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Operational Medicine 2001
Amyl nitrite

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Category:

  • Miscellaneous

Description:

  • Antianginal, cyanide antidote

Indications:

  • Acute angina pectoris

  • Cyanide poisoning

Contraindications:

  • Severe anemia, increased intracranial pressure

  • Hypertension, cerebral hemorrhage

Precautions:

  • Pregnancy category C

  • Drug should be inhaled while the patient is seated or lying down

  • Taking after drinking alcohol may worsen side effects

  • Amyl nitrite if very flammable

  • Tolerance may develop with repeated use

Adverse Reactions (Side Effects):

  • CNS: dizziness, headache, syncope, weakness

  • CV: cardiovascular collapse, palpitations, postural hypotension, tachycardia

  • GI: abdominal pain, nausea, vomiting

  • GU: urinary incontinence

  • HEME: hemolytic anemia, methemoglobinemia

  • MS: muscle twitching

  • SKIN: flushing, pallor,sweating

Dosage:

Administered via inhalation (INH)

  • a capsule of amyl nitrite is crushed with the fingers and held to the nostrils for inhalation of the vapors

  • Adult:   

    • angina pectoris, cardiac diagnostic aid: 

      • INH 0.18-0.3 ml capsule as needed

      • 1-6 INH from 1 capsule

      • may repeat in 3-5 minutes

    • cyanide poisoning: 

      • INH 0.3 ml capsule inhaled for 15 seconds until sodium nitrite infusion is ready

 

 

Approved for public release; Distribution is unlimited.

The listing of any non-Federal product in this CD is not an endorsement of the product itself, but simply an acknowledgement of the source. 

Operational Medicine 2001

Health Care in Military Settings

Bureau of Medicine and Surgery
Department of the Navy
2300 E Street NW
Washington, D.C
20372-5300

Operational Medicine
 Health Care in Military Settings
CAPT Michael John Hughey, MC, USNR
NAVMED P-5139
  January 1, 2001

 United States Special Operations Command
7701 Tampa Point Blvd.
MacDill AFB, Florida
33621-5323

*This web version is provided by The Brookside Associates Medical Education Division.  It contains original contents from the official US Navy NAVMED P-5139, but has been reformatted for web access and includes advertising and links that were not present in the original version. This web version has not been approved by the Department of the Navy or the Department of Defense. The presence of any advertising on these pages does not constitute an endorsement of that product or service by either the US Department of Defense or the Brookside Associates. The Brookside Associates is a private organization, not affiliated with the United States Department of Defense.

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