Poisoning - Ethanol
- Ethanol poisoning occurs when too much of it is taken within a short time
- It can occur by taking ethanol per se or products containing ethanol (especially in children).
- Ethanol contents: whiskey 40-60%, liqueurs 22-50%, wine 8-16% and beer 3-7%.
- Sedation and intoxication
- Slurred speech
- Respiratory depression and hypoxia
- Hypoglycemic state especially in infants and young children
- Hypotension (due to its vasodilation effect) but hypertension after long term use
- Flushed skin
- Lactic acidosis
- Acute pancreatitis
- Congestive Heart Failure
- If ingestion occurred within the last 1hr evacuate the stomach by use of nasogastric tube.
- Secure the airway (in case it is required) with an endotracheal tube to ensure adequate ventilation and reduce of aspiration
- Respiratory support and mechanical ventilation may be required.
- Dextrose 25% to correct hypoglycemia
- Correction of electrolyte balanceTo prevent neurologic injury administer thiamine 100 mg IV/IM
- Activated charcoal is NOT useful
- Blood sugar
- Electrolyte levels