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Interpret the venous blood gas and calculate the anion gap. What is the the most likely cause given the clinical presentation?
The following lab results become available:
Hb: 14.5 g/dL
WCC 10.9
platelets 261
paracetamol < 10 mgs/ml Salicylate: Undetectable Na: 142 K+ 3.0 bicarb: 10 Urea: 2 Creatinine: 71 glucose: 6.5 Serum Osmolality: 429 (normal range 275-295) Calculate the osmolar gap. Does this confirm a diagnosis?
You suspect the underlying cause to be ethylene glycol poisoning. What are the specific management points in treating ethylene glycol poisoning?