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Table 1 Pertinent laboratory values for two pediatric critical care patients admitted for unintentional delta-8 THC ingestions

From: Unintentional ingestion of putative delta-8 tetrahydrocannabinol by two youth requiring critical care: a case report

 

A.R.a

T.R.a

Reference Value

Qualitative Urine Drug Screen

Positive THC

Positive THC

Negative

Acetaminophen (ug/mL)

< 2.0

< 2.0

10.0–30.0

Salicylates (mg/dL)

< 1.7

< 1.7

10.0–30.0

Alcohol (mg/dL)

< 3

< 3

< 10

THC metabolites, urine quantitative 11-Nor-9-carboxy-THC (ng/ml)

N/A

> 500

< 15

Vitals on admission

 Temperature (C)

36.6

36.1

36.5–37.5

 Heart Rate (beats/min)

131

110

Tod 98–140; Pre 80–120

 Respiratory rate (breath/min)

26

22

Tod 22–37; Pre 20–28

 Blood pressure (mmHg)

119/83

99/63

Tod SPB 86–106/DBP 42–63 Pre 89–112/46–72

Electrolytes

 Sodium (mmol/L)

138

138

134–143

 Potassium (mmol/L)

3.4

4.2

3.4–5.1

 Chloride (mmol/L)

107

108

98–108

 Bicarbonate (mmol/L)

24

26

19–29

 Glucose (mg/dL)

108

91

70–110

 BUN (mg/dL)

21

19

5–22

 Creatinine (mg/dL)

.38

0.46

0.2–0.6

Liver function

 AST (u/L)

31

27

22–55

 ALT (u/L)

24

20

11–30

CBC

 WBC (thou/uL)

12.18

8.79

5.0–15.5

 Hemoglobin (g/dL)

11.3

10.6

11.5–13.5

 Hematocrit (%)

35.1

33.6

34–40

 Platelets (thou/uL)

279

269

150–450

Venous Blood Gas

 pH

7.31

 

7.32–7.42

 pCO2 (mmHg)

49

 

38–50

 pO2 (mmHg)

99

 

N/A

 HCO3 (mmol/L)

25

 

22–28

 Base Deficit

-1

 

-3–0

Capillary Blood Gas

 pH

 

7.33

7.35–7.45

 pCO2 (mmHg)

 

44

35–45

 pO2 (mmHg)

 

95

N/A

 HCO3 (mmol)

 

25

20–28

 Base Deficit

 

-2

-3–0

EKG

Normal

Normal

 
  1. Abbreviations: ALT Alanine Aminotransferase, AST Aspartate Aminotransferase, BUN Blood urea nitrogen, CBC Complete blood count, DBP Diastolic blood pressure, EKG Electrocardiogram, Pre Preschooler, SBP Systolic blood pressure, Tod Toddler, THC Tetrahydrocannabinol, WBC While blood cell
  2. aA.R. and T.R. are the initials of the two pediatric patients. The patients’ initials were changed to ensure anonymity