The Valley Hospital Mobile ICU
Standing Orders / Communications Failure Orders
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(5) Establish IV access;
(6) Administer Sodium Thiosulfate 12.5 grams IV over ten (10) minutes; and go
to step 11,
(7) If CYANOKIT® is available, add 100 mL of 0.9% Sodium Chloride Injection to
first CYANOKIT® vial using transfer spike;
(8) Mix CYANOKIT
®
vial for 30 seconds to mix solution. Do not shake;
(9) Use vented IV tubing to hang and infuse first vial over 10 minutes;
(10) Repeat steps 7 through 9 for second vial of CYANOKIT®; and
(11) Contact medical command.




