Specific Antidotes Flashcards
Acetaminophen
N-acetyl cysteine
Aspirin
Bicarbonate to alkalinize urine
Benzodiazepines
Do not give flumazenil; it may precipitate a seizure
Carbon Monoxide
100% O2, hyperbaric in some cases
Digoxin
Digoxin-binding antibodies
Ethylene glycol
Fomepizole or ethanol
Methanol
Fomepizole or ethanol
Methemoglobinemia
Methylene blue
Neuroleptic Malignant Syndrome
Bromocriptine, dantrolene
Opiates
Naloxone
Organophosphates
Atropine, Pralidoxime
Tricyclic antidepressants
Bicarbonate protects the heart
Metoclopramide-induced dystonia
IV diphenydramine
Scombroid
Self-limited; benadryl
Anaphylaxis
IM epinephrine (preferred over subQ)
Unclear etiology with altered mental status
Naloxone, thiamine, dextrose
What to order in OD: CCS
1)Antidote if clear etiology 2)Toxicology screen 3)Charcoal 4)CBC, Chemistry, UA 5)Aspirin level 6)Acetaminophen level 7)EtoH level 8)Normal saline 9)Psychiatry consult (if suicide attempt) 10)O2 for CO poisoning or dyspneic
Heat exhaustion
Normal Saline IV (room temp); remove pt from hot environment
Heat stroke
Spray patient with water, Apply ice baths/packs
Neuroleptic malignant syndrome
Bromocriptine, Dantrolene
Malignant hyperthermia
Dantrolene
Black Widow
Antivenin
Brown Recluse
Debride wound +/- steroids, dantrolene
Burns
100% O2 + respiratory injury: Intubate
100% O2 - respiratory injury: give fluids
