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Hypochloremic coma: diagnosis

Alexey Portnov, medical expert
Last reviewed: 17.10.2021

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Laboratory diagnostics of hypochloraemic coma

A general blood test: an increase in the content of red blood cells and hemoglobin (blood thickening), a hematocrit up to 55% or more, leukocytosis, an increase in ESR.
The general analysis of urine: decrease in quantity and relative density of urine - there is a proteinuria, the cylinderuria is possible.
Biochemical blood test: decrease in sodium content (usually below 120 mmol / l), potassium (below 2.5-2 mmol / l), chlorine (below 85 mmol / l), total protein, increase in blood urea, creatinine, bilirubin.
Study of the acid-base state: metabolic alkalosis.
ECG: diffuse changes in the myocardium, signs of hypokalemia: smoothing and deformation of the T wave, shifting the ST interval downward from the isoline.

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