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Review Question - QID 212319

Salicylate/Aspirin Overdose Introduction Pathogenesis QID: 212319 (M1.OMB.18.1)
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QID 212319 (Type "212319" in App Search)
A 27-year-old woman presents to the emergency department with altered mental status. Her parents found her in her room surrounded by pill bottles, alcohol, and illicit drugs 10 minutes ago and promptly brought her in. She was unconscious with lacerations on her wrists. The patient has a past medical history of depression, fibromyalgia, and multiple suicide attempts. Physical exam is notable for a somnolent young woman who responds to questions but is non-compliant in describing the history. She is currently vomiting and her gait seems ataxic. Initial laboratory values are unremarkable. An arterial blood gas analysis reveals the following findings.

Arterial blood gas
pH: 7.50
pO2: 105 mmHg
pCO2: 20 mmHg
Bicarbonate: 24 mEq/L

Which of the following is the most likely intoxication in this patient?
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