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FIRST AID MEASURES(continued) <br />• Amyl Nitrite Notes: <br />1. Amyl nitrite is highly volatile and flammable; do-not smoke or <br />use around a source of ignition. <br />2. If treating a patient in a windy or drafity area, provide <br />something--a rag, shirt, wall, drum, cupped hand, etc.--to prevent <br />the amyl nitrite vapors from being blown away. Keep the ampoule <br />upwind from the nose. The objective is to get amyl nitrite into <br />the patient's lungs. <br />3. Rescuers should avoid amyl nitrite inhalation to avoid becoming <br />dizzy and losing competence. <br />4. Lay the patient down. Since amyl nitrite dilates blood vessels <br />and lowers blood pressure, laying the patient down will help <br />prevent unconsciousness. <br />5. Do not overuse. Monitor the patient for shock which would <br />indicate excessive use. This has not occurred in practice at <br />DuPont plants, and we are not aware ofi any serious after effiects <br />from treatment with amyl nitrite. <br />6. Review and adhere to proper storage, inspection and replacement <br />requirements given above. <br />FIRST AID PROCEDURE <br />• The exposed person should be removed from the contaminated area, <br />contaminated clothing removed and the individual washed off. The <br />rescuer and/or person providing first aid is subject to exposure <br />ifi the affected person's clothing is wetted with cyanide. For <br />HYDROGEN CYANIDE, rescue ofi a wetted person should be done wearing <br />self-contained breathing air (SCBA), rubber gloves, and other . <br />personal protective equipment as necessary. For SODIUM CYANIDE or <br />POTASSIUM CYANIDE dusts or solutions, SCBA is normally not needed. <br />Contact with HYDROGEN CYANIDE must be avoided by rescuers, but <br />short contact from solid cyanide or solutions is normally not a <br />problem if skin washing is prompt. As soon as possible, even <br />while clothing is being removed or washing is taking place, First <br />Aid should be started. <br />1. If no symptoms are evident, no treatment is necessary; <br />decontaminate patient. <br />2. If conscious but symptoms (nausea, difficult breathing, <br />dizziness, etc.) are evident, give oxygen. <br />3. If consciousness is impaired (non-responsiveness, slurred <br />speech, confusion, drowsiness) or the patient is unconscious but <br />breathing, give oxygen and amyl nitrite by means of a resuscitator. <br />To give amyl nitrite, break an ampoule in a gauze pad and insert <br />(Continued) <br />• <br />1252CR Page 5 <br />