Edition)
Isotonic IV fluids
NS And lactated Ringers
Are used as fluid replacement for fluid volume deficit
Serum phenytoin
10-20 mcg/ml
Normal glucose
Infant
40-60mg/dl
Normal resp for infant
30-60
Normal temp for infant
97.7-99.7
What is the antidote for norepinephrine?
Phentolamine (Regitine)
What is autonomic dysreflexia?
Life-threatening condition in a client with high spinal cord injury
Classic symptoms of autonomic dysreflexia?
Severe hypotension, throbbing headache,diaphoresis,bradycardia,flushing and piloerection.
Magnesium
1.5-2.5 mEq
What is the therapeutic magnesium level to prevent seizures in a preeclamptic client?
4-7 mEq
Absent or decreased deep-tendon reflexes
Earliest sign of magnesium toxicity
Calcium gluconate (antidote)
Magnesium toxicity
Magnesium sulfate IV antidote?
Calcium gluconate IV
,Acetaminophen
N-acetylcysteine
Most effective if given w/in 8hrs of ingesting acetaminophen
Anticholinergics
Physostigmine
Arsenic
Chelation therapy:
1.dimercarpol
2.penincillamine
3.calcium disodium edetate
4. Succimer
Benzodiazepines
Flumazenil
Beta blockers
(High dose) glucagon
Calcium channel blockers
Glucagon, calcium chloride, calcium gluconate
Cholinergics
Atropine,pralidoxime
Cyanide
Amyl nitrate
Sodium thiosulfate
Hyperbaric oxygen chamber
Digitalis/digoxin
Digoxin antibodies: digoxin immune fab, digifab,digibind
Dnoxaparin
Protamine sulfate
Ethylene glycol
Ethanol
Fomepizole
Pyridoxine hydrochloride(vitamin b6)
Heparin
, Protamine sulfate
Hypoglycemic agents
Glucagon
Octreotide
Iron
Deferoxamine mesylate
Lead
Chelation therapy
1. Dimercarpol
2. Penincillamine
3. Succimer
Mercury
Chelation therapy
Methanol
Folic acid and then folic acid fomepizole
Mushrooms,muscarinic
Atropine sulfate
Nerve gas( sarin, soman and VX)
Atropine sulfate
Pralidoxime chloride
Opiods(codeine,morphine)
Naloxone, nalmefene
Snakes( rattle snakes,copperheads, cottonmouth)
Antivenin(crotalidae) polyvalent(equine origin) crotalidae polyvalent immune fab(ovine)
Spiders(black widow)
Antivenin( latrodectus Mactans) equine
Tricyclic antidepressants
Sodium bicarbonate
Vasopressor infiltration and extravasation
Phentolamine mesylate