Antidotes and Poison/Drug Interactions Quiz
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Questions and Answers

Which antidote is commonly used for Methemoglobinemia inducing agents like Nitrites and Nitrates?

  • Digoxin
  • Atropine
  • Naloxone
  • Methylene blue (correct)

What is the antidote for Hydrogen sulfide poisoning?

  • Sodium bicarbonate (correct)
  • Deferoxamine
  • D-Penicillamine
  • Prussian blue

Which substance is NOT listed as an antidote in the text for any type of poisoning?

  • Protamine sulfate
  • Lithium (Li) (correct)
  • Folic acid
  • Flumazenil

What is the antidote for Lead (Pb) poisoning?

<p>Dimercaprol (D)</p> Signup and view all the answers

Which antidote is used for Ethylene glycol poisoning?

<p>Ethanol (B)</p> Signup and view all the answers

What antidote is administered for Arsenic poisoning?

<p>Polystyrene sulfonate (B)</p> Signup and view all the answers

Flashcards

Naloxone

A drug used to reverse the effects of opioid overdose by competing with opioid receptors for binding. It's a life-saving medication administered as an emergency treatment.

Pralidoxime (2-PAM)

A treatment for poisoning caused by organophosphate insecticides and nerve gases. It reactivates the enzyme acetylcholinesterase that is inhibited by these toxins.

Deferoxamine

A treatment for poisoning caused by iron (Fe) overdose. It binds to iron ions, forming a stable complex that can be excreted in the urine.

N-Acetyl cysteine (NAC)

A drug used to treat poisoning caused by acetaminophen/paracetamol overdose. It helps to replenish glutathione levels in the liver, which are depleted by the toxic metabolite of acetaminophen.

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Fomepizole

A treatment for poisoning caused by ingestion of methanol or ethylene glycol. It inhibits the enzyme alcohol dehydrogenase, which is responsible for converting these toxins into harmful metabolites.

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Glucagon

A treatment for poisoning caused by beta blockers and calcium channel blockers. It increases heart rate and contractility, helping to counteract the effects of these drugs.

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Study Notes

Antidotes for Poisoning

  • Anticholinergics (Atropine, Benztropine) can be treated with Physostigmine to counteract CNS depression caused by Diazepam
  • Isoniazid (INH) poisoning can be treated with Vitamin B6 (Pyridoxine)
  • Valproic acid overdose can be treated with L-carnitine
  • Methotrexate (MTX) toxicity can be treated with Leucovorin
  • Methemoglobinemia inducing agents (Nitrites, Nitrates) can be treated with Methylene blue
  • Digoxin poisoning can be treated with Digibind or Digifab
  • Beta blockers and Calcium channel blockers overdose can be treated with Calcium and Glucagon
  • Opioids (Morphine, Heroin, Codeine, Fentanyl) overdose can be treated with Naloxone, Naltrexone, or Nalmefene
  • Benzodiazepine (Diazepam, Zolpidem) overdose can be treated with Flumazenil
  • TCA (Imipramine, Amitriptyline) poisoning can be treated with Sodium bicarbonate
  • Warfarin and Heparin overdose can be treated with Vitamin K1 (Phyto-menadione) and Protamine sulfate
  • Dabigatran overdose can be treated with Idarucizumab
  • Thrombolytics (Streptokinase, urokinase, alteplase, Reteplase) bleeding can be treated with Aminocaproic acid and Tranexamic acid
  • Nerve gases and Organophosphorus insecticides poisoning can be treated with Atropine followed by Pralidoxime (2-PAM)
  • Carbamate insecticides poisoning can be treated with Atropine
  • Cyanide gas poisoning can be treated with Sodium nitrite, Amyl nitrite, and Sodium thiosulfate
  • Chlorine gas poisoning can be treated with Sodium bicarbonate and 100% O2
  • Carbon monoxide poisoning can be treated with 100% O2
  • Hydrogen sulfide poisoning can be treated with Sodium bicarbonate and 100% O2
  • Methanol poisoning can be treated with Fomepizole, Ethanol, and Folic acid
  • Ethylene glycol poisoning can be treated with Fomepizole, Ethanol, and Pyridoxine
  • Iron (Fe) poisoning can be treated with Deferoxamine
  • Lead (Pb) poisoning can be treated with CaEDTA and Dimercaprol
  • Arsenic poisoning can be treated with DMSA and BAL
  • Thallium poisoning can be treated with Prussian blue
  • Mercury poisoning can be treated with BAL and DMSA
  • Copper poisoning can be treated with BAL
  • Lithium (Li) poisoning can be treated with Sodium bicarbonate and Polystyrene sulfonate
  • Paracetamol/Acetaminophen overdose can be treated with N-Acetyl cysteine (NAC)
  • Aspirin (Salicylic acid) overdose can be treated with Alkalinization (NaHCO3) and Octreotide

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Test your knowledge on antidotes for various poisons and drug interactions. Topics include antidotes for anticholinergics, CNS depressants, methemoglobinemia inducing agents, cardiac medications, and more.

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