Mark Klimek Lecture 6: Drug Toxicities and Electrolytes New Update Actual Test with complete solution

What is therapeutic and toxic levels for Lithium? - Answer-therapeutic--> 0.6-1.2 toxic--> greater than or equal to 2 What is therapeutic and toxic levels for Lanoxin (Digoxin) - Answer-therapeutic--> 1-2 toxic--> greater than 2 What is therapeutic and toxic level for Aminophyline - Answer-therapeutic--> 10-20 toxic--> greater than or equal to 20 What is therapeutic and toxic levels for Bilirubin - Answer-therapeutic--> (elevated level) 10-20 toxic--> greater than or equal to 20 *take child to hospital at 14-15 Think Lithium and Lanoxin - Answer-GO LOW Kernicterus - Answer-Bilirubin in the brain (CSF) Opisthotonos - Answer-(baby's when bilirubin in brain) -position of slight extension in neck seen in patients with Kernicterus (bad sign) Dumping syndrome - Answer-post-op gastric surgery complication in which gastric contents dump too quickly into the duodenum -s/sx: drunk person + shock + acute abdominal distress Hiatal hernia - Answer-regurgitation of acid into esophagus because upper stomach hernitaes upward through diaphragm-s/sx: GERD (heartburn and indigestion) Treatment for hiatal hernia - Answer--HOB elevated during and 1 hr after meals --> high -Amt. of fluid with meals--> high -Carb content of meals--> high -Goal--> get empty stomach Treatment for Dumping Syndrome - Answer--HOB during and 1 hr after meals--> low -Amt of fluids with meals --> low -Carb content of meals --> low -Goal: get a full stomach *when everything is low, the stomach empties slow