In ves tiga tio n

All patients require urea and electrolyte, blood glucose and blood gas estimations. Rapid bedside kits detect the presence of common agents such as paracetacol, aspirin, and several recreational drugs. Urine samples and gastric aspirate should be saved for possible later toxicology analysis. Salicylate and paracetamol levels are necessary due to the common lack of early signs and to allow specific early treatment. Other drug levels may help in diagnosis but treatment is often supportive. Early support from the local Poisons Information Service should be solicited.

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