Your activity: 34 p.v.
your limit has been reached. plz Donate us to allow your ip full access, Email: sshnevis@outlook.com

Empirical dosing of emergency antidotes to adult patients in extremis*

Empirical dosing of emergency antidotes to adult patients in extremis*
Suspected toxin (or similar agent) Antidote
Cyanide 5 g hydroxocobalamin IV, repeat x 1 (alternative is nitrite/thiosulfate kit)
Methemoglobinemia 2 mL/kg 2 percent methylene blue IV over 5 minutes
Digoxin 2 to 5 vials digoxin antibody (Fab) fragments IV
Calcium channel blocker 20 mL 10 percent calcium chloride IV, repeat x 2; 0.5 to 1 units/kg/hour insulin (and dextrose) IV
Local anesthetic 1.5 mL/kg of 20 percent intralipid bolus IV, may repeat several times (alternatively, after bolus infuse 0.25 mL/kg per minute for 30 minutes; maximum dose 10 mL/kg)
Sodium channel blockade 100 mL of 7.5 percent to 8.4 percent sodium bicarbonate IV, repeat x 2
Cholinergic agent 2 mg atropine IV , doubled every 3 minutes as needed
Isoniazid 5 g pyridoxine over 10 minutes or until seizures stop; remainder over 4 hours
Chloroquine 2 mg/kg diazepam IV over 30 minutes
* Additional details about antidotes and further treatment of the poisons listed in this table can be found in the specific reviews discussing these poisonings.
Graphic 66622 Version 5.0