S15C198 - Industrial Toxins

Question 1

Cyanide toxicity: severe

Answer 1

• hyperventilation
• HoTN
• bradycardic
• not cyanotic until late
• smell of almonds
• cherry red skin

Question 2

Cyanide: tx

Answer 2

• fluid resusc, pressors if needed
• NaHCO3 for acidemia
• F: amyl nitrite or sodium nitrite and sodium thiosulfate (produces methemoglobinemia)