How can we help?

You can also find more resources in our Help Center.

26 terms

KJZ Specific Antidotes

Table 2.17-4 from First Aid for the USMLE Step 2 CK
STUDY
PLAY
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).