Wallach's Interpretation of Diagnostic Tests: Pathways to Arriving at a Clinical Diagnosis (913 page)

BOOK: Wallach's Interpretation of Diagnostic Tests: Pathways to Arriving at a Clinical Diagnosis
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   Digoxin and estrogens increase in plasma levels
ETHYLENE GLYCOL
*
   Definition
   A colorless, odorless, sweet tasting nonvolatile liquid found in antifreeze, coolants, deicers, brake fluids, detergents, paints, and inks
   Other name: 1,2-ethanediol
   
Normal range:
none; threshold limit value for occupational exposure: 100 mg/m
3
   Use
   Antifreeze
   Softening agent and stabilizer
   Solvent
   Interpretation
   Minimum lethal oral dose for adults is approximately 100 mL; toxicity possible at serum concentrations >250 mg/L
   Limitations
   Propylene glycol, a similar compound used in pharmaceutical preparations is less toxic.
   Ethylene glycol can cause severe metabolic acidosis with increased anion gap and osmolal gap.

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