ICU SAQs · Toxicology
Toxic alcohol poisoning — the management
A CICM Second-Part SAQ on the toxic alcohol — the dual gap, the fomepizole, the haemodialysis, the cofactors.
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Prompt
A patient presents with confusion, a high anion-gap acidosis (pH 7.2) and an osmolar gap of 25, 12 hours after an unknown ingestion. Outline the management.
Question
A patient presents with confusion, a high anion-gap acidosis (pH 7.2) and an osmolar gap of 25, 12 hours after an unknown ingestion. Outline the management.
References3ShowHide
- [1]Ross JA, Borek HA, Holstege CP, et al. Toxic Alcohol Poisoning. Emergency Medicine Clinics of North America, 2022.PMID 35461626
- [2]Kraut JA, et al. Approach to the Treatment of Methanol Intoxication. American Journal of Kidney Diseases, 2016.PMID 27180631
- [4]Bersten AD, Soni N (eds) Oh's Intensive Care Manual. 8th edition, Elsevier, 2018.