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Pediatric Emergency MedicinePediatric Emergency Medicine

Part 5. Environmental Poisons > 

Chapter 128. Cyanide Poisoning

Mark B. Mycyk
Topics Discussed: acute illness; cyanide poisoning; cyanides.
Sections: Cyanide Poisoning: Introduction, Toxicokinetics, Pathophysiology, Clinical Presentation, Laboratory Evaluation, Treatment, Smoke Inhalation, Disposition, References.
Excerpt:"
  • Cyanide poisoning causes profound tissue hypoxia.
  • Poisoning causes rapid onset of central nervous system and cardiovascular toxicity.
  • Helpful laboratory clues include lactic acidosis and a diminished arterial–venous O2 difference.
  • Antidotal therapy with nitrites and sodium thiosulfate or with hydroxocobalamin needs to be considered early.
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