Lecture 6 Flashcards
Lithium Drug Levels
Used for Bipolar, specifically for manic symptoms not for depression!
- Theurapeutic 0.6-1.2
-Toxic >2
-Grey area 1.3-2
Lanoxin/Digoxin Levels
Used to treat A-Fib and CHF
- Theurapeutic level 1-2
-Toxic level >2
Aminophylline
Muscle spasm relaxer for the airway
- Compound for theophylline
- theurapeutic level is 10-20
- toxic level is greater than 20
Dilantin level
Theurapeutic 10-20
Toxicity >20
Billirubin level
Normal level in adults is 0.2-1.2
In newborns normal level is 0-9.9
Elevated >10- 20
Toxic >20
Physicians will hospitalize newborns at
a billirubin level of 14-15
Jaundice
- Yellow skin from excess billirubin in blood
- yellow sclera
Kernicterus
Excess billirubin in the brain
- Occurs when level in the blood gets to>20
-causes aseptic meningitis or encephalpathy
- Deadly
What is opsithotonos
hyperextended posture due to irritation of the meninges (medical emergency)
What position do you put newborn with opisthotonos
place newborn on the side
Pathological jaundice
If newborn comes out yellow something is wrong
Phsyiological Jaundice
If newborn turns yellow 2-3 days after birth, thats okay
Hiatial Hernia
Regurgitation of gastric acid upward or backward into the esophagus
- S/S related to GERD indigestion and heartburn
IT is only Hiatal Hernia
IF GERD like symptoms occur from laying down
Tx for hiatal hernia
Elevate HOB
Increase amount of fluids with meals
Increase the amount of carb contents
Everything High! High-tal Hernia
Dumping syndrome
Gastric contents are dumped too quickly in duodenum
DRUNK + SHOCK+ acute abdominal distress for
Dumping Syndrome symptoms
DRUNK SHOCK Acute aboominal Stress symptoms
Staggering gait, impaired judgement, labile
Shock: cold/clammy, tachycardia, pale
Acute abdominal distress: N/V, diarhhea, cramping
How to treat Dumping syndrome
- Lower HOB
- Decrease amount of fluids before and after meals
- Decrease the amount of carb content
Amount of protein for Hiatal hernia
Since carb is high
Protein is low
Amount of protein for Dumping syndrome
Carb is low so Protein is high
-Kalemias do the same as their ______ except for HR and Urine output
prefix
if the prefix is hypo everything is low except HR and Urine output
if it is hyper everything is high except HR and urine output
-CalceMias
Go in opposite direction as the prefix
- symptoms go high with hypo and low with hyper
Trousseu and Chovstek’s Sign
Hypocalcemia signs
