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TOXIN/SUBSTANCE ANTIDOTE

Acetaminophen N-Acetylcysteine
As, Hg, Pb, Au Dimercaprol, Disodium Edetate
Beta blocker Glucagon
Benzodiazepines lumazenil
!arbon "ono#ide Hyperbaric $
%
!oumarin &itamin '
!yanide Nitrites
Digo#in Digibind
"ethanol Ethanol
Heparin Protamine
(ron De)ero#amine
(soniazid Pyrido#ine
Narcotics Nalo#one
Nitrites "ethylene Blue
$rganophosphates Atropine
(nsulin De#trose *+,
-ead ED.A
!holinesterase (nhibitor %-Pam /protopam0
Atropine1.!A Physostigmine
APGAR SCORING
Criteria 0 1 2
HR Absent 23++ 43++
Respi effort Absent 5lo6, irreg,
6eak cry
Good, strong
cry
Muscle tone laccid 5ome )le#ion 7ell )le#ed
Reflex
irritability
No response Grimace !ough1 cry
Color Blue1pale Acrocyanosis pink
0-3 se8erely depressed, N(!9, !P:
4-6 moderately depressed, suction and o#ygen
7-10 good1healthy
RESPIRATORY EA!UATION
Criteria 0 1 2
Chest
movement
5ynchronized -ag on
inspiration
5ee-sa6
breathing
Intercostal
retractions
No
retractions
;ust 8isible "arked
Xiphoid
retraction
None ;ust 8isible "arked
Nares
dilatation
None "inimal "arked
Expiratory
grunt
None Heard by stet Heard by
naked ear
0-3 no :D5, 4-6 6ith moderate :D5, 7-10 6ith se8ere :D5
"OUR !EE!S O" C#E$OT#ERAPY
Induction .o achie8e
remission
&incristine,
--aspariginase,
oral prednisone
Sanctuary .reat leukemic
cells
"ethotre#ate, cytosine,
arachinoside, steroids
Maintenance !ontinue
remission
$ral methotre#ate,
oral <-mercaptopurine,
cytarabine
Reinduction .reat leukemic
cells a)ter
relapse
:epeat induction meds
#E$OP#I!IA A = !lassic, )actor III
#E$OP#I!IA B = !hristmas disease, )actor IX
#E$OP#I!IA C = )actor XI

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