Ammonia

CAS RN: 7664-41-7

ABC Reminders / Treatment

Syringe

ABC Reminders

Quickly access airway patency. If trauma is suspected, maintain cervical immobilization manually and apply a cervical collar and a backboard when feasible. Ensure adequate respiration and pulse. Document oxygen saturation. Place on a cardiac monitor.

Link to Primary and Secondary Survey

If the patient is symptomatic, immediately institute emergency life support measures.

Advanced Treatment

Supportive

In cases of respiratory compromise, secure airway and respiration via endotracheal intubation or laryngeal mask airway (LMA) (use Bag Valve Mask (BVM) if unable to secure airway). Suctioning may be required for excessive bronchial secretions. If upper airway is obstructed, perform cricothyroidotomy, or place 14 gauge intracath in the cricothryroid membrane. Patients who are in cardiorespiratory failure or have seizures should be treated according to advanced life support (ALS) protocols.

Frostbite - Always handle frostbitten skin and eyes with caution. Place frostbitten skin in warm water (102 - 108 degrees) for 20 to 30 minutes and continue until a flush has returned to the affected area. Do not allow the skin to touch the sides of the container. If hot water is not available wrap the affected area gently in warm blankets. Encourage exercise of the affected part while it is being warmed.

Link to 14 gauge intracath placement instructions

Link to supportive treatment in the hot zone

Link to Basic and Advanced Life Support

Antidotes

Antidotes - there are no specific antidotes for ammonia.

Find more information on this substance at: PubChem, PubMed