Laboratory Ancillary Test

Laboratory evaluation should include arterial blood-gas level, electrolyte panel, hepatic profile, complete blood count, and coagulation profile. Strong acid ingestions may cause severe acid-base disorders, and an arterial line may be indicated if serial blood-gas determinations are required. Special attention should be given to serum calcium and magnesium levels after hydrofluoric acid exposures (vide infra). All patients should have an upright chest radiograph to screen for peritoneal and mediastinal air. After intentional ingestions, electrocardiography should be done and aspirin and acetaminophen levels should be obtained to screen for potential coingestants.

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