Acetonitrile

CAS RN: 75-05-8

Laboratory

A) Monitor vital signs and mental status.
B) Monitor serum electrolytes, renal function, and lactate concentration.
C) Institute continuous cardiac monitoring and obtain an ECG.
D) Cyanide concentrations in blood and tissue typically become elevated more than 2 hours post-exposure.
E) Serum acetonitrile concentrations may obtained from reference laboratories to confirm exposure but are not useful to guide therapy.
F) Treatment and disposition decisions should be based on reported exposure and symptoms; do not delay care waiting for serum acetonitrile or cyanide concentrations.
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