Toxins and Antidotes Flashcards
Acetaminophen
N-acetylcysteine
AChE inhibitors, organophosphates
Atropine (symtpoms) followed by pralidoxime (reversal)
Amphetamines
NH4Cl (to acidify urine)
Antimuscarinic, anticholinergic agents
Physostigmine salicylate, control hyperthermia
Benzodiazepines
Flumazenil
B-blockers
Glucagon
Carbon Monoxide
100% O2, hyperbaric O2
Copper, arsenic, gold
Penicillamine
Cyanide
Nitrate + thiosulfate, hydroxocobalamin
Digitalis
Anti-dig Fab fragments, mostly supportive
Heparin
Protamine sulfate
Iron
Deferoxamine, Dferasirox
Lead
EDTA, Dimercaprol, Succimer, Penicillamine
Mercury, arsenic, gold
Dimercaprol , succimer
Methanol, ethylene glycol
Fomepizole > ethanol, dialysis
Methemoglobin
Methylene blue, Vitamin C
Opioids
Naloxone
Salicylates
NaHCO3 (alkalinize urine), dialysis
TCAs
NaHCO3 (plasma alkalinization)
tPA, streptokinase, urokinase
Aminocaproic acid
Warfarin
Vitamin K, plasma (if active bleeding)
Theophyllin
Beta-blocker