Administration Not suitable for direct injection and requires dilution prior to infusion.
Hypotension: can cause significant drops in blood pressure leading to irreversible ischemic injury or death. Requires appropriate monitoring equipment and experienced personnel.
Cyanide Toxicity: Accumulation of cyanide ion may occur
Monitoring data
Infusion at the maximum dose should not last > 10 minutes to avoid risk of cyanide toxicity
Acid base balance and venous oxygen concentration should be monitored but are not perfect indicators of cyanide toxicity