Cyanogen

CAS RN:460-19-5

Laboratory

A) Monitor serum chemistry and lactate concentrations.
B) Monitor arterial and venous blood gases.
C) Cyanide levels can be measured to confirm the diagnosis, but are usually not available in a timely manner to be clinically useful.
D) Institute continuous cardiac monitoring and obtain an ECG.
E) Methemoglobin should also be monitored frequently in patients receiving intravenous sodium nitrite.
F) Obtain a carboxyhemoglobin level in the setting of a fire.
G) Consider a head CT for comatose patients.
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