『18 Pharmacology Red Flags With 1 Simple & Clear Action for each』のカバーアート

18 Pharmacology Red Flags With 1 Simple & Clear Action for each

18 Pharmacology Red Flags With 1 Simple & Clear Action for each

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1. Opioids – Respiratory Depression

Red Flag: Respiratory rate below 8–10
Action: Stop the infusion immediately, administer naloxone, monitor closely for re-sedation.

2. Heparin – HIT (Heparin-Induced Thrombocytopenia)

Red Flag: Platelets below 100,000
Action: Stop heparin immediately, notify provider, avoid antiplatelets.

3. Warfarin – Excessive Anticoagulation

Red Flag: INR above 3.5–4 or any active bleeding
Action: Hold the dose, give vitamin K (planned) or FFP (active bleed).

4. Digoxin – Toxicity

Red Flag: Yellow/green halos, heart rate below 60, significant nausea
Action: Hold digoxin, draw serum level before considering antidote.

5. Potassium Chloride – IV Danger

Red Flag: Severe burning, rhythm changes, undiluted infusion
Action: Stop the infusion instantly.

6. Vancomycin – Red Man Syndrome

Red Flag: Intense flushing and rash during infusion
Action: Slow the infusion, pre-treat with diphenhydramine for future doses.

7. Phenytoin – Purple Glove Syndrome

Red Flag: Purple, swollen, painful IV site
Action: Stop the infusion, use slow rate and inline filter for prevention.

8. ACE Inhibitors – Angioedema

Red Flag: Rapid swelling of lips, tongue, or face
Action: Stop the drug immediately, never restart ACE inhibitors.

9. Aminoglycosides – Ototoxicity

Red Flag: New tinnitus or hearing loss
Action: Stop the medication, check peak and trough levels.

10. Lithium – Toxicity From Dehydration

Red Flag: Coarse tremor, confusion, severe nausea
Action: Hold the dose, check level, increase fluids.

11. Serotonin Syndrome – SSRI/SNRI Emergency

Red Flag: High fever, agitation, rigidity, hyperreflexia
Action: Stop the medication immediately, initiate cooling and supportive care.

12. NSAIDs/Aspirin in Children – Reye Syndrome

Red Flag: Child with viral illness taking NSAIDs/aspirin
Action: Stop immediately, switch to acetaminophen.

13. Metformin – Contrast Dye Risk / Lactic Acidosis

Red Flag: Upcoming contrast study or muscle pain/drowsiness
Action: Hold 48 hours before and after contrast.

14. Magnesium Sulfate – OB Toxicity

Red Flags: Respiratory rate below 12, absent DTRs, low urine output
Action: Stop magnesium, give calcium.

15. Beta Blockers – Bradycardia

Red Flag: Heart rate below 50–60 with symptoms
Action: Hold dose, notify provider; glucagon for severe overdose.

16. Antiplatelets (Clopidogrel/Ticagrelor) – Surgical Bleeding

Red Flag: Scheduled surgery within 3–5 days
Action: Hold medication pre-op (5 days for clopidogrel, 3–5 for ticagrelor).

17. Amiodarone – Pulmonary Toxicity

Red Flag: Persistent dry cough, new shortness of breath, abnormal chest image
Action: Stop amiodarone, start steroids.

18. Chemotherapy Vesicants – Extravasation

Red Flag: Burning, swelling, pain at IV site
Action:

Stop the infusion

Do NOT remove the IV

Aspirate the drug

Remove needle

Apply cold (or heat for vinca alkaloids)

Give antidote

Need to reach out? Send an email to Brooke at ThinkLikeaNursePodcast@gmail.com
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