A 55-year-old man on ICU has suspected cyanide poisoning from a house fire. He has a severe lactic acidosis (lactate 18 mmol/L), hypotension, and alte...

Question

A 55-year-old man on ICU has suspected cyanide poisoning from a house fire. He has a severe lactic acidosis (lactate 18 mmol/L), hypotension, and altered consciousness. COHb is 15%. What is the specific antidote for cyanide poisoning?

Accepted Answer

IV hydroxocobalamin (Cyanokit) 5 g over 15 minutes

Answer

100% oxygen only

Answer

IV methylene blue

Answer

IV sodium thiosulphate only

Answer

IV N-acetylcysteine

uk-fficm MCQ (SBA): Cyanide Poisoning

A 55-year-old man on ICU has suspected cyanide poisoning from a house fire. He has a severe lactic acidosis (lactate 18 mmol/L), hypotension, and altered consciousness. COHb is 15%. What is the specific antidote for cyanide poisoning?