х
All iLive content is medically reviewed or fact checked to ensure as much factual accuracy as possible.
We have strict sourcing guidelines and only link to reputable media sites, academic research institutions and, whenever possible, medically peer reviewed studies. Note that the numbers in parentheses ([1], [2], etc.) are clickable links to these studies.
If you feel that any of our content is inaccurate, out-of-date, or otherwise questionable, please select it and press Ctrl + Enter.
Hypochloremic coma - Diagnosis
Medical expert of the article
Alexey Kryvenko, medical expert
Last reviewed: 06.07.2025
Last reviewed: 06.07.2025
Laboratory diagnostics of hypochloremic coma
- Complete blood count: increased red blood cell and hemoglobin content (blood thickening), hematocrit up to 55% or more, leukocytosis, increased ESR.
- General urine analysis: decrease in the amount and relative density of urine - proteinuria appears, cylindruria is possible.
- Biochemical blood test: decreased sodium (usually below 120 mmol/l), potassium (below 2.5-2 mmol/l), chlorine (below 85 mmol/l), total protein, increased blood urea, creatinine, possibly increased bilirubin levels.
- Acid-base balance study: metabolic alkalosis.
- ECG: diffuse changes in the myocardium, signs of hypokalemia: smoothing and deformation of the T wave, shift of the ST interval downwards from the baseline.