Term
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Definition
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Term
| nromal creatinine clearance |
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Definition
| 85-135 ml/min requires full 24 hour urine sample |
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Term
| with renal impairment, serum creatine ... |
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Definition
| goes up, but urinary clearance will go down |
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Term
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Definition
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Term
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Definition
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Term
| when calcium goes up, phosphorous goes.. |
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Definition
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Term
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Definition
| binds to phosphate to decrease serum phosphorous in patients w ESRD. TAKE WITH EACH MEAL |
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Term
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Definition
| pts w hypercalcemia, do not use extra calcium supplements |
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Term
| iv calcium supplements, watch for.. |
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Definition
| hypotension, vasoconstriction, and arrythmias |
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Term
| po calcium supplements.. watch for.. |
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Definition
| nausea, constipation, fecal impactions |
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Term
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Definition
chvostek's sign- cheek
trousseau's sign- chek with bp cuff inflated for 3 min |
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Term
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Definition
| cancer, TPN, blood transfusions, excess calcium, |
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Term
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Definition
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Term
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Definition
| parathyroid surgery, removal, electrolyte imbalances |
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Term
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Definition
| ca gluconate- for Cardiac problems- I amp Calcium Chloride- push reaaaal slow |
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Term
| A low HCT (below 36) indicates |
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Definition
| hemodilution, fluid overload |
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Term
| a hematocrit over 36% is indicative of |
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Definition
| hemoconcentration- dehydration |
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Term
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Definition
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Term
| Increased BUN? Decreased BUN? |
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Definition
| increased = dehyrdation, excessive protein intake, and impaired renal function. Decreased= overhydration, liver damage, malnutrition |
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Term
| dehydration will cause your sodium to.. |
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Definition
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Term
| hypotonic solutions shifts fluid.. |
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Definition
| out of vessels into cells- hydrates cells- this may worsen hypotension (.45% NS, .25% NS, 5% dextrose+water |
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Term
| isotonic solutions affect fluid how? |
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Definition
| no fluid shift, vascular expansion, replaces electrolytes (lactated ringers) may cause fluid overload |
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Term
| hypertonic solutions affect fluid .. |
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Definition
| by shifting fluids back into circulation- vascular expansion, replaces electrolytes- can cause fluid oveload- may cause hypernatremia- .9% NS |
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Term
| lactated ringers shouldnt be used in pts with renal failure bc.. |
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Definition
| it could cause hyperkalemia |
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Term
| normal saline shouldnt be used in pts with.. |
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Definition
| heart failure, edema, or hypernatremia- can lead to overload |
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Term
| remedy for severe hyperkalemia.. |
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Definition
| calcium salts, glucose and insulin infusion. if acidotic- give sodium bicarbonate |
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Term
| difference between febrile and hemolytic reactions |
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Definition
febrile- fever chils anxiety, tachy tachypnea, headache..
hemolytic- chest pain, low back pain, decreased BP, increased respiratory rate, fever tachy chills, HEMOGLOBULINURIA |
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Term
| Pts being given narcan should watch for.. |
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Definition
| withdrawal, don't administer too quickly |
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Term
| antidote to benzo overdose |
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Definition
| romazicon- flumazenil, needs repeated dosing bc of short half life |
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Term
| fentanyl is stronger than.. |
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Definition
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Term
| fentanyl is very easy to.. |
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Definition
| overdose on so be careful |
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Term
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Definition
| rigors from ampho B, or port anesthesia shivering |
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Term
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Definition
| interactions, breaks down to a toxic metabolite therefore only give for max of 48 HOURS- and max 600 mg/24 hours.. can cause SEIZURESSS don't mess around with demerol bro. |
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Term
| hydrocodone is more potent than.. |
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Definition
| codene- if allergic to codene, may be able to tolerate hydrocodone |
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Term
| codeine may be ineffective on some ppl because.. |
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Definition
| unable to convert into morphine bc of lack of specific enzyme - so it has no effect |
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Term
| codeine is what compared to vicodin |
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Definition
| doesn't have the same street value, yo. its less desirable in other words. |
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Term
| oxycodone controlled release tablets are dangerous bc.. |
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Definition
| ppl are crushing them and using them all at once- deadly |
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Term
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Definition
| opioid thats off the market bc of serious potential heart risks |
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Term
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Definition
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Term
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Definition
| ssris- serotonin syndrome, maoi-hypertensive crisis |
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Term
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Definition
| agitation/restless, confusion, tachy labile BP, fevers, NVD, sweating ataxia, tremors |
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Term
| max recommended dose for tylenol |
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Definition
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Term
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Definition
| alcohol, hep c, leading cause of liver failure- causes hepatic necrosis 48-72hrs after ingestion |
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Term
| antidote for acetlysteine |
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Definition
| mucomyst! dilute w/ juice, give loading dose, then q4hr, very unpleasant to digest, so frequently given by iv or inhalation |
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Term
| caan give higher dose of iburpofen than.. |
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Definition
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Term
| sxs of lidocaine toxicity |
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Definition
| cns excitiation, confusion, seizures, followed by depression in resp rate and cardiac effects- blocks heart conduction- |
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Term
| what is lidocaine also used for |
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Definition
| antiarrhthmic iv after cardiac arrests |
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Term
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Definition
| used for conscious sedation- watch for resp deprs |
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