This decreases some of the systemic complications but must be closely followed to insure electrolyte abnormalities do not occur. In addition to the above treatment it is important to provide adequate fluids to maintain adequate urine output. Once the patient has been well hydrated lasix may be used to help maintain the urine output. If the magnesium levels are not low there is no need to give additional magnesium. Other co-factors that should be given in cases of ethylene glycol poisoning include pyridoxine and thiamine.
Thiamine appears to help stimulate the conversion of glyoxylate to non-toxic byproducts.
IV doses daily until the metabolic acidosis has resolved. Recall that children have increased risk of CNS depression, hypoglycemia, and hypothermia when they are treated with ethanol than do adults.