Ethanol toxicity: Difference between revisions
No edit summary |
|||
Line 1: | Line 1: | ||
==Background== | ==Background== | ||
*AMS that doesn't improve after few hrs is d/t alternative cause until proven otherwise | |||
*Blood Alcohol Level | |||
**Correlates poorly with degree of intoxication | |||
**Rate of ETOH elimination is 15-30mg/dL/hr (depending on degree of chronic alcoholism) | |||
==Clinical Features== | |||
#Classic Features | |||
##Slurred speech | |||
##Nystagmus | |||
##Ataxia | |||
##N/V | |||
##Respiratory depression | |||
##Coma | |||
#Other Features (if malnourished) | |||
##Hypoglycemia | |||
##Ketoacidosis | |||
##Lactic acidosis | |||
==Diagnosis== | ==Diagnosis== | ||
#Blood sugar | |||
#BAL | |||
##Appropriate if AMS is due to unknown cause | |||
##Not necessarily required in mild-mod intoxication or if no other abnormality suspected | |||
- | #Elevated osmolar gap | ||
==Treatment== | |||
#GI decontamination | |||
##Activated charcoal ineffective (ETOH is too rapidly absorbed) | |||
#Hypoglycemia | |||
##Give glucose immediately (do not have to wait to give thiamine first) | |||
#"Banana Bag" | |||
##IV form is not justified | |||
##Likelihood of vitamin deficiency (except for thiamine) is low | |||
##IVF does not hasten ETOH elimination | |||
==Disposition== | |||
*Most pts require observation only | |||
== | |||
==See Also== | ==See Also== | ||
[[ | *[[ETOH Withdrawl]] | ||
*[[Beer Potomania Syndrome]] | |||
[[ | |||
==Source== | ==Source== | ||
*Tintinalli | |||
[[Category:Tox]] | [[Category:Tox]] |
Revision as of 06:18, 4 January 2012
Background
- AMS that doesn't improve after few hrs is d/t alternative cause until proven otherwise
- Blood Alcohol Level
- Correlates poorly with degree of intoxication
- Rate of ETOH elimination is 15-30mg/dL/hr (depending on degree of chronic alcoholism)
Clinical Features
- Classic Features
- Slurred speech
- Nystagmus
- Ataxia
- N/V
- Respiratory depression
- Coma
- Other Features (if malnourished)
- Hypoglycemia
- Ketoacidosis
- Lactic acidosis
Diagnosis
- Blood sugar
- BAL
- Appropriate if AMS is due to unknown cause
- Not necessarily required in mild-mod intoxication or if no other abnormality suspected
- Elevated osmolar gap
Treatment
- GI decontamination
- Activated charcoal ineffective (ETOH is too rapidly absorbed)
- Hypoglycemia
- Give glucose immediately (do not have to wait to give thiamine first)
- "Banana Bag"
- IV form is not justified
- Likelihood of vitamin deficiency (except for thiamine) is low
- IVF does not hasten ETOH elimination
Disposition
- Most pts require observation only
See Also
Source
- Tintinalli