Therapeutic Drug Levels

Question 1

CARBAMAZEPINE

Answer 1

4 - 12 MCG/ML

Question 2

DIGOXIN (AFIB)

Answer 2

0.8 - 2 NG/Ml

Question 3

DIGOXIN (HF)

Answer 3

0.5-0.9 NG/ML

Question 4

GENTAMICIN (TRADITIONAL DOSING)

PEAK AND TROUGH

Answer 4

PEAK: 5 - 10 MCG/ML
TROUGH: <2 MCG/ML

Question 5

LITHIUM

WHICH LEVEL DO YOU DRAW? PEAK OR TROUGH

Answer 5

0.6 - 1.2 MEQ/L (OR UP TO 1.5 MEQ/L FOR ACUTE SYMPTOMS)

DRAWN AS TROUGH

Question 6

PHENYTOIN/FOSPHENYTOIN

FREE PHENYTOIN

Answer 6

10 - 20 MCG/ML (IF ALBUMIN IS LOW, NEED TO CORRECT)

FREE: 1 - 2.5 MCG/ML

Question 7

PROCAINAMIDE
NAPA (ACTIVE METABOLITE)
COMBINED

Answer 7

4 - 10 MCG/ML
15 - 25 MCG/ML
10 - 30 MCG/ML

Question 8

THEOPHYLLINE

Answer 8

5 - 15 MCG/ML

Question 9

TOBRAMYCIN (TRADITIONAL DOSING)

PEAK AND TROUGH

Answer 9

PEAK: 5-10 MCG/ML
TROUGH: <2 MCG/ML

Question 10

VALPROIC ACID

Answer 10

50 - 100 MCG/ML (UP TO 150 IN SOME PTS)

IF ALBUMIN LOW, NEED TO CORRECT

Question 11

VANCOMYCIN (SERIOUS INFECTIONS… WHICH INFECTIONS?)

Answer 11

TROUGH: 15 - 20 MCG/ML

PNEUMONIA, ENDOCARDITIS, OSTEOMYELITIS, MENINGITIS

Question 12

VANCOMYCIN (NON-SERIOUS INFECTIONS)

Answer 12

TROUGH: 10 - 15 MCG/ML

Question 13

WARFARIN GOAL INRS

Answer 13

MOST INDICATIONS: 2 - 3

HIGH RISK INDICATIONS: 2.5 - 3.5