Toxicity

Question 1

TCA toxicity

Answer 1

• Na Bicarb: 1-2 mEq/kg (50 mEq/amp) titrate to QRS narrowing
• Na Bicar gtt: 3 amps in 1 L D5W at 2-3 ml/kg/hr

Question 2

ASA toxicity

Answer 2

• Na Bicarb: 1-2 mEq/kg (50 mEq/amp) titrate to QRS narrowing
• Na Bicar gtt: 3 amps in 1 L D5W at 2-3 ml/kg/hr

Question 3

Elevated ICP (4 things to do)

Answer 3

1. HOB 30 degrees
2. Hyperventilate to pCO2 of 36
3. Mannitol 1-1.5
4. Hypertonic saline: 3% NS 3-5ml/kg over 20 min

Question 4

Warfarin reversal agent

Answer 4

Vit K, PCC, FFP

*PCC preferred

Question 5

Heparin reversal agent

Answer 5

protamine

Question 6

Pradaxa reversal agent

Answer 6

praxabind or dialysis

Question 7

Xarelto reversal agent

Answer 7

PCC only

Question 8

Eliquis reversal agent

Answer 8

PCC only