If the patient was started on nitroprusside and now has the following symptoms; nausea, heart failure, confusion, rapid breathing, and tachycardia it very well could be cyanide toxicity. The antidote that a pharmacist would recommend would be <span>Sodium thiosulfate + Sodium nitrite. Hydroxocobalamin can also be used as an antidote. It is very important the 55-year-old Hispanic female is given the antidote as soon as possible due to her renal insufficiency. </span>
When two protein chains combine to form an active protein, the structural level is quaternary.
<h3>What is a quaternary structure?</h3>
The quaternary and tertiary structure of a protein is the tridimensional shape of the protein, which involves protein domains.
The quaternary protein structure refers to the different arrangements generated by different protein subunits.
The primary structure of a protein involves its amino acid sequence, whereas the second structure involves protein chains.
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