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What is Two most impoant tests to be done in a comatose patient with blood glucose of 750 mg/dl will be - and explain in detail?
Comatose patients with blood glucose level of 750 mg/dl suggests the possibility of hyperglycemic hyperosmolar state . Lab abnormality in this is marked hyperglycemia, hyperosmolarity, prerenal azotemia. Comatose patients with hyperglycemia is also seen in diabetic ketoacidosis. Thus blood ph ( to detect acidosis) and serum creatinine for azotemia are most impoant investigations.