Cyanide Poisoning - Revision history

Treloars at 14:36, 24 April 2020

2020-04-24T14:36:37Z

← Older revision		Revision as of 14:36, 24 April 2020
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	[[Initial Medical Assessment and Care\|INITIAL MEDICAL CARE]] (2.01) - Provide [[~~Medical Gases~~\|OXYGEN]] or assist ventilations as appropriate for patient condition.		[[Initial Medical Assessment and Care\|INITIAL MEDICAL CARE]] (2.01) - Provide [[Oxygen\|OXYGEN]] or assist ventilations as appropriate for patient condition.
	* Stabilize the cardiovascular system, ventilations and cardiac compressions as needed.		* Stabilize the cardiovascular system, ventilations and cardiac compressions as needed.
	* If hypotension / shock are present, refer to [[Shock\|SHOCK PRACTICE PARAMETER]] (5.13).		* If hypotension / shock are present, refer to [[Shock\|SHOCK PRACTICE PARAMETER]] (5.13).

Treloars at 21:02, 22 April 2020

2020-04-22T21:02:40Z

← Older revision		Revision as of 21:02, 22 April 2020
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	** Dilute / prepare the [[Cyanokit\|Cyanokit]] product as per manufacturer instructions.		** Dilute / prepare the [[Cyanokit\|Cyanokit]] product as per manufacturer instructions.
	** Use of Cyanocobalamin, hydroxocobalamin or related compound is contraindicated in patients with known anaphylactic reactions to these products.		** Use of Cyanocobalamin, hydroxocobalamin or related compound is contraindicated in patients with known anaphylactic reactions to these products.
	* If severe symptoms persist after the administration of the first dose of the [[Cyanokit\|Cyanokit]] consider administering an additional 5 gram dose of [[~~Antagonists~~\|Cyanokit]] over 15 minutes.		* If severe symptoms persist after the administration of the first dose of the [[Cyanokit\|Cyanokit]] consider administering an additional 5 gram dose of [[Cyanokit\|Cyanokit]] over 15 minutes.
	* Monitor for signs of hypertension, nausea and / or vomiting.		* Monitor for signs of hypertension, nausea and / or vomiting.
	* Transport the patient to the closest facility with hyperbaric capabilities.		* Transport the patient to the closest facility with hyperbaric capabilities.

	[[Category:Medical\|0519]]		[[Category:Medical\|0519]]

Treloars at 21:02, 22 April 2020

2020-04-22T21:02:11Z

← Older revision		Revision as of 21:02, 22 April 2020
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	* Stabilize the cardiovascular system, ventilations and cardiac compressions as needed.		* Stabilize the cardiovascular system, ventilations and cardiac compressions as needed.
	* If hypotension / shock are present, refer to [[Shock\|SHOCK PRACTICE PARAMETER]] (5.13).		* If hypotension / shock are present, refer to [[Shock\|SHOCK PRACTICE PARAMETER]] (5.13).
	* For patients with a high index of suspicion of cyanide poisoning administer a [[~~Antagonists~~\|Cyanokit]] of 5 grams (two 2.5 gram vials) IV/IO over 15 minutes.		* For patients with a high index of suspicion of cyanide poisoning administer a [[Cyanokit\|Cyanokit]] of 5 grams (two 2.5 gram vials) IV/IO over 15 minutes.
	** Refer to Handtevy WMD Page for Pediatrics.		** Refer to Handtevy WMD Page for Pediatrics.
	** Dilute / prepare the [[Cyanokit\|Cyanokit]] product as per manufacturer instructions.		** Dilute / prepare the [[Cyanokit\|Cyanokit]] product as per manufacturer instructions.

Treloars at 21:01, 22 April 2020

2020-04-22T21:01:50Z

← Older revision		Revision as of 21:01, 22 April 2020
Line 27:		Line 27:
	* For patients with a high index of suspicion of cyanide poisoning administer a [[Antagonists\|Cyanokit]] of 5 grams (two 2.5 gram vials) IV/IO over 15 minutes.		* For patients with a high index of suspicion of cyanide poisoning administer a [[Antagonists\|Cyanokit]] of 5 grams (two 2.5 gram vials) IV/IO over 15 minutes.
	** Refer to Handtevy WMD Page for Pediatrics.		** Refer to Handtevy WMD Page for Pediatrics.
	** Dilute / prepare the [[~~Antagonists~~\|Cyanokit]] product as per manufacturer instructions.		** Dilute / prepare the [[Cyanokit\|Cyanokit]] product as per manufacturer instructions.
	** Use of Cyanocobalamin, hydroxocobalamin or related compound is contraindicated in patients with known anaphylactic reactions to these products.		** Use of Cyanocobalamin, hydroxocobalamin or related compound is contraindicated in patients with known anaphylactic reactions to these products.
	* If severe symptoms persist after the administration of the first dose of the [[~~Antagonists~~\|Cyanokit]] consider administering an additional 5 gram dose of [[Antagonists\|Cyanokit]] over 15 minutes.		* If severe symptoms persist after the administration of the first dose of the [[Cyanokit\|Cyanokit]] consider administering an additional 5 gram dose of [[Antagonists\|Cyanokit]] over 15 minutes.
	* Monitor for signs of hypertension, nausea and / or vomiting.		* Monitor for signs of hypertension, nausea and / or vomiting.
	* Transport the patient to the closest facility with hyperbaric capabilities.		* Transport the patient to the closest facility with hyperbaric capabilities.

	[[Category:Medical\|0519]]		[[Category:Medical\|0519]]

Treloars at 02:19, 31 January 2018

2018-01-31T02:19:16Z

← Older revision		Revision as of 02:19, 31 January 2018
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	* Transport the patient to the closest facility with hyperbaric capabilities.		* Transport the patient to the closest facility with hyperbaric capabilities.

	[[Category:Medical]]		[[Category:Medical\|0519]]

Treloars: /* 5.19 CYANIDE TOXICITY / POISONING */

2016-04-25T19:08:33Z

5.19 CYANIDE TOXICITY / POISONING

← Older revision		Revision as of 19:08, 25 April 2016
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	* If hypotension / shock are present, refer to [[Shock\|SHOCK PRACTICE PARAMETER]] (5.13).		* If hypotension / shock are present, refer to [[Shock\|SHOCK PRACTICE PARAMETER]] (5.13).
	* For patients with a high index of suspicion of cyanide poisoning administer a [[Antagonists\|Cyanokit]] of 5 grams (two 2.5 gram vials) IV/IO over 15 minutes.		* For patients with a high index of suspicion of cyanide poisoning administer a [[Antagonists\|Cyanokit]] of 5 grams (two 2.5 gram vials) IV/IO over 15 minutes.
			** Refer to Handtevy WMD Page for Pediatrics.
	** Dilute / prepare the [[Antagonists\|Cyanokit]] product as per manufacturer instructions.		** Dilute / prepare the [[Antagonists\|Cyanokit]] product as per manufacturer instructions.
	** Use of Cyanocobalamin, hydroxocobalamin or related compound is contraindicated in patients with known anaphylactic reactions to these products.		** Use of Cyanocobalamin, hydroxocobalamin or related compound is contraindicated in patients with known anaphylactic reactions to these products.

Treloars: /* Section 5 -MEDICAL */

2012-04-02T01:45:15Z

Section 5 -MEDICAL

← Older revision		Revision as of 01:45, 2 April 2012
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	* Monitor for signs of hypertension, nausea and / or vomiting.		* Monitor for signs of hypertension, nausea and / or vomiting.
	* Transport the patient to the closest facility with hyperbaric capabilities.		* Transport the patient to the closest facility with hyperbaric capabilities.

			[[Category:Medical]]

Treloars: Created page with "==Section 5 -MEDICAL== ===5.19 CYANIDE TOXICITY / POISONING=== Cyanide Poisoning may result from the inhalation, ingestion or dermal exposure to cyanide containing compounds ..."

2012-02-04T23:14:08Z

Created page with "==Section 5 -MEDICAL== ===5.19 CYANIDE TOXICITY / POISONING=== Cyanide Poisoning may result from the inhalation, ingestion or dermal exposure to cyanide containing compounds ..."

New page

==Section 5 -MEDICAL==
===5.19 CYANIDE TOXICITY / POISONING===

Cyanide Poisoning may result from the inhalation, ingestion or dermal exposure to cyanide containing compounds including smoke from closed space fires. Patients who may have had exposure to or inhalation of smoke from products of combustion must be carefully assessed for the possibility of cyanide poisoning in addition to carbon monoxide.

Cyanide exposure must be considered when a victim with smoke inhalation has one or more of the following:
* Common Symptoms:
** Headache
** Confusion
** Shortness of Breath
** Chest Pain or tightness
** Nausea and/or vomiting
* Common Signs:
** Patient has visible soot around the nose, mouth or oropharynx
** Altered mental status
** Seizures or coma
** Dyspnea/Tachypnea
** Respiratory distress or apnea
** Hypertension (early sign)
** Hypotension (late sign)
** Cardiovascular collapse or cardiac arrest

[[Initial Medical Assessment and Care|INITIAL MEDICAL CARE]] (2.01) - Provide [[Medical Gases|OXYGEN]] or assist ventilations as appropriate for patient condition.
* Stabilize the cardiovascular system, ventilations and cardiac compressions as needed.
* If hypotension / shock are present, refer to [[Shock|SHOCK PRACTICE PARAMETER]] (5.13).
* For patients with a high index of suspicion of cyanide poisoning administer a [[Antagonists|Cyanokit]] of 5 grams (two 2.5 gram vials) IV/IO over 15 minutes.
** Dilute / prepare the [[Antagonists|Cyanokit]] product as per manufacturer instructions.
** Use of Cyanocobalamin, hydroxocobalamin or related compound is contraindicated in patients with known anaphylactic reactions to these products.
* If severe symptoms persist after the administration of the first dose of the [[Antagonists|Cyanokit]] consider administering an additional 5 gram dose of [[Antagonists|Cyanokit]] over 15 minutes.
* Monitor for signs of hypertension, nausea and / or vomiting.
* Transport the patient to the closest facility with hyperbaric capabilities.