50 yrs old gentleman, alleged history of consumption of Cowdung, taken time and duration is unknown, found unresponsive at home, taken to hospital in casualty patient was gasping, hypo tension, and Intubated for Airway protection, Fluid resuscitation done, Ionotropes started, Pupils B/L Not reacting, GCS: Decerebrating movements, Also he had suicide attempt 7 yrs back.
LAB Investigations :
Na -130,
K- 4.1,
Cl-105,
platelet-1,70,000,
Hb-18.2,
TC-18,900,
Cr-1.8, Ur-43
Remaining Investigations sent
Echo : LV function adequate
ABG:
PH: 7.34
Pco2 :27.3
PO2: 394.6
Hco- : 14.4
SaO2: 99.7
CXR:
CT thorax :
What is the Diagnosis and Next Treatment has to be ??
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