8 Questions
What is the recommended decontamination method for ethylene glycol ingestion?
Performing lavage or aspirating gastric contents
When is administration of fomepizole or ethanol indicated for ethylene glycol ingestion?
If the ethylene glycol level is higher than 20 mg/dL
Which cofactors are required for the metabolism of ethylene glycol to nontoxic metabolites?
Folic acid and thiamine
What is the volume of distribution of ethylene glycol approximately?
0.6-0.8 L/kg
Which parameter is NOT an indication for therapy in ethylene glycol ingestion?
Serum bicarbonate greater than 30 mEq/L
Which method is considered ineffective decontamination for ethylene glycol poisoning?
Activated charcoal administration
What is a significant effect of administering pyridoxine, folate, and thiamine in ethylene glycol toxicity?
Enhancing metabolism of toxic metabolites
What should be monitored for several hours in patients suspected of ethylene glycol ingestion?
Metabolic acidosis development
Test your knowledge on the management of hypoglycemia and lactic acidosis, including maintaining serum glucose concentrations and treating lactic acidosis caused by biguanides. Monitor serum glucose levels closely and use sodium bicarbonate judiciously. This quiz covers important considerations in the treatment of these conditions.
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