Mechanical ventilation often required
IVF
Dopamine or norepinepherine
Rewarming measures
Activated charcoal x1 if present within 1hr of ingestion
Multi-dose activated charcoal
Consider only if patient has ingested life-threatening amount of phenobarbital
Give 50-100gm PO initially; follow by 12.5-25gm PO q4hr
Consider only if patient has ingested life-threatening amount of phenobarbital
Give 50-100gm PO initially; follow by 12.5-25gm PO q4hr
Less effective than multi-dose activated charcoal
Only effective for phenobarbital (long-acting barb)
Reserved for patients who are deteriorating despite aggressive supportive care
Barbiturate toxicity
Absinthe
Methane toxicity
Barbiturates
Chlorate toxicity
Benzodiazepines
Carbon disulfide toxicity
Flunitrazepam 