Antidote use in the critically ill poisoned patient.

Article Details

Citation

Betten DP, Vohra RB, Cook MD, Matteucci MJ, Clark RF

Antidote use in the critically ill poisoned patient.

J Intensive Care Med. 2006 Sep-Oct;21(5):255-77.

PubMed ID
16946442 [ View in PubMed
]
Abstract

The proper use of antidotes in the intensive care setting when combined with appropriate general supportive care may reduce the morbidity and mortality associated with severe poisonings. The more commonly used antidotes that may be encountered in the intensive care unit (N-acetylcysteine, ethanol, fomepizole, physostigmine, naloxone, flumazenil, sodium bicarbonate, octreotide, pyridoxine, cyanide antidote kit, pralidoxime, atropine, digoxin immune Fab, glucagon, calcium gluconate and chloride, deferoxamine, phytonadione, botulism antitoxin, methylene blue, and Crotaline snake antivenom) are reviewed. Proper indications for their use and knowledge of the possible adverse effects accompanying antidotal therapy will allow the physician to appropriately manage the severely poisoned patient.

DrugBank Data that Cites this Article

Drug Targets
DrugTargetKindOrganismPharmacological ActionActions
Digoxin Immune Fab (Ovine)DigoxinSmall moleculeHumans
Yes
Other/unknown
Details
FomepizoleAlcohol dehydrogenase 1AProteinHumans
Yes
Inhibitor
Details
FomepizoleAlcohol dehydrogenase 1BProteinHumans
Yes
Inhibitor
Details
FomepizoleAlcohol dehydrogenase 1CProteinHumans
Yes
Inhibitor
Details