Fomepizole Dosing
Doses fomepizole for methanol and ethylene glycol reversal.
Advice
If a patient has an unexplained anion gap or osmolar gap, resuscitate the patient with fluids and thiamine, with or without glucose (food or IV dextrose) and repeat the BMP and osmolar gap in an hour. If anion gap worsens, consider toxic alcohol ingestion.
Management
Relationship between osmolar gap and anion gap in toxic alcohol: