10 results
Toxic Alcohol Ingestion: Isopropyl Alcohol
General concepts for toxic alcohols:
• Parent compounds (not metabolites) cause high osmolal
not metabolites) cause ... to lactate --> causes ... #Diagnosis #Management ... #Toxicology #Isopropyl ... #ALiEM
Toxic Alcohol Ingestion: Methanol
Solvent found in cleaning and printing solutions, adhesives, stains, paint removers,
antifreeze agent in
Toxic Alcohol Ingestion ... gasoline additive Pharmacology ... #Diagnosis #Management ... #Toxicology #Methanol ... #Ingestion #ALiEM
Isocoria - Pupillary Defects - Differential Diagnosis Algorithm
Relative Afferent Pupil Defect
 • Optic Neuritis
 • Ischemic
Differential Diagnosis Algorithm ... dissociation) • Pharmacologic ... (e.g Opioids, Alcohol ... • Botulism Pharmacologic ... #Causes #Ophthalmology
Causes of Fatigue - Differential Diagnosis Algorithm
Endocrine
 • Hypo/Hyperthyroidism
 • Diabetes
 • Pituitary Insufficiency
 • Adrenal
Causes of Fatigue ... Myasthenia Gravis Pharmacologic ... • Drug Abuse (e.g ... Alcohol) • Drug ... #causes
Phenobarbital monotherapy algorithm for alcohol withdrawal

** EDIT - SEE UPDATED ALGORITHM HERE:
https://www.grepmed.com/images/4060/phenobarbital-monotherapy-withdrawal-management-algorithm-protocol-pulmcrit

-Phenobarbital monotherapy has numerous advantages
for alcohol withdrawal ... phenobarbital-monotherapy-withdrawal-management-algorithm-protocol-pulmcrit ... -If 15 mg/kg phenobarbital ... Alternative causes ... #Management #Alcohol
Naloxone - Toxicology

Adult starting dose:
 - 0.4 mg IV/IM/IO/SQ for non-opioid dependent patients
 - 0.04 mg
Naloxone - Toxicology ... dose: - 0.1 mg/kg ... search for other causes ... Naloxone #Narcan #Toxicology ... #Management #Pharmacology
Emergency Treatment Algorithm for Convulsive Status Epilepticus
1. ABCDEFG (ABC's and Don't Ever Forget the Glucose)
2. Airway:
Emergency Treatment Algorithm ... for reversible cause ... Epilepticus #Treatment #Algorithm ... #Management #Neurology ... #Pharmacology
Fomepizole for Acetaminophen Toxicity

 • In cases where fomepizole and NAC were administered together, evidence has
Toxicity • In cases ... over 500-600 mg/kg ... Acetaminophen #Toxicology ... #pharmacology # ... management
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
ECG is vital while ... the determined cause ... #differential #algorithm ... #management #cardiology ... icu #clinical #pharmacology
Alcoholic Hepatitis - Management Algorithm
Assess Eligibility for Treatment:
 - Maddrey Discriminant Function ≥ (or possibly MELD
Alcoholic Hepatitis ... - Management Algorithm ... exclude other causes ... goal of >21 kcal/kg ... #Hepatitis #Management