Drug Levels/ Therapeutic range of drugs requiring lab monitoring

Question 1

Heparin

Answer 1

PTT (60-70) aPTT (30-40) and per hospital protocol

Question 2

Phenytoin

Answer 2

10-20 mcg/mL

Question 3

Warfarin

Answer 3

PT/INR 2-3 (Watch out for bleeding)

Question 4

Lithium

Answer 4

0.5-1.5 mEq/L (Watch out for dehydration)

Question 5

Digoxin

Answer 5

0.5-2 ng/mL

Question 6

Peaks and troughs

Answer 6

Draw peak level within on two hours after completed medication administration. Draw trough level right before (less than 30 minutes) the medication is administered.

Question 7

Antidotes

Answer 7

Warfarin overdose: Vitamin K (With a high PT/INR level)

Opioid overdose Naloxone (Can reverse opioid overdose)

Question 8

Electrolyte Levels

Answer 8

Potassium levels : 3.5 – 5.3 mEq/L With hypokalemia (low Potassium give Potassium Chloride) with too much potassium (hyperkalemia) give Kayexalate. Furosemide (a potassium- wasting diuretic may cause hypokalemia).

Question 9

BUN/Creatinine, Creatinine Clearance

Answer 9

Question 10

NA Normal Levels

Answer 10

135-145

Question 11

CA Norm Levels

Answer 11

8.0-10.2

Question 12

WBC Norm Levels

Answer 12

5000-11000

Question 13

PH Norm Levels

Answer 13

7.35-7.45

Question 14

Cr Norm Range

Answer 14

0.6-1.2

Question 15

Bun Norm Range

Answer 15

12-20

Question 16

Co2 Norm range

Answer 16

35-45