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Amyl Nitrate
Paramedic
9
Pharmacology
Advanced
09/10/2021

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Cards

Term
Amyl Nitrite
Definition
no other names
Term
Class
Definition
  1. antidote
  2. Cyanide poisoning adjunct
  3. Nitrate
Term
MOA
Definition
Converts hemoglobin to methemoglobin, which reacts with cyanide and chemically binds with it, preventing any toxic effect.
Term
Indications
Definition
Cyanide poisoning
Term
Contraindications
Definition
none in the emergency setting
Term
Adverse Reactions/Side Effects
Definition
  1. Headache
  2. Dizziness
  3. Weakness
  4. Increased ICP
  5. Shortness of Breath
  6. Orthostatic Hypotension
  7. Tachycardia
  8. Syncope
  9. Cyanosis of lips, fingernails, and palms (signs of methemoglobinemia)
Term
Drug Interactions
Definition
Increased hypotensive effects with antihypertensives, alcohol ingestion, phenothiazines, or beta blockers.
Term
Dosage and Administration
Definition

Adult:

1 to 2 ampules crushed and inhaled for 30 seconds of each minute until sodium nitrite is prepared or administered for 30 to 60 seconds every 5 minutes until patient is conscious.

 

Pediatric:

1 ampule crushed and inhaled for 30 seconds of each minute until sodium nitrite is prepared or administered for 30 to 60 seconds every 5 minutes until patient is conscious.

Term
Duration of Action
Definition

Onset: 30 seconds to 5 minutes

Peak: Varies

Duration: 5 to 10 minutes

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