Carbon Monoxide Poisoning
Guidelines for Management (cont.):
Consider supporting cardiovascular function with inotropes, antiarrhythmics, etc.
Consider treating cerebral edema with hyperosmotics such as mannitol, and with steroids, to lower intracranial pressure and restore brain blood flow
Treat pregnant patients more aggressively, even those with moderate CO poisoning
Patients given HBO should have blood drawn after each session of HBO to assure that COHb has fallen to near zero.
Patients given HBO should be administered psychometric testing before and after each session of HBO.
Comatose patients who survive may show immediate or delayed neuropsychologic deficits; hyperbaric oxygen (HBO) therapy decreases the incidence of both types of sequelae
No patient who is symptomatic, even in the slightest way, should be released.
Survivors should avoid exertion for 3-6 weeks after severe poisoning
Decision "Tree" to Managing CO Poisoning
...... last changed 01/15/01
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