Ethylene Glycol Toxicity

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Introduction

Ethylene Glycol is a sweet tasting fluid that is the main constituent of anti-freeze products.[1]. Consequently in colder climates ethylene glycol toxicity is frequently encountered in practice. It has a relatively low minimum lethal dose, and its sweet, palatable taste makes it attractive to dogs, cats and other small animals. [1], [2]

Signalment

  • Dogs: all ages, both sexes, following intoxication lower incidence of fatalities in dogs compared to cats [1]
  • Cats: all ages, both sexes
  • Birds
  • Otherincluding pigs and cattle [1]

Diagnosis

Clinical Signs

Severity of clinicals signs is inversly proportional to

Laboratory Tests

Pathology

Treatment

Ethylene Glycol is a weak acid. Therefore in order to increase the rate of renal clearance sodium bicarbonate can be administered to dogs. Intravenous administration of sodium bicarbonate at a concentration of 1-2 mmol/kg every 3 to 6 hours achieves sufficient alkalinisation of the urine.[3]

Prognosis

References

  1. 1.0 1.1 1.2 1.3 The 5-Minute Veterinary Consult, Canine and Feline, Lippencott, Williams and Wilkins Cite error: Invalid <ref> tag; name "multiple" defined multiple times with different content Cite error: Invalid <ref> tag; name "multiple" defined multiple times with different content Cite error: Invalid <ref> tag; name "multiple" defined multiple times with different content
  2. Feline Medicine and Therapeutics
  3. Canine Medicine and Therapeutics (Fourth Edition, 1998),Blackwell Science, p1049