phuluong2k
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13) A 17-year-old boy is brought to the hospital by paramedics because of possible antifreeze ingestion. The father reports that his son has recently been drinking alcohol excessively. Over the past few days, the son had seemed very depressed and had been caught sneaking alcohol into the house on two occasions. The father tried confining the son to his bedroom, but later found him face down on the garage floor near a bottle of antifreeze. The patient's girlfriend confirmed that the patient did consume some liquid that she believed to be antifreeze. To rapidly assess this possibility, which of the following is the most appropriate initial step in management?
A. Examine the patient's breath for a fruity odor
B. Evaluate for hyperemia of his optic discs
C. Obtain an ECG
D. Evaluate his urine under a Wood's lamp
E. Request a serum osmolarity measurement
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| chemamr
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D?
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| nisha
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E. Look for increased anion gap
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| ARJ
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E. Request a serum osmolarity measurement
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| phuluong2k
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Bravo, You are excellent chemamr
Increased serum osmolality can also be seen in other alcoholics
fluorescein is added to some commercial antifreeze preparations (ethylene glycol) to a final concentration of approximately 20 micrograms/mL as a colorant to aid in detection of automobile cooling-system leaks. For an adult human being, a potentially toxic volume of antifreeze is 30 mL, which contains 0.4 to 0.6 mg sodium fluorescein.
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