Difference between revisions of "Ethanol toxicity"

(See Also)
(See Also)
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==See Also==
==See Also==
*[[ETOH Withdrawal]]
*[[Alcohol Withdrawal]]
*[[Beer Potomania Syndrome]]
*[[Beer Potomania Syndrome]]

Revision as of 07:45, 19 February 2012


  • 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

  1. Classic Features
    1. Slurred speech
    2. Nystagmus
    3. Ataxia
    4. N/V
    5. Respiratory depression
    6. Coma
  2. Other Features (if malnourished)
    1. Hypoglycemia
    2. Ketoacidosis
    3. Lactic acidosis


  1. Blood sugar
  2. BAL
    1. Appropriate if AMS is due to unknown cause
    2. Not necessarily required in mild-mod intoxication or if no other abnormality suspected
  3. Elevated osmolar gap


  1. GI decontamination
    1. Activated charcoal ineffective (ETOH is too rapidly absorbed)
  2. Hypoglycemia
    1. Give glucose immediately (do not have to wait to give thiamine first)
  3. "Banana Bag"
    1. IV form is not justified
    2. Likelihood of vitamin deficiency (except for thiamine) is low
    3. IVF does not hasten ETOH elimination


  • Most pts require observation only

See Also


  • Tintinalli