TC4-D Toxicology Flashcards
Hydroxocobalamin
- Treatment of CN toxicity - Generates CoCN
EDTA
Chelating agent (give only as calcium disodium salt) - Treatment of lead, zinc, manganese, heavy radionucleotide (e.g. plutonium, americium, curium) toxicity SE: lowered zinc
Sodium Thiosulfate
- Treatment of CN toxicity - Generates Thiocyanate
DeFERoxamine
Chelating agent (binds to iron on iron-transport proteins) - Treatment of iron, aluminum toxicity SE: hypotension (rapid infusion), flushing, abdominal discomfort
DiMERCaprol
Chelating agent (single use) - Treatment of acute arsenic, inorganic mercury toxicity - Combined w/EDTA to treat severe lead toxicity
Fomepizole
Alcohol dehydrogenase competitive antagonist - Treatment of ethylene glycol and methanol toxicity
Nitrites
- Treatment of CN toxicity - Generates CNMetHb
Pralidoxime
ACHE binder (binding knocks off organophosphate) - Treatment of organophosphate toxicity
METhylene Blue
Oxidizing agent - Treatment of methemoglobinemia
Penicillamine
Chelating agent (water-soluble derivative of penicillin) - Treatment of copper toxicity SE: hypersensitivity rxns; don’t give to pt’s w/penicillin allergy; prolonged use– nephrotoxicity, pancytopenia
ACETylcysteine
MOA? - Treatment of acetaminophen (tylenol) overdose
Sodium Bicarbonate
Weak base - Treatment of salicylate toxicity
Naloxone
Mu receptor competitive antagonist - Treatment of opioid toxicity
Atropine
Muscarinic antagonist - Treatment of organophosphate toxicity
Succimer
Chelating agent (water-soluble analog of dimercaprol) - Treatment of lead, mercury, arsenic toxicity SE: GI disturbances, neutropenia