prevention: Least Restrictive First, and the Order Rules

  Everything else is tried before anything is tied — and once it is, the clock and the checks begin

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  Vaccine Vivian

  Immunizations: Live Vaccines, Real Contraindications and the Reactions to Expect

  A low fever is not a reason to skip a shot — but pregnancy and a suppressed immune system change everything

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  TPN Tessa

  Total Parenteral Nutrition: High Sugar, Central Line, and Never Stop It Suddenly

  The bag is nutrition and a sugar load at the same time — stopping it abruptly drops the blood sugar off a cliff

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  Listening Theo

  Therapeutic Communication: What to Say, and What Never to Say

  The right answer is almost never advice, reassurance or a question starting with 'why'

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  Milestone Maya

  Growth, Development and Age-Appropriate Safety

  Every age has one milestone the NCLEX loves — and one hazard that comes with it

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  Labor Lena

  Stages of Labor and the Normal Newborn Assessment

  Four stages, one APGAR at 1 and 5 minutes, and one number that says push

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  Screening Sam

  Cancer Warning Signs and Screening Teaching

  The finding that gets reported is the one that changed, and the one that does not hurt

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  Pressure Pam

  Antihypertensive Classes: Orthostatic Safety and Client Teaching

  Every blood pressure pill shares one teaching point — stand up slowly, and never stop it because you feel fine

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  Ectopic Erica

  Ectopic Pregnancy: The Pain on One Side and the Shoulder That Screams Rupture

  Missed period, one-sided pain, spotting — then shoulder pain means it has burst

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  Tet Spell Tilda

  Tetralogy of Fallot: The Blue Spell and the Squat That Saves It

  Four defects, one blue spell — and the child squats to fix her own circulation

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  Pyloric Piper

  Pyloric Stenosis: The Olive, the Fountain and the Hungry Baby

  Projectile vomiting in a 3-to-6-week-old who is starving right after — feel for the olive

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  Phantom Petra

  Amputation Care: The Limb That Is Gone but Still Hurts

  Phantom pain is real nerve pain — treat it, never dismiss it

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  Glomerular Greta

  Post-Streptococcal Glomerulonephritis: The Tea-Colored Urine After the Sore Throat

  A sore throat two weeks ago, now smoky urine, puffy eyes and a climbing blood pressure

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  B12 Bianca

  Pernicious Anemia: The Beefy Red Tongue and the Wobbly Walk

  Big cells, smooth red tongue, tingling feet — iron anemia never touches the nerves

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  Retinal Rhea

  Retinal Detachment: The Curtain, the Flashes and the Painless Emergency

  A curtain falling over the vision, flashes and floaters — painless, but the clock is ticking

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  Ostomy Oscar

  Ostomy Care: The Rose-Red Stoma and the Skin That Must Stay Whole

  A healthy stoma is rose-red and moist — pale, purple or black means trouble