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13 Cards in this Set

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OPIOID
Naloxone is specific antidote. Multiple routes of administration possible. May require higher, or multiple doses for treating methadone, buprenorphine, butorphamol, nalbuphine, pentazocine or propoxyphene overdoses.
OPIOID WITHDRAWAL
Symptomatic support only may be needed, withdrawal symptoms may also be minimized by use of clonidine. Patients with opioid abuse or dependence alone are not at risk for seizures.
SYMPATHOMIMETIC
Treat any hypertension. Cooling measures if patient hyperthermic. Benzodiazepines may be used for seizures/agitation. Sodium bicarbonate may be helpful for arrhythmias and hypotensive shock, lidocaine or other anti-arrhythmics may also be necessary.
PHENCYCLIDINE
Supportive care, antiarrhythmics may be necessary for arrhythmias. Maintain body temperature, cooling patient if hyperthermic. May need to treat agitation or seizures, obtain advice from Poison Control Center if possible in advance.
ANTI-MUSCARINIC
Supportive care. May need to treat arrhythmias, obtain advice from Poison Control Center if possible. Cool patient if hyperthermic. If vasopressors needed for hypotension, consult Poison Control Center for best choice.
MUSCARINIC
Supportive care, specific use of atropine on advice of Poison Control Center. If vasopressors needed for hypotension, consult Poison Control Center for best choice.
SEDATIVE/HYPNOTIC,
ETOH
Supportive care, monitor respiratory status carefully. Warm patient if hypothermic. Flumazenil antagonizes benzodiazepines, may trigger withdrawal in patients dependent on benzodiazepines. Dextrose and thiamine may be needed in acute alcohol toxicity.
SEDATIVE/HYPNOTIC,
ETOH WITHDRAWAL
Supportive care. Seizures and hallucinations may occur. Treat seizures with benzodiazepines or barbiturates, obtain advice from Poison Control Center as needed. Thiamine to prevent WE in ETOH withdrawal. Benzodiazepines are also commonly used to prevent severe delirium tremens symptoms and seizures in alcoholic patients withdrawing from ethanol.
SALICYLATES
Supportive care. Obtain advice from Poison Control Center. Treat arrhythmias as needed.
SEROTONIN SYNDROME
Supportive care. Obtain advice from Poison Control Center. Treat arrhythmias as needed.
TRICYCLIC ANTIDEPRESSANT
Supportive care. Obtain advice from Poison Control Center. Treat arrhythmias as needed. Sodium bicarbonate may be especially helpful in TCA overdose-related arrhythmias to override sodium channel blockade. May also consider magnesium use
IRON
Deferoxamine is a specific antidote, use with advice and guidance of Poison Control Center.
HYPOGLYCEMIA
Glucose, other supportive measures as needed