BMP
VBG/lactate
Lactic acidosis reported
CXR if respiratory complaints
May be delayed pneumonitis
Assess for co-ingestions if there is sufficient concern
Lactic acidosis reported
May be delayed pneumonitis
Laundry detergent pod ingestion
Altered Metabolism
Caustic ingestion
Aspirin 
Kratom toxicity
Benzo or alcohol withdrawal
Hymenoptera stings
Thyroid storm