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 • OTC nasal decongestant can constrict
min after blood vessels (bad for HTN)
• NO LIVE FLU VACCINE FOR ELDERLY • Further teaching: mixing colesevelam w/
• Monitor visual activity when on ethambutol 30 ml of water
• Carba interferes w/ BC • Naloxone: monitor bleeding + assess N/V
• Report feelings of isolation if on accutane • OrthoHTN risk: furosemide, -
• Discard 1st bead of eye sartans, phenelzine
ointment (conjunctivitis) • Phenazopyridine can cause orange urine
• Metaclopramide helps w/ gastric emptying • FOR HYDROXYUREA: REPORT
• Oprelvekin should increase platelets NEUTROPHILS 1,400; HEMOGLOBIN 4.2;
• Move slowly when on prazosin AND PLATELETS
• Question doxycycline script if pregnant 75,000
• Withhold procainamide if QRS • Alumnium hydroxide is preferred
widening increase more than 50% antacid due to lowered phosphorus
• 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 Heart failure Don’t give <60bpm,
bradycardia upset, weak, therapeutic: 0.5-2. Increase K+
vision change food.
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
• 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 • OTC nasal decongestant can constrict
min after blood vessels (bad for HTN)
• NO LIVE FLU VACCINE FOR ELDERLY • Further teaching: mixing colesevelam w/
• Monitor visual activity when on ethambutol 30 ml of water
• Carba interferes w/ BC • Naloxone: monitor bleeding + assess N/V
• Report feelings of isolation if on accutane • OrthoHTN risk: furosemide, -
• Discard 1st bead of eye sartans, phenelzine
ointment (conjunctivitis) • Phenazopyridine can cause orange urine
• Metaclopramide helps w/ gastric emptying • FOR HYDROXYUREA: REPORT
• Oprelvekin should increase platelets NEUTROPHILS 1,400; HEMOGLOBIN 4.2;
• Move slowly when on prazosin AND PLATELETS
• Question doxycycline script if pregnant 75,000
• Withhold procainamide if QRS • Alumnium hydroxide is preferred
widening increase more than 50% antacid due to lowered phosphorus
• 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 Heart failure Don’t give <60bpm,
bradycardia upset, weak, therapeutic: 0.5-2. Increase K+
vision change food.
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
