Household Toxins Flashcards
Ethylene glycol is oxidized to
Oxalic acid - binds serum Ca
MOA for Ethylene glycol
GI irritation
Osmotic diuresis
CNS depression
MOA for Ethylene glycol metabolites
Met acidosis
Acute renal failure (crystals calcium oxalate mono)
Ethylene glycol signs - Early
30 min - 12 hr
Vomit, CNS depression, Incoordination, hypothermia, tremors, tachycardia/pnea, PU/PD
Ethylene glycol signs - Late
24-72 h
Oliguric renal failure
Ethylene glycol lesions
Hemorrhagic enteritis
Pulmonary edema
Pale, swollen kidney w/ gray or yellow streaks
Ethylene glycol produces anion gaps of
More than 40-50 mEq/L
Ethylene glycol chemistry results
Hypocalcemia
Hyperglycemia
BUN, Cr, Hyper P/K
Ethylene glycol treatment
Inhibitors of alcohol dehydrogenase
Fomepizole
Ethanol 20%
Which species is more sensitive to propylene glycol
Cats
propylene glycol is metabolized to ____ which _____ and may cause _____
D-Lactic acid - accumulates and may cause lactic acidosis
MOA of propylene glycol
Osmotic diuresis
CNS depression
Heinz body
propylene glycol signs
Ataxia and CNS depression
Heinz body
Muscle twitching
propylene glycol lab finding
Met acidosis
Hyperosmol
Anion gap