The Bittersweet Cocktail

The Bittersweet Cocktail

The Bittersweet Cocktail

The Bittersweet Cocktail 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
- 100g of ethylene glycol
- 120g of ethylene glycol
- 140g of ethylene glycol
- 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
- U&E, FBC, LFT, TFT, osmolality, ABG, toxic alcohol & ethanol levels and ECG
- U&E, FBC, LFT, glucose, plasma osmolarity, ABG, toxic alcohol & ethanol levels and ECG
- U&E, FBC, LFT, TFT, plasma osmolarity, ABG, toxic alcohol & ethanol levels and ECG
- U&E, FBC, LFT, TFT, osmolality, ABG, toxic alcohol & ethanol levels and glucose
Correct

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

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