8 A 26-year-old woman with a 6-month history of depression accompanied by active suicidal ideation ingests 35 g ofacetaminophen. She quickly experiences nausea and vomiting. Within 1 day, she becomes progressively obtunded. On physical examination, her temperature is 36.9C, pulse is 75/min, respirations are 15/min, and blood pressure is 100/65 mm Hg. Which of the following laboratory findings is likely to indicate the most severe organ damage? (A) Hypokalemia (B) Elevated serum CK (C) Ketonuria (D) Elevated serum ALT (E) Hyperamylasemia