Drug Toxicity Flashcards Preview

Mark Klimek NCLEX Review > Drug Toxicity > Flashcards

Flashcards in Drug Toxicity Deck (13)
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1
Q

Lithium

A

antimania, bipolar use but only for the mania not depression

therapeutic: 0.6-1.2
toxic: greater than 2.0

think “L…low; 2 versus 20”

2
Q

Lanoxin

A

dig; Afib and CHF

therapeutic: 1-2
toxic: greater than 2

think “L…low; 2 versus 20”

3
Q

If you get a level of 2 for Lanoxin, what would you consider it?

A

toxic, safer to call it toxic than therapeutic

4
Q

Aminophylline

A

muscle spasm relaxer, spasms of the airway, technically not a bronchodilator

therapeutic: 10-20
toxic: greater than 20

“not an L, not the low one…”

5
Q

If you get a level of less than 10 for aminophylline, what would you conclude?

A

not therapeutic, need more or are they even taking it?

6
Q

Dilantin

A

anti-seizure

therapeutic: 10-20
toxic: greater than 20

“not an L, not the low one”

7
Q

Bilirubin

A

not a drug, waste of the breakdown of RBC

-only tested in newborns for NCLEX

elevated level: 10-20
toxic: greater than 20

8
Q

when do doctors think about hospitalizing these newborns?

A

when bilirubin is halfway to toxic…14-15

9
Q

Kernicterus

A

bilirubin in the brain (through BBB)

when bilirubin greater than 20, think its in CSF

-these babies can die

10
Q

Jaundice

A

bilirubin in the skin

11
Q

Opisthertonus

A

position of HTN seen in kernicterus

  • heals to head bending
  • arching of the neck, neck off the bed
12
Q

What do you do when you see your newborn patient in opisthertonus?

A

place baby on its side

13
Q

physiologic versus pathologic

A

physiologic: normal at birth…goes up day 2-3 (normal finding)
pathologic: come out yellow, something is wrong