Toxins and Antidotes Flashcards

1
Q

Acetaminophen

A

N-acetylcysteine - replenishes glutathione

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2
Q

AChE inhibitors/organophosphates

A

Atropine + pralidoxime

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3
Q

Amphetamines (basic)

A

NH4Cl - acidify urine

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4
Q

Antimuscarinic/anti-cholinergic agents

A

Benzos
Physostigmine confirms the diagnosis
Sodium bicarbonate to narrow QRS

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5
Q

β-blockers

A

Glucagon

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6
Q

Carbon monoxide

A

100% O2

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7
Q

Copper, arsenic, gold

A

Penicillamine

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8
Q

Cyanide

A

Nitrate + Thiosulfate, hydroxocobalamin

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9
Q

Digitalis

A

Anti-dig Fab fragments

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10
Q

Heparin

A

Protamine sulfate

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11
Q

Iron

A

Deferoxamine, deferasirox

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12
Q

Lead

A

EDTA, dimercaprol, succimer, penicillamine

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13
Q

Mercury, arsenic, gold

A

Dimercaprol (BAL), succimer

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14
Q

Methanol, ethylene glycol

A

Fomepizole > ethanol, dialysis

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15
Q

Methemoglobin

A

Methylene blue, vitamin C

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16
Q

Opioids

A

Naloxone

17
Q

Salicylates

A

NaHCO3 (alkalinize urine), dialysis

18
Q

TCAs

A

NaHCO3 (plasma alkalization)

19
Q

tPA, streptokinase, urokinase

A

Aminocaproic acid

20
Q

Warfarin

A

Vitamin K, FFP (if bleeding)