Poison Antidotes


              Poison Antidotes

  •                 
  • Acetaminophen → N-Acetylcysteine

  • Aspirin → Sodium bicarb and hemodialysis (HD)

  • Organophosphates→ Atropine, pralidoxime, diazepam (for seizures)

  • Carbamates  → Atropine, diazepam

  • Warfarin  → Vitamin K, PCC

  • Digoxin  → Fab fragments

  • Ethylene glycol →  Fomepizole or ethanol, HD

  • HFl acid → Calcium, magnesium

  • Isoniazid  → Pyridoxine

  • Methanol → Fomepizole or ethanol, HD

  • TCAs → Sodium bicarb

  • Carbon monoxide → Oxygen and hyperbaric oxygen

  • Beta-blocker → Glucagon, calcium, high-dose insulin, intralipid = controversial

  • CCB → Calcium, glucagon, high-dose insulin, intralipid = controversial

  • Heavy metals   → Chelators - BAL then calcium disodium EDTA    (lead, mercury, arsenic)

  • Iron → Chelator deferoxamine

  • Cyanide → Hydroxocobalamin, sodium nitrate, amyl nitrate, sodium thiosulfate

  •                                           Dr.Sunil emergency physician


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