Drugs and their Antidotes!!!

[joycee8]

I hope this will help us! If you can find some errors, I would very much appreciate any corrections.

Drugs and Their Antidotes

1. acetaminophen - acetylcycteine

2. benzodiazepine - flumazenil

3. coumadin - vitamin k

4. curare - tensilon

5. cyanide poisoning - methylene blue

6. digitalis - digibind

7. ethylene poisoning - antizol

8. heparin - protamine sulfate

9. iron - desferal

10. lead - edetate disodium (edta), dimercaprol (bal), succimer (chemet)

11. lovenox - protamin sulfate

12. magnesium sulfate - calcium gluconate

13. morphine sulfate - naloxone hydrochloride

14. methotrexate - leucovorine

15. mestinon - atropine sulfate

16. neostigmine - pralidoxime chloride (pam)

17. penicillin - epinephrine

18. vincristine (oncovin) - hyaluronidase,also apply moderate heat to disperse drug and minimize sloughing. (oncovin - iv administration only)

Poison Antidotes

orificenic---------------------------------------------------------------dimercaprol, succimer

barbiturates(phenobarbital)---------------------------------urine alkalinization, dialysis, activated charcoal

beta-blockers------------------------------------------------------glucagon

caffeine, metaproterenol, theophylline------------------esmolol

carbon monoxide------------------------------------------------100% oxygen, hyperbaric o2

cholinesterase inhibitors--------------------------------------atropine

cyanide---------------------------------------------------------------nitrite, sodium thiosulfate

ethylene glycol-----------------------------------------------------ethanol

gold--------------------------------------------------------------------dimercaprol

heparin---------------------------------------------------------------protamine sulfate

iron salts-------------------------------------------------------------deferoxamine

isoniazid--------------------------------------------------------------vitamin b6

lead--------------------------------------------------------------------caedta, dimecaprol, succimer

methanol------------------------------------------------------------ethanol, fomepizole, dialysis

methemoglobin/cyanide poisoning------------------------methylene blue

muscarinic receptor blockers---------------------------------physostigmine

opioids----------------------------------------------------------------naloxone

organophosphate cholinesterase inhibitors------------pralidoxime

phencyclidine hydrochloride(pcp)--------------------------ng suction

quinidine, tca's-----------------------------------------------------sodium bicarbonate

salicylates------------------------------------------------------------urine alkalinization,dialysis, activated charcoal

snake bites----------------------------------------------------------antivenin

tissue plasmogen activator (tpa), streptokinase-------aminocaproic acid

warfarin---------------------------------------------------------------vitamin k, ffp

Do you have some additional info????? pls share it! thanks! :typing

God bless!!!

[Assess&Safety1st, BSN, RN]

hello everyone,

can someone give me information on drugs and their antidotes?

i have a few but would like to know the most used drugs in hospital or common in nclex i might see or need to be aware of.

i'm about to take my nclex pn and asking for any help.

thank you in advance

[JustBeachyNurse, LPN]

Do you mean like Vitamin K for coumadin/warfarin overdose, protamine for heparin overdose, Digibind for lanoxin (Digoxin) overdose, Flumazenil (Romazicon®) for benzodiazepine overdose, Narcan for opiate overdose, N-acetylcysteine (Mucomyst) for acetaminophen overdose, glucagon for beta blocker overdose, Calcium for calcium channel blocker OD....

(Activated charcoal is used as directed by poison control for a variety of substances but not exactly an antidote as it just binds to various drugs and chemicals)

(Overdose meaning high drug level whether intentional, accidental, or caused by change in patient condition)

Aside from those above, there weren't too many we went over in my PN program. I'd say Vitamin K, Protamine, Digibind, Narcan, Mucomyst and perhaps Romazicon were most emphasized in my pharmacology text for practical nursing. With the first three being emphasized the most as many LPN's work in an LTC environment where coumadin & digoxin are often administered.

[Assess&Safety1st, BSN, RN]

Is versed used for conscious sedation and is an antianxiety agent.

Versed antidote for this drug is romazicon, a benzodiazepine, too?

[illcleff]

[TABLE=class: MsoNormalTable]

[TR]

[TD=width: 319, bgcolor: transparent]

Overdose

[/TD]

[TD=width: 319, bgcolor: transparent]

Antidote

[/TD]

[/TR]

[TR]

[TD=width: 319, bgcolor: transparent]Narcotic

[/TD]

[TD=width: 319, bgcolor: transparent]Narcan

[/TD]

[/TR]

[TR]

[TD=width: 319, bgcolor: transparent]Magnesium sulfate

[/TD]

[TD=width: 319, bgcolor: transparent]Calcium gluconate

[/TD]

[/TR]

[TR]

[TD=width: 319, bgcolor: transparent]Benzodiazepine

[/TD]

[TD=width: 319, bgcolor: transparent]Flumazenil

[/TD]

[/TR]

[TR]

[TD=width: 319, bgcolor: transparent]Heparin

[/TD]

[TD=width: 319, bgcolor: transparent]Protamine Sulfate

[/TD]

[/TR]

[TR]

[TD=width: 319, bgcolor: transparent]Coumadin

[/TD]

[TD=width: 319, bgcolor: transparent]Vit K

[/TD]

[/TR]

[TR]

[TD=width: 319, bgcolor: transparent]Potassium

[/TD]

[TD=width: 319, bgcolor: transparent]Insulin + Dextrose

[/TD]

[/TR]

[TR]

[TD=width: 319, bgcolor: transparent]Digoxin

[/TD]

[TD=width: 319, bgcolor: transparent]Digibind

[/TD]

[/TR]

[TR]

[TD=width: 319, bgcolor: transparent]Lead Poisoning

[/TD]

[TD=width: 319, bgcolor: transparent]EDTA

[/TD]

[/TR]

[TR]

[TD=width: 319, bgcolor: transparent]Tylenol

[/TD]

[TD=width: 319, bgcolor: transparent]Mucomyst

[/TD]

[/TR]

[TR]

[TD=width: 319, bgcolor: transparent]Malignant Hyperthermia

[/TD]

[TD=width: 319, bgcolor: transparent]Sodium Bicarbonate

[/TD]

[/TR]

[TR]

[TD=width: 319, bgcolor: transparent]Carbon monoxide

[/TD]

[TD=width: 319, bgcolor: transparent]Hyperbaric Oxygen Therapy

[/TD]

[/TR]

[TR]

[TD=width: 319, bgcolor: transparent]Iron Toxicity

[/TD]

[TD=width: 319, bgcolor: transparent]Desferal

[/TD]

[/TR]

[/TABLE]

[JustBeachyNurse, LPN]

tachycardia33 said:

is versed used for conscious sedation and is an antianxiety agent.

versed antidote for this drug is romazicon, a benzodiazepine, too?

yes. even on the manufacturer's drug information sheets romazicon is listed as the antidote for versed overdose. "the benzodiazepine antagonist, flumazenil is a specific antidote in known or suspected overdose (of midazolam)" (source: http://www.rxmed.com/b.main/b2.pharmaceutical/b2.1.monographs/cps- monographs/cps- (general monographs- v)/versed.html )

the only caveat would be whatever other medications might be administered along with versed. generally lpn's don't work with versed as this is usually only used in an or, ambulatory surgical, emergency dept, or critical care/icu setting. patients must be closely monitored with telemetry and pulse oximietry. so usually, due to scope of practice lpn's don't administer versed/or monitor patients who have been given versed.

[Assess&Safety1st, BSN, RN]

Hi Justbeachynurse,Their was a question in my exam cram PN about Versed, thank you

[JustBeachyNurse, LPN]

Now you have the answer. :) For the simple answer "is Romazicon an antidote for Versed overdose" yes is correct.

Take your time and keep asking for help when you get stuck. For quick responses google searches on medications (such as antidote for versed) will often pull up RXList or the manufacturer's site so you have a reliable source for your information. (Especailly if you are studying late night and can't get a quick response on All Nurses :) )

[leanjess]

One question, guys...

When you study..do you write notes for everything you read or do you try to understand the pattern and teach it to yourself?

I feel anxious and overwhelmed when i try to write notes on everything that I read about..

What do you guys think?

[JustBeachyNurse, LPN]

If I am using a text or study guide that I own, I use highlighters and sticky notes within the text. Depending on the content, I may make note cards that summarize the information (I prefer the bound note cards on a spiral, and I have one "book" of index cards per subject area. When I graduated & was licensed someone offered me $$$ to purchase my note cards, however without my class notes & text books the note cards would not be as useful as I referenced back to my sources.)

I also am a big fan of Microsoft One Note, especially since many of my texts and resources also had online resources. I was able to create some pretty nice study guides while preparing for exams and ultimately my NCLEX.

[leanjess]

Oh really? that's great!

Yeah, I have made some note cards as I go along studying or answering practice questions. When I first started studying, I literally wrote down everything...like a textbook but in my own handwriting! But now, it's getting tedious for me to do such, as I have just 3 weeks left before NCLEX..and I feel like I'm slacking in my study time. I haven't touched Pharm or answered as much questions as I would like to...

So frustrating! Sometimes, I fee like i can feel my heart beating in my chest (that's how nervous and anxious I am about this board exam!)

[JustBeachyNurse, LPN]

If you are prepping for the NCLEX, I'd recommend concentrating on answering practice NCLEX questions first, studying rationale, THEN if you have time make notes.

[leanjess]

So I shouldn't study content? I feel like knowing content helps me answer questions correctly..I don't know. Right now, I'm using NCBSN learningext review course. I try to answer some questions some days, but it's like I'm trying to cram in some many thing in just one day! Questions and studying content...I will be SOOO glad when ALL this is OVER!!! I have never been so disarrayed in my entire life! talk about stress!