Management of Hypoglycemia and Lactic Acidosis Quiz
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Questions and Answers

What is the recommended decontamination method for ethylene glycol ingestion?

  • Activated charcoal
  • Administering pyridoxine
  • Performing lavage or aspirating gastric contents (correct)
  • Administering fomepizole

When is administration of fomepizole or ethanol indicated for ethylene glycol ingestion?

  • In the presence of oxalate crystals in the urine
  • If serum bicarbonate levels are below 20 mEq/L
  • When arterial pH is less than 7.3
  • If the ethylene glycol level is higher than 20 mg/dL (correct)

Which cofactors are required for the metabolism of ethylene glycol to nontoxic metabolites?

  • Folic acid and thiamine (correct)
  • Fomepizole and ethanol
  • Activated charcoal and pyridoxine
  • Administering octreotide

What is the volume of distribution of ethylene glycol approximately?

<p>0.6-0.8 L/kg (D)</p> Signup and view all the answers

Which parameter is NOT an indication for therapy in ethylene glycol ingestion?

<p>Serum bicarbonate greater than 30 mEq/L (D)</p> Signup and view all the answers

Which method is considered ineffective decontamination for ethylene glycol poisoning?

<p>Activated charcoal administration (B)</p> Signup and view all the answers

What is a significant effect of administering pyridoxine, folate, and thiamine in ethylene glycol toxicity?

<p>Enhancing metabolism of toxic metabolites (B)</p> Signup and view all the answers

What should be monitored for several hours in patients suspected of ethylene glycol ingestion?

<p><code>Metabolic acidosis development</code> (D)</p> Signup and view all the answers

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