Cyanide Kit (Hydroxocobalamin)

Question 1

Cyanide Kit (Hydroxocobalamin) 
Class:

Answer 1

Vitamin, antidote

Question 2

Cyanide Kit (Hydroxocobalamin) 
Mechanism of Action:

Answer 2

Hydroxocobalamin is the precursor to vitamin B12

When exposed to hydroxocobalamin, the cyanide attaches itself to form vitamin B12.

Question 3

Cyanide Kit (Hydroxocobalamin) 
Indications:

Answer 3

Known or suspected cyanide poisoning.

Question 4

Cyanide Kit (Hydroxocobalamin) 
Contraindications:

Answer 4

Hypersensitivity.

Question 5

Cyanide Kit (Hydroxocobalamin) 
Precautions:

Answer 5

Sever hypertension, also giving hydroxocobalamin may interfere with lab evaluations.

Question 6

Cyanide Kit (Hydroxocobalamin) 
Side Effects:

Answer 6

Hypertension, pruritis, headache, chromaturia.

Question 7

Cyanide Kit (Hydroxocobalamin) 
Interactions:

Answer 7

Some medications need to be run through different tubing such as: Diazepam, Dobutamine, Dopamine, Fentanyl, Nitroglycerin.

Question 8

Cyanide Kit (Hydroxocobalamin) 
Dosage:

Answer 8

1 kit (5g) infusion over 15 minutes.May repeat same thing over 15 minutes to 2 hours if needed.

Question 9

Cyanide Kit (Hydroxocobalamin) 
Route:

Answer 9

Reconstitute both 2.5g vials with 100ml of normal saline. Reconstitute for 60 seconds, no NOT shake!
Administer 1st and 2nd vial each over 7.5 minutes.

Question 10

Cyanide Kit (Hydroxocobalamin) 
Onset:

Answer 10

Will begin immediately.

Question 11

Cyanide Kit (Hydroxocobalamin) 
NH Notes:

Answer 11

Listed under protocol for smoke inhalation. Medication needs to be reconstituted prior to giving it.

Question 12

Cyanide Kit (Hydroxocobalamin) 
Fact:

Answer 12

very expensive.