300
A 2year old is found unconscious in the garage. He is obtunded on exam. After attending to his ABCs, his labs are as follows:
7.0/35/10/Lactate is 1 Na= 143, Cl-105, Bicarb is 10, Osmolality is 350, BUN is 4, Glucose is 104.
You correctly diagnose this
Two indications for hemodialysis are:
What is Ethylene glycol
What are EG level >50mg/dL and renal insufficiency
EG: Profound Anion gap acidosis WITHOUT ketoacidosis, high osmolar gap, low calcium due to calcium oxalate crystals
Methanol: high anion gap acidosis, osmolar gap, triad symptoms of GI, eyes (snowstorm), metabolic acidosis, formic acid is formed
IPA: ketonemia, no or little acidosis is classic, osmolar gap