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MedicalEthylene Glycol Decision Tree
By devin
Category: Medical. Viewed 492 times. Created March 2014.     Disclaimer.   
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Ethylene Glycol (EG) intoxicated patient arrives in emergency department
Loading dose of Fomepizole administered, serum EG levels sent to lab.
Is serum EG level above medical treatment criteria?
Admission to regular medical floor
Fomepizole only therapy initiated


Admission to critical care bed
Termination of therapy
Q12 hour Fomepizole adminsitration until serum EG level <=20mg/dL

Hemodialysis (HD) and Fomepizole combination therapy initiated
8-12 hour HD run until serum EG levels <=20mg/dL with q4 hour Fomepizole during treatment course