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MEDSURG DISORDERS
MADE EASY
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CARDIOVASCULAR

DISORDERS
Coronary Artery Narrowing or occlusion of the coronary
Disease

arteries due to atherosclerosis.

Chest pain due to decreased myocardial

Angina

oxygenation.

Myocardial Myocardial tissue damage as a result of

Infarction oxygen deprivation

The inability of the heart muscle to pump

Heart failure

enough blood to meet
the metabolic
demands of the body.

Cardiogenic Decreased cardiac output and decreased

Shock tissue perfusion.

Pericarditis is an infection of the

Pericarditis

pericardium.

Inflammation and infection of the

Endocarditis

endocardium

Myocarditis is the inflammation

of the heart
Myocarditis
muscles (myocardium).

Cardiac tamponade decreases ventricular

Cardiac

filling and cardiac output.

Due to pericardial
Tamponade
effusion.

Aortic Aortic aneurysm is an enlargement/dilation

Aneurysm of the aorta.

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RESPIRATORY DISORDERS
asthma
Smooth muscle constriction

of the bronchi.

COPD- Chronic Overproduction of mucus due to

Bronchitis inflammatory response.

Progressive respiratory disease

COPD-

EMPHYSEMA characterized by the enlargement

of the
alveolar.

PLEURAL
EFFUSION
Accumulation of fluid in
the pleural space.

HEMOTHORAX Accumulation of blood

in the pleural cavity.

Air leaks into pleural space. Causes impaired

PNEUMOTHORAX

lung expansion.

PNEUMONIA Inflammation of the pulmonary tissue

caused by bacteria, fungi and viruses

pancreatic disorders

Pancreatitis Inflammation of the pancreas.

Digestive
enzymes starts digesting the pancreas.

Cholecystitis Inflammation of the gallbladder.

Cholelithiasis

Most of cholelithiasis is
caused by
cholesterol gallstones.
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GASTROINTESTINAL DISORDERS
Hiatal hernia occurs when a portion of the

Hiatal Hernia stomach herniates through

the diaphragm
and into the thorax.

GERD A digestive disorder that occurs due to the

backflow of gastric content.

Gastritis
Gastritis is the inflammation of the gastric

mucosa.

Appendicitis

Inflammation of the vermiform

appendix.

Peptic Ulcer

Ulceration that erodes

the gastric or
Disease duodenal mucosa.

Characterized by the ulceration and

Ulcerative

inflammation of the colon

and rectum.
Colitis
Causes poor nutrient absorption.

Crohns Disease

Inflammation in the gastrointestinal

tract

hepatic disorders

Cirrhosis Cirrhosis is a chronic progressive

disease of
the liver characterized by fibrosis

Portal Increased pressure in the portal veins due to

Hypertension obstruction of the portal blood flow.

Increased pressure from the portal vein

Esophageal

causes blood to flow into

smaller veins in the
Varices esophagus. Smaller veins may rupture.
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Genitourinary DISORDERS
Acute Kidney

Renal cell damage characterized

by a
Injury sudden deterioration in kidney function.

chronic kidney Slow, progressive and irreversible loss of

disease kidney function.(GFR <60mL/min).

A group of renal diseases caused by

Glomeruloneph

immunologic response
that triggers the
ritis
inflammation of the glomerular tissue.

Nephrotic Nephrotic syndrome is characterized by

Syndrome proteinuria, leading to

low protein levels in
the blood (hypoproteinemia).

Renal Calculi Renal calculi is also known

as kidney stones.

Urinary Tract UTI is the infection/inflammation of any part

Infection of the urinary system.

Pyelonephritis

Inflammation of the renal

pelvis caused by
bacterial infection.

neurological DISORDERS

Head Injury Trauma to the skull that

causes brain
damage.

Stroke Stroke is the loss of neurological functions

due to the lack of blood flow to the brain.

Seizures is characterized by a sudden,

Seizures
uncontrolled electrical
disturbance in the
brain.
PHARMACOLOGY
MADE EASY
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CARDIOVASCULAR DRUGS
DRUG CLASS MEDICATIONS MECHANISM OF ACTION

Thrombolytic drugs dissolve clots by

Thrombolytics Tenecteplase
activating plasminogen that forms plasmin.

Antiplatelet drugs prevent the aggregation or

Antiplatelets ASPIRIN adhesion of platelets.

Anticoagulants interfere and prevent the

Anticoagulants HEPARIN formation of clots by inhibiting factors in the
clotting cascade.

Cardiac Cardiac glycosides- increase cardiac

digoxin contractility/positive inotropic effect,
Glycosides
negative chronotropic effect

Thiazide Thiazide diuretics increase the excretion of Na

Chlorothiazide
Diuretics and water in the distal convoluted tubule.

Loop diuretics decrease the reabsorption of

Loop Diuretics Furosemide sodium and chloride in the ascending Loop of
Henle.

Potassium- Potassium-sparing diuretics cause sodium

Spironolactone
and water excretion in the distal tubule,
Sparing Diuretics
whilst promoting potassium retention (blocks
aldosterone receptors)

Angiotensin-Converting Enzyme Inhibitor

ACE Inhibitors Enalapril
(ACE Inhibitors) prevents the conversion of
angiotensin I to angiotensin II which
prevents vasoconstriction.
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DRUG CLASS MEDICATIONS MECHANISM OF ACTION

ARBs prevent aldosterone release and

ARBS Losartan
peripheral vasoconstriction by selectively
blocking angiotensin II receptors.

Calcium channel blockers prevent calcium

Calcium Nifedipine ions movement across myocardial cell
Channel Blockers membrane. This causes relaxation of
smooth muscle.

Beta Beta adrenergic blockers block the effect of

Atenolol,
Adrenergic Blockers epinephrine at the receptor sites.

Adrenergic Adrenergic agonist stimulates the adrenergic

Epinephrine receptors (both alpha or beta receptors) of
Agonist
target organs.

Antianginal Nitrates are antianginal agents that relax

Nitroglycerin
Agents smooth muscles, resulting in vasodilation,
reduced preload (dilating veins) and afterload
(dilating arteries) and decreased myocardial
oxygen demand.

respiratory DRUGS
DRUG CLASS MEDICATIONS MECHANISM OF ACTION

Inhaled Inhaled anticholinergics prevent the binding of

Atrovent
acetylcholine (neurotransmitter) by blocking
Anticholinergics
muscarinic receptors.
This results in bronchodilation (relaxation of
smooth muscle in the bronchi).

Antihistamines Brompheniriamine Decreases bronchial secretions

Expectorants reduce the surface tension of

Guaifenesin
Expectorants bronchial secretion and induce productive
cough to promote patent airway.
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DRUG CLASS MEDICATIONS MECHANISM OF ACTION

Mucolytics Mucolytics liquefy or thins respiratory

Acetylcysteine
secretions (mucus) for airway clearance
(productive cough).

Decongestants cause vasoconstriction in the

Decongestant Oxymetazoline upper respiratory system. This leads to
shrinking swollen mucous membrane and
reduced fluid secretion.

Antitussives suppress the cough reflex by

Antitussives Benzonatate
directly acting on the cough control center in
the medulla.

Glucocorticoids are anti-inflammatory agents

Glucocorticoids
Beclomethasone that decrease inflammatory response in the
(Corticosteroids) airway.

Sympathomimetic Sympathomimetic affects the beta-receptors

Salmeterol
Bronchodilators found in the bronchi which leads to the
relaxation of smooth muscle in the bronchi.

gastrointestinal DRUGS
DRUG CLASS MEDICATIONS MECHANISM OF ACTION

Proton Pump Proton pump inhibitors suppress the

Omeprazole
secretion of HCL in the stomach
Inhibitor

Histamine (H2) receptor antagonist blocks the

Histamine (H2) Ranitidine action of histamine, which produces HCL
secretion.
Receptor Antagonist
Antacid are alkaline compounds that
Antacid Calcium neutralizes acids and prevents the conversion
carbonate of pepsinogen to pepsin in the stomach.
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DRUG CLASS MEDICATIONS MECHANISM OF ACTION

Antiemetics suppress nausea and vomiting

Antiemetics Ondansetron
by acting on the brain's control center to
stop the nerve impulse.

Laxatives Psyllium Laxatives promote bowel elimination.

ANTIBIOTICS
DRUG CLASS MEDICATIONS MECHANISM OF ACTION

Penicillins inhibit bacterial cell wall synthesis.

Penicillin Penicillins
Therefore, the bacteria's cell wall swells,
ruptures and dies.

Cephalosporins inhibit bacterial cell wall

Cephalosporin Cefazolin
synthesis.

Aminoglycosides inhibit bacteria protein

synthesis. They inhibit the translation of mRNA
Aminoglycosides gentamicin
to protein by irreversibly binding to bacteria
ribosome.

Tetracycline are broad-spectrum and inhibits

Tetracycline doxycycline protein synthesis which causes the inability for
bacterial growth

Sulfonamides inhibit the metabolic process

Sulfonamides sulfadiazine
essential for the function and growth of the
bacterial cell.

Flouroquinolones interfere with DNA gryase

Fluoroquinolones levofloxacin
(an enzyme) needed by the bacteria for the
synthesis of DNA
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NEUROLOGICAL DRUGS
DRUG CLASS MEDICATIONS MECHANISM OF ACTION

NSAIDs have anti-inflammatory, analgesic and

NSAIDs diclofenac
antipyretic properties. NSAIDs inhibits
prostaglandin synthesis

Salicylates inhibit synthesis of prostaglandin.

Salicylates ASPIRIN Salicylates have anti-inflammatory,
antipyretic and analgesic properties.

Acetaminophen inhibits prostaglandin

Acetaminophen Acetaminophen
synthesis (limited to CNS and not periphery)

Opioid Analgesics
Morphine Suppresses pain impulses.

Anti- Used to treat muscle weakness in myasthenia

Edrophonium
gravis. Anticholinesterases blocks
cholinesterases
acetylcholine breakdown.

Dopaminergic drugs stimulate dopamine

Dopaminergics Apomorphine receptors and increase dopamine
concentration.

Benzodiazepines are used to treat absence

Benzodiazepines DiazepaM
seizures.
They enhance the effect of GABA

Blocks sodium channels and inhibits neurons

Hydantoins Phenytoin
from firing to stabilize central nervous
system membrane
NURSING HEALTH
ASSESSMENT
 NURSING ASSESSMENTnursebossstore.com
REVIEW
GENERAL SURVEY
1. Assess physical appearance,
mood, affect and grooming.
2. Assess orientation: Oriented to
Person, Place, Time and Situation.
3. Assess level of consciousness.
4. Assess speech.
Vital Signs
Pulse: 60-100 bpm
Blood Pressure Systolic: 120
Diastolic: 80
Respiratory Rate: 12-18 bpm
O2 Saturation: 95-100%
Temperature: 36.5-37.5 degrees C
HEAD AND FACE
1. Assess head size, shape,
symmetry.
2. Inspect and palpate head,
scalp
3. Palpate sinuses and TMJ
Face
1. Assess facial symmetry
2. Assess cranial nerve 7
Eyes/ Ears/ Nose
Inspect external eye structures,
conjunctiva and sclera.
Test cranial nerve III, IV, VI
PERRLA- Pupils are Equal,
Round, Reactive to Light and
Accommodation.
Pupil size: 3-5mm
Ears: Assess for redness, drainage.
Test cranial nerve-
Vestibulocochlear
Nose: Assess shape, symmetry, size,
patency. Test cranial nerve I
Mouth
1. Inspect lip color, sores, gums,
tongue, teeth, soft and hard
palate, uvula
2. Test cranial nerve 9, 12 and 10
Neck
1. Palpate lymph node, carotid
artery, presence of goiter.
2. Auscultate for bruits.
3. Test cranial nerve 11
Lungs
1. Inspect symmetrical chest
movement
2. Palpate for pain and lumps
3. Percuss using the Z-block
method
4. Auscultate lung sounds
HEART
1. Auscultate heart sounds (Aortic,
Pumonic, Erb's Point, Tricuspid
and Mitral)
ABDOMEN
1. Inspect, Auscultate, Percuss,
Palpate
2. Inspect skin color, contour and
aortic pulsations.
3. Auscultate bowel sounds from
RLQ clockwise.
SKIN + EXTREMITIES
1. Assess and inspect skin, nails,
muscle strength, ROM,
curvature of spine.
2. Palpate pulses
MATERNAL AND CHILD
HEALTH
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gtpal
GTPAL: DESCRIBES PREGNANCY OUTCOMES

1. Number of pregnancies
(twins and triplets are
counted as one)
GRAVIDITY 2. Present pregnancy included.

1. The number born at term

(longer than 37 weeks of
TERM BIRTHS gestation)
2. Twins and triplets are
counted as one.

20-37 weeks of gestation.

(Count twins and triplets as
PRETERM BIRTHS one)
Includes alive and still birth

Less that 20 weeks of

gestation.
ABORTIONS Count twins and triplets as one

also includes miscarriages

current living children.

LIVING CHILDREN Count children individually
 NURSING
FUN FACTS
BLOOD TYPE MEDICAL TERMINOLOGIES
COMPATIBILITY FRACTURES
IV CATHETER GAUGE EKGS
PREFIXES AND SUFFIXES SHOCK
INSULIN CARDIOVASCULAR
PHARMACOLOGY DISORDERS
CONVERSIONS RESPIRATORY
DISORDERS
LAB VALUES
PULMONARY EMBOLISM
ROME-ABGS
SPINAL CORD INJURY
OXYGEN THERAPY
STROKE
BREATHING PATTERN
PAD VS PVD
ANTIDOTES
GI DISORDERS
ANTIBIOTICS
CANCER
 nursing fun facts nursebossstore.com
blood type COMPATIBILITY iv catheter gauge
donor size

color

uses

0+ 0- a+ a- b+ b- ab+ab-

0+








14G

Trauma, Rapid infusion

0-








16G

Trauma, Surgery

recipient

a+

18G

Blood transfusions

a-

20G

IV fluids and

medications

@nursebossessentials
b+

22G

IV fluids, small veins

b-

24G

ab+

Fragile veins, pediatrics

ab-

26G

Neonates

Prefixes and Suffixes insulin

CARDIOVASCULAR @nursebossessentials
nset nset
g

cting
15 mins 30 mins
Rapid Actin

Short A
beta blockers
-LOL
CC BLOCKERS
-PINE
ARBS
-SARTAN
ACE INHIBITORS LOOP DIURETICS Thiazide Diuretics
-PRIL -SEMIDE -THIAZIDE eak eak
1 hour 2-4 hR
CARDIO RESP GI PAIN uration
2-4 hRS uration
5-8 hRs

nset
H2 Receptor
statinS Xantine PPIs: Antagonists OPIOIDS NSAIDS
nset
Intermediate

cting
-STATIN -PHYLLINE -OPRAZOLE -DONE -PROFEN
-TIDINE
1-2 hrs 1-2Hours
ANTIBIOTICS ANTIVIRAL
@nursebossessentials

eak eak
Long A
8 hr no peak

Cephalosporin Penicillin Quinolones: Macrolides SULFONAMIDES Antiviral uration uration

CEF-, CEPH- -CILLIN -FLOXACIN -MYCIN SULF- -VIR 12-18 hrs 24 hrs

pharmacology conversions
Thrombolytics Anticoagulants Antilipidemic Diuretics
prevent the LOWERS
dissolve clots CHOLESTEROL promotes
formation of diuresis
clots LEVEL

Cardiac Glycosides Antiplatelets ACE Inhibitors Antihistamines

Decreases
1mg=1000mcg 1g=1000mg 1kg=1000g 1kg=2.2lbs
increase prevent the lowers blood
cardiac aggregation pressure bronchial
contractility Of platelets. secretions

Mucolytics bronchodilator PPI Antacid

Reduce neutralizes
thins mucus dilate airway
gastric acid acids
1gr=60mg 1L=1000mL 1mL=1cc 1 tsp=5mL
Antiemetics Laxatives Opioid Analgesics ssri
suppress Laxatives
promote bowel Suppresses anti-
nausea and
vomiting elimination. pain impulses depressant

Penicillin Aminoglycosides Sulfonamides Fluoroquinolones

antibiotic antibiotic antibiotic antibiotic 1 tbsp= 15mL 1oz=30mL 1 tbsp=3 tsp 1oz= 2 tbsp
 nursing fun facts
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lab values rome
CBC
WBC: 4,500-11,000
renal
BUN: 7-20mg/dL
RBC: 4.5-5.5 Creatinine: O.6-1.2
HgB (F): 12-16 g/dL GFR: 90-120 espiratory pH CO2 Alkalosis
HgB (M): 14-18 g/dL
Specific gravity:
Platelets: 150,000-
1.010-1.030
400,000 cells/mcL
pposite pH CO2 Acidosis

electrolytes abgs
Na+: 135-145 mEq/L pH: 7.35-7.45 etabolic pH hCO3 Alkalosis
K+: 3.5-5.0 mEq/L PaCO2: 35-45mmHg
Mg+: 1.5-2.5 mEq/L PaO2: 80-100mmHg
Ca+: 9-11 mg/dL
PO4: 3.0-4.5 mg/dL
HCO3: 22-26 mmHg
SaO2: 95%-100%
qual pH hCO3 Acidosis
Cl-: 95-105 mEq/L

oxygen therapy breathing pattern

Simple face mask: Nasal Cannula EUPNEA: Cheyne-stokes:
FiO2: 40% to Fio2: 24% to NORMAL BREATHING RATE + PATTERN increase and decrease in
60% 44% respirations with apnea
FLOW Rate: Flow rate:
6 to 8 L/min 1 to 6 L/min Bradypnea:
decreased respiratory rate
Biot's:
rapid gasps with short pauses
Venturi Mask Partial Rebreather between sets
FIO2: 24% to fio2: 60% to 80% Tachypnea:
50% Flow rate: increased respiratory rate
Flow rate: 6 to 10 L/min Kussmaul's:
4 to 15 L/min tachypnea and hyperpnea
Apnea:
Non- Rebreather Face Tent absence of breatHing Instagram: @nursebossessentials
fio2: 60%-100% Flow rate: 10 L/min
Flow rate: Hyperpnea: Apneustic:
10 to 15 L/min prolonged inspiration and
deep respirations/breathing shortened expiration

antidotes antibiotics
OPIOIDS CHOLINERGICS
ANTIDOTE:
Penicillin Tetracycline
ANTIDOTE:
Nalaxone Atropine Inhibits protein synthesis
Penicillins inhibit bacterial
which causes the inability for
cell wall synthesis.
bacterial growth
WAFARIN ACETAMINOPHEN

ANTIDOTE: ANTIDOTE:
Vit K Acetylcysteine Cephalosporin Sulfonamides
Cephalosporins inhibit Inhibit the metabolic process
HEPARIN INSULIN
@nursebossessentials

bacterial cell wall synthesis. essential for the function and

growth of the bacterial cell.
ANTIDOTE: ANTIDOTE:
Protamine Glucagon Fluoro-
Aminoglycosides quinolones
BENZODIAZEPINES DIGOXIN
Inhibit bacteria protein Interfere with DNA gryase
ANTIDOTE: ANTIDOTE: synthesis. They inhibit the needed by the bacteria for the
Flumazenil Digoxin Immune Fab translation of mRNA to protein synthesis of DNA
 nursing fun facts
medical terminologies fractures
gastritis carditis hepatitis TRANSVERSE Oblique: fracture
inflammation of inflammation of the inflammation of the A NORMAL BONE straight across that run at an
lining of the stomach heart liver the bone. angle across

Comminuted Closed
nephritis pharyngitis glossitis Spiral: fracture
fracture: bone
that circles or break into
inflammation of the inflammation of the inflammation of the spirals around more than break without
kidneys pharynx tongue two open wound in
the shaft.
fragments. skin.
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myelitis enteritis cystitis Impacted: a part Greenstick: one Complete fracture:

side of the bone complete break
inflammation of the inflammation of the of the bone that
inflammation of the is broken, the through the bones
spinal cord small intestine impact another
urinary bladder other side is that separates
bone into two.
bent
@nursebossessentials
colitis laryngitis metritis Open fracture fissure fracture Compression:
inflammation of the (compound): are cracks in the one bone
inflammation of the inflammation of the
uterus fracture with bone. compresses
inner lining of the larynx
an open another
colon
wound. bone

ekgs shock
normal sinus rhythm atrial flutter
Atrial and ventricular rhythms are Atrial rhythm is regular cardio- hypo- ANAPHY NEURO-
regular.
Rate: 60-100 beats/min
Rate: 250-400 beats/min
P wave: sawtooth

GENIC volemic SEPTIC

LACTIC GENIC

PR interval and QRS width are within PR interval: not measurable

Chest pain Hypotension, Hypotension, Tachycardia, Hypotension,
normal limit QRS complex: less than or equal to 0.12s fast/weak tachycardia
CARDIAC:

pulse,

(rapid, weak and

tachycardia

hypotension

bradycardia

SINUS BRADYCARDIA Ventricular TACHYCARDIA systolic bp thready pulse)

Atrial and ventricular rhythms are Rhythm: regular Orthopnea, Shortness of affects breathing
regular Rate: 140-250 beats/min rapid, shallow Rapid, shallow increased breath, (depending

on the
Rate: less than 60 beats/min P wave: absent RESP:

respirations,

breathing

respirations

bronchoconstric type of injury)

Normal P wave precedes each QRS complex PR: not measurable crackles tion
PR. interval & QRS width= normal limits QRS complex: QRS complex is wide, bizarre Pale, Initial stage- Hives, flushed,
Cool/Clammy
SKIN:
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Dry, warm skin

Skin, Cyanosis Cool/Clammy flushed & warm itching, localized

sinus TACHYCARDIA Ventricular FIBRILLATION Skin edema

Rhythm: chaotic rapid rhythm no bladder
Atrial and ventricular rhythms are regular Oliguria (late control
Rate: Not measurable Oliguria Oliguria Oliguria
Rate: >100 beats/min
Normal P wave precedes each QRS complex P wave: absent GU:

stage)

(depending on the
type of injury)
PR interval and QRS width are within normal PR: not measurable
Confusion, Anxiety,
limits QRS complex: not measurable
Confusion restlessness, Decreased LOC
CNS:

restlessness,

atrial fibrillation pvc anxiety lethargy

Atrial rhythm is irregular Rhythm: Irregular, Rate: is that of
Ventricular rhythm is irregular
Rate: 350-600bpm, No P wave
underlying rhythm.
P wave: absent (no P wave with PVCs) PR: not
IMMUNE:



Fever

PR interval is not measurable measurable, QRS complex: QRS complex in PVC

Fibrillatory waves before QRS complex is premature, wide and abnormal
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cardiovascular respiratory
Accumulation of fluid in Accumulation of blood in
CAD ANGINA MI the pleural space. the pleural space.
buildup of plaque in chest pain due to myocardial tissue PLEURAL HEMOTHORAX
decreased myocardial damage as a result EFFUSION
the arteries oxygenation of oxygen deprivation

fluid BLOOD
HEART FAILURE PERICARDITIS ENDOCARDITIS
inability of the heart Pericarditis is an infection Inflammation and
muscle to pump enough of the pericardium. infection of the air in the pleural space collection of pus IN THE
blood. endocardium PLEURAL SPACE
causing lung collapse
PNEUMO-
THORAX EMPYEMA
HYPERTENSION CARDIAC TAMPONADE AORTIC ANEURYSM
an increase in blood accumulation of fluid in balloon-like bulge in
pressure (chronic). the pericardial cavity the aorta air pus
nursing fun facts
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pulmonary embolism spinal cord injury

stroke pad vs pvd

gi disorders cancer
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