Drug Toxicities, Gastric Emptying Problems, & Electrolytes Flashcards
Lithium therapeutic level
0.6-1.2
Lithium toxic level
> = 2
Digoxin therapeutic level
1-2
Digoxin toxic level
> = 2
Aminophylline therapeutic level
10-20
Phenytoin therapeutic level
10-20
Bilirubin elevated level
10-20
Hyperextended position baby assumes with kernicterus (bilirubin in brain)
Opisthotonos
What position should an opisthotonic child be placed in?
On their side
S/S of hiatal hernia
Indigestion when laying down after eating
S/S of dumping syndrome
Abdominal pain and cramping, borborygmi, bloating and distention, diarrhea + symptoms of hypoglycemia (DRUNK + SHOCK)
Treatment for hiatal hernia
Elevated head of bed, increased fluid and carbs — stomach empties faster
Low protein (when carbs high, protein low)
Treatment for dumping syndrome
Lower head of bed after eating, no fluids with meals, low carbs — delays gastric emptying
High protein (when carbs are low, protein is high)
-kalemias do the same as the prefix except for _____ and _____
** HR and UOP **
Hyperkalemia: symptoms are high except for bradycardia (with tall, peaked T wave and elevated ST) and oliguria
Hypokalemia: symptoms are low except for tachycardia and polyuria
-calemias do the _________ of the prefix
** Opposite **
Hypocalcemia: symptoms are high + Chvostek and Trousseau Sign
Hypercalcemia: symptoms are low
