Mark K Lecture 6 Drug Toxicity/electrolytes

Question 1

Lithium

Answer 1

Used for mania
Therapeutic level 0.6-1.2
Toxic level > 2

Question 2

Digoxin

Answer 2

Afib and congestive hr
1-2 therapeutic >2 toxic

Question 3

Aminophylline (theophylline)

Answer 3

Therapeutic level 10-20

Question 4

Dilantin (phenytoin)

Answer 4

Therapeutic level 10-20
Seizures

Question 5

Bilirubin

Answer 5

Waste product from breakdown of RBCs
Only test in newborns
Normally high in babies level 5 or higher
10-20 elevated level ***
9.9 less is normal
>20 toxic
Can manage elevated with sunlight

Jaundice is bilirubin in skin
Kernicterus is bilirubin in the brain dieeeee

Pathologic jaundice is present at birth and something is wrong

Question 6

Hiatal hernia

Answer 6

Regurgitation of acid
Rate is not problem it is the DIRECTION
S&S = GERD : heart burn and indigestion

Question 7

Dumping syndrome

Answer 7

Follows gastric surgery
Gastric contents dump too quickly into duodenum