Signs of Rubbing (isopropyl) alcohol overdose

Rubbing (Isopropyl) Alcohol Overdose

Description

Isopropyl alcohol is commonly used as a disinfectant, antifreeze, and solvent, and typically comprises 70 percent of "rubbing alcohol." Ingestions occur accidentally, as a substitute for alcohol, or as a suicide attempt. Ingestions primarily cause inebriation, and when severe can cause cardiopulmonary collapse and death. Rarely bleeding from the stomach occur after an ingestion.

Symptoms

Confusion, inebriation, vomiting, abdominal pain, vomiting blood, decreased respirations.

Tests

A history and physical exam will be performed. The diagnosis is made on clinical suspicion. An isopropyl alcohol level can be measured but is not readily available. Other tests to determine the extent of damage caused by the ingestion, and to rule out other causes of the ingestion will be done.

Standard Workup

CBC
Chem 12
UA
X-Ray
EKG
BHCG
CT Scan

Treatment

Treatment is supportive and depends on the severity of the intoxication but may include: intravenous fluids, and support of the respirations. A proton pump inhibitor and/or histamine 2 blocker may be administered for the upper gastrointestinal bleeding. For more information and help call your local poison center at 1-800-222-1222.