Multiprofessional Critical Care Review: Adult (2023)-Question and Answer Session 2

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Question and Answer Session 2

Pdf Summary

In this scenario, the patient is presenting with signs and symptoms consistent with ethylene glycol toxicity. Laboratory findings of metabolic acidosis, elevated liver enzymes, and oxalate crystalluria support this diagnosis. The most appropriate treatment for ethylene glycol toxicity is fomepizole, a potent inhibitor of alcohol dehydrogenase. N-acetylcysteine, activated charcoal, and methylene blue are not indicated for the treatment of ethylene glycol toxicity.

Keywords

ethylene glycol toxicity

signs and symptoms

laboratory findings

metabolic acidosis

elevated liver enzymes

oxalate crystalluria

fomepizole

alcohol dehydrogenase inhibitor

N-acetylcysteine

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