First Aid toxicology

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acetaminophen OD   N-acetylcysteine (regenerates glutathione)  
salicylate OD --> resp alk and metab acid   NaHCO3 (alkanize urine), dialysis  
amphetamine OD (basic)   NH4Cl (acidify urine)  
AChE inhibitor poisoning, organophosphates   atropine (anti-muscarinic), pralidoxime (regenerates AChE)  
antimuscarinic / anticholinergic poisoning   physostigmine salicylate  
atropine OD   physostigmine salicylate  
beta-blocker OD   glucagon  
verapamil OD   glucagon  
digitalis OD   stop digitalis, normalize K+, lidocaine, anti-digitalis Fab fragments, Mg++  
iron poisoning   deferoxamine  
lead poisoning   EDTA, dimercaprol, succimer, penicillamine  
arsenic, MERcury, gold poisoning   diMERcaprol, succimer  
copper, aresenic, gold poisoning   pencillamine ("copper pennies")  
CN poisoning   nitrite, hydroxocobalamin, thiosulfate  
methemoglobin   methylene blue  
CO poisoning   100% O2, hyperbaric O2  
methanol, ethylene glycol poisoning   ethanol, dialysis, fomepizole (inhibits EtOH DH)  
opioid OD   naloxone/naltrexone  
BZD OD   flumazenil (competitive antag at GABA receptor)  
TCA OD   NaHCO3 (serum alkalinization)  
heparin OD   protamine  
warfarin OD   vit K, fresh frozen plasma (contains vit K factors)  
tPA, streptokinase OD   aminocaproic acid  
encephalopathy, erythrocyte basophilic stippling   lead poisoning; treat with EDTA  
cell death due to peroxidation of membrane lipids, gastric bleeding, metab acid, scarring leading to GI obstruction   iron poisoning; treat with deferoxamine  
atropine-like SE   TCA  
coronary vasopasm   cocaine, sumatriptan  
cutaneous flushing   niacine, Ca++ channel blockers, adenosine, vancomycin  
DCM   doxorubicin (Adriamycin), daunorubicin  
torsades des pointes   class IA (quinidine) and class III (sotalol) antiarrhythmics, cisapride (used in GI to increase ACh release --> improve transit time)  
agranulocytosis   clozapine, carbamazapine, colchicine, PTU, methimazole  
aplastic anemia   chloramphenicol, benzene, NSAIDs, PTU, methimazole  
direct Coombs-positive hemolytic anemia   methyldopa  
gray baby syndrome   chloramphenicol  
hemolysis in G6PD deficient patients   INH, sulfonamides, primaquine, high dose aspirin, ibuprofen, nitrofurantoin  
thrombolytic complications   OCPs  
cough   ACE inhibitors  
pulmonary fibrosis   bleomycin, busulfan, amiodarone  
focal to massive hepatic necrosis   halothane, valproic acid, acetaminophen, Amanita phalloides (mushroom)  
hepatitis   INH  
pseudomembranous colitis   clindamycin, ampicillin  
adrenocoritcal insufficiency   glucocorticoid withdrawl (HPA suppression)  
gynecomastia   spironolactone, digitalis, cimetidine, EtOH, ketoconazole (Some Drugs Cause Awesome Knockers), estrogen, marijuana  
hot flahes   tamoxifen, clomiphene  
gingival hyperplasia   phenytoin  
gout   furosemide, thiazides  
osteoporosis   corticosteroids, heparin  
photosensitivity   sulfonamides, amiodarone, tetracycline (SAT for a photo)  
SLE-like syndromes   hydralazine, phenytoin, INH, methyldopa, procainamide  
tendonitis, tendon rupture, cartilage damage (in kids)   fluoroquinolones  
Fanconi's syndrome   expired tetracycline, heavy metal exposure  
interstitial nephritis   methicillin, NSAIDs  
hemorrhagic cystitis   cyclophosphamide, ifosfamide; prevent by coadministering with mesna  
disulfram-like reaction   disulfram, metronidazole, 1st generation sulfonyurea, certain cephalopsporins, procarbazine, some HIV drugs  
cinchonism (tinnitus, headache, nausea)   quinidine, quinine  
nephrogenic DI   lithium, demeclocycline  
seizures   bupropion, imipenim/cilastatin, withdrawl from BZD/EtOH  
tardive dyskinesia   anti-psychotics  
nephrotoxicity and neurotoxicity   polymyxins  
nephrotoxicity and ototoxicity   aminoglycosides, loops, cisplatin, vancomycin  
induce P450   BCG PQRS - barbituates, carbamazapine, griseofulvin, phenytoin, quinidine, rifampin, St. John's wort, EtOH  
inhibit P450   PICK EGS - proteast inhibitor (HIV), INH, cimetidine, ketoconazole, erythromycin, grapefruit, sulfonamides  
inhibits EtOH DH   fomeprizole  
inhibits acetylaldehyde DH   disulfram  
sulfa drugs   TMP-SMX, sulfasalazine, sulfonyurea, celecoxib (COX-2 inhibitor), furosemide, thiazide  


   

 
 

 
 

 

 

 
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