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Important Drug Levels

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harshd's version from 2017-02-15 15:07

levels

Question Answer
Phenytoin10 - 20 mcg/ml
Theophylline5 - 15 mcg/ml
Carbamazepine4 - 12 mcg/ml
Phenobarbital15 - 40 mcg/ml
Valproic Acid40 - 100 mcg/ml
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dosing & rates

Question Answer
T-PA rate100mg IV over 1.5hr
Phenytoinno more than 50mg/min
Fosphenytoinno more than 150mg/min
DMt1 insulin0.6 units/kg/day use TBW. r0% long + 50% rapid (QD&TID) -OR- 2/3 intermediate + 1/3 regular BID
DMt2 insulin0.1-0.2 units/kg/day use TBW (or 10 units per day initially), titrate by 10-15% to reach goal
LWMH proph VTE30mg q12 -OR- 40mg qd
LWMH Tx vte/UA/NSTEMI1mg/kg SQ q12h -OR- 1.5mg/kg qd
LWMH Tx Stemi30mg IV bolus + 1mg/kg SQ (w/ 1mg/kg SQ q12h)
Heparin proph VTE5,000 units SQ q8-12h
Heparin Tx vte80 units/kg bolus + 18 units/kg/hr infusion
Heparin Tx ACS60 units/kg bolus (max 4k) + 12 units/kg/hr (max 1k) infusion
APAP<4k a day
Sodium Restriction<1,500mg/day
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monitoring & labs

Question Answer
WarfarinINR 2-3 (2.5 to 3.5 w/ mech valve)
A1C≥ 6.5 Diabetes Dx, <7 Goal (5.7 to 6.4 Prediabetes)
FBG≥126 x2 Diabetes Dx, <150 Goal, < 70 Low, (100-125 prediabetes)
BP<140/90
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