Doses - ETHANOL, ALCOHOL, ETHYL, ETHYL ALCOHOL
Dogs:
For ethylene glycol poisoning: a) As a 20% solution, give 5.5 ml/kg IV q4h for 5 treatments, then q6h for four additionaltreatments. (Forrester and Lees 1994)
Cats:For ethylene glycol poisoning:
a) As a 20% solution, give 5 ml/kg IV q6h for 5 treatments, then q8h for four additionaltreatments. (Forrester and Lees 1994)
Monitoring Parameters - 1) Alcohol blood levels (and ethylene glycol or methanol levels); 2)
Degree of CNS effect
Client Information - Systemically administered alcohol should be given in a controlled clinicalenvironment.
Dosage Forms/Preparations/FDA Approval Status/Withholding Times - Veterinary-Approved Products: None
Human-Approved Products:
Alcohol (Ethanol) in Dextrose Infusions 5% Alcohol & 5% Dextrose in Water (450 Cal/L 1114 mOsm/L) in 1000 mls (Abbott,Clintec) (Rx)5% Alcohol & 5% Dextrose in Water (450 Cal/L, 1125 mOsm/L) in 1000 mls (McGaw)(Rx)10% Alcohol & 5% Dextrose in Water (720 Cal/L, 1995 mOsm/L) in 1000 mls (McGaw)(Rx)
Note: Since alcohol infusions are generally only used in veterinary medicine for the treatment ofethylene glycol/methanol toxicity and obtaining medical or laboratory grade alcohol or the abovementioned products can be very difficult in an emergency situation, veterinarians have had to oftenimprovise. One improvisation that has been successful, albeit not pharmaceutically elegant, is to usecommercially available vodka diluted in an appropriate IV solution. Should this be necessary, it isrecommended that an in-line filter be used for the IV. For information on obtaining tax-free alcoholfor medicinal purposes contact a regional office of the Bureau of Alcohol, Tobacco, and Firearms.