Specific Antidotes

Question 1

Acetaminophen

Answer 1

N-acetylcysteine

Question 2

Acid/alkali ingestion

Answer 2

Upper endoscopy to evaluate for stricture

Question 3

Anticholinesterases, organophosphates

Answer 3

Atropine, Pralidoxime

Question 4

Antimuscarinic/ anticholinergic agents

Answer 4

Physostigmine

Question 5

Arsenic, mercury, gold

Answer 5

Succimer, dimercaprol

Question 6

Beta blockers

Answer 6

Glucagon

Question 7

Barbiturates (phenobarbital)

Answer 7

Urine alkalinization, dialysis, activated charcoal.

Question 8

Benzodiazepines

Answer 8

Flumazenil

Question 9

Black widow bite

Answer 9

Calcium gluconate, methocarbamol

Question 10

Carbon Monoxide

Answer 10

100% O2, hyperbaric O2

Question 11

Copper, arsenic, lead, gold

Answer 11

Penicillamine

Question 12

Cyanide

Answer 12

Amyl nitrate, sodium nitrate, sodium thiosulfate.

Question 13

Digitalis

Answer 13

Stop digitalis, normalize K+, lidocaine (for torsades), anti-digitalis Fab.

Question 14

Heparin

Answer 14

Protamine sulfate

Question 15

Iron salts

Answer 15

Deferoxamine

Question 16

Isoniazid (INH)

Answer 16

Pyridoxine

Question 17

Lead

Answer 17

Succimer, CaEDTA, dimercaprol

Question 18

Methemoglobin

Answer 18

Methylene blue

Question 19

Opioids

Answer 19

Naloxone

Question 20

Phencyclidine hydrochloride (PCP)

Answer 20

NG suction

Question 21

Salicylates

Answer 21

Urine alkalinization, dialysis, activated charcoal.

Question 22

TCAs

Answer 22

Sodium bicarbonate for QRS prolongation; diazepam or lorazepam for seizures; cardiac monitor for arrhythmias

Question 23

Theophylline

Answer 23

Activated charcoal. Consider repeat doses.

Question 24

tPA, streptokinase

Answer 24

Aminocaproic acid

Question 25

Warfarin

Answer 25

Vitamin K, FFP