- Contained in wind shield wiper fluid, anti-freeze, fuel additives, paint thinners
- Consumed inadvertently by child or w/intent to harm self/others, very toxic
- Resp depression
- Death
- Blindness
- Initially can appear inebriated
- Long term neruo deficits
- Osmolar gap and later met acidosis
- Initially inebriated
- Later can have tachypnea from met acidosis, visual disturbance, then somnolence, multi-sytem failure
- Chem 7, ABG, Serum Osm
- Osmolar Gap: Measured Osm - Calculated Osm, where nl <= 10
- Measured Osm: 2xNa + BUN/2.8 + Glucose/18
- Anion Gap: Na - (HCO3 + Cl); nl 6-14