Answered: Clinical Case Study Nutrition and…

Phlebotomy Essentials

6th Edition

ISBN:9781451194524

Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Chapter1: Phlebotomy: Past And Present And The Healthcare Setting

Section: Chapter Questions

Problem 1SRQ

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1. Urine glucose is usually negative. Using a table of reference values for blood and urine tests, look up normal values for blood pH, blood glucose, blood ketone bodies, and urine pH, and identify whether each test result is normal or abnormal. 2. A “fruity acetone combined with alcohol” smell was detected in Mr. Boulard’s breath, and in his urine. Which substance is producing the “fruity acetone” smell? 3. Where in the body are ketone bodies produced? What energy source does the body use to produce these substances? 4. The production of large amounts of ketone bodies is often seen when glucose is not readily available as an energy source (e.g., in starvation). In Mr. Boulard’s case, large amounts of glucose are in the blood. Explain why his body is producing ketones in the presence of such
large amounts of glucose. 5. Explain how the pH of Mr. Boulard’s blood and urine is related to the ketone bodies measured in each of these fluids.

Clinical Case Study
Nutrition and Metabolism
Kyle Boulard, a 35-year-old male, is believed to
be one of the primary causes of the accident on
Route 91. Passengers on the bus reported that
Mr. Boulard was dearly intoxicated when he
boarded the bus. According to these reports,
Mr. Boulard behaved erratically, appeared
disoriented, and left his seat and staggered
down the aisle. Just prior to the accident, he had
stumbled into the driver's compartment. Paramedics found Mr. Boulard in
a disoriented state when they arrived on the scene, but noted only minor
injuries. A "fruity acetone combined with alcohol" smell was noted on his
breath. What follows is a summary of the notable test results:
General
Blood
Urine
ВР: 95/58 рH: 7.1
Odor: "fruity acetone"
HR: 110
Glucose: 345 mg/dl pH: 4.3
Ketone bodies:
Glucose: strongly positive
22 mg/dl
Blood alcohol:
110 mg/dl

Definition Definition Organic compounds that have a carbonyl group, C = O, as their functional group. The carbonyl group in ketones is placed somewhere in the middle of the molecular structure, which means, the C=O is attached to two alkyl groups or benzene rings. Just like all other homologous series, the naming of ketones is done using a common suffix “-one”. The general molecular formula is C n H 2n O. Functional group of a ketone

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