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% Document Info
\author{olkimmilo}
\pdfinfo{
  /Title (additional-drug-overdoses-and-treatments-a-l.pdf)
  /Creator (Cheatography)
  /Author (olkimmilo)
  /Subject (Additional Drug Overdoses and Treatments (A-L) Cheat Sheet)
}

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\noindent
\begin{multicols}{3}
\begin{tabulary}{5.8cm}{C}
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    {\parbox{\dimexpr\textwidth-2\fboxsep\relax}{\noindent
        \hspace*{-6pt}\includegraphics[width=5.8cm]{/web/www.cheatography.com/public/images/cheatography_logo.pdf}}
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\begin{tabulary}{11cm}{L}
    \vspace{-2pt}\large{\bf{\textcolor{DarkBackground}{\textrm{Additional Drug Overdoses and Treatments (A-L) Cheat Sheet}}}} \\
    \normalsize{by \textcolor{DarkBackground}{olkimmilo} via \textcolor{DarkBackground}{\uline{cheatography.com/42456/cs/17034/}}}
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\noindent
\begin{multicols}{3}
\begin{tabulary}{5.8cm}{LL}
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  \mymulticolumn{2}{p{5.377cm}}{\bf\textcolor{white}{Cheatographer}}  \\
  \vspace{-2pt}olkimmilo \\
  \uline{cheatography.com/olkimmilo} \\
  \end{tabulary}
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  \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Cheat Sheet}}  \\
   \vspace{-2pt}Not Yet Published.\\
   Updated 12th September, 2018.\\
   Page {\thepage} of \pageref{LastPage}.
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  Measure your website readability!\\
  www.readability-score.com
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\end{multicols}}




\begin{document}
\raggedright
\raggedcolumns

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% from this page to resize cheat sheet text:
% www.emerson.emory.edu/services/latex/latex_169.html
\footnotesize % Small font.

\begin{multicols*}{2}

\begin{tabularx}{8.4cm}{x{4 cm} x{4 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{ANTICHOLINERGICS}}  \tn
% Row 0
\SetRowColor{LightBackground}
{\bf{DRUG OVERDOSE}} & {\bf{TREATMENT}} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
{\bf{Anticholinergics}}\{\{nl\}\}~~~Atropine\{\{nl\}\}~~~Diphenhydramine\{\{nl\}\}~~~Dimenhydrinate\{\{nl\}\}~~~Atropa belladonna\{\{nobreak\}\}`\{\{nl\}\}~~~(deadly nightshade)`\{\{nl\}\}~~~Jimson weed\{\{nl\}\}~~~Scopolamine & - Supportive care\{\{nl\}\}- {\bf{Physostigmine}} \{\{nobreak\}\}(rarely) \tn 
% Row Count 16 (+ 15)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{x{3.28 cm} x{4.72 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{ANTICOAGULANTS}}  \tn
% Row 0
\SetRowColor{LightBackground}
{\bf{DRUG OVERDOSE}}\{\{nobreak\}\} & {\bf{TREATMENT}} \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
{\bf{WARFARIN}} & {\bf{Vit K}} \tn 
% Row Count 3 (+ 1)
% Row 2
\SetRowColor{LightBackground}
{\bf{WARFARIN, FACTOR XA-I}} & {\bf{Kcentra}} `(prothrombin complex conc)` \tn 
% Row Count 5 (+ 2)
% Row 3
\SetRowColor{white}
{\bf{DTI}} & {\bf{Idarucizumab}}\{\{nl\}\}~~~`(Praxbind)`\{\{nl\}\} \tn 
% Row Count 8 (+ 3)
% Row 4
\SetRowColor{LightBackground}
{\bf{HEPARIN, LMWH}} & {\bf{Protamine}} \tn 
% Row Count 10 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{x{3.28 cm} x{4.72 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{BZDS \& BETA BLOCKERS}}  \tn
% Row 0
\SetRowColor{LightBackground}
{\bf{DRUG OVERDOSE}}\{\{nobreak\}\} & {\bf{TREATMENT}} \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
{\bf{BZDs}} & - {\bf{Flumazenil `(romazicon)`}}\{\{nl\}\}~~~ - Causes seizures in BZD-dependent pts \{\{nl\}\}~~~ - Off-label use: non-BZD hypnotic overdose (zolpidem) but isn't routinely recommended \tn 
% Row Count 11 (+ 9)
% Row 2
\SetRowColor{LightBackground}
{\bf{BETA BLOCKERS}} & - Supportive care (1st line) \{\{nl\}\} - {\bf{Glucagon}} (2nd line)\{\{nl\}\}- {\bf{High dose Insulin w/ glucose}} (refractory to ↑)\{\{nl\}\}- {\bf{Lipid Emulsion}}\{\{nl\}\}~~~- Enhances elimination of some lipophilic drugs \tn 
% Row Count 21 (+ 10)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{x{3.28 cm} x{4.72 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{CCBs \& CYANIDE}}  \tn
% Row 0
\SetRowColor{LightBackground}
{\bf{DRUG OVERDOSE}}\{\{nobreak\}\} & {\bf{TREATMENT}} \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
{\bf{CCBs}} & - Supportive care\{\{nl\}\} - {\bf{Calcium}} `(chloride or gluconate)`\{\{nobreak\}\}\{\{nl\}\}~~~- IV only\{\{nl\}\}~~~- Monitor ECG\{\{nl\}\}~~~- Do {\bf{NOT}} infuse in same line as phos-containing soln \tn 
% Row Count 12 (+ 10)
% Row 2
\SetRowColor{LightBackground}
{\bf{CYANIDE}} & - {\bf{Hydroxyocobalamin}}\{\{nl\}\}~~~`(cyanokit)`\{\{nl\}\}- {\bf{Na thiosulfate + Na nitrate}}\{\{nl\}\}~~~`(Nithiodote)` \tn 
% Row Count 18 (+ 6)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{8.4cm}}{{\bf{Cyanide:}} smoke inhalation, nitroprusside in high doses and for long duration}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}--}
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\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{x{3.92 cm} x{4.08 cm} }
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\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{DIGOXIN, OLEANDER, FOXGLOVE}}  \tn
% Row 0
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{\bf{DRUG OVERDOSE}}\{\{nobreak\}\} & {\bf{TREATMENT}} \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
{\bf{DIGOXIN}}\{\{nl\}\}Oleander\{\{nl\}\}Foxglove & -{\bf{Digoxin Immune Fab}} `(Digifab)`\{\{nl\}\}~~~~- 40 mg vial binds \textasciitilde{}0.5 mg digoxin\{\{nl\}\}~~~~- max adult dose is 20 vials \tn 
% Row Count 10 (+ 8)
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\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{x{4 cm} x{4 cm} }
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\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{ETHANOL, ETHYLENE GLYCOL, ETC}}  \tn
% Row 0
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{\bf{DRUG OVERDOSE}}\{\{nobreak\}\} & {\bf{TREATMENT}} \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
{\bf{ETHANOL}}\{\{nl\}\}`~~(alcohol)` & {\bf{Thiamine}}\{\{nl\}\}~~~- Prevents Wernicke encephalopathy \tn 
% Row Count 6 (+ 4)
% Row 2
\SetRowColor{LightBackground}
{\bf{ETHYLENE GLYCOL}}\{\{nl\}\}~~`(antifreeze)`\{\{nl\}\}{\bf{DIETHYLENE GLYCOL}}\{\{nl\}\}{\bf{METHANOL}} & {\bf{Fomepizole}} `(Antizol)`\{\{nl\}\}~~~-`preferred`\{\{nl\}\}{\bf{Ethanol}} (2nd line) \tn 
% Row Count 11 (+ 5)
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\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{x{3.44 cm} x{4.56 cm} }
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\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{5-FLUOROURACIL (5-FU), CAPECITABINE}}  \tn
% Row 0
\SetRowColor{LightBackground}
{\bf{5-FU}}\{\{nl\}\}{\bf{CAPECITABINE}} & {\bf{Uridine triacetate}}\{\{nl\}\}~~~`Vistogard, Xuriden` \tn 
% Row Count 3 (+ 3)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{x{3.12 cm} x{4.88 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{HEAVY METALS}}  \tn
% Row 0
\SetRowColor{LightBackground}
{\bf{ARSENIC, GOLD, MERCURY}} & {\bf{Dimercaprol}} or \{\{nl\}\} {\bf{Lead + CaNa2 EDTA}} \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
{\bf{COPPER}} & {\bf{Penicillamine}} \tn 
% Row Count 3 (+ 1)
% Row 2
\SetRowColor{LightBackground}
{\bf{LEAD}} & {\bf{Succimer}} `(chemet)` or \{\{nl\}\} {\bf{DMSA}} `(dimercaptosuccinic acid)` \tn 
% Row Count 6 (+ 3)
% Row 3
\SetRowColor{white}
{\bf{THALLIUM}} & {\bf{Ferric hexacyanoferrate}} `(Prussian blue{[}radiogardase{]})` \tn 
% Row Count 9 (+ 3)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{x{4 cm} x{4 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{INSULIN (OTHER HYPOGLYS), ISONIAZID, IRON, ETC}}  \tn
% Row 0
\SetRowColor{LightBackground}
{\bf{INSULIN \& OTHER HYPOGLYCEMICS}} & {\bf{Dextrose}} (1st line)\{\{nl\}\}~~~-Drip\{\{nl\}\}~~~- IV or infusion\{\{nl\}\}{\bf{Glucagon}} (2nd line)\{\{nl\}\} \tn 
% Row Count 7 (+ 7)
% Row 1
\SetRowColor{white}
{\bf{SULFONYLUREA \{\{nl\}\}INDUCED-HYPOGLYCEMIA}} & {\bf{Octreotide}} `(SandoSTATIN)` \tn 
% Row Count 10 (+ 3)
% Row 2
\SetRowColor{LightBackground}
{\bf{ISONIAZID}} & {\bf{Pyridoxine`(vit B6)`, BZDs, and/or barbiturates}}\{\{nl\}\}~~~~~- Acute neurotoxicity: IV pyridoxine \{\{nl\}\}~~~~~- 10-50 mg PO QD pyridoxine is used w/ isoniazid to prevent neuropathies \tn 
% Row Count 22 (+ 12)
% Row 3
\SetRowColor{white}
{\bf{IRON}}\{\{nl\}\}{\bf{ALUMINUM}} & Iron overload from blood transfusions:\{\{nl\}\}~~~~~{\bf{Deferoxamine}} `(Deferral)`\{\{nobreak\}\}\{\{nl\}\}~~~~~{\bf{Deferiprone}} `(Ferriprox)`\{\{nl\}\} ~~~~~~~~~~and\{\{nl\}\}~~~~~ {\bf{Deferasirox}} `(Exjade, Jadenu)`\{\{nl\}\}\{\{nl\}\}Deferoxamine is contraindicated in severe renal disease \tn 
% Row Count 42 (+ 20)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{x{4 cm} x{4 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{INSULIN (OTHER HYPOGLYS), ISONIAZID, IRON, ETC}}  \tn
% Row 0
\SetRowColor{LightBackground}
{\bf{INSULIN \& OTHER HYPOGLYCEMICS}} & {\bf{Dextrose}} (1st line)\{\{nl\}\}~~~-Drip\{\{nl\}\}~~~- IV or infusion\{\{nl\}\}{\bf{Glucagon}} (2nd line)\{\{nl\}\} \tn 
% Row Count 7 (+ 7)
% Row 1
\SetRowColor{white}
{\bf{SULFONYLUREA \{\{nl\}\}INDUCED-HYPOGLYCEMIA}} & {\bf{Octreotide}} `(SandoSTATIN)` \tn 
% Row Count 10 (+ 3)
% Row 2
\SetRowColor{LightBackground}
{\bf{ISONIAZID}} & {\bf{Pyridoxine`(vit B6)`, BZDs, and/or barbiturates}}\{\{nl\}\}~~~~~- Acute neurotoxicity: IV pyridoxine \{\{nl\}\}~~~~~- 10-50 mg PO QD pyridoxine is used w/ isoniazid to prevent neuropathies \tn 
% Row Count 22 (+ 12)
% Row 3
\SetRowColor{white}
{\bf{IRON}}\{\{nl\}\}{\bf{ALUMINUM}} & Iron overload from blood transfusions:\{\{nl\}\}~~~~~{\bf{Deferoxamine}} `(Deferral)`\{\{nobreak\}\}\{\{nl\}\}~~~~~{\bf{Deferiprone}} `(Ferriprox)`\{\{nl\}\} ~~~~~~~~~~and\{\{nl\}\}~~~~~ {\bf{Deferasirox}} `(Exjade, Jadenu)`\{\{nl\}\}\{\{nl\}\}Deferoxamine is contraindicated in severe renal disease \tn 
% Row Count 42 (+ 20)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{x{4 cm} x{4 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{LOCAL ANETHETICS}}  \tn
% Row 0
\SetRowColor{LightBackground}
{\bf{Bupivacaine}}\{\{nl\}\}{\bf{Mepivacaine}}\{\{nl\}\}{\bf{Ropivacaine}}\{\{nl\}\}Other lipophilic drugs & Supportive care\{\{nl\}\}{\bf{Lipid emulsion 20\%}}\{\{nl\}\}{\bf{BZDs}} if seizures \tn 
% Row Count 5 (+ 5)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{x{4 cm} x{4 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{LOCAL ANETHETICS}}  \tn
% Row 0
\SetRowColor{LightBackground}
{\bf{Bupivacaine}}\{\{nl\}\}{\bf{Mepivacaine}}\{\{nl\}\}{\bf{Ropivacaine}}\{\{nl\}\}Other lipophilic drugs & Supportive care\{\{nl\}\}{\bf{Lipid emulsion 20\%}}\{\{nl\}\}{\bf{BZDs}} if seizures \tn 
% Row Count 5 (+ 5)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}


% That's all folks
\end{multicols*}

\end{document}