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1 Cards in this Set
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Dx of unconscious, metabolic A.G. acidosis, sluggish pupillary response, bilateral basal ganglion lesion?
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Methanol toxicity
delayed pupils --> due to bilateral optic atrophy-->irreversible blindness hemorrhagic or nonhemorrhagic putamen lesion |
Trmt: 1)gastric lavage with NaHCO3 w/in 2 hours of ingestion, 2) IV NaHCO3, 3) prednisolone and ?mannitol for edema, 4) IV fomepizole, 5)dialysis, 6) Ca2+-leucovorin for clearance of blood formate
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