Therapeutic Drug Levels

Question 1

Acetaminophen (Tylenol)

[Analgesic and antipyretic]

Answer 1

10-20 mcg/mL

Question 2

Carbamazepine (Tegretol)

[Anticonvulsant - It can treat seizures, nerve pain, and bipolar disorder]

Answer 2

4-10 mcg/mL

Question 3

Digoxin (Lanoxin)

What is the action, what HR do I listen to, and when do I hold it?

Answer 3

It increases heart contractility, increasing contract output, ∴ decreasing HR.
Listen to apical HR.
NEVER give if HR < 90 bpm.

Question 4

Digoxin (Lanoxin)

[Antiarrhythmic and Blood pressure support - It can treat heart failure and heart rhythm problems]

Answer 4

0.5-2.0 mg/mL

Question 5

Gentamycin (Garamycin)

[abx]

Answer 5

5-10 mcg/mL (peak)

< 2.0 mcg/mL (valley)

Question 6

Lithium (eskalith)

[mood stabilizer that is used to treat or control the manic episodes of bipolar disorder]

Answer 6

0.5-1.2 mEq/L

Question 7

Magnesium sulfate

[increases water in the intestines; is used as a laxative to relieve occasional constipation]

Answer 7

4-7 mg/dL

Question 8

Phenobarbital (Solfoton)

[barbituate - slows the activity of your brain and nervous system treat or prevent seizures]

Answer 8

15-40 mcg/mL

Question 9

Phenytoin (Dilantin)

[Anticonvulsant - It can treat and prevent seizures]

Answer 9

10-20 mcg/dL

Question 10

Salicylate
[Aspirin and other salicylates are most often used to reduce pain, fever, and inflammation. They also are effective in preventing excessive blood clotting; found in a lot of OTC drugs]

Answer 10

100-250 mcg/mL

Question 11

Theophylline (Aminophylline)

[bronchodilator]

Answer 11

10-20 mcg/dL

Question 12

Tobramycin (Tobrex)

[abx]

Answer 12

5-10 mcg/mL (peak)

0.5-2.0 mcg/mL (valley)

Question 13

Valproic Acid (Depakene)
[Anticonvulsant - It can treat seizures and bipolar disorder. It can also help prevent migraine headaches]

Answer 13

50-100 mcg/mL

Question 14

Vancomycin (Vancocin)

[abx]

Answer 14

20-40 mcg/mL (peak)

5-15 mcg/mL (trough)