When assessing a respiratory patient, watch out for cyanide poisoning…

Monday, January 31, 2011 5:27 PM by Kristen Wegener

Really?? Well, apparently so. My professor for Fundamentals this morning was lecturing on oxygenation and told us this story:

“About 5 years ago, I was working in a doctor’s office and a woman came in complaining of really vague symptoms… dizziness, confusion etc. So we started asking questions and could not get down to the bottom of it. She came is again a few weeks later, with the same symptoms, only worse. We started running tests on her, looking for possible strokes, heart attack, airway blockages. Nothing came up. A few months later, she came in again, and by this time she was experiencing very stroke-like symptoms, with a very weak left side. We started running rarer and rarer tests on her, and nobody could figure out what was wrong.

On that visit, I was talking with the doctor, and I said,

‘Do you think there is any possibility that she could be being poisoned? Her husband never comes with her, and she’s mentioned something about arguments…’

So we ran more tests, for toxicity, and sure enough, she was being poisoned with cyanide. We notified the police and they pulled him over and even found cyanide in his truck. He spent some time in jail over it.”

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