Obviously, all four patients need to be met with. Based on the graphs above, which two patients have broken the most rules? Explain your answer. A group of patients left the clinic (where alcohol is banned) and went out for "one lastdrink". All patients are supposed to NOT drink alcohol and are supposed to takeAntabuse, but you suspect that some are not complying those instructions. When thegroup returns you measure their Blood Alcohol Concentration (BAC) and found that theyall had a BAC of 0.8. The patients are sent to their rooms and their BAC and/oracetaldehyde concentrations are monitored over time.BAC0.950.90.850.80.750.70123Time (hours)48070-K403020105--Patient A-Patient BBlood Acetaldehyde levels (μm)900012Time (hours)345--Patient C-Patient D(Description of left graph shows BAC over time. Patient A's BAC increases over time from0.8, Patient B's BAC decreases over time from 0.8.)(Description of right graph shows Blood acetaldehyde levels over time. Patient C shows agreat increase in acetaldehyde over time, Patient D's acetaldehyde increases to a lesserextent and decreases again over time.) You have been hired by an alcoholism rehabilitation clinic to help interpret patient results.Ethanol ("alcohol") is metabolized using a two-step process (see below). Theintermediate, acetaldehyde, causes unpleasant side effects including a flushed face,nausea, and high blood pressure.The enzyme inhibitor called Antabuse is a drug that blocks the second step of thereaction. Because each step occurs independently (block the second step, the first onecontinues), the effect of Antabuse is to make someone who consumes alcohol feel sick.EthanolEthanolalcohol dehydrogenaseacetaldehyde dehydrogenase(description: step 1: ethanol is broken down by alcohol dehyrdogenase to formacetaldehyde, step 2: acetaldehyde is broken down by acetaldehyde dehydrogenaseto acetic acid)Acetic acidAcetaldehydedehydrogenaseAcetaldehydealcohol dehydrogenaseAcetic acid(Antabuse) X→Xacetaldehyde(description: step 1: ethanol is broken down by alcohol dehyrdogenase to formacetaldehyde, step 2 IS BLOCKED BY ANTABUSE acetaldehyde is NOT broken downby acetaldehyde dehydrogenase to acetic acid, ACETALDEHYDE ACCUMULATES)

Alcoholic drinks have ethanol that is digested into acetaldehyde first. It is then metabolized into…

A group of patients left the clinic (where alcohol is banned) and went out for "one last drink". All patients are supposed to NOT drink alcohol and are supposed to take Antabuse, but you suspect that some are not complying those instructions. When the group returns you measure their Blood Alcohol Concentration (BAC) and found that they all had a BAC of 0.8. The patients are sent to their rooms and their BAC and/or acetaldehyde concentrations are monitored over time.

A group of patients left the clinic (where alcohol is banned) and went out for "one last drink". All patients are supposed to NOT drink alcohol and are supposed to take Antabuse, but you suspect that some are not complying those instructions. When the group returns you measure their Blood Alcohol Concentration (BAC) and found that they all had a BAC of 0.8. The patients are sent to their rooms and their BAC and/or acetaldehyde concentrations are monitored over time.

Essentials Health Info Management Principles/Practices

4th Edition

ISBN:9780357191651

Author:Bowie

Publisher:Bowie

Chapter9: Legal Aspect Of Health Information Management

Section9.5: Release Of Protected Health Information

Problem 1E

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Question

Obviously, all four patients need to be met with. Based on the graphs above, which two patients have broken the most rules? Explain your answer.

A group of patients left the clinic (where alcohol is banned) and went out for "one last
drink". All patients are supposed to NOT drink alcohol and are supposed to take
Antabuse, but you suspect that some are not complying those instructions. When the
group returns you measure their Blood Alcohol Concentration (BAC) and found that they
all had a BAC of 0.8. The patients are sent to their rooms and their BAC and/or
acetaldehyde concentrations are monitored over time.
BAC
0.95
0.9
0.85
0.8
0.75
0.7
0
1
2
3
Time (hours)
4
80
70
-K
40
30
20
10
5
--Patient A
-Patient B
Blood Acetaldehyde levels (μm)
90
0
0
1
2
Time (hours)
3
4
5
--Patient C
-Patient D
(Description of left graph shows BAC over time. Patient A's BAC increases over time from
0.8, Patient B's BAC decreases over time from 0.8.)
(Description of right graph shows Blood acetaldehyde levels over time. Patient C shows a
great increase in acetaldehyde over time, Patient D's acetaldehyde increases to a lesser
extent and decreases again over time.)

You have been hired by an alcoholism rehabilitation clinic to help interpret patient results.
Ethanol ("alcohol") is metabolized using a two-step process (see below). The
intermediate, acetaldehyde, causes unpleasant side effects including a flushed face,
nausea, and high blood pressure.
The enzyme inhibitor called Antabuse is a drug that blocks the second step of the
reaction. Because each step occurs independently (block the second step, the first one
continues), the effect of Antabuse is to make someone who consumes alcohol feel sick.
Ethanol
Ethanol
alcohol dehydrogenase
acetaldehyde dehydrogenase
(description: step 1: ethanol is broken down by alcohol dehyrdogenase to form
acetaldehyde, step 2: acetaldehyde is broken down by acetaldehyde dehydrogenase
to acetic acid)
Acetic acid
Acetaldehyde
dehydrogenase
Acetaldehyde
alcohol dehydrogenase
Acetic acid
(Antabuse) X→X
acetaldehyde
(description: step 1: ethanol is broken down by alcohol dehyrdogenase to form
acetaldehyde, step 2 IS BLOCKED BY ANTABUSE acetaldehyde is NOT broken down
by acetaldehyde dehydrogenase to acetic acid, ACETALDEHYDE ACCUMULATES)

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