The NCLEX pharmacology cram sheet

Antidotes, drug levels, lab values, and hold parameters. Free to print.

If you read nothing else in your final 48 hours, read this. These are the highest-yield facts stripped to what the NCLEX asks: the antidotes it pairs to drugs, the narrow-index levels it hands you in a stem, and the lab values it wants you to check before you give something. Every range here reflects commonly taught NCLEX values; your laboratory's own reference range governs real practice.

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Antidotes and reversal agents

Antidotes are a favorite item, usually phrased as "which agent reverses this drug?" or "what does the nurse anticipate?" Memorize the must-know 8 cold.

The must-know 8

heparin → protamine · warfarin → vitamin K · opioids → naloxone · benzodiazepines → flumazenil · acetaminophen → acetylcysteine · digoxin → digoxin immune Fab · magnesium → calcium gluconate · insulin or low glucose → dextrose or glucagon.

Drug or toxinAntidote or reversal agent
HeparinProtamine sulfate
WarfarinVitamin K (phytonadione); for a serious bleed, PCC or FFP
Dabigatran (DOAC)Idarucizumab (Praxbind)
Factor Xa inhibitors (apixaban, rivaroxaban)Andexanet alfa (Andexxa)
OpioidsNaloxone (Narcan)
BenzodiazepinesFlumazenil
AcetaminophenAcetylcysteine (N-acetylcysteine)
DigoxinDigoxin immune Fab (DigiFab)
Magnesium sulfate toxicityCalcium gluconate
Insulin / hypoglycemiaDextrose (D50 IV) or glucagon
IronDeferoxamine
Organophosphate / cholinergicAtropine (plus pralidoxime)
Anticholinergic toxicityPhysostigmine
Beta-blocker overdoseGlucagon
Calcium channel blocker overdoseCalcium
Nondepolarizing neuromuscular blockersNeostigmine; sugammadex (rocuronium, vecuronium)

Therapeutic drug levels (narrow-index drugs)

If a question hands you one of these levels, it is almost always the point of the question.

DrugTherapeutic rangeToxicity note
Digoxin0.8 to 2 ng/mLAbove 2 is toxic; low potassium worsens it
Lithium0.6 to 1.2 mEq/L1.5 and above is toxicity; dehydration and low sodium raise it
Phenytoin10 to 20 mcg/mLNystagmus and ataxia signal toxicity
Valproic acid50 to 100 mcg/mLHepatotoxicity
Carbamazepine4 to 12 mcg/mLAgranulocytosis
Theophylline10 to 20 mcg/mLAbove 20 brings tachycardia and seizures
Warfarin (INR)2 to 3 (2.5 to 3.5 mechanical valve)Above range means a bleeding risk
Heparin (aPTT)46 to 70 sec (~1.5 to 2.5x control)Above range means a bleeding risk
Vancomycin (trough)~10 to 20 mcg/mLNephrotoxicity and ototoxicity
Acetaminophenmax ~4 g/day (adult)Hepatotoxicity above the limit

Must-know lab values

These recur across pharmacology questions: which lab to check before or after a drug. Ranges are typical adult values and vary by lab.

LabTypical rangeWhy it is high-yield
Potassium3.5 to 5.0 mEq/Ldigoxin, ACE and ARB, diuretics, insulin
Sodium135 to 145 mEq/Llithium, diuretics, carbamazepine (low)
Calcium9.0 to 10.5 mg/dLthiazides (high), loops (low)
Magnesium1.5 to 2.5 mEq/LPPIs (low), magnesium sulfate toxicity
Creatinine0.6 to 1.2 mg/dLaminoglycosides, vancomycin, NSAIDs, contrast with metformin
Fasting glucose70 to 100 mg/dLinsulin, antidiabetics, steroids
INR~0.8 to 1.1 off anticoagulantwarfarin (target 2 to 3)
aPTT30 to 40 sec baselineheparin (target 46 to 70)
Platelets150,000 to 400,000/mm³heparin (HIT), anticoagulants
ANC> 1,500 normal; < 500 severeclozapine (agranulocytosis)
Hemoglobin12 to 16 (F) / 14 to 18 (M) g/dLanticoagulants (bleeding)

Hold parameters and high-alert drugs

Hold and notify when

  • Apical pulse under 60 before digoxin or a beta-blocker
  • Respiratory rate under 12 before an opioid
  • Potassium out of 3.5 to 5.0 before digoxin or a diuretic
  • INR above range before warfarin
  • A drug level above its therapeutic window

High-alert groups (an error means major harm)

Insulin, anticoagulants (heparin, warfarin, DOACs), opioids, concentrated electrolytes (especially IV potassium, which is never given IV push and is always diluted on a pump), neuromuscular blockers, chemotherapy, digoxin, and lithium.

Boxed-warning associations worth knowing

Warfarin, heparin, and DOACs (major bleeding) · fluoroquinolones (tendon rupture) · SSRIs and other antidepressants (suicidality in the young) · clozapine (agranulocytosis) · NSAIDs (cardiovascular events and GI bleeding) · antipsychotics (increased mortality in elderly dementia patients) · long-acting beta-agonists used alone in asthma (asthma-related death).

Classic teaching one-liners

  • Levothyroxine: take on an empty stomach, same time each morning.
  • Proton pump inhibitor: take before breakfast.
  • Nitroglycerin: store in the dark glass bottle; sit down first; call 911 if chest pain is not relieved after the first tablet.
  • Tetracyclines and fluoroquinolones: separate from dairy and antacids.
  • Inhaled corticosteroid: rinse the mouth after use to prevent thrush.
  • Sun protection with tetracyclines, sulfonamides, fluoroquinolones, amiodarone, and thiazides.
  • Alendronate: take with a full glass of water and stay upright for 30 minutes.

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