Toxin/Overdose - Antidote/Treatment/Intervention Flashcards by Chris Caangay

Acetaminophen

N-acetylcysteine,

4 hour blood level

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Acid/Alkali

Endoscopy

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Amatoxin (mushrooms)

HIGH dose Penicillin (mechanism is competitive)

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Anticholinesterases

Organophosphates

Strip and Wash
Atropine
Pralidoxime

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Antimuscarinic/

Anticholinergic

Physostigmine

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Arsenic
Mercury
Gold 
Selenium
Telurium

Succimer

Dimercaprol

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Beta Blockers

Glucagon

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Barbiturates

PhenoBARBITol

Urine alkinization
Dialysis
Activated charcoal

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Benzodiazepines

Flumazenil

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Black widow bite

Calcium gluconate

Methocarbamol

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Carbon Monoxide

100% Oxygen

Hyperbaric O2 at >20% CO Sats

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Copper

Penicillamine
Trientine
Dimercaprol
EDTA

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Arsenic
Lead
Gold

Penicillamine

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Cyanide

Amyl Nitrate
Na Nitrate
Na thiosulfate

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Digitalis

STOP drug
Normalize K+
Lidocaine
Anti-dig Fab

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Ethylene Glycol

Calcium Gluconate
EtOH
Fomepizole
Dialysis

Heparin

Protamine Sulfate

Iron

Deferoxamine

Isoniazid (INH)

Pyridoxine

Lead

Succimer
CaEDTA
Dimercaprol

Magnesium

Mag Sulfate or Mag Hydroxide

Calcium Gluconate
Diuretics
Dialysis

Methanol

Ethalene Glycol

EtOH
Fomepizole
Dialysis

Methemoglobin

Methylene Blue
High dose Vitamin C
Anti-oxidants

Opioids

Naloxone 
Watch:
- Respiratory Rate, 
- PaCO2, 
- O2 Sat

PCP (Phencyclidine)

NG Suction Benzos Haldol ONLY if stable & mild

Salicylates

Urine alkinization Dialysis Activated charcoal

Serotonin Syndrome

Cyproheptadine

Sulfonylurea | Glipizide, Glimepiride

Glucose | Octreotide (Somatostatin)

TCA

Bicarb for QRS 2nd line Lidocaine Benzo for seizures Cardiac monitor

Theophylline

Activated charcoal | Benzo for seizures

tPA | Streptokinase

Aminocaproic Acid

Warfarin

Vitamin K | FFP if bleeding or for surgery