lOMoARcPSD|11700591
1
LEVEL 2 = 71.9%
Lab Values
Calcium: 8.5-10.9 WBC: 4,500-10,000
BUN: 7-18 Hgb: 12-16.5
APTT: 30-40 sec Hct: 36%-50%
PT: 11-14 secs PH: 7.35-7.45
INR: 0.8-1.2 PCO2: 35-45
albumin: 3.4-5 HCO3: 21-28
Therapeutic levels lithium (0.4-1.4), Propylthiouracil should decrease HR
digoxin (0.8-2), phenytoin (10-20), Give kayexalate first before other meds!!
Blood: check peak at 3rd dose and 30 min OTC nasal decongestant can constrict blood
after vessels (bad for HTN)
NO LIVE FLU VACCINE FOR ELDERLY Further teaching: mixing colesevelam w/ 30
Monitor visual activity when on ethambutol ml of water
Carba interferes w/ BC Naloxone: monitor bleeding + assess N/V
Report feelings of isolation if on accutane OrthoHTN risk: furosemide, -sartans,
Discard 1st bead of eye ointment phenelzine
(conjunctivitis) Phenazopyridine can cause orange urine
Metaclopramide helps w/ gastric emptying FOR HYDROXYUREA: REPORT NEUTROPHILS
Oprelvekin should increase platelets 1,400; HEMOGLOBIN 4.2; AND PLATELETS
Move slowly when on prazosin 75,000
Question doxycycline script if pregnant Alumnium hydroxide is preferred antacid
Withhold procainamide if QRS widening due to lowered phosphorus
increase more than 50% Antidotes: acetaminophen (acetylcysteine),
Drink 8-10 glasses of water daily benzo (flumazenil), curare (edrophonium),
trimethoprim. Report crusty rash. cyanide (methylene blue), digitalis (digoxin),
Take iron on empty stomach ethylene (fomepizole), heparin (protamine
Incident report: isosorbide w/ BP 82/60 sulfate), MgSO4 (calcium gluconate), narcs
Bipolar: paroxetine, lithium, valproic, carba (naloxone), warfarin (vitamin k)
Cardiac Drugs SFX AFX Uses Education/Admin
BB (-lol like atenolol) Bradycardia, ED, HF, MI, HTN, Change position slowly
hypoTN angina
DON’T GIVE TIMOLOL IF PT HAS
BRADYCARDIA.
ACEI (-pril) Cough, angioedema HTN Get up slowly. Report swollen
hypotension tongue. NO SALT SUBS/REDUCE
K+ FOODS.
Digoxin Dysrhythmias, Toxic: GI upset, Heart failure Don’t give <60bpm, therapeutic:
bradycardia weak, vision 0.5-2. Increase K+ food.
change
GIVE IF LVL=0.7
OD: DIGIBIND.
Atorvastatin (-statin) GI upset Hepatoxicity, High Take in evening w/ food, monitor
muscle pain, cholesterol liver and CK levels
, lOMoARcPSD|11700591
2
rhabdomyolysi
s REPORT MUSCLE PAIN, NO
GRAPEFRUIT, MINIMAL
DRINKING, LIFELONG THERAPY
Clonidine Drowsiness, dry HTN Suck on hard candy, increase
mouth fluids
Nitrates (nitro) Ortho hypoTN, Reflex tachy angina 3 tabs 5 min apart. take 1 when
headaches pain starts, wait 5 min, then call
911.
Subling under tongue, store in
cool/dark place.
Topical remove first one, place
over clean area, wear gloves
REMOVE PATCH AFTER EVENING
MEAL.
INCREASE NUTRO DOSE IF SYS BP
= 160
Adrenergics Bronchodilation, Htn crisis, Cardiac arrest,
(dopamine, vasoconstriction angina asthma
epinephrine, (htn), and tachy
intropin)
CCB (Verapamil, Bradycardia, hypoTN HTN, angina NO GRAPEFRUIT, monitor BP.
-pine) dysrhythmias, Recheck BP if <90/60.
constipation,
edema
Respiratory SFX AFX Uses Education/Admin
Albuterol Tachycardia, Asthma, COPD Take this 5 min
tremors, angina BEFORE glucocorticoid
Montelukast Increase liver Asthma, exercise Take every evening or
enzymes induce 2 hrs before exercise
bronchonstriction
Theophylline GI upset Dysrhythmias, Asthma, COPD Check serum levels
seizures
Ipratropium Dry mouth, Asthma, COPD Suck on sugar free
hoarseness candy, increase fluids
Diuretics SFX AFX Uses Education/Admin
1
LEVEL 2 = 71.9%
Lab Values
Calcium: 8.5-10.9 WBC: 4,500-10,000
BUN: 7-18 Hgb: 12-16.5
APTT: 30-40 sec Hct: 36%-50%
PT: 11-14 secs PH: 7.35-7.45
INR: 0.8-1.2 PCO2: 35-45
albumin: 3.4-5 HCO3: 21-28
Therapeutic levels lithium (0.4-1.4), Propylthiouracil should decrease HR
digoxin (0.8-2), phenytoin (10-20), Give kayexalate first before other meds!!
Blood: check peak at 3rd dose and 30 min OTC nasal decongestant can constrict blood
after vessels (bad for HTN)
NO LIVE FLU VACCINE FOR ELDERLY Further teaching: mixing colesevelam w/ 30
Monitor visual activity when on ethambutol ml of water
Carba interferes w/ BC Naloxone: monitor bleeding + assess N/V
Report feelings of isolation if on accutane OrthoHTN risk: furosemide, -sartans,
Discard 1st bead of eye ointment phenelzine
(conjunctivitis) Phenazopyridine can cause orange urine
Metaclopramide helps w/ gastric emptying FOR HYDROXYUREA: REPORT NEUTROPHILS
Oprelvekin should increase platelets 1,400; HEMOGLOBIN 4.2; AND PLATELETS
Move slowly when on prazosin 75,000
Question doxycycline script if pregnant Alumnium hydroxide is preferred antacid
Withhold procainamide if QRS widening due to lowered phosphorus
increase more than 50% Antidotes: acetaminophen (acetylcysteine),
Drink 8-10 glasses of water daily benzo (flumazenil), curare (edrophonium),
trimethoprim. Report crusty rash. cyanide (methylene blue), digitalis (digoxin),
Take iron on empty stomach ethylene (fomepizole), heparin (protamine
Incident report: isosorbide w/ BP 82/60 sulfate), MgSO4 (calcium gluconate), narcs
Bipolar: paroxetine, lithium, valproic, carba (naloxone), warfarin (vitamin k)
Cardiac Drugs SFX AFX Uses Education/Admin
BB (-lol like atenolol) Bradycardia, ED, HF, MI, HTN, Change position slowly
hypoTN angina
DON’T GIVE TIMOLOL IF PT HAS
BRADYCARDIA.
ACEI (-pril) Cough, angioedema HTN Get up slowly. Report swollen
hypotension tongue. NO SALT SUBS/REDUCE
K+ FOODS.
Digoxin Dysrhythmias, Toxic: GI upset, Heart failure Don’t give <60bpm, therapeutic:
bradycardia weak, vision 0.5-2. Increase K+ food.
change
GIVE IF LVL=0.7
OD: DIGIBIND.
Atorvastatin (-statin) GI upset Hepatoxicity, High Take in evening w/ food, monitor
muscle pain, cholesterol liver and CK levels
, lOMoARcPSD|11700591
2
rhabdomyolysi
s REPORT MUSCLE PAIN, NO
GRAPEFRUIT, MINIMAL
DRINKING, LIFELONG THERAPY
Clonidine Drowsiness, dry HTN Suck on hard candy, increase
mouth fluids
Nitrates (nitro) Ortho hypoTN, Reflex tachy angina 3 tabs 5 min apart. take 1 when
headaches pain starts, wait 5 min, then call
911.
Subling under tongue, store in
cool/dark place.
Topical remove first one, place
over clean area, wear gloves
REMOVE PATCH AFTER EVENING
MEAL.
INCREASE NUTRO DOSE IF SYS BP
= 160
Adrenergics Bronchodilation, Htn crisis, Cardiac arrest,
(dopamine, vasoconstriction angina asthma
epinephrine, (htn), and tachy
intropin)
CCB (Verapamil, Bradycardia, hypoTN HTN, angina NO GRAPEFRUIT, monitor BP.
-pine) dysrhythmias, Recheck BP if <90/60.
constipation,
edema
Respiratory SFX AFX Uses Education/Admin
Albuterol Tachycardia, Asthma, COPD Take this 5 min
tremors, angina BEFORE glucocorticoid
Montelukast Increase liver Asthma, exercise Take every evening or
enzymes induce 2 hrs before exercise
bronchonstriction
Theophylline GI upset Dysrhythmias, Asthma, COPD Check serum levels
seizures
Ipratropium Dry mouth, Asthma, COPD Suck on sugar free
hoarseness candy, increase fluids
Diuretics SFX AFX Uses Education/Admin
