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Mark Klimek
Yellow Book - Unit 6 - Drug Toxicities, Kernicterus, Dumping, HH Electrolytes
| Question | Answer |
|---|---|
| What is the therapeutic and toxic levels for Lithium? | therapeutic level: 0.6-1.2 toxic level: > or = 2 |
| What is the therapeutic and toxic levels for Lanoxin (Digoxin)? | therapeutic level: 1-2 toxic level: >2 |
| What is the therapeutic and toxic levesl for Aminophylline? | therapeutic level: 10-20 toxic level: > or = 20 |
| What is the therapeutic and toxic levels for Bilirubin? | therapeutic level (elevated level): 10-20 toxic level: >20 |
| Kernicterus | bilirubin in the CSF |
| Opisthotonos | position of slight extension in neck seen in patient's with Kernicterus. (BAD SIGN) |
| Dumping Syndrome | Post-op gastric surgery complication in which gastric contents dump too quickly into the duodenum. |
| Hiatal Hernia | Regurgitation of acid into esophagus, because upper stomach herniates upward through the diaphragm |
| Hiatal Hernia or Dumping Syndrome: Gastric contents move in the wrong direction at the right rate | Hiatal Hernia |
| Hiatal Hernia or Dumping Syndrome: GERD like symptoms when supine and after eating | Hiatal Hernia |
| ADS S&S | Acute Dumping Syndrome Abdominal distress (cramping, N/V, hypperactive BS (borborygmi)) Drunk - cerebral impairment Shock (vasomotor collapse, rapid thready HR) |
| Treatment for Hiatal Hernia | HOB during & 1 hr after meals - high amount of fluids w/meals - high carbohydrate content of meals - high goal: get an empty stomach |
| Treatment of Dumping Syndrome | HOB during & 1 hr after meals - low amount of fluids w/meals - low carb content of meals - low goal: get a full stomach |
| Kalemias do the ___ as the prefix except for ___ and ___ | same heartrate urine outpute Hyper =↑; HR↓, URINE OUTPUT↓ Hypo =↓; HR↑, URINE OUTPUT↑ |
| Calcemias to the ___ of the prefix. | opposite Hyper =↓ Hypo =↑ |
| Two signs of neuromuscular irritability associated with ___? ___ ___ | hypocalcemia Chvostek's sign = cheek tap - facial spasm Trousseaus sign = BP cuff - carpal spasm |
| Magnesemias do the ___ of the prefix. | opposite Hyper =↓ Hypo =↑ |
| If symptom involves nerve or skeletal muscle, pick ___. For any other symptom, pick ___ (generally anything effecting ____) | calcium potasium blood pressure |
| HypErnatermia | dEhyrdration (dry skin, thready puls, rapid HR) |
| HypOnatremia | Overload (crackles, distended neck veins) |
| The earliest sign of any electrolyte disorder is ___ and ___ | numbness tingling (paresthesias) |
| The universal sign-symptom of electrolyt imbalance is ___ | muscle weakness (paresis) |
| Never push ___ IV | potassium |
| Not more than K+ per liter of IV fluid | 40 mEq |
| Give ___ & ___ to decrease K+ | D5W insulin (not permanent) |
| Kayexalate | K+ exists - late (not as quick, more of a peremanent solution) |
| In a patient with hyper calcemia, which monitor pattern would be the most likely threat? | First degree heart block with decreased ST segment and inverted T waves |
Created by:
Blackbeltmom
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