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Natural supplements, lab values and drug monitoring, poisoning

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vitohuxo's version from 2016-06-27 03:28

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Question Answer
st johns wortinduces cyp 3a4, p glycoprotein, photosensitivity, and can lower the seizure theshold
natural products can be heptoxicchaparral, conmfrey, and kava
wernicke's encephalopathythiamine (B1) is insuficient. mental confusion, ataxia, tremor, vision changes. common alcoholism.
korsakoff syndromepermanent neurologic damage from wernickes encephalopathy
folic acid for pregnancy women400-800mcg daily
vitamin E should not exceed400 IU daily
exclusively breastfed infants or babies drinking less than 1 liter of baby formula need400 iu of viamin d daily- poly vi sol or generic.
breast fed babies and ironmonths 4-6 need 1mg/kg/day until consuming iron rich foods
calcium total8.5 to 10.5 mg/dL
chloride95-106 meq/l
magnesium1.3 to 2.1 meq/l
phosphate2.3 to 4.7 mg/dl
potassium3.5 to 5
sodium135-145
bicarbonatevenous= 24-30, arterial 22-26
BUN7-20
scr0.6-1.3
anion gap5-12
wbc4,000 to 11,000
neutrophiles45-73%
bands 3-5%
hgbmales 13.5 to 18, females 12-16
mcv80-100
anti xaobtain peak 4 hours after LMWH dose
PT/INRPT= 10-13 seconds, INR < 1.2 not on warfarin
aPTT22-38 seconds. treatment goal on heparin is 1.5 to 2.5 x control
platelets150,000 to 450,000
albumin 3.5 to 5
ast 10-40
alt10-40
ammonia19-60
CKmales 55-170, females 30-130
CK-MB cardiac enzymeunder 6
TnT cardiac enzyme0-0.1
Tnl0-0.5
BNPunder 100
TC under 200
hdlunder 40 low, over 60 high
ldl70-189
TGunder 150
CRP0-0.5
TSH0.3 to 3
CD4 t lymphcyte count800 to 1000 cells/mmcubed
activated charcoalmost effective within one hour. CI when airway unprotected. 1g/kg dose.
sorbitolshould be avoided in toxic situation
acetaminophen overdose can take how long to show up2 days
antidote for acetaminophenn acetylcysteine
antidote for organophosphates includining pesticidesatropine and pralidoxime
antidote for ethanoljust supportive care and correct hypoglycemia
ethylene glycol, diethylen glycol, methanol antidotefomepizole
anticholinergic overdose antidotesupportive care, rarely phsyostigmine. benzos if seizures present,
benzos overdose antidoteflumazenil
cyanide overdosecyanokit- should be dark red
digoxin overdosedigoxin immune fab- digifab
heavy metals overdosedimercaprol or succimer
heparin overdoseprotamine
isoniazid overdosepyridoxine
iron overdosedeferoxamine (desferal)
nicotine overdosesupportive care, atropine
opiodsnaloxone
salicylates overdosesodium bicarb
stimulant overdosebenzos
warfarin overdosephytonadione (vitamin k)
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