Cyanide (AC, CK) Diagnosis 1. Consider in: Closed space smoke inhalation/fire victim OR suicide with coma/acidosis Laboratory worker who suddenly collapses Ingestion of nitrile compound; ingestion of artificial nail remover ICU: pt on nitroprusside with MS changes, acidosis 2. Bitter almond odor (detectable by 40-50%) 3. Hypoxic symptoms: HA, SOB, confusion, seizure, coma 4. Shock […]

Cyanide (AC, CK) Diagnosis 1. Consider in: Closed space smoke inhalation/fire victim OR suicide with coma/acidosis Laboratory worker who suddenly collapses Ingestion of nitrile compound; ingestion of artificial nail remover ICU: pt on nitroprusside with MS changes, acidosis 2. Bitter almond odor (detectable by 40-50%) 3. Hypoxic symptoms: HA, SOB, confusion, seizure, coma 4. Shock […]