Toxins and Antidotes Flashcards
Acetaminophen
N-acetylcysteine - replenishes glutathione
AChE inhibitors/organophosphates
Atropine + pralidoxime
Amphetamines (basic)
NH4Cl - acidify urine
Antimuscarinic/anti-cholinergic agents
Benzos
Physostigmine confirms the diagnosis
Sodium bicarbonate to narrow QRS
β-blockers
Glucagon
Carbon monoxide
100% O2
Copper, arsenic, gold
Penicillamine
Cyanide
Nitrate + Thiosulfate, hydroxocobalamin
Digitalis
Anti-dig Fab fragments
Heparin
Protamine sulfate
Iron
Deferoxamine, deferasirox
Lead
EDTA, dimercaprol, succimer, penicillamine
Mercury, arsenic, gold
Dimercaprol (BAL), succimer
Methanol, ethylene glycol
Fomepizole > ethanol, dialysis
Methemoglobin
Methylene blue, vitamin C
Opioids
Naloxone
Salicylates
NaHCO3 (alkalinize urine), dialysis
TCAs
NaHCO3 (plasma alkalization)
tPA, streptokinase, urokinase
Aminocaproic acid
Warfarin
Vitamin K, FFP (if bleeding)