Last updated: Friday, 17, December, 2010
Blood gases; L-lactate, electrolytes, urea, creatinine; hydroxybutyrate if ketoacidosis also suspected; urate.
Heart failure (severe)
|See Cardiac failure|
Drug toxicity, including
|Salicylate. See Therapeutic drug monitoring|
Genetic (without hypoglycaemia)
Pyruvate. Muscle biopsy - histology; enzyme assays and molecular genetics - consult pathologist before biopsy.
Genetic (with hypoglycaemia)
|Glucose, pyruvate. Liver biopsy with histology, enzyme studies, glycogen - consult pathologist before biopsy.|
|D-lactate - consult pathologist.|
|The associated, compensatory, metabolic acidosis often includes elevation of plasma lactate. See Alkalosis|
|Prolonged storage of blood at room temperature before separation. See Table 1 Artefactual results|