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Magic 2's of Drug Toxicity Monitoring

Magic 2's of Drug Toxicity Monitoring

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Published by EZNursing
Here are the medications most commonly monitored for their therapeutic dosage.
Just like the Magicians, Nurses too can pull out the prescription drugs out of our magic nurse's caps to remind us to use the "Magic 2's" as a way to remember the TOXICITY LEVEL. Read more... http://www.eznursing.com/
Here are the medications most commonly monitored for their therapeutic dosage.
Just like the Magicians, Nurses too can pull out the prescription drugs out of our magic nurse's caps to remind us to use the "Magic 2's" as a way to remember the TOXICITY LEVEL. Read more... http://www.eznursing.com/

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Published by: EZNursing on Mar 21, 2009
Copyright:Attribution Non-commercial

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05/10/2014

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Here are the medications most commonly monitored for their therapeutic dosage.Just like the Magicians, Nurses too can pull out the prescription drugs out of ourmagic nurse's caps to remind us to use the
"Magic 2's"
as a way to remember the
TOXICITY LEVEL
of some commonly used medications.(Remember ) Drug Normal range
Toxicity
Classification Indication
D
digoxin .5 1.5 meq/L
2
cardiac glycosides CHF
L
- lithium .6 1.2 meq/L
2
antimanic bipolar
A
aminophylline 10 19 mg/100ml
20
bronchodilator COPD
D
Dilantin 10 -19 mg/100 ml
20
anticonvulsant seizures
A
– acetaminophen 10 – 30 mg/100ml
200
narcotic analgesic osteoarthritis
Magic 2’s of DRUG TOXICITY MONITORINGDLADA
DIGOIIN)- DXN (LANOX
to:
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Acin
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NuingCosidraion:rs nets
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dDigibin
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* Oetogv t ptn w eaalureky ieoaietsithrnl fi.oin mtblize livr o inideDigx iseaodinent kny.isk f iglisoiy craei ptnis ypkleic.* Rodita txictiness faiet hoam
page 1 of 3
 
...cont. DIGITALIS
Herbal interactions:Licorice
can potentiate action of digoxin by promoting potassium loss 
Hawthorn
may increase effects of digoxin 
Ginseng
may falsely elevate digoxin levels 
Ma-huang (ephedra)
increases risk of digitalis toxicity 
L – lithium (lithane)
decrease levels of norepinephrine, serotonin, acetylcholine- antimanic agent
Lithium toxicity s/sx:
a.) Anorexiab.) n/sc.) Diarrhead.) Dehydration
force fluid, maintain Na intake 4 – 10g daily 
e.) Hypothyroidism(
CRETINISM
 – the only endocrine disorder that can lead to mental retardation) 
A – aminophyline (theophylline)
– dilates bronchioles.
Nursing Consideration:
Take BP before giving aminophylline.
s/sx of Aminophylline toxicity:
1. Tachycardia2. Hyperactivity restlessness, agitation, tremors 
L – LITHIUM (LITHANE) A – AMINOPHYLLINE (THEOPHYLLINE)
page 2 of 3

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