Lecture 6 psych pharm hernias

Question 1

Lithium Drug Toxicity

Answer 1

For the mania in bi polar
0.6-1.2 TOXIC LEVEL 2

Question 2

DIgoxin

Answer 2

Used for A fib and Congestive ♡ Failure

1-2
toxic 2

Question 3

Aminophylline

Answer 3

Airway antispasmodic
relaxes spasms

levels: 10-20
20 is toxic

Question 4

Dilantin - Phenytoin

Answer 4

For seiures
10-20
Toxic is 20

Question 5

Bilirubin

Answer 5

therapeutic level is 10-20
TOXIC - 20

Question 6

kernicterus

Answer 6

bilirubin in the brain

OSITHOTONOS - position baby assumes when baby has bilirubin in brain

Question 7

jaundice

Answer 7

bilirubin in the skin

Question 8

hiatal hernia

Answer 8

regurgitation of acid into esophagus

TWO CHAMBER STOMACH

GERD S/S - indegestion when you lie down after you eat

right rate wrong direction

Question 9

gastric dumping

Answer 9

too quickly in duodenum

S/S DRUNK PERSON! SHOCK! and ACUTE ABDOMINAL DISTRESS

right direction wrong rate

Question 10

hiatal hernia tx

Answer 10

high postition
high fluids
high carbs
low protein

Question 11

dumping syndrome

Answer 11

low position
low fluids
low carbs
high protein

Question 12

kalemia

Answer 12

Hyperkalemia
EVERYTHING GOES UP BUT HEARTRATE AND URINE OUTPUT!!

irritable, restless, diarhea, LOW URINE, LOW ♡ RATE

Hypokalemia
Everything goes down but heart rate and urine output

lethargy, but tachy, high urine

Question 14

Calcemias

Answer 14

do opposite

hyperCalcemia body goes low
hypoCalcemia body goes high

Chovesteks - tap cheek for face spasm HYPOCALCEMIA

Trousseasus - put on BP cuff and hand spasms occur
HYPOCALCEMIA

SKELETAL MUSCLE OR NERVE

Question 15

sodium

Answer 15

dehydration - hypernatremia
overload - hyponatremia

Question 16

treating hyperkalemia

Answer 16

Not more than 40 of K per L

Give D5W w regular insulin - to lower K

Kayexalate - lower K