MED- SURG FINAL ACRONYMS

Sinus Arrhythmia “HEMI”

• H: Heart Failure

• E: Excess Caffeine, Alcohol, Nicotine (CAN)

• M: Moderate to Extreme Stress

• I: Intake of Meds such as diet pills or cough/cold medications

Sinus Tachycardia CUES/Sx (1/2)

“Does She Like Really Super Hard Cock”

• D: Dizziness

• S: Shortness of Breath

• L: Lightheadedness

• R: Rapid pulse rate

• S: Syncope

• H: Heart Palpitations

• C: Chest Pain

Sinus Tachycardia CAUSES (2/2)

“FEAR HIS HVD”

• F: Fever/Sepsis

• E: Excess CCAN

• A: Anxiety

• R: Response to Pain

• H: HTN

• I: Imbalance of electrolytes

• S: Side effects of medications

• H: Hyperthyroidism

• V: Volume loss

• D: Dehydration

Sinus Bradycardia CUES/Sx (1/2)

“SSCCCED”

• S: Syncope

• S: SOB

• C: Confusion

• C: Chest pain

• C: Cool, Clammy skin

• E: Exercise Intolerance

• D: Dizziness

Sinus Bradycardia CAUSES (2/2)

“HHHVMP”

• H: Hypoxia

• H: Hypothermia

• H: Hypothyroidism

• V: Vagal stimulation

• M: Medications

• P: Past cardiac Hx

Atrial Fibrillation CUES/Sx (1/2)

“SAD FIISH”

• S: Signs of poor perfusion

• A: Anxiety

• D: Dizziness

• F: Fatigue

• I: Inadequate CO

• I: Irregular Pulse

• S: SOB

• H: HypOtension

Atrial Fibrillation CAUSES (2/2)

“HHHHDE”

• H: Hypothermia

• H: Hypoxia

• H: Hypothyroidism

• H: HTN

• D: Dysfunction of the sinus node

• E: Excess alcohol or caffeine

Left- Sided HF (Systolic) Characteristics

“I Am Eating Very Tasty French Beans”

• I: Increased Preload

• A: Afterload increases

• E: Ejection fraction < 40%

• V: Ventricular dilation

• T: Tissue perfusion diminishes

• F: Forward Failure

• B: Blood accumulates in the pulmonary vessels

Left- Sided HF (Diastolic) Characteristics

“ CIBEO”

• C: Can’t relax during diastole

• I: Insufficient amount of blood= Decreased CO

• B: Backward Failure

• E: Ejection Fraction > 40% “stiff”

• O: Overtime more pressure is needed to move volume

HFrEF Key Features

“ Fiona Went Out And Called Daniel To Pound Wet Coochie”

• F: Fatigue

• W: Weakness

• O: Oliguria (day); Nocturia (night)

• A: Angina

• C: Confusion/ Restlessness

• D: Dizziness

• T: Tachycardia/ Palpitations

• W: Weak peripheral Pulses

• C: Cool extremities

HFpHF Key Features

“His Down Syndrome Can’t Function Totally”

• H: Hacking cough worse at night

• D: Dyspnea/ Breathlessness

• S: S3/S4 Gallop

• C: Crackles or wheezes in the lungs

• F: Frothy Pink tinged sputum

• T: Tachypnea

Right Sided HF Key Features

“SSADDDJEWPI”

• S: systemic congestion

• S: Swollen fingers and hands

• A: ANorexia and nausea

• D: Dependent edema

• D: Distended abdomen

• D: Decreased BP (failure)

• J: JVD

• E: Enlarged liver and spleen

• W: Weight Gain

• I: Increased BP (volume excess)

Respiratory Alkalosis Signs and Symptoms

“CCCDT”

• Confusion

• Convulsions

• Coma

• Dizziness

• Tingling of the extremities (paresthesia)

Metabolic Acidosis Signs and Symptoms

“FAKDDAWN’

• Fruity Breath (DKA)

• Anorexia

• Kussmaul Respirations

• Dehydration (mucous membranes)

• Diarrhea

• Abdominal discomfort

• Warm flushed dry skin

• Nausea and vomiting

Respiratory Acidosis Causes

“AIRR”

• Airway obstruction

• Inadequate chest expansion

• Respiratory Depression

• Reduced alveolar capillary diffusion

Hypoglycemia Symptoms

“DIRT WSH”

• Diaphoresis

• Irritability

• Reduced cognition

• Tremors

• Weakness

• Seizures

• Headache

Hyperglycemia Symptoms

“Fort Worth Police Department & 3P’s”

• Fatigue

• Weight loss

• Poor wound healing

• Dehydration

• Polyuria

• Polydipsia

• Polyphagia