Table 1.

Laboratory Findings in Acute 2,5-Dimethoxy-4-Chloro-amphetamine Intoxication.^a

Initial Results
Arterial blood gas
6.97/44/490  → 7.43/30/81 (3.5 hours later)
Anion gap 30 → 9 (3.5 hours later)
Lactate 21   → 1.4 (3.5 hours later)
Metabolic panel
Sodium	140
Potassium	3.7
Chloride	101
Bicarbonate	9
BUN	15
Creatinine	1.4 → 2.50 (24 hours later, peak value)
Glucose	405 → 95 (24 hours later)
Calcium	10.5
Magnesium	2.4 (at 8 hours)
Phosphorous	3.9 (at 8 hours)
Total bilirubin	0.5
AST	41
ALT	25
Alkaline Phos	135 → 97 (3.5 hours later)
CK	182 → 3186 (24 hours later, peak value)
Troponin	<0.02
CBC panel
WBC	36.1 → 15.3 (3.5 hours later)
Hemoglobin	15.7
Hematocrit	47.6
Platelets	420
CSF analysis (at 12 hours)
WBC	4
RBC	15
Protein	38
Glucose	93

Abbreviations: BUN, blood urea nitrogen; CSF, cerebrospinal fluid; CK, creatine kinase; AST, aspartate aminotransferases; ALT, alanine transaminase; WBC, white blood cell; RBC, red blood cell; Phos, phosphatase; CBC, complete blood count.

^a Abnormal results highlighted in bold, relevant follow-up values noted after the arrows. Of note, this patient also tested positive for opioids and cannabinoids. Values reported in mmol/L (sodium, potassium, chloride, bicarbonate, and lactate), mg/dL (BUN, creatinine, glucose, calcium, magnesium, phosphorous, total bilirubin, CSF protein, and CSF glucose), μg/L (troponin), units/L (CK, AST, ALT, and alkaline phosphatase), 10⁹ units/L (serum WBC and platelets), g/dL (hemoglobin), % (hematocrit), and 10⁶ units/L (CSF WBC and CSF RBC).