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Aspirin
Sodium bicarb
Administer until urine pH is 7.5-8.0
Remember
Aspirin overdose causes metabolic acidosis & pulmonary edema
Acetaminophen
Acetylcysteine aka N-acetylcysteine (NAC)
Brand Name is Mucomyst
It is most effective when given within 8 hours of ingesting
Symptoms: nausea, vomiting, abdominal pain
Assess for liver damage
Non-specific poisons
Activated Charocoal
NOT for Use In...
Cyanide
Iron
Lithium
Caustics
Alcohol
Iron Poisoning
Deferoxamine
A chelating (binds to metal ions) agent used to remove excess iron from the body
Fluoride Overdose
Drinking mouthwash
Ingesting roach powder, glass etching cream
Calcium Salts
Acute Lead Poisoning
Not a true antidote, chelation therapy
Dimercapol
Edetate Calcium
Disodium
Extrapyramidal (EPS) Symptoms
Diphenhydramine (Benadryl)
Caused from anti-psychotics
Benzodiazepine
Flumazenil
A benzodiazepine receptor antagonist
Given IM or IV
Only one on the market
Ethylene glycol poisoning
Fomepizole (along with hemodialysis)
Ethanol (stated by Wikipedia)
Beta Blocker & Calcium Channel Blocker Overdose
Glucagon
Stimulates cAMP synthesis independent of the beta-adrenergic receptor
Has positive inotropic and chronotropic effects
Cyanide Poisoning
Hydroxocobalamin
It is the natural form of vitamin B12
Displaces the hydroxo ligand forming a stable cyanocobalamin
Magnesium Toxicity
Calcium Gluconate
S&S
Loss of deep tendon reflexes
Loss of patellar reflexes
Decreased level LOC & Somnolence
Visual changes
Flushing
Muscle paralysis
Pulmonary edema.
Opiods
Naloxone (Narcan)
Anticholinergic Toxicity
Neostigmine
A cholinesterase inhibitor
Used for myasthenia gravis to improve muscle tone
Warfarin
Phytomenadione aka Vitamin K
Heparin
Protamine Sulfate
Administer via infusion SLOWLY
PTT should be monitored
5–15 minutes after dose
2–8 hours afterward
Terbutaline
Terbutaline is a bronchodilator
There is no specific antidote but a cardio selective beta blocker like propranolol can be used.
Remember this runs the risk of bronchospasm
Terbutaline is given to stop / delay contractions of labor
Used for preterm mothers
Desired response is uterine relaxation
Side Effects
Elevated glucose levels tachycardia in mom
Hypoglycemia in baby
Keep mother on her left side during infusion
This enhances circulation to baby
Prevents hypotension in mother
Watch for pulmonary edema & fetal distress
Treats Methotrexate Toxicity
Leucovorin
A Chemotherapy toxicity reducer
Author
AngelGoosie
ID
320941
Card Set
Antidotes
Description
Antidotes to Common Drugs for NCLEX
Updated
2016-06-29T17:46:56Z
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