- Caused by unintentional over treatment for pain or suicide attempt
- Causes metabolic acidosis and respiratory alkalosis (primary via CNS stimulation)
- Abdominal pain, hematemesis
- Range from confusion/agitation to somnolence
- Can be very ill appearing
- Agitation/confusion, though can also be somnolent
- Often tachycardic and febrile
- Sometimes abdominal distention
- Sometimes non-cardiogenic pulmonary edema
- Elevated salicylate level
- Chem 7 (+ anion gap), ABG (metabolic acidosis, respiratory alkalosis)
- Anion Gap: Na - (HCO3 + Cl); nl 6-14