The choice of antidote depends on the severity of poisoning, certainty of diagnosis and cause of poisoning/source of cyanide. Prevention of transdermal adsorption of hydrofluoric acidįrom the: College of Emergency Medicine and National Poisons Information Service Guideline on Antidote Availability for Emergency Departments (Dec 2013): Usually 10mg/mL but may be 5mg/mL depending on availability L&D - Kept in ED fridge, Pharmacy EDC fridge and Theatres 1-6 fridge. Resistant hypertension caused by sympathomimetic drugs of abuse, monoamine-oxidase inhibitors (MAOIs), clonidine L&D - Kept in ED fridge, Pharmacy EDC fridge and ITU fridge.īHT - Kept in Accident & Emergency, AAU and various other wards (Fridge)Ĭalcium chloride 10% (injection, prefilled syringe)ĭigital ischaemia related to injection of adrenaline (epinephrine) calcium channel blockers, seek NPIS advice. Toxicity with beta-blockers (beta-adrenoreceptor blockers)
L&D - Kept in ED - IV fluid cupboard and Pharmacy EDCīHT - Kept in Accident & Emergency, ICU, Coronary Care Ward and Delivery Suite Theatre TCAs and class Ia and Ic antiarrhythmic drugs. L&D Guidelines for IV administration of Naloxone for reversal of opiate / opioid overdose in Adults L&D and BHT - Kept on all wards / areas that use opioids. On critical care, and Respiratory wards, via nebulisation as a mucolytic, for ventilated patients at risk of chest sepsis. Severe Local Anaesthetic Toxicity - AAGBI Safety GuidelineīHT - Kept on AAU, Coronary Care Ward, ICU and various other wardsĢ. L&D - Kept in theatre recovery units, ED antidote cupboard, ward 23 and Pharmacy EDC.īHT - Kept in Accident & Emergency, Upper Theatre recovery and Delivery Suite Theatre Other specific drugs in overdose (advised by NPIS / Toxbase). Local anaesthetic toxicity (e.g.lidocaine, bupivacaine). L&D - Kept in ED, Pharmacy EDC and any wards / departments using benzodiazepines.īHT - Kept in Accident & Emergency and any wards / departments using benzodiazepines Use with caution in patients with benzodiazepine poisoning, particularly in mixed drug overdoses contraindicated in mixed TCA/benzodiazepine overdose. Reversal of iatrogenic over-sedation with benzodiazepines. L&D - Kept in ED antidote cupboard and Pharmacy EDC.ĭigoxin specific antibody fragments 40mg (Digifab ®)īHT - contact Pharmacy (Oncall Pharmacist via switchboard out of hours) L&D - Kept in EDC (Pharmacy emergency drug cupboard)īHT - Kept in Primrose or via Pharmacy (Oncall Pharmacist via switchboard out of hours) iron, lithium, also for bodypackers and for slow release preparations.īHT - Kept on Howard ward, Reginald Hart ward and RIverbank wardĬalcium folinate 300mg/30mL (Leucovorin ®) Whole bowel irrigation for agents not bound by activated charcoal eg. NOTE: Do not confuse with Movicol preparations.
Reduction of absorption of toxic substances by the GI tract that are adsorbed by charcoal.īHT - Kept in Accident & Emergency, AAU and Whitbread ward Toxicity with organophosphates and carbamatesīHT - Kept in Accident & Emergency (Fridge) L&D - Kept in Pharmacy EDC and in theatres.īHT - Kept in Delivery Suite Theatre, Modular Theatre and Upper Theatre RecoveryīHT - Contact Pharmacy (Oncall Pharmacist via switchboard out of hours) Other drug-related hyperpyrexia (consult TOXBASE) (Not lead poisoning).īHT - Contact Pharmacy (Oncall via switchboward out of hours) L&D - Kept in ED antidote cupboard and ITU.īHT - Kept in Accident & Emergency, Upper Theatre and Delivery Suite Theatreįor copper poisoning and Wilson disease. Methylthioninium chloride 0.5% (Proveblue ®) NICE TA 697 Andexanet alfa for reversing anticoagulation from apixaban or rivaroxaban To be used in accordance with the following NICE TA(s): (200 mg powder for solution for infusion) Specialist information and advice on the treatment of poisoning is available on the Toxbase website (link below but log-in required) or from the UK National Poisons Information Service day and night on the following number: 03.
CYANIDE ANTIDOTE KIT COST FULL
Bedfordshire and Luton Joint Formulary Formularyīedfordshire and Luton Joint Formulary Bedfordshire Hospitals NHS Foundation Trust Bedfordshire, Luton and Milton Keynes ICBįormulary Chapter 18: Emergency Treatment of Poisoning - Full Chapter
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