Antidotes: Difference between revisions

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| [[Acetaminophen (Tylenol)|Acetaminophen]]  
| [[Acetaminophen (Tylenol)|Acetaminophen]]  
|  
|  
N-acetylcysteine
[[N-Acetylcysteine]]


150mg/kg IV load over 60min; followed by 50mg/kg IV over 4hr and then 100mg/kg IV over 16hr   
150mg/kg IV load over 60min; followed by 50mg/kg IV over 4hr and then 100mg/kg IV over 16hr   
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|-
|-
| Arsenic  
| [[Arsenic]]
| Dimercaprol (BAL)
| Dimercaprol (BAL)
|-
|-
| Benzodiazepines  
| [[Benzodiazepines]]
|  
|  
Flumazenil  
Flumazenil  
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| [[Beta-Blocker Toxicity|Beta blockers]]
| [[Beta-Blocker Toxicity|Beta blockers]]
|  
|  
Glucagon  
[[Glucagon]]


Adult: 3-10mg IV  
Adult: 3-10mg IV  
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|  
|  
Calcium chloride 10%  
[[Calcium chloride]] 10%  


Adult: 10 mL IV  
Adult: 10 mL IV  
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|-
|-
|  
|  
Clonidine  
[[Clonidine Toxicity|Clonidine]]


|  
|  
Naloxone  
[[Naloxone]]


Adult: 0.4-2mg IV  
Adult: 0.4-2mg IV  
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|-
|-
| Lead  
| [[Lead toxicity|Lead]]
| EDTA, succimer
| EDTA, succimer
|-
|-
| Mercury
| [[Mercury Poisoning|Mercury]]
| Dimercaprol (BAL)
| Dimercaprol (BAL)
|-
|-
| Methanol  
| [[Methanol Toxicity|Methanol]]
| Fomepizole  
| Fomepizole  
15mi/kg IV; then 10mg/kg q12h<br>
15mi/kg IV; then 10mg/kg q12h<br>
|-
|-
| Methemoglobin 
| [[Methemoglobinemia]]
| Methylene blue  
| Methylene blue  
|-
|-
| [[Opioid Overdose|Opiods]]   
| [[Opioid Overdose|Opiods]]   
| Nalaxone
| [[Naloxone]]
|-
|-
| [[Organophosphates]]  
| [[Organophosphates]]  
| Atropine+pralidoxime
| [[Atropine]]+pralidoxime
|-
|-
| Sulfonylurea  
| [[Sulfonylurea Toxicity|Sulfonylurea]]
|  
|  
Octreotide  
Octreotide  
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|-
|-
| Valproate
| [[Valproic acid toxicity|Valproate]]
| Carnitine  
| Carnitine  
|-
|-
| [[Warfarin (Coumadin) Reversal|Warfarin]]   
| [[Warfarin (Coumadin) Reversal|Warfarin]]   
| Vit K, FFP, Prothrombin Complex Concentrates  
| [[Vitamin K]], [[Fresh Frozen Plasma|FFP]], Prothrombin Complex Concentrates  
|}
|}



Revision as of 10:32, 4 March 2015

TOXIN

ANTIDOTE
Acetaminophen

N-Acetylcysteine

150mg/kg IV load over 60min; followed by 50mg/kg IV over 4hr and then 100mg/kg IV over 16hr 

Tricyclic (TCA) Toxicity

Bicarbonate

1-2mEq/kg IV bolus followed by 2mEq/kg/hr IV infusion

Arsenic Dimercaprol (BAL)
Benzodiazepines

Flumazenil

Adult: 0.2mg IV

Peds: 0.01mg/kg IV

Beta blockers

Glucagon

Adult: 3-10mg IV

Peds: 50-150mcg/kg IV

Ca channel blockers

Calcium chloride 10%

Adult: 10 mL IV

Peds: 0.2-0.25 mL/kg IV

Clonidine

Naloxone

Adult: 0.4-2mg IV

Peds: 0.1mg/kg IV (max 2mg)

Cyanide

Kit- Hydroxycobalamin, Sodium nitrite, Sodium thiosulfate

Digoxin Dig Immune Fab
Ethylene glycol

Fomepizole

15mi/kg IV; then 10mg/kg q12h

Fluoride Calcium Gluconate
Heparin

Protamine

Adult: 25-50mg IV (empiric dose) over 10 minutes

Peds: 0.6mg/kg IV (empiric dose)

rapid protamine infusion causes hypotension[1]

Iron Deferoxamine
Isoniazid (INH)

Pyridoxine (Vit B6)

Adult: 5gm IV

Peds: 1gm/kg regardless of age [2]

Lead EDTA, succimer
Mercury Dimercaprol (BAL)
Methanol Fomepizole

15mi/kg IV; then 10mg/kg q12h

Methemoglobinemia Methylene blue
Opiods Naloxone
Organophosphates Atropine+pralidoxime
Sulfonylurea

Octreotide

Adult: 50–100mcg SC q6hr

Peds: 1mcg/kg SC q6hr

Valproate Carnitine
Warfarin Vitamin K, FFP, Prothrombin Complex Concentrates

Source

<references>

  1. Hirsh J. et al. "Parenteral anticoagulants: ACCP Evidence-Based Clinical Practice Guidelines. Chest 2008; 133
  2. Minns, A. et al. Isoniazid-Induced Status Epilepticus in a Pediatric Patient After Inadequate Pyridoxine Therapy. Pediatric Emergency Care. 2010:26(5)380-381