Citation

Reyes G, Jaimovich DG, Miller K, Cantorna JF, Horowitz IN. Emergency and Office Pediatrics 1998; 11(3): 108-114.

Copyright

(Copyright © 1998)

DOI

unavailable

PMID

unavailable

Abstract

Ethylene glycol and methanol poisonings are potentially lethal situations where the clinician must have a high index of suspicion. Patients typically present in either an inebriated state or coma with anion and osmolal gaps if access to medical care has been delayed. Acidosis should be treated aggressively with sodium bicarbonate to maintain a blood pH level of > 7.2. Therapy with an ethanol infusion and hemodialysis must be initiated rapidly before laboratory confirmation if patients are to have the best opportunity for a satisfactory outcome.

Language: en

Keywords

adolescent; alcohol; article; artificial heart pacemaker; atropine; bicarbonate; blood level; case report; clinical feature; dopamine; endotracheal intubation; ethylene glycol; famotidine; female; fluid therapy; folic acid; heart arrhythmia; hemodialysis; human; hypotension; infusion fluid; intoxication; intravenous drug administration; laboratory diagnosis; lidocaine; male; methanol; methanol poisoning; multivitamin; noradrenalin; pyridoxine; suicide attempt; thiamine