TABLE 102.13 Medications Dangerous to Toddlers in One to Two Doses a The likely toxic volume of an ingested liquid depends on the alcohol concentration A rough rule is that ingestion of g/kg of ethanol is sufficient to raise blood alcohol to 100 mg/dL Therefore, for a beverage such as beer (5% alcohol), approximately 10 to 15 mL/kg must be ingested before serious toxicity results Similar estimates are to mL/kg for wine (14% alcohol) and to mL/kg for 80-proof liquor (40% alcohol) The management of ethanol ingestion in children begins with prompt recognition and evaluation of blood glucose level Airway or ventilatory compromise should be treated with endotracheal intubation If seizures result from hypoglycemia, they should be promptly treated with 10% to 50% (0.25 to g/kg) IV dextrose Warming techniques should be instituted to increase core temperature Because ethanol is rapidly absorbed from the gut and is not adsorbed by activated charcoal, there is rarely a role for GI decontamination Alcohol is metabolized by the hepatic enzyme alcohol dehydrogenase; its elimination rate is dose dependent This means that the higher the blood alcohol