2015 Trumbull Memorial Hospital Demo

Hydroxocobalamin (Cyanokit) Hydroxocobalamin (Cyanokit ® )

Action

Onset

Binds with cyanide ions

Immediate

Indications Smoke inhalation / Cyanide

Adult Dose 5 grams IVP/IO over 15 minutes

Pediatric Dose Consult medical control 70 mg/kg IVP/IO over 15 minutes, Maximum 5 grams (5,000mg)

Contraindications Hypersensitivity to hydroxocobalamin or cyanocobalamin

Adverse Reactions Abnormal color of urine, erythema (red skin), rash, increased blood pressure, nausea, headache, an injection site reactions.

Precautions Do not administer diazepam, dopamine, or sodium thiosulfate through the same line. If administering other medications, do so through a separate IV line.

Considerations Hydroxocobalamin interferes with some clinical laboratory blood tests performed at hospitals. Use on any firefighter removed from a structure via RIT who had their mask off at any point. Mothers breastfeeding should discontinue until out of their system (approx. 24 hours)

206

EMR

EMT

AEMT

Paramedic

Extended