45 Years old man Known to have depression not on medication and known DM on insulin Brought to Ed by family with h/o altered mental status
• Clinical exam : Vitals P: 101 ,BP: 104/ 61 ,R18,SpO2: 80% -84% in 100% oxygen, T:37 C ,RBS: 3.3 treated with D50% , rest of exam :unremarkable apart from GCS:13/15
• Further history he give history of ingestion of gasoline mixed with charcoal lighter as suicidal attempt, deny any other ingestion
• His ABG is below( my apology for the quality this is how the paper got printed :( )

Q 1. What is your DD and how you will proceed ?
Q2 : What you will give this patient?
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