16 Questions
What is the primary aim of treating ethanol poisoning?
Prevent respiratory failure
Which vital sign alteration is most commonly seen in ethanol poisoning?
Hypotension
In ethanol poisoning, what aspect of neuronal function is disrupted?
Neuronal metabolism
What is the most likely reason for the patient's slurred speech in ethanol poisoning?
Impaired coordination
Why is it important to recognize the potential for sudden changes in physiology in ethanol poisoning?
To address life-threatening effects
What is the significance of identifying a toxic co-ingestant in the context of ethanol poisoning?
May cause worsening symptoms
What is the recommended initial treatment for patients with significant CNS depression to maintain a patent airway?
Perform head-tilt, chin-lift maneuver
At what blood alcohol level do patients typically experience marked ataxia, confusion, and inebriation?
300-400 mg/dL
What is the effect of carbon monoxide (CO) on the oxygen carrying capacity of the blood?
Causes functional anemia
What is the mechanism of action of organophosphate compounds in poisoning cases?
Inhibition of acetylcholinesterase
Which method is NOT recommended in the treatment of organophosphate poisoning?
Hemodialysis
What is the main reason why ethanol intoxication patients should receive dextrose-containing fluids?
To prevent hypoglycemia
How does carbon monoxide (CO) affect cellular respiration?
Binds to cytochrome oxidase
What is the critical carboxyhemoglobin level where symptoms of carbon monoxide toxicity can be seen?
>10%
What is the minimum lethal dose of most organophosphate compounds?
2 grams
Which symptom is NOT typically seen in organophosphate poisoning?
Metabolic acidosis
Test your knowledge on the management of specific poisonings with a case scenario involving a 35-year-old man with a history of heavy alcohol use presenting symptoms of confusion, ataxia, and decreased consciousness. Determine the likely diagnosis and appropriate management approach.
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