Agents and their Indications Flashcards
used for many oral toxins
Activated charcoal with sorbitol
sweetener, can act as a laxative and helps eliminate the poisons in the body
Sorbitol
MOA of Activated Charcoal
Adsorption
What type of antidote is AC?
Mechanical antidote
organophosphate and carbamate insecticides, some mushrooms toxicity
Atropine
Should be given within 24 hours. If not given immediately, the toxic effect of organophosphate will be irreversible.
Atropine
theophylline toxicity
beta blockers
Serotonin antagonist used for serotonin syndrome
Cyproheptadine
Used for CCB toxicity and black widow spider bites
Calcium chloride
Used for hydrofluoric acid toxicity
Calcium gluconate
Hydrofluoric acid can cause
painless burns
Hydrogen fluoride can cause
damage to lungs and cornea of the eyes
For heavy metal poisoning
chelators
Examples of chelators
EDTA, dimercaprol (BAL), penicillamine, 2,3 -dimercaptosuccinic acid (DMSA, succimer)
For cyanide poisoning
Amyl nitrite, sodium nitrite, or thiosulfate
For Iron poisoning
Deferoxamine mesylate
For digoxin poisoning
Digoxin Immune Fab antibody (Digibind and Digifab)
For extrapyramidal reactions associated with antipsychotic and antiparkinsons
Diphenhydramine HCl (antihistamine) & Benztropine (anticholinergic)
For ethylene glycol poisoning and
methanol poisoning
Ethanol or fomepizole
For benzodiazepine poisoning
Flumazenil
What type of antagonism does Flumazenil exhibits?
Competitive antagonism
for beta-blocker poisoning and calcium channel blocker poisoning
Glucagon
Carbon monoxide poisoning and cyanide poisoning
100% oxygen or hyperbaric oxygen therapy (HBOT)
For methotrexate and trimethoprim poisoning
Leucovorin
tx of conditions that can cause methemoglobinemia
Methylene blue
opioid poisoning
Naloxone hydrochloride
APAP poisoning
N-acetylcysteine
For oral hypoglycemic agents poisoning
Octreotide
potent inhibitor of growth hormone, glucagon and insulin
Octreotide
organophosphate insecticides poisoning
Pralidoxime chloride (2-PAM)
Heparin poisoning
Protamine sulfate
Thallium (Tl) poisoning
Prussian blue
anticholinergic poisoning
Physostigmine sulfate
Isoniazid poisoning, ethylene glycol
Pyridoxine
Warfarin poisoning and indanedione
Phytomenadione (vitamin K) and fresh frozen plasma
For ASA, TCAs with a wide QRS poisoning
Sodium bicarbonate
Gas for of Hydrofluoric acid
Hydrogen sulfide
Liquid form of Hydrogen sulfide
Hydrofluoric acid