Decontamination and Treatment

Decontamination: Initial disrobing, then soap and water showering.

Treatment: O2, cyanide kit = amyl nitrite, sodium thiosulfate, support.

Miscellaneous treatment: Cyanocobalamin (B12); methylene blue; correct metabolic acidosis; support urine output.

Treatment mechanism: (1) Oxidize ferrous oxyhemoglobin (oxyHb+2) to ferric methemoglobin (metHb+3) with nitrates to bind free CN- and form cyanomethemoglobin, (2) competitively pull CN- out of the ferrous oxyhemoglobin moiety with thiosulfate to form urine-excreta-ble thiocyanate, (3) reverse methemoglobinemia with methylene blue.

Reducing Blood Pressure Naturally

Reducing Blood Pressure Naturally

Do You Suffer From High Blood Pressure? Do You Feel Like This Silent Killer Might Be Stalking You? Have you been diagnosed or pre-hypertension and hypertension? Then JOIN THE CROWD Nearly 1 in 3 adults in the United States suffer from High Blood Pressure and only 1 in 3 adults are actually aware that they have it.

Get My Free Ebook


Post a comment