Ethylene Glycol Poisoning: An Unusual Cause of Altered Mental Status and the Lessons Learned from Management of the Disease in the Acute Setting

Table 1

Lactic acid and ethylene glycol levels at approximate times in case report.

Measurement	18:00	23:00	02:00	07:00	10:00	12:00
Lactic acid from arterial blood gas, mMol/L	6.4	27	24			3.2
Lactic acid from plasma, mMol/L	1.6			1.3		1.6
Ethylene glycol from plasma, mg/dL			54	30	10	6

Point-of-care ABG run in the emergency department using Radiometer ABL 800 analyzer.
Point-of-care ABG run in the ICU using Radiometer ABL 800 analyzer. All subsequent ABG run with this analyzer.
Laboratory lactic acid measured in venous blood using Siemens Dimension EXL analyzer.
Hemodialysis initiated.
Hemodialysis terminated (note closure of lactate gap).