Carbon Monoxide Headquarters
Carbon Monoxide Poisoning
Guidelines for Management:
Remove patient from the site of CO exposure at once.
Immediately administer high-flow, 100% oxygen through a tight-fitting, non-recirculating mask
Take as detailed history of circumstances of living / work as is possible.
If possible take a blood sample for COHb before O2 is given
Consider endotracheal intubation to facilitate ventilation in comatose patients
In cases of severe poisoning, or in the presence of altered state of consciousness or neurological signs, treat with hyperbaric oxygen (HBO)
Keep patient calm to reduce metabolic rate and oxygen consumption and avoid physical exertion by the patient; insulate body and warm, if hypothermic
Look for signs of cardiovascular and neuropsychologic dysfunction
Manage complications: e.g. electrolyte imbalance, cardiac arrhythmias
...... last changed 01/22/01
Management of CO (cont.)
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