Antidotes, Electrolytes

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Transcript of Antidotes, Electrolytes

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    Antidotes

    Agents Antidotes

    Acetaminophen Acetylcysteine (Mucomyst)

    Anticholinesterase Atropine So4

    Anticholinergics Physostigmine

    Benzodiazepines Flumazenil

    Coumadine Vitamin K

    Cyanide Sodium nitrate

    Digoxin Digoxin immune fab

    (Digibind)

    Dopamine Phentolamine

    Heparin Protamine sulfate

    Iron Deferoxamine

    Lead Dimercaprol, edentate

    disodium and succimer

    Magnesium

    Sulfate

    Calcium gluconate

    Narcotics Naloxone

    Drug Name Endings: What they can suggest you!!!

    Endings class

    *cain Local anesthetics

    *cillin Antibiotics

    *dine Antiulcer agent

    *done Opiod analgesics

    *ide Oral hypoglycemics

    *lam/

    *pam Antianxiety

    *micin/

    *mycin Antibiotics

    *mine/

    *zide Diuretics

    *olol Beta blockers

    *pril ACE inhibitors

    *sone Steroids

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    IV Cannula

    Gauge 16 (gray) Massive

    fluid/resuscitation

    Gauge 18(pink) BT

    Gauge 20(pink) Routine IVT

    Gauge 22(blue) For elderly

    Gauge 24(yellow) For pedia

    Gauge26(violet/purple)

    For neonates

    Gas Tanks

    Green O2

    Blue Nitrous Oxide

    (laughing gas)

    Black Compressed air

    Red Halothane

    Orange Enflurane

    Yellow Sevoflurane

    violet Isoflurane

    Spinal Needle

    16 White

    18 Pink

    19 Beige

    20 Yellow

    21 Green

    22 Black

    23 Light blue

    24 Violet

    25 Orange

    26 Brown

    27 gray

    Hospital Waste Management

    Yellow: infectious

    Green: wet/ non- infectious

    Black: dry/ non -infectious

    Orange: radioactive

    Z track method

    -

    Used primarily in giving dark colored

    medications/solutions that can stain the SQ

    tissue/skin

    -

    Used for irritating preparation as it prevents

    the deposit of medication in sensitive tissues

    thus minimizing tissue irritation

    -

    Do not massage site post injection

    Sites for IM injection

    a.

    Ventrogluteal :Safest site for IM injection in

    adult

    :situated away from major nerves and blood

    vessels

    b. Vastus Lateralis : recommended for infants less

    than 1 year old

    c.

    Dorsogluteal : least preferredd.

    Deltoid: not generally recommended may be

    used for small volume (0.5-1.0 ml)

    Specialized Formula Milk

    Lofenalac (Phenylalanine free)PKU

    Isomil (soya based)galactosemia

    Lonalac (decrease Na, Increasd K)

    CHF

    Similacinfants with kidney or heart disease

    Pregestimil/alimentummalabsorption syndrome

    BCAD1 (Leucine, Isoleucine and valine-free) - MSUD

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    Electrolytes Values

    Na 135-145 mEq/L

    K 3.5-5.1 mEq/dl

    Ca 4.5-5.5 mg/dl/9-

    11gm%

    Mg 1.5-2.5 mg/dl

    Cl 90-110 mEq/L

    HCO3 22-26 mEq/L

    PO4 1.7-2.6 mEq/L: 2.5-

    4.0 gm%0.8-16mmol/L

    SO4 0.1 mEq/L

    ABG Values

    pH 7.35-7.45

    PaCO2 35-45 mmHg

    PaO2 80-100 mHg

    HCO3 22-26 mEq/L

    SaO2 95-100%Urinalysis

    Specific Gravity 1.010-1.030

    Glucose,RBC, WBC ,

    Albumin

    negative

    Renal Function test

    Serum Creatinine M: 0.6-1.2 mg/dl

    F: 0.5-1.1 mg/dl

    BUN 8-20 mg/dl

    GFR 90-120 ml/min

    Uric Acid 2-8 gm %

    Blood Glucose

    FBS 80-120 mg/dl

    HBA1C 5-7%

    Coagulation Studies

    aPTT 10 to 30 seconds

    (heparin)

    PT 10-13 seconds

    (Coumadin)

    Complete Blood count

    RBC M: 4.2 -5.4

    million/mm3

    F: 4.05.3 mm3

    Hemoglobin M: 13.5-18 g/dl

    F:12-16 g/dl

    Hematocrit M: 40-54 vol. %

    F:37-47 vol.%

    Reticulocyte count 1 to 1.5 % of total RBC

    MCV 83-98 fl/cell

    MCHC 3135 g/dl

    MCH 28-33 pg/cell

    WBC 5, 00010, 000 mm3/

    or nl/L

    Neutrophils 50-70%

    Eosinophils 1-6%

    Basophils 0-1%

    Monocytes 2-6%

    Lymphocytes 25-40%

    Platelets 150,000- 450,000

    /cumm

    ESRA