Toxic alcohols

Toxic Alcohols

• Ethanol Toxicity
• Isopropyl Alcohol Toxicity
• Methanol Toxicity
• Ethylene Glycol Toxicity

Toxic Alcohols Anion/Osmolar Gaps

Osmolar gap	Metabolic acidosis	Osmolar gap	Anion gap	Ketones	Ca Oxolate stones	Reduced vision	Management
Ethanol	+	+	+ (if ketoacidosis)	+	-		Mainly supportive
Ethylene glycol	+	+	+	-	+	-	Fomepizole, Thiamine, Pyridoxine, +/- Dialysis
Methanol	+	+ (early on, then disappears)	+	-	-	+	Fomepizole or ethanol, Folinic acid, +/- Dialysis
Isopropyl alcohol	-	+	-	+	-	+	Mainly supportive
Propylene gylcol	+	+ (initially)	+ (converted to lactate)	-	-	-

See Also

• Sedative/hypnotic toxicity
• Sedative/hypnotic withdrawal
• In-Training Exam Review