MedicalEthylene Glycol Decision Tree
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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?
NO
Admission to regular medical floor
Fomepizole only therapy initiated




YES





 
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