KJZ Specific Antidotes
About this set
Created by:
kzachari on May 20, 2011
Subjects:
medical school, first aid, step 2, usmle, toxins, antidote, treatment
Description:
Table 2.17-4 from First Aid for the USMLE Step 2 CK
Classes:
Pass Whisperer, Medical Students sharing helpful flashcards
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26 terms
Terms | Definitions |
|---|---|
Acetaminophen | N-acetylcysteine. |
Acid/alkali ingestion | Upper endoscopy to evaluate for stricture. |
Acetylcholinesterase inhibitors, organophosphates | Atropine, pralidoxime. |
Antimuscarinic/anticholinergic agents | Physostigmine |
Arsenic, mercury, gold | Succimer, dimercaprol (BAL) |
Beta-blockers | Glucagon. |
Barbiturates (phenobarbital) | Urine alkalinization, dialysis, activated charcoal, supportive care. |
Benzodiazepines | Flumazenil. |
Black widow bite | Calcium gluconate, methocarbamol. |
Carbon monoxide | 100% O2, hyperbaric O2. |
Copper, arsenic, gold | Penicillamine. |
Cyanide | Amyl nitrite, hydroxocobalamin, sodium thiosulfate. |
Digitalis | Normalize K+ but avoid giving Ca++, Mg++, or lidocaine (for torsades), anti-dig Fab fragments. |
Heparin | Protamine sulfate. |
INH | Pyridoxine. |
Iron salts | Deferoxamine. |
Lead | Succimer, CaEDTA, dimercaprol. |
Methanol, ethylene glycol (antifreeze) | Ethanol, fomepizole, dialysis, calcium gluconate for ethylene glycol. |
Methemoglobin | Methylene blue. |
Opioids | Naloxone. |
Salicylates | Urine alkalinazation (NaHCO3), dialysis, activated charcoal. |
TCAs | NaHCO3 (plasma alkalinization) for QRS prolongation; diazepam or lorazempam for seizures, cardiac monitor for arrhythmias. |
Theophylline | Activated charcoal. Consider repeat dose. |
tPA, streptokinase | Aminocaproic acid. |
Warfarin | Vitamin K, fresh frozen plasma. |
amphetamines (basic) | NH4Cl (acidify urine). |
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