However, if the victim has been exposed to carbon monoxide from a house fire, they will have even less functional hemoglobin as carboxyhemoglobin, which is created from exposure to CO, cannot carry oxygen either. In patients that have been exposed to cyanide only, this would be fine - the body can survive with only 70 percent of hemoglobin functioning to carry oxygen. Normally we want to create about 30 percent methemoglobin. The downside of creating this form of hemoglobin, called methemoglobin, is that it cannot carry oxygen. This will pull the cyanide out of the mitochondria of the cells and allow the resumption of normal energy production. One of the treatments for cyanide poisoning is to turn some of the hemoglobin in the body into a form that will attach to cyanide. Next, there is Sodium Nitrate for IV administration. First, there is Amyl Nitrite for inhalation. These are in short supply - often there is only one or two available to each emergency department. It is also known as the Lilly Kit, Pasadena Kit or the Taylor Kit.
In the hospital, a common treatment is the Cyanide Antidote Kit.
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