A victim of cyanide exposure is transported to an urban medical center. Which treatment should the nurse anticipate being prescribed for this client?
1. Valium
2. Atropine
3. Sulfur thiosulfate
4. Anti-Lewisite (BAL)
3
Rationale 1: Valium might be used for prolonged convulsions.
Rationale 2: Atropine is used to block excessive neurotransmitter activity.
Rationale 3: Sulfur thiosulfate IV (50 mL; 12.5 g); sulfur converts cyanide to form a nontoxic substance.
Rationale 4: An antidote for systemic lewisite is British anti-Lewisite (BAL), a drug given IV for heavy metal poisoning.
Global Rationale: Sulfur thiosulfate IV (50 mL; 12.5 g); sulfur converts cyanide to form a nontoxic substance. Valium might be used for prolonged convulsions. Atropine is used to block excessive neurotransmitter activity. An antidote for systemic lewisite is British anti-Lewisite (BAL), a drug given IV for heavy metal poisoning.
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