Antidotes at CUH



Background

  • All drugs listed will be stored in the Emergency Department to ensure speedy provision of antidotes when required. Additional stocks will be kept in the Pharmacy Department.
  • A file has been compiled which contains comprehensive information on antidotes. A list of the location of all antidotes is contained in this file. The location in both the emergency department and the pharmacy are on this list.
  • The drugs will be stored in the antidote press in the resuscitation room.
  • Fridge items are kept in the resuscitation room fridge.
  • Several commonly used items, which are also used as antidotes will be stored as stock drugs in the drug cupboards in Resusc and Clean Utility room.
  • The emergency department Pharmaceutical technician will top-up the drugs twice-weekly Monday and Thursday to ensure the stock is available and to check expiry dates. It is the responsibility of the staff in the emergency department to reorder items that have been used immediately.
  • The antidote press in the pharmacy is under the bench on the left hand side of the dispensary and is clearly marked.

Antidotes Stock for ED - CUH

Stored in antidote press in Resuc.

  • Acetylcysteine IV 200mg/ml
  • Bridion 100mg/ml (reversal vec/rocuronium)
  • Calcium Gluconate Injection
  • Calcium Gluconate Gel
  • Cholestyramine resin (Questran sachets)
  • Cyproheptadine (serotonin syndrome)
  • Dantrolene 20mg IV
  • Dicobalt Edetate Injection
  • Desferrioxamine Injection
  • Dimercaprol 100mg/ml injection
  • Ethanol Injection
  • HIV Post Exposure Prophylaxis kits
  • Mesna 100mg/ml injection (Cyclophosphamide toxicity)
  • Mesna – Also kept in chemo pharmacy
  • Methionine 500mg tablets
  • Methylene blue Injection
  • Penicillamine 125mg tablets
  • Phytomenadione 10mg/ml (Vit K) Injection
  • Polyethylene glycol solution (Klean prep)
  • Pralidoxime 1g injection
  • Procyclidine 5mg/ml Injection
  • Prussian Blue 500mg capsules
  • Pyridoxine 100mg/2ml Injection
  • Sodium Calcium edatate injection
  • Sodium Nitrite 300mg/10ml injection
  • Sodium thiosulphate 50% Injection
  • Starch powder

Stored in fridge in Resuscitation room

  • Digoxin specific antibody fragments x 12 vials (Further supplies available from MUH Emergency Department)
  • Folinic Acid Injection 10mg/ml
  • Glucagon Injection
  • Octreotide (50µg/ml) (Used for refractory hypoglycaemia)
  • Phentolamine 10mg/ml Injection

Routine stock stored in Drug press in Resus or Clean Utility

  • Activated charcoal
  • Atropine Injection
  • Benzylpenicillin injection
  • Diazepam injection
  • Flumazenil injection
  • Naloxone injection
  • Protamine injection
  • Sodium Bicarbonate solution

Content by Pharmacy Dept. CUH, Dr Íomhar O' Sullivan 04/09/2005. Reviewed by Dr ÍOS 13/05/2007. Reviewed by Fiona Ahern 11/03/2008, 22/03/17.