ANTIDOTES

Question 1

WHAT IS GIVEN FOR ISONIAZID TX?

Answer 1

PYRIDOXINE

Question 2

WHAT CAN PYRIDOXINE CAUSE?

Answer 2

PERIPHERAL NEUROPATHY

Question 3

WHAT IS GIVEN FOR ARSENIC, MERCURY, AND LEAD CHELATION?

Answer 3

BAL

Question 4

HOW DO YOU GIVE BAL?

Answer 4

IM

Question 5

WHEN IS BAL CONTRAINDICATED?

Answer 5

IF PT HAS PEANUT ALLERGY

Question 6

WHAT IS GIVEN FOR ORGANOPHOSPHATE AND NERVE AGENTS?

Answer 6

ATROPINE AND 2PAM

Question 7

WHAT IS GIVEN FOR IRON TOX?

Answer 7

DEFORXAMINE?

Question 8

WHAT CAN DEFORXAMINE CAUSSE?

Answer 8

HTON AND VIN ROSE COLORED URINE

Question 9

WHAT IS GIVEN FOR ANTICHOLINGERIC TOX, DIAGNOSTIC PURPOSES?

Answer 9

PHYSOSTIGMINE

Question 10

WHEN IS PHYSOSTIGMINE CONTRAINDICATED?

Answer 10

IF YOU TAKE ANY TCA OR IF HAVE EKG CHANGES (SPECIFICALLY >QRS)

Question 11

WHAT IS GIVEN FOR HEPATOTOXICITY D/T MUSHROOMS?

Answer 11

NAC

Question 12

WHAT SPECIES OF MUSHROOM CAUSES HEPATOTOXCICTY?

Answer 12

CYCLOPEPTIDE AND GYROMITRA SPECIES

Question 13

WHAT DO YOU GIVE FOR METHEMOGLOBINEMIA?

Answer 13

METHYLENE BLUE

Question 14

WHAT DO YOU GIVE FO CYCLOPEPTIDE MUSHROOM TOX?

Answer 14

SILIBININ (MILK THISTLE)

Question 15

WHAT DO YOU GIVE FOR SEROTONIN SYNDROME?

Answer 15

CYPROHEPTADINE

Question 16

WHAT DRUGS CAN YOU GIVE MDAC FOR?

Answer 16

“THESE PEOPLE DRINK CHARCOAL QUICKLY” THEOPHYLLINE, PHENOBARB/PHENYTOIN/ DAPSONE/DEPAKOTE, DIG, CARBAMAZEPINE, QUININE

Question 17

PT IS ANXIOUS APPEARING WITH PROFUSE SWEATING, LACRIMATION, AND SALIVATION. NO CENTRA OR NICOTINIC EFFECTS.  WHAT DO YOU GIVE?
OBS ONLY
ATROPINE
ATROPINE AND 2 PAM
ATROPINE, 2 PAM, AND IVF

Answer 17

ATROPINE

Question 18

WHAT ANTIDOTE IS CONTRADICTED IF YOU HAVE G6PD DEFICIENCY?

Answer 18

METHYLENE BLUE (UROLEEN BLUE)

Question 19

PT HAVING STATUS EPEPTICUS FOLLOWING INGESTION OF 90 UNKNOWN TABS. RECENT HX FOR TB. LARGE DOSES OF DIAZEPAM (VALIUM) AND LORAZPAM (ATIVAN) NOT WORKING. WHAT TO GIVE?

Answer 19

PYRIDOXINE (B6)

Question 20

Methylene Blue has been ordered for a patient with a methemoglobin level of 30%, cyanosis, dyspnea and lethargy. What instructions are important for the hospital nurse to know?
A. Methylene Blue can cause seizures.
B. Methylene Blue should be administered IV push over 5 minutes followed by a saline flush to reduce injection site discomfort.
C. Methylene Blue is a dye which is a benign antidote.
D. Methylene Blue should be mixed in 250 cc Normal Saline and given over an hour.

Answer 20

B

Question 21

UNCONSCIOUS PT FOUND WITH PINOINT PUPILS, RR12, BP 110/72, HR79, AFEB. WHAT DO YOU REC TO EMS? NALOXONE, FLUMAZENIL, IV B6, AC.

Answer 21

NALOXONE

Question 22

MDAC USED IN? IBUPROFEN, DAPSONE, DPH, XANAX, OR EPHEDRINE?

Answer 22

DAPSONE

Question 23

WHICH STATEMENTS ABOUT IPEAC IS TRUE? A. USEFUL FOR INGESTIONS OF LARGE AMT OF LAMP OIL B. PREFERRED OVER CHARCOAL IN ALL INGESTIONS PRESENTING TO ED C. EFFICIACY IS GREATEST WHEN ADMINISTERED AT 1 HR POST INGESTION D. MAY RESULT IN DELAYED ONSET OF MILD DIARRHEA E. CARDIOMYOPATHY HAS RESULTED FROM THERPEAUTIC USE IN KIDS

Answer 23

D

Question 24

WHAT ALKALOIDS IN SYRUP OF IPECAC ARE RESPONSIBLE FOR PRODUCING THE EMETIC EFFECT?

Answer 24

EMETINE, CEPHAELINE

Question 25

WHICH IS FALSE REGARDING FLUMAZENIL?
A. GENERALLY SAFE AND EFFECTIVE ANTIDOTE WHEN USED IN PATIENTS THAT HAVE A PURE BENZOS OD AND NOT HABITUAL USERS
B. IN UNKNOWN OD USED ROUTINELY TO DETERMINE IF BENZOS HAVE BEEN INGESTED
C. REVERSAL IS IMMEDIATE FOLLOWING IV DOSE AND RESEDATION MAY OCCUR IN 20-120 MIN DEPENDIG ON DOSE
D. IT IS A COMPETITIVE ANTAGONIST AT THE BENZO RECEPTORS
E. IT MAY TRIGGER WD SYM WHEN GIVEN TO PT WITH PHYSICAL DEPENDENCE ON BENOS

Answer 25

B