Lecture 6

Question 1

Lithium Drug Levels

Answer 1

Used for Bipolar, specifically for manic symptoms not for depression!
- Theurapeutic 0.6-1.2
-Toxic >2
-Grey area 1.3-2

Question 2

Lanoxin/Digoxin Levels

Answer 2

Used to treat A-Fib and CHF
- Theurapeutic level 1-2
-Toxic level >2

Question 3

Aminophylline

Answer 3

Muscle spasm relaxer for the airway
- Compound for theophylline
- theurapeutic level is 10-20
- toxic level is greater than 20

Question 4

Dilantin level

Answer 4

Theurapeutic 10-20
Toxicity >20

Question 5

Billirubin level

Answer 5

Normal level in adults is 0.2-1.2
In newborns normal level is 0-9.9
Elevated >10- 20
Toxic >20

Question 6

Physicians will hospitalize newborns at

Answer 6

a billirubin level of 14-15

Question 7

Jaundice

Answer 7

• Yellow skin from excess billirubin in blood
• yellow sclera

Question 8

Kernicterus

Answer 8

Excess billirubin in the brain
- Occurs when level in the blood gets to>20
-causes aseptic meningitis or encephalpathy
- Deadly

Question 9

What is opsithotonos

Answer 9

hyperextended posture due to irritation of the meninges (medical emergency)

Question 10

What position do you put newborn with opisthotonos

Answer 10

place newborn on the side

Question 11

Pathological jaundice

Answer 11

If newborn comes out yellow something is wrong

Question 12

Phsyiological Jaundice

Answer 12

If newborn turns yellow 2-3 days after birth, thats okay

Question 13

Hiatial Hernia

Answer 13

Regurgitation of gastric acid upward or backward into the esophagus
- S/S related to GERD indigestion and heartburn

Question 14

IT is only Hiatal Hernia

Answer 14

IF GERD like symptoms occur from laying down

Question 15

Tx for hiatal hernia

Answer 15

Elevate HOB
Increase amount of fluids with meals
Increase the amount of carb contents
Everything High! High-tal Hernia

Question 16

Dumping syndrome

Answer 16

Gastric contents are dumped too quickly in duodenum

Question 17

DRUNK + SHOCK+ acute abdominal distress for

Answer 17

Dumping Syndrome symptoms

Question 18

DRUNK SHOCK Acute aboominal Stress symptoms

Answer 18

Staggering gait, impaired judgement, labile
Shock: cold/clammy, tachycardia, pale
Acute abdominal distress: N/V, diarhhea, cramping

Question 19

How to treat Dumping syndrome

Answer 19

1. Lower HOB
2. Decrease amount of fluids before and after meals
3. Decrease the amount of carb content

Question 20

Amount of protein for Hiatal hernia

Answer 20

Since carb is high
Protein is low

Question 21

Amount of protein for Dumping syndrome

Answer 21

Carb is low so Protein is high

Question 22

-Kalemias do the same as their ______ except for HR and Urine output

Answer 22

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

Question 23

-CalceMias

Answer 23

Go in opposite direction as the prefix
- symptoms go high with hypo and low with hyper

Question 24

Trousseu and Chovstek’s Sign

Answer 24

Hypocalcemia signs

Question 25

For answers relating to heart pick
For ansswers relating to muscle pick

Answer 25

Potassium
Calcium

Question 26

Magnesium also is opposite of

Answer 26

its prefix just like Calcium

Question 27

Pick Calcium if

Answer 27

any symptom is a nerve or skeletal involvement

Question 28

Pick Potassium if

Answer 28

anything effects BP

Question 29

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