Poisoning Summary

Antidotes

Paracetamol

  • NAC per nomogram
  • 150 → 50 → 100 mg/kg

Opioids

  • Naloxone 400 mcg IV, repeat to 10 mg

Benzodiazepines

  • Flumazenil 200 mcg IV (limited use)

Beta-blocker / CCB

  • Glucagon 5–10 mg IV
  • Calcium gluconate
  • High-dose insulin therapy

TCA

  • Sodium bicarbonate 1–2 mmol/kg IV if QRS >100

Methanol / Ethylene glycol

  • Fomepizole or ethanol
  • Haemodialysis

Iron

  • Desferrioxamine

Digoxin

  • Digibind

OP / Nerve agent

  • Atropine + pralidoxime

Cyanide

  • Hydroxocobalamin
WardRound

WardRound

Clinical Decisions in Seconds