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  Question 6

  How to manage methanol intoxication?

  ED management

  IVF: NS 500 cc IV
On monitors
Jusomine 4 amp IV push
Jusomine 4 amp IV drip
Consult Toxicology Center
Consult Ophthalmologist
On critical
Admission to ICU

  Admission to Nephrologist’s service

  90-12-24 17:02 Admission to ICU
90-12-24 17:40 Start Hemodialysis

Other ICU treatment:
1. Ethanol 100 ml /hr via NG
2. Furosemide 20mg IV BID
3. Dopamine IV drip
4. Levophed IV drip
5. Jusomine IV push


  Other Lab data in ICU

  Osmolality (12/24) : 375
Ca (12/24) : 1.83


  Patient Expired

 
  • 90-12-26 22:53 patient expired
    ( Complicated with UGI bleeding, high fever, shock )

  • Methanol level = 295 mg/l (12/28)

  Other Lab data in ICU

  Osmolality (12/24) : 375
Ca (12/24) : 1.83