Patient Care Resources

OPC Consultation Form for Health-Care Professionals

• OPC Consultation Form (PDF)

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Acetaminophen

Help Us Understand NAC Protocol Use in Your Facility

We’re seeking feedback from healthcare providers on the use and implementation of the Ontario Poison Centre’s N-Acetylcysteine (NAC) protocol for acetaminophen overdose management. Your insights will help us enhance protocol effectiveness and improve patient safety across Ontario. The survey takes approximately 5-10 minutes, and your responses will remain anonymous.

Take the Survey

• N-acetylcysteine (NAC) back-order: updated Jan 27, 2023 (PDF)
• Rumack-Matthew acetaminophen nomogram (PDF)
• How to Prepare a 3% N-Acetylcysteine solution (PDF)
• Recommended Investigations (PDF)
• N-Acetylcysteine Typical Dosing Scenario (PDF)
• N-Acetylcysteine Stopping Rules (PDF)
• Managing a Reaction to N-Acetylcysteine (PDF)
• Acetaminophen overdose treatment when acetaminophen levels are not available (PDF)

 

ASA Urine Alkalinization

• Urine Alkalinization For Enhanced Elimination of Salicylates (PDF)

Beta-Blocker Treatment Algorithm

• Treatment Recommendations for Beta-Blocker Toxicity (PDF)

Calcium Channel Algorithm

• Treatment Recommendations for Calcium Channel Blocker Toxicity (PDF)

Cannabis 

• Recommendations for Pediatric Cannabis Exposures (PDF)
• Cannabis and Kids Posters (PDF)  (1) | (2) | (3) | (4) | (5) | (6)

Cholinergic Overdose Treatment

• Treatment Recommendations for Cholinergic Toxidrome (PDF)

Deferoxamine

• Deferoxamine - Iron Chelation agent (PDF)

Fomepizole

• Fomepizole for Acetaminophen Toxicity (PDF)

High Dose Insulin

• High-Dose Insulin Euglycemia Therapy/Hyperinsulinemia-Euglycemia Therapy (PDF)

Lipid Rescue Therapy

• Intralipid/Lipid Rescue Therapy (PDF)

Lithium

• Algorithm For Lithium Intoxication (PDF)

Methemoglobinemia

• Emergency Treatment of Methemoglobinemia (PDF)

QRS Widening

• Drug-induced QRS Widening Treatment (PDF)

QT Prolongation

• Drug-induced QT Prolongation Treatment (PDF)

Toxic Alcohols

• Toxic Alcohol Treatment (PDF)

Treatment of Toxic Seizures-Agitation

• Treatment of Toxic Seizures/Agitations (PDF)

Tricyclic Antidepressants (TCA's)

• Tricyclic Antidepressants Treatment Approach (PDF)

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News

Magnesium Sulfate 50% (500 mg/mL) Injection: Shortage of Supply

The Poison Centre has become aware of a shortage of intravenous magnesium, used in toxicology to treat prolonged QTc. Follow this link (Page 5), for suggestions as to alternatives in use & supply.

 

 

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