Antidote | Poison | Regional Kit a Qty & Stock Location (kit or ED) |
Community Kit b Qty & Stock Location (kit or ED) |
Stock for 70 kg patient x 24 |
Comments |
---|---|---|---|---|---|
Acetylcysteine (6 g/30 mL vial) | Acetaminophen | 12 vials ED ward stock | 12 vials ED ward stock |
12 vials | |
Atropine (0.6 mg/mL ampoule) | Organophosphate insecticides | 160 ampsc Antidote kit | 80 ampsc Antidote kit |
up to 1600 ampoules | |
Black Widow spider antivenin (Antivenin Latrodectus Mactans) (1 vial) |
Black Widow spider | None | None |
1 vial | 1 vial stocked only at HI Pharmacy Refrigerator item; To acquire more vials in an emergency situation: Merck Emergency Line 1-800-463-7251 Special Access - fill out forms |
Calcium chloride (1 g/10 mL syringe) | Calcium channel blocker, Beta-blocker | 8 syringes Antidote kit | 8 syringes Antidote kit | 4 g | |
Calcium gluconate (2.5% gel) (1 g/10 mL ampoule) |
Hydrofluoric acid burn | 2 tubes 25 ampoules Antidote kit |
1 tube 25 ampoules Antidote kit |
1 tube (30 g) / 25 ampoules | KY Jelly stocked in Antidote kit (2 x 56 g tubes) |
Deferoxamine (Desferrioxamine) (2 g vial) |
Iron | 3 vials Antidote kit | 2 vialsc Antidote kit | 6 g | |
Digoxin immune Fab (40 mg vial) |
Digoxin | 5 vialsc Antidote Fridge Kit | 3 vialsc Antidote Fridge Kit | up to 20 vials | Refrigerator item Additional stock may need to be obtained from nearest ED. Additional vials stocked in HI pharmacy. |
Dimaval (RS)-2,3-Bis(sulfanyl) propane-1- sulfonic acid, sodium salt 1 H20 250 mg sodium salt /5 mL ampoule |
Arsenic, Gold, Lead, Mercury | 3 ampsc Antidote kit |
none | 6 ampoules | Stocked only in Regional Kits. Additional stock may need to be obtained from nearest ED. Special Access – fill out forms |
Fat emulsion (lipids) 20% (Intralipid brand) | Local anesthetics | 2 x 500 mL Antidote kit | 2 x 500 mL Antidote kit | 560 mL | |
Flumazenil (0.5 mg/5 mL vial) | Benzodiazepines | 5 vials c ED ward stock | 5 vials c ED ward stock |
20 vials | |
Fomepizole (1.5 g/1.5 mL vial) | Ethylene glycol; Methanol | 2 vials Antidote kit | 1 vial Antidote kit | 4 vials | Additional vials stocked in HI Pharmacy. Facilities offering emergency hemodialysis should consider extra stock |
Glucagon (1 mg kit) | Beta-blockers | 10 kits Antidote kit |
10 kits Antidote kit |
10 kits | Recommended only as adjunctive therapy for beta-blocker toxicity. |
Hydroxocobalamin (Cyanokit) 2 x 2.5 g vials |
Cyanide | 2 x 2.5 g vials Antidote kit | 2 x 2.5 g vials Antidote kit | up to 10g | |
Insulin-Regular 100 units/mL | Calcium channel blockers, Beta-blockers | 40 mL Antidote Fridge Kit |
40 mL Antidote Fridge Kit |
minimum 2000 units | Refrigerator item 40 mL of regular insulin 100 units/mL (e.g. 4 x 10 mL, 13 x 3 mL, etc) |
Methylene blue (50 mg/5 mL vial) | Anilines, Nitrates, Nitrites (methemoglobinemia) | 10 vials Antidote kit | 3 vialsc Antidote kit | 10 vials | |
Naloxone (0.4 mg/mL ampoule) | Opioids | 40 ampsc Antidote kit | 30 ampsc Antidote kit | up to 75 ampoules | |
Octreotide (100 mcg/mL ampoule) | Sulfonylurea (hypoglycemia) | 4 amps Antidote Fridge Kit | 1 ampc Antidote Fridge Kit | 2 ampoules | Refrigerator item |
Physostigmine (2mg/5mL ampoule) |
Anticholinergic Toxicity | 2 amps Antidote Kit |
2 amps Antidote Kit |
4 mg (2 ampoules) | Special Access Program |
Pralidoxime (2-PAM) (1 g vial) |
Anticholinesterases, Organophosphate insecticides | 4 vialsc Antidote kit | none | 12 vials | Stocked only in Regional Kits. Additional stock may need to be obtained from nearest ED. Special Access – fill out forms |
Pyridoxine (Vitamin B6) (3 g/30 mL vial) |
Isoniazid | 4 vials or 1 bottle of 250mg tablets Antidote kit | 4 vials or 1 bottle of 250mg tablets Antidote kit | 4 vials | During supply issue for IV pyridoxine; oral tablets are being stocked. |
Sodium bicarbonate 8.4% (50 mEq/50 mL syringe) |
Cyclic antidepressants, Salicylates (Urine Alkalinization) | 20 syringes ED ward stock | 10 syringes ED ward stock |
10 syringes | |
Sodium thiosulfate 25% 250 mg/mL (100 mL vial) | Cyanide | none | none |
1 vial | 1 vial stocked only at the HI Pharmacy |
a All Regional Hospital EDs stock Regional Kits
b ED sites (outside the Regional ED) may stock Regional or Community Kits
c in the event of an overdose, additional stock will need to be obtained
Updated January 2018