DURG TOXICITY K MARK Flashcards
LITHIUM
- ANTIMANIA DRUG
- USE FOR BIPOLAR
LI=BI
LITHIUM THERAPUTIC LEVEL
0.6 TO 1.2 mg
LITHIUM TOXIC LEVEL
> 2.0
NOTICE GRAY AREA OF LITHIUM
1.3 TO 2
LANOXIN OR DIGOXIN =DIG
TREAT A-FIB AND CHF
DIGOXIN THERAPEUTIC LEVEL
1 TO 2
DIGOXIN TOXIC LEVEL
> 2 OR =2
AMINOPHYLLINE
MUSLE SPASM RELAXER FOR AIRWAY
AMINOPHYLLINE THERAPEUTIC LEVEL
10 TO 20
AMINOPHYLLINE TOXIC LEVEL
> 20
AMINOPHYLLINE NON THERAPEUTIC LEVEL
< 10
IF IT IS NOT THERAPEUTIC, INCREASE THE MEDICATION DOSE AND ASSESS FOR COMPLIANCE.
DILANTIN(PHENYTOIN)
SEIZURE MEDICATION
DILANTIN(PHENYTOIN) THERAPUTIC LEVEL
10-20
DILANTIN(PHENYTOIN) TOXIC LEVEL
> 20
BILIRUBIN
BREAKDOWN PRODUCT OF RED BLOOD CELLS
BILIRUBIN NORMAL LEVEL
0.2-1.2
NEWBORN BILIRUBIN
IS MUCH HIGHER THAN ADULTS
BILIRUBIN IN NEWBORNS ELEVATED LEVEL
10 TO 20
BILIRUBIN NEWBORN TOXICITY
> 20
DR HOSPITALIZED NEWBORN
BILIRUBIN LEVEL 14-15
2sLOW
LITHIUM AND LANOXIN
20s HIGH
AMIINOPHYLLINE,DILANTIN AND BILIRUBIN
KERNICTERUS
- EXCESS BILIRUBIN IN THE BRAIN OF NEWBORN
- OCCURS WHEN LEVEL IN THE BLOOD GETS >20
- IT MAY CAUSE ASEPTIC(STERILE)MENINGITIS OR ENCEPHALOPATHY.
4.IT CAN BE FETAL.
OPISTHOTONOS
( OP-PIS-THO-THONAS)
POSITION THE NEWBORN ASSUME DUE TI IRRITATION OF MENINGES FROM KERNICTERUS
HYPEREXTENDED POSTURE # MEDICAL EMERGENCY.
WHAT POSITION DO YOU PLACE AN OPISTHTONIC MEWBORN?
ON THE SIDE.
PATHOLOGIC JAUNDICE
NEWBORNS COME OUT YELLOW; SOMETHING IS WRONG.
PHYSIOLOGICAL JUNDICE
NEWBORN TURN YELLOW 2 TO 3 DAYS POSTPARTUM, THAT OK
