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Critical Medicines List (PDF 745KB) Antidote Stockholdings - WA Health - Metropolitan Hospitals East Metropolitan Health Service CAHS South Metropolitan Health Service North Metropolitan Health Service Armadale RPH SJOG Midland PCH Fiona Stanley Fremantle PEEL Rockingham JOONDALUP HC KEMH OsPkHosp SCGH STRENGTH INDICATION ANTIDOTE or ADDITIONAL INFORMATION TYPE ED PHARMACY ED PHARMACY ED PHARMACY ED / ICU PHARMACY ED PHARMACY PHARMACY ED PHARMACY ED PHARMACY ED PHARMACY ED PHARMACY PHARMACY ED PHARMACY Black - - 1 - 1 - 1 (ICU) - - - - - - - - - 1 - Brown 1 1 1 1 2 1 1 (ICU) - 2 1 8 - 1 1 1 1 - - 1 1 Snake Bite Antivenom Death Adder - - 1 - 1 - - - - - 1 - - - - - - - - - Polyvalent - - 2 - - 1 (ICU) - - - 1 - - - - - - - - - Generally not required in Metro but kept at RPH to service zoo and RFDS Taipan NOT STOCKED - USE POLYVALENT ANTIVENOM Tiger 1 1 1 1 2 - 1 (ICU) - 2 1 4 - 1 1 2 1 - - 1 1 Spider Bite Antivenom Redback 1 1 2 2 4 - 1 (ED) - 2 1 8 - 1 1 1 1 - - 2 1 Funnel Web NOT STOCKED IN WA HEALTH FACILITIES Sea Snake - - 1 - - - - - - - - - - - - - - - 1 - Marine Bite Antivenom Stonefish - - 2 - - - - - - - - - - - - - - - - - Methanol or (Ethylene) Ethanol Injection 100% Amp/vial Nil Nil Nil Nil Nil Nil - U ICU 30x5mL 30x5mL NA - - ICU 30x5mL 0 NA NA NA NA NA NA NA Available via the Special Access Scheme only Glycol Poisoning 5 (ED) 10 (ED) 20(Pharmacy) Drug-Induced Methylene blue 1%, 5mL 2 10 10 U 5 10 5 (ICU) 15 10 U 10 15 15 10 U - 2 general stock 10 (Theatre) 20 10(Theatre) 2 U Methaemoglobinemia 5 (Theatre) (Theatre) 4(Proc1+2) 25g/100mL - - - - - - - - 2 U - - 2 - - - - - - Sodium thiosulfate Cyanide Poisoning 2.5g/10mL - - 10 2 - - - - - - - - - - - - - 5 U Hydroxocobalamin 5g vial - - 3 - - - - - 1 - - - 1 - - - - 1 - Available via the Special Access Scheme only 100mg/mL - - - - - - - 16 - - - - - - - - - - - - Isoniazid Poisoning Pyridoxine Available via the Special Access Scheme only 250mg/5mL - - 20 60 - - - - 25 - - - - - - - - - - - Digoxin Immune Digoxin Toxicity Fab 40mg 5 5 15 10 1 - 6 15 6 - 4 4 4 2(ICU) - - 15 7 Larger quantities appropriate at tertiary hospital only. DigiFab® Dabigatran reversal Idarucizumab 2.5g/ 50mL 2 4 2 - 2 4 U 5g needed to reverse dabigatran. [RPH - available Transfusion medicine] agent Special Access Scheme only. For a 75kg adult, may require 300mg IM every 4 Dimercaprol (BAL) 200mg/2mL - - 36 U - - - - - - - - - - - - - - - 65 hours, that is 12 to 18 amps/24 hours. Takes 2-3 weeks to restock. B.A.L. brand may also contain 1mg butacaine. Heavy Metal Poisoning Calcium disodium Available via the Special Access Scheme only. EDTA-Ca: 6 amps required per 500mg/10mL - - 10 U - - - 10 - - - - - - - - - - - 10 edetate (EDTA-Ca) 24hours treatment of one patient). Takes 1-2 working days to restock. Succimer (DMSA) 100mg, 200mg - - 30 x 200mg 60 x 200mg - - - - - - - - - - - - - - - U Available via the Special Access Scheme only. Takes 2 - 3 days to restock. Iron Overload/Poisoning Desferrioxamine 500mg - - 10 10 - - 10 10 U - - 10 10 - 2 x 2g Desferal - - 10 - 10 20 (ED) and 28 amps required to treat one patient for 24 hours. Suitable to stock 30 amps Organophosphate 20 (ED) 20 (ED) Pralidoxime 500mg/20mL - - 10 5 5 5 (ICU) - 10 in ICU - - - 30 - 5 - - - 5 in major hospitals - procure more if required. Takes 24 - 48 hrs to restock (or Poisoning 10 (ICU) 20 (ICU) urgent air transfer). Recent studies indicate that likely no role treating > 24 hrs Paraquat test Kit Available via the Special Access Scheme only. Suspected Paraquat (Sodium 1 Kit 6 kits 0 For use refer printed info kept with stock:- "Paraquat Poisoning: a practical Poisoning Bicarbonate / guide to diagnosis, first aid and medical management" Sodium Dithionate) Anticholinergic Delirium Physostigmine 2mg Ampoule - - 4 U 5 - - 5 4 U - - - - - - - - 4 U Available via the Special Access Scheme only Calcium Gluconate 2.5%, 50g - - 20 2 2 2 4 10 20 U 1 1 8 6 - 3 general stock - - 1 - Gel Hydrofluoric Acid Burns Calcium Gluconate 10%,10mL 10 10 U U 10 10 U 10 10 U 10 40 10 20 - 10 general stock - 80 10 10 20 2(Pharmacy) Lipid Soluble Drug 2 (ED) 5 (ED) Intralipid 20%, 500mL 1 2 2 U 1 1 2 U 1 3 2 2 1 1 general stock - 1 (Theatre) 2(Theatre) 1 U Overdose 2 (Theatre) 2 (Theatre) 1(Birthing suite) Acronyms & Symbols Interpretation Notes Dependent on local site policy, items stored within Pharmacy locations may not be accessible after hours unless Pharmacy personnel are recalled to the hospital. <VALUE> e.g. 10 For 'Pharmacy' column, value = Minimum number of units kept in the Main Store Disclaimer "Information presented on the WA Critical Medicines List is for general guidance only. For 'ED' column, value = Imprest level defined in i.Pharmacy for ED, or the stated location U Usual stock at the stated location, however amount varies - Quantity is Unspecified The stockholding values on the WA Critical Medicines List are provided as a general indication of quantity. Actual quantities held at an individual site will vary due to usage, stock expiration and supply issues. For more ED Emergency Department ICU Intensive Care Unit information about actual stock at any particular time, and access to stock in emergency situations, please contact the individual site. BAL British Anti Lewisite The information on the WA Critical Medicines List is reviewed and endorsed by the WA Toxicology Service. The list is provided by the State of Western Australia as general guidance only and must not be relied on or used as EDTA Ethylenediaminetetraacetic acid DMSA Dimercaptosuccinic acid a substitute for seeking advice from a qualified health practitioner. It is the user’s responsibility to verify the accuracy, currency, reliability and correctness of the information.'' NA Indicates No Information held for this item at this site Version:November2019 Page 1 Antidote Stockholdings - WA Health - Regional Hospitals Wheatbelt South & South West Midwest Goldfields Kimberley Pilbara ALBANY BUNBURY BUSSELTON NARROGIN NORTHAM GERALDTON CARNARVON ESPERANCE KALGOORLIE BROOME KUNUNURRA PORT HEDLAND KARRATHA STRENGTH STOCKHOLDING INDICATION ANTIDOTE or Product ED PHARMACY ED PHARMACY ED PHARMACY ED PHARMACY ED PHARMACY ED PHARMACY ED PHARMACY ED PHARMACY ED PHARMACY ED PHARMACY ED PHARMACY ED PHARMACY ED PHARMACY TYPE Status Black - - - - - - 1 1 1 - 1 1 1 1 1 2 2 2 2 1 1 2 2 1 1 Brown 2 2 2 2 1 1 1 2 2 1 2 1 1 1 1 2 2 2 2 1 1 2 2 1 1 Death Adder - - - 1 - 1 1 1 - 1 - - 1 1 1 1 1 1 1 - 1 1 1 1 Snake Bite Antivenom Polyvalent - - - - - - - - - - - - - - - - 2 2 2 1 1 - - - - Taipan NOT STOCKED - USE POLYVALENT ANTIVENOM Tiger 2 2 2 2 1 1 - - 1 - - - - 1 1 - - - - - - - - Redback 1 1 2 2 1 1 2 2 2 2 - 2 2 1 1 2 - 2 2 Spider Bite Antivenom Funnel Web NOT STOCKED IN WA HEALTH FACILITIES Sea Snake - 1 1 1 - - - - 1 - - 1 - - 1 1 - 1 - 1 Box Jellyfish 6 6 6 6 Marine Bite Antivenom Stonefish - - - - - - - - - - 2 - - - 1 1 - - - Ethanol Injection 100% Amp/Vial - - - - - - - - - - - - - - - - - - - - - - - - - - - Drug-Induced Methylene blue 1%, 5mL - U U U - - - - 1 U U U 3 U 2 U U U Methaemoglobinemia 25g/100mL SAS - - - - - - - - - - - - - - - - 4 - - - - - - - - - Sodium thiosulfate Cyanide Poisoning 2.5g/10mL - - - - - - - - - - - - - - - - - - - - - - - - - - Hydroxo- cobalamin 2.5g vial SAS - - 1(ICU) - - - - - - - - - - - - - 1 - - - - 1 - - 100mg/mL SAS - - - - - - - - - - - - - - - - - - - - - - - - - - Isoniazid Poisoning Pyridoxine 250mg/5mL SAS - - - - - - - - - - - - - - - - - - - - - - - - - - Digoxin Immune 40mg Digoxin Toxicity Fab - 2 5 5 3 1 - - - - 5 - - - - - 3 5 - - 5 - 5 - DigiFab® Dabigatran Reversal Idarucizumab 2.5 g/50 mL 2 2 2 - - - - - - 2 Agent Dimercaprol (BAL) 100mg/2mL - - - - - - - - - - - - - - - - - - - - - - Calcium disodium Heavy Metal Poisoning 500mg/10mL SAS - - - - - - - - - - - - - - - - - - - - - - edetate (EDTA-Ca) Succimer (DMSA) 100mg SAS - - - - - - - - - - - - - - - - - - - - - - 5 Iron Overload/Poisoning Desferrioxamine 500mg - 10 - 10 10 - 1 10 - - - 10 - 10 - - 10(HDU) - 10 (2g x 2 ) Organophosphate Pralidoxime 500mg/20mL 5 5 - 5 - - - - - - - - 5 - 5 5 - 5 - 5 5 5 Poisoning Anticholinergic Delirium Physostigmine 2mg/2mL SAS - - 5 (ICU) 2 - - - - - - - - - - - - - - - - - - - - Calcium Gluconate 2.5%, 50g 2 U - - - - - - - - 6 U - 3 5 4 2 1 - 4 8 3 - Gel Hydrofluoric Acid Burns Calcium Gluconate 1g/10mL 20 10 U U 10 U 10 U U U U 5 U 8 U U - 4 U 1 U 800mg/5mL320mg/2mL 103 103 103 103 103 103 Lipid Soluble Drug 1 (ED) Intralipid 20%, 500mL - U 3 1 U 1 U - U U - U U - U U Overdose 2(Theatre) Acronyms & Symbols Interpretation Notes For 'Pharmacy' column, value = Minimum number of units kept in the Main Store Dependent on local site policy, items stored within Pharmacy locations may not be accessible after hours unless Pharmacy personnel are recalled to the hospital. <VALUE> e.g. 10 For 'ED' column, value = Imprest level defined in i.Pharmacy for ED, or the stated location Stockholdings are shown for regional resource centres only. Smaller sites may hold stock not shown in this table. Please refer to iPharmacy program or Pharmacy staff for detailed information U Usual stock at the stated location, however amount varies - Quantity is Unspecified Disclaimer "Information presented on the WA Critical Medicines List is for general guidance only. ED Emergency Department The stockholding values on the WA Critical Medicines List are provided as a general indication of quantity. Actual quantities held at an individual site will vary due to usage, stock expiration and supply issues. ICU Intensive Care Unit For more information about actual stock at any particular time, and access to stock in emergency situations, please contact the individual site. BAL British Anti Lewisite The information on the WA Critical Medicines List is reviewed and endorsed by the WA Toxicology Service. The list is provided by the State of Western Australia as general guidance only and must not be relied on EDTA Ethylenediaminetetraacetic acid or used as a substitute for seeking advice from a qualified health practitioner.
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