A victim of a fire in a clothing shop is complaining of headache and dizziness and has a potentially dangerous heart rhythm. What actions should the nurse expect to be performed for this patient?
Select all that apply.
1. treatment with prednisone
2. treatment with vancomycin
3. treatment with hydroxocobalamin
4. hyperbaric oxygen therapy
5. pacemaker insertion
Correct Answer: 3, 4
Cyanide gas is released when plastics, polyurethane, nylon, or silk is burned. Manifestations of cyanide poisoning include headache, dizziness, and lethal dysrhythmias. Treatment addresses the inability of the body to use oxygen. Hyperbaric oxygen (oxygen delivery in a high-pressure chamber) may be used with inhalation of smoke. Hydroxocobalamin (Cyanokit) is a form of vitamin B12 that converts cyanide to a form that can be excreted from the body. Prednisone, vancomycin, and pacemaker insertion are not used to treat cyanide poisoning.
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