Pharm Flashcards
Atropine and pralidoxime are antidotes for what?
Acetylcholinesterase inhibitors and organophosphates
Antidote for Amphetamines ?
NH4Cl, acid files urine
Antidote for antimuscarinic and anticholinergic agents
Physostigmine salicylate, controls hyperthermia
Antidote for beta-blockers? What is beta blocker used as antidote for?
Beta blocker toxicity: Glucagon
Beta blockers used as antidote for Theophylline
Overdose on digitalis. What can you take?
Tx w/ KLAM
Normalize K+, Lidocaine, Anti-dig Fab fragments, Mg
Iron overload, use..
Deferoxamine, deferasirox
Lead toxicity treatment?
CaEDTA, dimercaprol, succimer, pencillamine
Antidote use of penicillamine used for?
Toxicity by Copper, arsenic, gold, and Lead
Amino parodic acid used to treat what toxicity?
Streptokinase, urokinase, and tPA
Heparin overdose. Give?
Protamine
Mercury toxicity antidote. What else is Antidote used for?
Antidote: dimercaprol (BAL), succimer
Also used for arsenic and gold toxicity
Cyanide toxicity Tx
Nitrite & thiosulfate, hydroxycobalamin
Methemoglobin toxicity antidote
Methylene blue, Vit. C
Give patient 100% O2 or hyperbaric O2 for what toxicity
Carbon monoxide
Methanol toxicity antidote?
Dialysis, fomepizole > EtOH
Dumbass kid drinks anti-freeze. You tell parents, “you two are retarded. We can take of this and give your dumbass kid —- for antidote?” What do you give?
Dialysis, fomepizole > EtOH
Naloxone and naltrexone are antidotes for?
Explain Naloxone effects
Opioids
Naloxone effect: reverses analgesia, sedation, hypotension. Respiratory depression. Works in minutes!
Benzodiazepine overdose. Give?
Flumazenil
TCAs overdose. Antidote?
NaHCO3 (plasma alkalinization)
Tx for Narcolepsy
Daytime stimulants (amphetamine, modafinil)
Nighttime Sodium (GHB)
Tx for Cystathione synthase deficiency
Decrease Methionine
Increase Cysteine, B12, & folate (diet)
Tx for Type II, Crigler Najjar syndrome
Phenobarbital, which increases liver enzymes
Wilson’s disease Tx?
Penicillamine
Hemochromatosis Tx?
repeated phlebotomy
Deferasirox
Deferoxamine
What inhibits thymidine synthase? Effect?
5-Fluorouracil (5-FU)
The enzyme causes uracil to become thymidine (dUMP–> dTMP). Lack of dTMP (needed for DNA replication) leads to death of cancer cells.