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NCLEX > Drug Toxicities, Dumping Syndrome vs. Hiatal Hernia > Flashcards

Drug Toxicities, Dumping Syndrome vs. Hiatal Hernia Flashcards

1
Q

What is the therapeutic range for Lithium?

A

0.4-1.4

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2
Q

What is the toxic level of Lithium?

A

2.0+

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3
Q

What is the therapeutic range for Digoxin?

A

0.8-2.0

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4
Q

What is the toxic level of Digoxin?

A

2+

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5
Q

What is the therapeutic range of Aminophylline?

A

10-20

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6
Q

What is aminophylline used for?

A

Tx. relaxed muscles spasms in bronchospasms (for airway)

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7
Q

What is the toxicity level of Aminophylline?

A

20+

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8
Q

What is the therapeutic range of Bilirubin?

A

10-20
-Have parents bring baby to hospital if bilirubin around 14-15

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9
Q

What is the toxicity level of Bilirubin in the body?

A

20+
-Kernicterus is bili in the brain nd CSF baby could die (aseptic sterile meningitis)
–> Place baby in OPISTHODOMS position (ON THEIR SIDE) because baby hyperextends w/ stiff back
—DO NOT PLACE SUPINE OR PRONE, Place baby on their SIDE

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10
Q

What is lithium used for?

A

Bipolar and manic episodes (not depression)

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11
Q

What is Digoxin used for?

A

Tx. Afib and CHF

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12
Q

What is Phenytoin used for?

A

Tx. seizure med

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13
Q

What is Dumping Syndrome?

A

GI contents dump to quickly into the duodenum
Speed Issue
Food moves in the RIGHT DIRECTION but the WRONG RATE

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14
Q

What is the threptic level for Phenytoin

A

10-20
Toxicity= 30+

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15
Q

S/S of Dumping Syndrome

A

Drunk + Shock+ Acute abd distress
-Drunk: staggered gate, delayed reaction. labile emotion, poor coordination
-Shock: HToN, Tachy, cool, clammy
-Abd distress: Borborygmi, doubling over, cramping distention, diarrhea

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16
Q

What is the goal for Dumping Syndrome?

A

Get stomach to empty SLOWER

17
Q

TX Dumping Syndrome

A

HOB: Low HOB position eat lying down on side
H2O: Decrease H2O @meal drink 1hr before/after meals
CHO: Low CHO diet Decrease CHO, CHO digest fast
If you want stomach to be sLOW you want everything to be LOW

18
Q

What is Hiatal Hernia

A

Regurgitation of acid into esophagus because upper part of stomach herniates into the base of the esophagus (basically 2 stomachs)
**Direction Issue*
Food moves in the WRONG DIRECTION but at the Right Rate

19
Q

S/S of Hiatal Hernia

A

GERD: heart burn & indigestion that occurs when you Lie down, after you eat
-Depends on position & mealtime

20
Q

What is the goal for Hiatal Hernia

A

Get stomach to empty faster (nothing in the stomach means no reflux)

21
Q

Tx Hiatal Hernia

A

HOB: HIGH HOB position 1 hr post meal
H2O: High fluid intake @meals
CHO: High CHO diet (high CHO & low Protein)
In hiatial Hernia, you want everything to be High

NCLEX (13 decks)

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