Specific Antidotes Flashcards
Cholinesterase inhibitors, organophosphates
Atropine followed by Pralidoxime
Amphetamines
NH4Cl (to acidify urine)
Antimuscarinic, anticholinergic agents
Physostigmine salicylate, Control hyperthermia
Benzodiazepines
Flumazenil
Beta-blockers
Glucagon
Carbon monoxide
100% Oxygen, hyperbaric Oxygen
Copper, Arsenic, Gold
Penicillamine
Cyanide
Nitrite + thiosulfate, Hydroxycobalamin
Digitalis
Anti-dig Fab fragments
Stop digitalis, Correct K levels, Give Mg
Heparin
Protamine sulfate
Iron
Deferoxamine, Deferasirox
Lead
EDTA, dimercaprol, succimer, Penicillamine
Mercury, arsenic, gold
Dimercaprol, succimer
Methanol, ethylene glycol (antifreeze)
Fomepizole > Ethanol, dialysis
Methemoglobin
Methylene blue, vitamin C
Opioids
Naloxone
Salicylates
NaHCO3 (alkalinize urine), dialysis
TCAs
NaHCO3 (alkalinize urine)
tPA, streptokinase, urokinase
Aminocaproic acid
Warfarin
Vitamin K, plasma (FFP if active bleeding)
Acetaminophen
N-acetylcysteine (replenishes glutathione)
Methotrexate (myelosuppression)
Leucovorin
5-fluouracil (myelosuppression)
Uridine
Malignant hyperthermia (caused by inhaled anesthetics)
Dantrolene
SSRI (Serotonin syndrome)
Cyproheptadine (5-HT2 receptor antagonist)