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Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

These include:

  • full blood count, since there may be marrow suppression
  • urea and electrolytes; there may be hyponatraemia
  • blood cultures to rule out sepsis
  • blood gas analysis
  • liver function and clotting studies
  • specific metabolic investigations:
    • lactate, followed by pyruvate if lactate is raised
    • ammonia - which should be discussed with a laboratory in advance since special tubes and speedy analysis are needed
    • urine for ketones, organic acids and amino acids, and bicarbonate

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