Electrolytes & Water Assessment

Question 1

Panic values for sodium

Answer 1

152

Question 2

Panic values for Potassium

Answer 2

8.0

Question 3

Panic values for Magnesium

Answer 3

5

Question 4

Magnesium level that causes cardiac arrest

Answer 4

34-40

Question 5

Panic values for Phosphate

Answer 5

<1.0

Question 6

Panic values for Chloride

Answer 6

120

Question 7

Panic values for Total Calcium

Answer 7

13

Question 8

Panic values for Ionized Calcium

Answer 8

7.0 coma

Question 9

Panic values for Carbon dioxide

Answer 9

<6.0

Question 10

Critical values for serum osmolarity

Answer 10

321

Question 11

Serum osmolarity value that is fatal

Answer 11

> 420

Question 12

Panic values for osmolal gap

Answer 12

> 10

Question 13

Panic values for sweat sodium (CF)

Answer 13

> 90

Question 14

Panic values for sweat chloride (CF)

Answer 14

> 60

Question 15

What required monitoring of peak and trough levels?

Answer 15

Amikacin (type of aminoglycoside)

Question 16

Peak of Vancomycin

Answer 16

25-40

Question 17

Trough of Vancomycin

Answer 17

5-12

Question 18

Toxicity of Vancomycin

Answer 18

> 80

Question 19

Toxic dose on Tricyclic Antifdepressants (all end in -ine)

Answer 19

> 500

Question 20

150-300 is therapeutic dose for what?

Answer 20

Imipramine & Desipramine (TCAs)

Question 21

Therapeutic dose of Carbamazepine (anticonvulsant)

Answer 21

5-12

Question 22

Toxic dose of Carbamazepine

Answer 22

> 12-15

Question 23

What drug is highly protein bound?

Answer 23

Cabamazepine

Question 24

what drug produces coma at >65

Answer 24

Phenobarbital

Question 25

> 100 is toxic dose of what?

Answer 25

Valproic acid

Question 26

Therapeutic dose of Valproic acid

Answer 26

Epilepsy: 50-100
Mania: 50-125

Question 27

What drug follows Zero order kinetics

Answer 27

Phenytoin (Dilantin)

Question 28

Lethal dose of phenytoin (dilantin)

Answer 28

> 100

Question 29

Toxic dose of dilantin

Answer 29

> 30

Question 30

Therapeutic dose of dilantin

Answer 30

10-20

Question 31

SE of Phenytoin (Dilantin) levels

Answer 31

> 20- Nystagmus on lateral gaze
30 Ataxia
40 Mental changes

Question 32

What drug has toxicity that can also occur at therapeutic levels?

Answer 32

Lithium (>2.0)

Question 33

Lithium levels that can cause seizure, death

Answer 33

> 2.5

Question 34

What drug can cause nephrotoxicity at any level?

Answer 34

Cyclosporin (immunosupressant)

Question 35

When should cyclosporin levels be obtained?

Answer 35

12-18 hrs after dose or just prior to next dose

Question 36

What is the therapeutic dose of theophylline (bronchodilator)

Answer 36

10-20

Question 37

What is the toxic dose of Theophylline?

Answer 37

> 20

Question 38

What is the therapeutic dose of Digoxin (CV)

Answer 38

0.8-2.0

Question 39

What is the toxic dose of Digoxin?

Answer 39

> 2.4

Question 40

What drug requires serum K monitoring?

Answer 40

Digoxin

Question 41

which drug should you adjust dosages when using digoxin?

Answer 41

Procainamide

Question 42

What drug must you adjust dosages with other protein bound meda, witamin K intake, other CYP450 meds, and other antipltelet/anticoag meds?

Answer 42

Warfarin (Coumadin)

Question 43

What medications must you monitor TDM and viral load?

Answer 43

Protease Inhibitors (-avir) of HIV medications

Question 44

What makes elimination 1/2 life shorter and clearance greater?

Answer 44

Smoking and Theophylline

Question 45

What test should you perform when you find trace 15 mg of protein?

Answer 45

Microalbuminuria

Question 46

What test should you perform when you find trace 1+ 30 mg of trace protein

Answer 46

24 hr urine collection

Question 47

What level of albumin is abnormal

Answer 47

> 30