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1 Nexus Review USMLE > Toxin/Overdose - Antidote/Treatment/Intervention > Flashcards

Toxin/Overdose - Antidote/Treatment/Intervention Flashcards

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USMLE® Step 1 flashcards
1
Q

Acetaminophen

A

N-acetylcysteine,

4 hour blood level

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2
Q

Acid/Alkali

A

Endoscopy

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3
Q

Amatoxin (mushrooms)

A

HIGH dose Penicillin (mechanism is competitive)

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4
Q

Anticholinesterases

Organophosphates

A

Strip and Wash
Atropine
Pralidoxime

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5
Q

Antimuscarinic/

Anticholinergic

A

Physostigmine

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6
Q 
Arsenic
Mercury
Gold 
Selenium
Telurium
A

Succimer

Dimercaprol

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7
Q

Beta Blockers

A

Glucagon

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8
Q

Barbiturates

PhenoBARBITol

A

Urine alkinization
Dialysis
Activated charcoal

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9
Q

Benzodiazepines

A

Flumazenil

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10
Q

Black widow bite

A

Calcium gluconate

Methocarbamol

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11
Q

Carbon Monoxide

A

100% Oxygen

Hyperbaric O2 at >20% CO Sats

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12
Q

Copper

A

Penicillamine
Trientine
Dimercaprol
EDTA

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13
Q

Arsenic
Lead
Gold

A

Penicillamine

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14
Q

Cyanide

A

Amyl Nitrate
Na Nitrate
Na thiosulfate

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15
Q

Digitalis

A

STOP drug
Normalize K+
Lidocaine
Anti-dig Fab

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16
Q

Ethylene Glycol

A

Calcium Gluconate
EtOH
Fomepizole
Dialysis

17
Q

Heparin

A

Protamine Sulfate

18
Q

Iron

A

Deferoxamine

19
Q

Isoniazid (INH)

A

Pyridoxine

20
Q

Lead

A

Succimer
CaEDTA
Dimercaprol

21
Q

Magnesium

Mag Sulfate or Mag Hydroxide

A

Calcium Gluconate
Diuretics
Dialysis

22
Q

Methanol

Ethalene Glycol

A

EtOH
Fomepizole
Dialysis

23
Q

Methemoglobin

A

Methylene Blue
High dose Vitamin C
Anti-oxidants

24
Q

Opioids

A 
Naloxone 
Watch:
- Respiratory Rate, 
- PaCO2, 
- O2 Sat
25
Q

PCP (Phencyclidine)

A

NG Suction
Benzos
Haldol ONLY if stable & mild

26
Q

Salicylates

A

Urine alkinization
Dialysis
Activated charcoal

27
Q

Serotonin Syndrome

A

Cyproheptadine

28
Q

Sulfonylurea

Glipizide, Glimepiride

A

Glucose

Octreotide (Somatostatin)

29
Q

TCA

A

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

30
Q

Theophylline

A

Activated charcoal

Benzo for seizures

31
Q

tPA

Streptokinase

A

Aminocaproic Acid

32
Q

Warfarin

A

Vitamin K

FFP if bleeding or for surgery

1 Nexus Review USMLE (4 decks)

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