Lab Med 46-60 Flashcards

1
Q

What are the aminoglycosides?

A

Amikacin
Gentamicin
Tobramycin

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2
Q

What are the basic functions of the liver?

A

Synthesis
Catabolism
Detoxification

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3
Q

What are the estrogen and progesterone receptors? Where are they found? What are they used for?

A

Hormone markers
Cytosol form breast tumor tissue
if positive = patient will respond to hormone therapy

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4
Q

What are the goals for INR?

A

Normal = 0.9-1.5
Coumadin therapy = 2-3
High risk = 2.5-3.5

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5
Q

What are the signs of aminoglycoside toxicity? Treatment?

A

Ototoxic
Nephrotoxic

Discontinue

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6
Q

What are the signs of amphetamine overdose? Treatment?

A
"HAHA Paul"  
Hypertension 
Arrhythmias 
Hyperthermia 
Agitation 
Paranoia  

Supportive care

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7
Q

What are the signs of carbamazepine toxicity?

A

“BAN”
Blurred vision
Ataxia
Nystagmus

Hematological depression (not dose dependent) 
Accumulation of carbamazepine-10-11-epoxide in kids
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8
Q

What are the signs of cocaine overdose?

A

CAD
Unidirectional heart block
Norepinephrine stimulation
Hyperthermia

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9
Q

What are the signs of digoxin toxicity?

A
The 5 V's  
Vomiting/nausea 
Visual disturbances (green/yellow) 
premature Ventricular contractions 
Ventricular tachycardia 
atrioVentricular node block
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10
Q

What are the signs of ethosuximide toxicity? Treatment?

A

GI distress
Lethargy
Dizziness

Discontinue

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11
Q

What are the signs of phenobarbtial toxicity? Treatment?

A
"CASS"  
CNS depression 
Ataxia 
Slurred speech 
Sedation  

Discontinue

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12
Q

What are the signs of phenytoin toxicity?

A
"Dah ANTS"  
Drowsiness 
Ataxia 
Nystagmus 
Tremors 
Seizures  --> chronic use of gingival hyperplasia
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13
Q

What are the signs of primidone toxicity? Treatment?

A
"DANC V" 
Dizziness 
Ataxia 
Nausea 
CNS depression 
Vomiting  

Discontinue

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14
Q

What are the signs of procainamide toxicity? Treatment?

A
"A QAB"  
AV block 
QRS interval prolongation 
Arrhythmias 
Bradycardia  

Discontinue

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15
Q

What are the signs of salicylate overdose?

A
Metabolic acidosis 
Tinnitus 
Hyperthermia 
Hyperventilation 
CNS
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16
Q

Cocaine OD tx

A

Stabilize patient
give diazepam
ice bath for hyperthermia