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.Drug Doses/Info > TxWes Guide pt3 > Flashcards

TxWes Guide pt3 Flashcards

1
Q

BMI formula(s)

A

1in = 0.025meters

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2
Q

Healthy BMI range

A

18.5 - 25

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3
Q

Overweight BMI

A

25 - 30

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4
Q

Obese BMI

A

30+

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5
Q

Morbidly obese BMI

A

> 35-40

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6
Q

Super morbidly obese

A

> 55

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7
Q

List the IBW formulas.
(male, female)

A

Male: (cm Ht - 100)=kg
Female (cm Ht - 105)=kg

1in = 2.5cm

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8
Q

Dose of ephedrine for HoTN?
Main receptor(s)?

A

5mg
⍺ & β agonist

[common] = 5mg/mL

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9
Q

Dose of Neosynephrine for HoTN?
Main receptor(s)?

A

100mcg
⍺ agonist

[common] = 10mg/mL

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10
Q

Labetalol dose for HTN?
Main receptor?

A

5mg
β (and ⍺) antagonist

[common] = 5m/mL

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11
Q

Esmolol dose for HTN?
Main receptor?

A

10mg
β1 antagonist

[common] = 10mg/mL

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12
Q

Hydralazine dose?
Main receptor?

A

5mg
Directly vasodilates on the smooth muscle of the arterioles.

[common] =20mg/mL

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13
Q

LABS

Hct (male, female)

A

male: 42-52 g/dL
female: 37-47 g/dL

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14
Q

LABS

Hgb (male, female)

A

male: 14-18 g/dL
female: 13-16 g/dL

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15
Q

LABS

WBCs

A

4k-11k microL

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16
Q

LABS

Plts

A

150k-450k microL

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17
Q

LABS

K+

A

3.5-5 mEq/L

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18
Q

LABS

Mg

A

1.5-2.5 mEq/L

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19
Q

LABS

Ca++

A

8.5-10.5 mg/dL

20
Q

LABS

iCa++

A

4.8 - 5.3 mg/dL (easy to remember bc it’s 1/2 of normal Ca++ level)
or
1.1 - 1.3 mmol/L (used often)

21
Q

LABS

Phos

A

1.8 - 2.6 mEq/L

22
Q

LABS

Cl-

A

100-108 mEq/L

23
Q

LABS

BUN
&
Creatinine

A

BUN: 10-20 mg/dL
Creatinine: 0.6-1.3 mg/dL

24
Q

LABS

Albumin

A

3.5-5.5 g/dL

25
Q

LABS

PT

A

11-14 sec

WEPT (warfarin, extrinsic, PT level)

26
Q

LABS

INR

A

1

Normal INR on Warfarin: 2-3

27
Q

LABS

PTT

A

21-34 sec

On heparin = varies (~60-100 secs) depending on your coag goals!

28
Q

LABS

ACT

Activating Clotting Time

A

80-120 secs

> 160-180sec for ECMO

> 400sec for CPB

Used for large heparin doses.

29
Q

LABS

FSP

Fibrin Split Products

A

<10 µ/dL

Fragments from dissolved clots. Used often for DIC

30
Q

LABS

Fibrinogen

A

160-450 mg/dL

(the netting that covers the clot)

31
Q

LABS

Plasminogen

A

62-130%

Plasminogen makes Plasmin. Plasmin degrades fibrin (or clots)

32
Q

LABS

FDP

Fibrin Degredation Products

A

<10 µ/mL

basically FSP but resulted in different units.

33
Q

LABS

D-Dimer

A

<250 ng/dL

Only detectable if you are currently breaking down lots of clots.

34
Q

LABS

TSH
T3
T4

A

TSH: 0.4 µ units/mL
T3: 90 -230 ng/dL
T4: 13 - 15 µ/dL

Control metabolism, temp, mood, weight, neuro fxn, & muscle strength.

T3 = MORE active, 7%, majority made in cells.
T4 = main circulating thyroid hormone, 93%, can be converted to T3 using iodinase.

35
Q

LABS

AST
ALT

A

<35 IU/L

Liver function - ALT more specfic to liver, AST involves other organs including the liver.

36
Q

LABS

Fill in the blanks for the lab model:

A
37
Q

LABS

Fill in the blanks:

A
38
Q

LABS

Fill in the blanks:

A
39
Q

List triggers for MH.

A

Volatile Anesthetics & SCh

40
Q

List signs of MH crisis

A
  • tachycardia, tachypnea
  • rapidly increasing ETCO2
  • muscle rigidity, masseter spasm
  • hyperthermia
  • skin mottling
41
Q

List the treatment regimen for MH.

A
  1. STOP THE TRIGGER
  2. 100% O₂ hyperventilation
  3. Dantrolene 2.5mg/kg IV (repeat 5-10mins; MAX 10mg/kg)
  4. Actively cool pt
  5. correct hyperkalmia and metabolic acidosis
  6. Monitor labs and maintain UO >2cc/kg/hr (hydration, mannitol, lasix) watch for rhabdo
42
Q

What is the dose of Dantrolene for MH?

A

2.5mg/kg IV (repeat q5-10mins prn)

MAX 10mg/kg

43
Q

PEDI ETT

How can you determine the ETT length?

A

(Tube size x 3)

44
Q

PEDI ETT

List the ETT sizes:
Preemies (≤ 1kg)
Preemies (1-2.5kg)
Term Neonate

A

2.5
3
3.0 - 3.5

45
Q

PEDI ETT

List the ETT sizes:
6mo-1yr
1-2yr

A

3.5 - 4.0
4.0 - 4.5

46
Q

ETT SIZING

How do you determine ETT size for >2yrs?

A

[(age + 16) / 4]
or
[(age / 4) + 4]

47
Q

PEDI LMA SIZES

List the size & max cuff air volume:
0-5kg
5-10kg
10-20kg
20-30kg
>30kg
Adult

A

1 (4cc)
1.5 (7cc)
2 (10cc)
2.5 (14cc)
3 (20cc)
4 (30cc)

.Drug Doses/Info (22 decks)

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