Ethylene gylcol

Question 1

What are the main VBG findings of EG OD

Answer 1

1-RAGMA

2= High Osmolar gap ( measured osmolality -calculated osmolarity )

Question 2

List 3 life threatening features can occur after EG ingestion

Answer 2

1- altered conscious state /airway obstruction
2-CVS depression
3-sever renal failure
4- metabolic acidosis and organ failure
5-Seizure and coma

Question 3

What is the role of decontamination in EG

Answer 3

No role for of oral l charcoal ( not bond to AC )

Question 4

List 3 key steps in MX of patient with EG OD , and justification to each step

Answer 4

1-Ethanol 40% PO/NGT ( three shots ) followed by one /hr : displaces breakdown of toxic alcohol aim BAL 0.1-0.15

2- Intubation and hyperventilation airway protection and CV protection

3- Hemodialysis /hemofiltration/RRT : definitive Mx for EG elimination