Antifreeze – To drink or not to drink?
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Question 1 of 4
1. Question
Apart from addressing her ABCs in the primary survey, list three other steps in the management of this patient.
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Question 2 of 4
2. Question
Review of old notes showed previous admissions with antifreeze poisoning.
ABG on 10L of oxygen:
Ph=7.16;
pco2= 1.44;
po2=22.6;
HCO3-=8.1;
Lactate=29;
Base excess= -24.7.Blood results: Sodium=148; Potassium=5.1; Urea=1.1; Creatinine=63; Glucose=5.6; Chloride=108; Serum osmolality=338.
Calculate her anion gap and her osmolar gap. What are the normal ranges?
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Question 3 of 4
3. Question
You suspect she is suffering from ethylene glycol poisoning. Give three clinical features of ethylene glycol poisoning. List two acids responsible for the metabolic acidosis.
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Question 4 of 4
4. Question
What three medications which could be useful in the management of this lady? List three indications for haemodialysis in ethylene glycol poisoning.
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