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% Document Info
\author{olkimmilo}
\pdfinfo{
  /Title (additional-drug-overdoses-and-treatments-m-v.pdf)
  /Creator (Cheatography)
  /Author (olkimmilo)
  /Subject (Additional Drug Overdoses and Treatments (M-V) 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 (M-V) Cheat Sheet}}}} \\
    \normalsize{by \textcolor{DarkBackground}{olkimmilo} via \textcolor{DarkBackground}{\uline{cheatography.com/42456/cs/17039/}}}
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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}.
\end{tabulary}
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  %\includegraphics[width=48px,height=48px]{dave.jpeg}
  Measure your website readability!\\
  www.readability-score.com
\end{tabulary}
\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}{MTX, METHEMOGLOBINEMIA, 'SHROOMS}}  \tn
% Row 0
\SetRowColor{LightBackground}
{\bf{MTX}} & {\bf{Leucovorin}} `(Folinic acid)`\{\{nl\}\} {\bf{Levoleucovorin}} `(Fusileer)\{\{nl\}\}`{\bf{Glucarpidase}} `(Voraxaze)` \tn 
% Row Count 6 (+ 6)
% Row 1
\SetRowColor{white}
{\bf{ METHEMO-\{\{nl\}\}GLOBINEMIA}} & {\bf{Methylene blue}} `(ProvayBlue)`\{\{nl\}\}~~~~~- Contra: G6PD deficient pts\{\{nobreak\}\}\{\{nl\}\}~~~~~- Avoid admin w/ SSRIs and SNRIs \tn 
% Row Count 15 (+ 9)
% Row 2
\SetRowColor{LightBackground}
{\bf{MUSHROOMS}}\{\{nl\}\} \seqsplit{`(amatoxin-containing)`} & Supportive care \{\{nl\}\} {\bf{Silibinin}} `(Legalon SIL)`\{\{nl\}\}~~~~~- Flavonoid ini milk thistle\{\{nl\}\}~~~~~- Hepatoprotective\{\{nl\}\}{\bf{Atropine}}\{\{nl\}\}~~~~~- if severe muscarinic symptoms\{\{nl\}\}~~~~~- Bradycardia \tn 
% Row Count 31 (+ 16)
\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}{NAPHTHALENE, NEOSTIGMINE, NICOTINE}}  \tn
% Row 0
\SetRowColor{LightBackground}
{\bf{ NAPHTHALENE}} \{\{nl\}\}`(from mothballs)` & Supportive care\{\{nl\}\}{\bf{Methylene blue}} `(ProvayBlue)` \tn 
% Row Count 3 (+ 3)
% Row 1
\SetRowColor{white}
{\bf{NEOSTIGMINE}}\{\{nl\}\}{\bf{PYRIDOSTIGMINE}}\{\{nl\}\}`(anticholinesterase meds)` & {\bf{Pralidoxime}} `(Protopam)`\{\{nl\}\}~~~~~ - counteracts muscle weakness\{\{nobreak\}\}\{\{nl\}\}~~~~~- counteracts respiratory depression \tn 
% Row Count 12 (+ 9)
% Row 2
\SetRowColor{LightBackground}
{\bf{NICOTINE}} \{\{nl\}\}`(including e-cigs)` & Supportive care\{\{nl\}\}{\bf{Atropine}} - txs bradycardia\{\{nl\}\}{\bf{BZDs}} - txs seizures \tn 
% Row Count 16 (+ 4)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
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\par\addvspace{1.3em}

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\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{ORGANOPHOSPHATES (OPs)}}  \tn
% Row 0
\SetRowColor{LightBackground}
{\bf{INDUSTRIAL INSECTICIDES}}\{\{nl\}\}`MALATHION`\{\{nl\}\}{\bf{NERVE (WARFARE) GASES}}\{\{nl\}\}`SARIN, OTHERS` & {\bf{Atropine}}\{\{nl\}\}{\bf{Pralidoxime}}\{\{nl\}\}{\bf{Combo}}\{\{nl\}\}~~~~~- `DuoDote`\{\{nl\}\}~~~~~- `ATNAA` \tn 
% Row Count 7 (+ 7)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{8.4cm}}{{\bf{Atropine}} - anticholinergic, {\bf{blocks SLUDGE}} symptoms \newline {\bf{Pralidoxime}} - txs muscle weakness and relieves respiratory paralysis}  \tn 
\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}{PETROLEUM DISTILLATES}}  \tn
% Row 0
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{\bf{GASOLINE}}\{\{nl\}\}{\bf{KEROSENE}}\{\{nl\}\}{\bf{MINERAL OIL}}\{\{nl\}\}{\bf{PAINT THINNERS}} & Supportive care\{\{nl\}\}Do not induce vomiting\{\{nl\}\}Keep pt NPO\{\{nl\}\}~~~~~- Aspiration risk \tn 
% Row Count 6 (+ 6)
\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}{PARALYTICS}}  \tn
% Row 0
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{\bf{ROCURONIUM BROMIDE,\{\{nl\}\}VECURONIUM BROMIDE,\{\{nl\}\} PANCURONIUM BROMIDE}} & {\bf{Neostigmine methylsulfate}}\{\{nl\}\}~~~~~`(Bioxiverz)` \tn 
% Row Count 4 (+ 4)
% Row 1
\SetRowColor{white}
{\bf{ROCURONIUM BROMIDE,\{\{nl\}\}VECURONIUM BROMIDE}} & {\bf{Sugammadex}}\{\{nl\}\}~~~~~`(Bridion)` \tn 
% Row Count 8 (+ 4)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
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\mymulticolumn{2}{x{8.4cm}}{For reversal of the effects of neuromuscular blocked induced in adults undergoing surgery \newline Administer an anticholinergic agent to prevent bradycarda \newline ~~~~~- Prior w/ {\bf{atropine}} or {\bf{glycopyrrolate}} or \newline ~~~~~- With {\bf{neostigmine}}}  \tn 
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\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{x{4 cm} x{4 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{SALICYLATES \& STIMULANTS}}  \tn
% Row 0
\SetRowColor{LightBackground}
{\bf{SALICYLATES}} & {\bf{Sodium bicarbonate}}\{\{nl\}\}~~~~~ - Alkalizing agent\{\{nl\}\}~~~~~ - Alkalizes urine\{\{nl\}\}~~~~~- ↓ drug reabsorption\{\{nl\}\}~~~~~- ↑ excretion \tn 
% Row Count 13 (+ 13)
% Row 1
\SetRowColor{white}
{\bf{STIMULANTS}}\{\{nl\}\}`Amphetamines`\{\{nl\}\}`Weight loss drugs`\{\{nl\}\}`Cocaine`\{\{nl\}\}`Ephedrine`\{\{nl\}\}`Caffeine`\{\{nl\}\}`Theophylline`\{\{nl\}\}`MDMA (ecstasy)` & Supportive care \{\{nl\}\} {\bf{BZDs}} \{\{nl\}\}~~~~~- tx agitation/seizures \tn 
% Row Count 21 (+ 8)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
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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}{TCAs \& VALPROATE, ETC}}  \tn
% Row 0
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{\bf{TCAs}} & Supportive care \{\{nl\}\}{\bf{Sodium bicarbonate}}\{\{nl\}\}~~~~~- ↓ widened QRS\{\{nl\}\}\{\{nobreak\}\}{\bf{BZDs}}\{\{nl\}\}~~~~~- tx agitation/seizures\{\{nl\}\}{\bf{Vasopressors}}\{\{nl\}\}~~~~~- May need for HOTN \tn 
% Row Count 13 (+ 13)
% Row 1
\SetRowColor{white}
{\bf{VALPROATE OR \{\{nl\}\}TOPIRATE-INDUCED \{\{nl\}\}HYPERAMMONEMIA}} & {\bf{Levocarnitine}} `(Carnitor)` \tn 
% Row Count 16 (+ 3)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}


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

\end{document}