antidote list
  • alteplase/activase – aminocaproic acid -» only used in acute, life-threatening conditions
  • ferrous sulfate (PO) – defuroxamine -» absorbs iron
  • digoxin/lanoxin (PO) – digoxin immune fab/digibind
  • heparin (IV/SQ) – protamine sulfate (IV)
  • iron dextran (IV/IM) – defuroxamine -» absorbs iron
  • enoxaparin/lovenox (SubQ) – protamine sulfate (IV)
  • magnesium (IV/IM) – calcium gluconate (IV)
  • reteplase/retavase – aminocaproic acid -» only used in acute, life-threatening conditions
  • tenecteplase/TNKase – aminocaproic acid -» only used in acute, life-threatening conditions
  • warfarin/coumadin (PO) – vitamin K (IV/IM)
10 • REBLOG
Burn location & associations

Burns of the:

  • head, neck and chest – associated w/ pulmonary complications
  • face – associated w/ corneal abrasion
  • ear – auricular chondritis
  • hands & joints – require intensive therapy to prevent disability
  • perineal area – autocontamination (urine & feces)
  • Circumferential burns of the extremities – can produce a tourniquet-like effect and lead to vascular compromise (compartment syndrome)
  • Circumferential thorax burns – can lead to inadequate chest wall expansion and pulmonary insufficiency 
3 • REBLOG

Post skin biopsy procedure, instruct client:
• keep dressing in place for at least 8 hours
• clean daily
• use antibiotic ointment as prescribed
• suture usually removed in 7-10 days

3 • REBLOG
signs of pericarditis

friction rub
chest pain with inspiration
low-grade fever

3 • REBLOG
kidney dysfunction tests
  • ↑ serum creatinine [normal 0.6 - 1.3 mg/dL]
    • Creatinine is an end product of protein & muscle metabolism
    • Increases only when at least 50% of renal function is lost
  • ↑ blood urea nitrogen (BUN)  [normal 8 - 25 mg/dL]
    • BUN is a byproduct of protein metabolism in the liver
    • Other factors can elevate BUN: dehydration, high-protein diet, corticosteroid use, GI bleeding, infection, etc.
  • When BUN and creatinine levels increase at the same rate & the ratio remains constant, ↑ creatinine and BUN suggest renal dysfunction.
  • Creatinine clearance test
    • Evaluates how well the kidneys remove creatinine from the blood
    • Provides the best estimate of the GFR (normal = 125 mL/min)
8 • REBLOG

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