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</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</p> Signup and view all the answers

    Which method is considered ineffective decontamination for ethylene glycol poisoning?

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

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