Mark K

What are the side effects of aminoglycosides?

ototoxicity and nephrotoxicity

When are aminoglycosides given PO?

hepatic encephalopathy and pre-op bowel surgery

Who can sterilize my bowels?

neomycin and kanamycin

When to measure trough of a med?

30 mins before

When to measure peak of a sublingual med?

5-10 mins after

When to measure peak of a IV med?

15-30 mins after

When to measure peak of a IM med?

30-60 mins after

What are the side effects of phenothiazines?

anticholinergic, blurred vision, constipation, drowsiness, extrapyramidal syndrome, photosensitivity, and agranulocytosis

What are the side effects of tricyclic anti-depressants?

anticholinergic, blurred vision, constipation, drowsiness, euphoria

What are the side effects of benzodiazepines?

anticholinergic, blurred vision, constipation, drowsiness

What are the side effects of MAOI?

anticholinergic, blurred vision, constipation, drowsiness

What are the side effects of prozac/fluoxetine?

anticholinergic, blurred vision, constipation, drowsiness, euphoria

What are the side effects of haldol?

anticholinergic, blurred vision, constipation, drowsiness, extrapyramidal syndrome, photosensitivity, agranulocytosis, and neuroleptic malignant syndrome

What are the side effects of clozepine/clozaril?

agranulocytosis

What cannot be taken with sertraline/zoloft?

warfarin and st. john’s wort

For functional psychosis (schizophrenia, schizoaffective, major depression, and mania), how do you deal with psychotic symptoms?

present reality

For psychosis of dementia (Alzheimer’s, post-stroke, etc.), how do you deal with psychotic symptoms?

redirect and orient to reality

For psychotic delirium (UTIs, overdose, etc.), how do you deal with psychotic symptoms?

reassure (since temporary)

What do calcium-channel blockers treat?

hypertension, angina, atrial arrhythmias

For VTach and PVCs, you give:

lidocaine and amiodarone

For VFib, you:

defibrillate

For asystole, you give:

epinephrine then atropine

For atrial arrhythmias, you give:

adenosine, beta-blockers, calcium-channel blockers, and digoxin

When there is continuous bubbling in the water seal, that is:

bad

When there is intermittent bubbling in the water seal, that is:

good

What conditions make up tetralogy of Fallot?

ventricular defect, pulmonary stenosis, overriding aorta, and right hypertrophy

Order of doffing PPE:

glovers, goggles, gown, mask

Order of donning PPE:

gown, mask, goggles, gloves

onset of rapid insulin

15 mins

peak of rapid insulin

1 hour

duration of rapid insulin

3 hours

onset of regular insulin

30 mins

peak of regular insulin

2 hours

duration of regular insulin

8 hours

onset of intermediate/NPH insulin

2 hours

peak of intermediate/NPH insulin

8 hours

duration of intermediate/NPH

16 hours

onset of long-acting insulin

2 hours

peak of long-acting insulin

none

duration of long-acting insulin

24 hours

therapeutic and toxic levels of lithium

therapeutic: 0.6-1.2
toxic: 2+

therapeutic and toxic levels of digoxin

therapeutic: 1-2
toxic: 2+

therapeutic and toxic levels of aminophylline

therapeutic: 10-20
toxic: 20+

therapeutic and toxic levels of dilantin (phenytoin)

therapeutic: 10-20
toxic: 20+

therapeutic and toxic levels of bilirubin in newborns

therapeutic: 10-20
toxic: 20+

What diseases are contact precautions?

RSV, scabies/lice, infectious diarrhea (c. diff, e. coli), multi-drug resistant infections (MRSA), skin infections (impetigo, shingles, chickenpox, herpes simplex)

What diseases are droplet precautions?

mumps, meningitis, rubella, diphtheria, RSV, influenza/HiB, pertussis, mycoplasma pneumoniae, strep, scarlet fever

What diseases are airborne precautions?

measles, chickenpox, herpes zoster disseminated, TB

Who would be on neutropenic precautions?

immunocompromised (chemo)

Who would be in a protective environment/positive-pressure airflow room?

severely immunocompromised (stem cell/organ transplant)