PMC3408316_01
Time course of events associated with ingestion of ethanol-based (61%) hand sanitizer. Changes in calculated ( ) and measured ( ) serum osmolality (mOsm/kg) are shown with the accompanying serum ethanol levels (mg/dl) ( ). Symptoms were estimated to have begun within 1 hour of ingestion and hemodialysis was started after the peak osmolality was measured.
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F1
A serum ethanol level drawn more than six hours after the reported onset of symptoms was 720 mg/dL and because of his comatose state and rising serum osmolality, the patient underwent hemodialysis (Figure 1).