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Glycolic acid is the major metabolite of ethylene glycol responsible for toxicity. The three main systems affected by ethylene glycol poisoning are the central nervous system, metabolic processes, and the kidneys. [7] The central nervous system is affected early in the course of poisoning as the result of a direct action of ethylene glycol.
The toxic effects of ingesting ethylene glycol occur because it is converted by the liver into 4 other chemicals that are much more toxic. The lethal dose of pure ethylene glycol is 1.4 ml/kg (3 US fluid ounces (90 ml) is lethal to a 140-pound (64 kg) person) but is much less lethal if treated within an hour. [9] (see Ethylene glycol poisoning).
Ethylene glycol may also be one of the minor ingredients in screen cleaning solutions, along with the main ingredient isopropyl alcohol. Ethylene glycol is commonly used as a preservative for biological specimens, especially in secondary schools during dissection as a safer alternative to formaldehyde. It is also used as part of the water-based ...
Fomepizole is used to treat ethylene glycol and methanol poisoning. It acts to inhibit the breakdown of these toxins into their active toxic metabolites. Fomepizole is a competitive inhibitor of the enzyme alcohol dehydrogenase, [6] found in the liver. This enzyme plays a key role in the metabolism of ethylene glycol, and of methanol.
Digoxin poisoning, Oleander ingestion [8] Diphenhydramine hydrochloride and benztropine mesylate: Extrapyramidal reactions associated with antipsychotics: 100% Ethanol or fomepizole: Ethylene glycol poisoning and methanol poisoning: Flumazenil: Benzodiazepine overdose: 100% oxygen or hyperbaric oxygen therapy (HBOT) Carbon monoxide poisoning ...
2. Eat Smaller, More Frequent Meals. Instead of three main meals, try eating smaller, more frequent meals throughout the day. This can help if nausea is making it hard to feel like eating or if ...
The major cause of ethylene glycol toxicity is the accumulation of glycolic acid in the body, [18] but accumulation of calcium oxalate crystals in the kidneys can also lead to acute kidney failure. [17] In the case of DEG, calcium oxalate crystal are not deposited in the kidneys, implying that ethylene glycol is not on the DEG metabolic pathway.
Ethylene glycol: 1.11 197.3 2.26 −12.9 –3.11 K b & K f [1] Formic acid: 101.0 2.4 8.0 –2.77 K b & K f [1] Naphthalene: 217.9 78.2 –6.80 Nitrobenzene: 210.8 5.24 5.7 –7.00 Phenol: 181.75 3.60 43.0 –7.27 K f [2] K b [1] Water: 100.00 0.512 0.00 –1.86 K b & K f [2] Ethyl Acetate: 77.1 [5] Acetic Anhydride: 139.0 [6] Ethylene ...