Alcohol Poisoning Cheat sheet

Alcohol poisoning is a serious — and sometimes deadly — consequence of drinking large amounts of alcohol in a short period of time. Drinking too much too quickly can affect your breathing, heart rate, body temperature and gag reflex and potentially lead to a coma and death.

Alcohol poisoning can also occur when adults or children accidentally or intentionally drink household products that contain alcohol. A person with alcohol poisoning needs immediate medical attention. If you suspect someone has alcohol poisoning, call for emergency medical help right away.

Differential  Diagnosis of alcohol Poisoning

alcohol-poisoning-cheatsheet

 

Metabolic acidosis with an increased gap may occure due to production of lactic acid or hypoglycemia (Ketones)

  • All are commonly used as an ethanol substitute.
  • All are initially metabolized by alcohol dehydrogenase (ADH).
  • Blood levels of each alcohol is the most specific test.

Key Clues

  • Alcohol and isopropyl alcohol look similar except fruity breath.
  • Isopropyl alcohol can be distinguished from Methanol and ethylene glycol because of the absence of anion gap metabolic acidosis.
  • Fluorescence of the urine under Wood`s lamp suggests ethylene glycol because of fluorescein, a component of antifreeze.

 

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