![]() 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. Inject sodium thiosulfate IV 7 g/sq.meter over 10 minutes not to exceed 12.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 ![]() Many clinicians will administer only sodium thiosulfate portion if concerned of concomitant carboxyhemoglobinemia, or if ingestion is uncertainĪdminister amyl nitrite as in adults crush 0.3 mL ampul of amyl nitrite q1min and inhale vapor for 15-30 seconds until IV sodium nitrite infusion availableįollow amyl nitrite administration with sodium nitrate 10 mg/kg (0.33 mL/kg or 6-8 mL/sq.meter of 3% solution not to exceed 10 mL) Vasopressors should be available to treat shockĬurrently manufactured by Akorn, Inc, Buffalo Grove, IL (1-80) amyl nitrite inhalant: 0.3mL (12 ampules)Ĭrush 0.3 mL ampul of amyl nitrite q1min and inhale vapor for 15-30 seconds until IV sodium nitrite infusion availableįollowing infusion of 300 mg or 10 mg/kg IV sodium nitrate, over 2-5 minutes, inject 12.5 g sodium thiosulfate IV over 10 minutes PRN may repeat both injections at 1/2 original dose.sodium thiosulfate injection: 12.5g/50mL (2 vials).Dosing and uses of Cyanide antidote kit (sodium thiosulfate, sodium nitrite, and amyl nitrite)ĭiscontinued from United States market May 2012
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