The Bittersweet Cocktail

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Question 1 of 3

1. Question

What is the lethal dose of ethylene glycol for a 70kg adult?

70g of ethylene glycol
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100g of ethylene glycol
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120g of ethylene glycol
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140g of ethylene glycol
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210g of ethylene glycol
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Question 2 of 3

2. Question

What initial investigations are required for this patient?

U&E, FBC, LFT, glucose, osmolality, ABG, toxic alcohol & ethanol levels and ECG
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U&E, FBC, LFT, TFT, osmolality, ABG, toxic alcohol & ethanol levels and ECG
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U&E, FBC, LFT, glucose, plasma osmolarity, ABG, toxic alcohol & ethanol levels and ECG
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U&E, FBC, LFT, TFT, plasma osmolarity, ABG, toxic alcohol & ethanol levels and ECG
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U&E, FBC, LFT, TFT, osmolality, ABG, toxic alcohol & ethanol levels and glucose
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Question 3 of 3

3. Question

The Antidote/treatment is Fomepizole or ethanol, but when should it be administered?

Treat if:

10g of ethylene glycol has been ingested, a high anion gap metabolic acidosis or osmolar gap greater than 10 mOsm/kg.
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20g of ethylene glycol has been ingested, a high anion gap metabolic acidosis or osmolar gap greater than 10 mOsm/kg.
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10g of ethylene glycol has been ingested, a low anion gap metabolic acidosis or osmolar gap greater than 10 mOsm/kg.
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20g of ethylene glycol has been ingested, a low anion gap metabolic acidosis or osmolar gap greater than 10 mOsm/kg.
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30g of ethylene glycol has been ingested
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The Bittersweet Cocktail

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