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  #1  
Old 06-12-2012
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Poison Management of Alcohol Intoxication!

A 28-year-old man with a history of depression is brought to the emergency department after being found in his garage in a drunken state. He is lethargic and smells of alcohol. His fundi appear normal, and so does the rest of his physical examination.
An ethanol level is 50 mg/dL, and his osmolar gap is 20 mOsm/kg. His anion gap is 14, which rises to 17 over several
hours. His urinalysis appears to be fluorescent under an ultraviolet lamp. An EKG shows sinus tachycardia. Treatment is
initiated with intubation followed by gastric lavage, and he is also given thiamine and dextrose. What would be the next best line of management?

(A) Activated charcoal
(B) Chlordiazepoxide
(C) Diazepam
(D) 10% ethanol intravenously
(E) Hemodialysis
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Old 06-12-2012
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E........?????
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Old 06-13-2012
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(D) 10% ethanol intravenously
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Old 12-28-2012
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Quote:
Originally Posted by mayursn39 View Post
(D) 10% ethanol intravenously
Not the right answer, I guess. I read from an article that a 10% ethanol solution administered intravenously is a safe and effective antidote for severe methanol poisoning. Ethanol therapy is recommended when plasma methanol concentrations are higher than 20 mg per dl, when ingested doses are greater than 30 ml and when there is evidence of acidosis or visual abnormalities in cases of suspected methanol poisoning. If you want to read more, visit here.
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Old 12-28-2012
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Quote:
Originally Posted by mayursn39 View Post
(D) 10% ethanol intravenously
Not the right answer, I guess. I read from an article that a 10% ethanol solution administered intravenously is a safe and effective antidote for severe methanol poisoning. Ethanol therapy is recommended when plasma methanol concentrations are higher than 20 mg per dl, when ingested doses are greater than 30 ml and when there is evidence of acidosis or visual abnormalities in cases of suspected methanol poisoning. If you want to read more, visit here.
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