Friday, October 15, 2004

Principles of therapy

An understanding of the toxicology and pathophysiology of cyanide poisoning leads directly to the principles of therapy : eliminate further exposure, and institute supportive and specific antidotal therapy.

Elimination of Further Exposure
The first principle of therapy is the obvious one : eliminate any potential source of continuing cyanide poisoning :
Remove the patient from an environment containing cyanide.
Remove all contaminated clothing; rinse skin with soap and water alone if there is liquid on the skin. If cyanide contacts eyes, immediately irrigate with water for at least ten minutes. (Richard eliot HSE)
Lavage if cyanide has been swallowed. And do not give anything by mouth. Treat patient as for inhalation. (Richard eliot HSE)

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