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EM/TOX > Specific Antidotes > Flashcards

Specific Antidotes Flashcards

1
Q

Acetaminophen

A

N-acetyl cysteine

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2
Q

Aspirin

A

Bicarbonate to alkalinize urine

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3
Q

Benzodiazepines

A

Do not give flumazenil; it may precipitate a seizure

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4
Q

Carbon Monoxide

A

100% O2, hyperbaric in some cases

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5
Q

Digoxin

A

Digoxin-binding antibodies

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6
Q

Ethylene glycol

A

Fomepizole or ethanol

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7
Q

Methanol

A

Fomepizole or ethanol

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8
Q

Methemoglobinemia

A

Methylene blue

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9
Q

Neuroleptic Malignant Syndrome

A

Bromocriptine, dantrolene

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10
Q

Opiates

A

Naloxone

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11
Q

Organophosphates

A

Atropine, Pralidoxime

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12
Q

Tricyclic antidepressants

A

Bicarbonate protects the heart

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13
Q

Metoclopramide-induced dystonia

A

IV diphenydramine

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14
Q

Scombroid

A

Self-limited; benadryl

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15
Q

Anaphylaxis

A

IM epinephrine (preferred over subQ)

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16
Q

Unclear etiology with altered mental status

A

Naloxone, thiamine, dextrose

17
Q

What to order in OD: CCS

A

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

18
Q

Heat exhaustion

A

Normal Saline IV (room temp); remove pt from hot environment

19
Q

Heat stroke

A

Spray patient with water, Apply ice baths/packs

20
Q

Neuroleptic malignant syndrome

A

Bromocriptine, Dantrolene

21
Q

Malignant hyperthermia

A

Dantrolene

22
Q

Black Widow

A

Antivenin

23
Q

Brown Recluse

A

Debride wound +/- steroids, dantrolene

24
Q

Burns

A

100% O2 + respiratory injury: Intubate

100% O2 - respiratory injury: give fluids

25
Q

Hypothermia

A

1: consider ET intubation 2: warmed crystalloid/rewarming techniques 3: Atrial arrythmias: usually resolve: Ventricular arrythmias: ACLS protocol

EM/TOX (3 decks)

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