Table 1: Early biochemical evaluation revealed the following results:

 

Value

Reference Range

Phosphate

> 12.92 mmol/L

(above laboratory detection levels)

0.94-1.50 mmol/L

(Corrected) Calcium

1.98 mmol/L

2.09-2.45 mmol/L

Creatinine

102 µmol/L

50-104 umol/L

Urea

3.5 mmol/L

2.7-6.9 mmol/L

Potassium

5.4 mmol/L (hemolyzed sample)

3.5-5.1 mmol/L

Sodium

139 mmol/L

136-146 mmol/L

Chloride

95 mmol/L

98-107 mmol/L

Bicarbonate

5.7 mmol/L

10-29 mmol/L

Lactate

3.3 mmol/L

0.5-2.2 mmol/L

Alanine Transaminase

14 U/L

6-66 U/L

Aspartate Transaminase

29 U/L

12-42 U/L

pH

7.007

(Anion Gap 38.3, Delta bicarbonate 26.3 suggestive of high anion gap metabolic acidsis (HAGMA))

7.35-7.45

pCO2 (Venous)

41.5 mmHg

35-35 mmHg

Prothrombin time (PT)

13.0s

9.9-11.4 seconds

aPTT

45.2s

25.7-32.9 seconds

International normalized ratio (INR)

1.26

 

Haemoglobin

16.7 g/deciliter (dL)

14-18 g/deciliter (dL)

White blood cell

31.20 × 109/L (Predominant neutrophilia)

4-10 × 109/L

Paracetamol levels

Not detected (< 5 mg/L)

10-30 mg/L

Salicylate levels

Not detected (< 0.02 mmol/L)

0.22-2.17 mmol/L