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Part II. Case Study A 25-year-old man was brought to the emergency center after being found unresponsive by his family. The family gave a history of the patient having consumed a liter of whiskey earlier that evening on a dare by his friends. He had a previous history of consuming 6 pints of beer per day since the age of 10 years Physical Examination Vital signs: temperature, 98.7 °F; respiratory rate, 10 per minute; pulse, 84 beats per minute (bpm); blood pressure, 122/70 mmHg. He had no gag reflex and no response to pain. He was comatose with pinpoint (meiosis), but reactive pupils. He did not have any needle track marks. He had respiratory failure and was intubated. Laboratory Test results (Table below)

Part II. Case Study A 25-year-old man was brought to the emergency center after being found unresponsive by his family. The family gave a history of the patient having consumed a liter of whiskey earlier that evening on a dare by his friends. He had a previous history of consuming 6 pints of beer per day since the age of 10 years Physical Examination Vital signs: temperature, 98.7 °F; respiratory rate, 10 per minute; pulse, 84 beats per minute (bpm); blood pressure, 122/70 mmHg. He had no gag reflex and no response to pain. He was comatose with pinpoint (meiosis), but reactive pupils. He did not have any needle track marks. He had respiratory failure and was intubated. Laboratory Test results (Table below)

Phlebotomy Essentials
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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Part II. Case Study Questions: 1. What is this patient's most striking clinical and laboratory result(s)? A 25-year-old man was brought to the emergency center after being found unresponsive by his family. The family gave a history of the patient having consumed a liter of whiskey earlier that evening on a dare by his friends. He had a previous history of consuming 6 pints of beer per day since the age of 10 years Physical Examination Vital signs: temperature, 98.7 °F; respiratory rate, 10 per minute; pulse, 84 beats per minute (bpm); blood pressure, 122/70 mmHg. He had no gag reflex and no response to pain. He was comatose with pinpoint (meiosis), but reactive pupils. He did not have any needle track marks. He had respiratory failure and was intubated. 2. Based on the laboratory results and symptoms, what is your initial diagnosis? Laboratory Test results (Table below) Test Patient's Results Normal Ranges 0.2-1.3 mg/dL 21-72 IU/L 14-50 IU/L 25-125 IU/L 3. Total bilirubin ALT 0.7 30 46 What qualitative test(s) can you conduct to support your diagnosis? (Discuss extensively as possible AST ALP 86 554 165 295-535 IU/L 8-78 IU/L 30-300 IU/L 137-145 mmol/L 22-32 mmol/L LD GGT 4. How is ethanol broken down in the body? Show and discuss its chemical reaction. Amylase Sodium CO2 Ethanol @ hrs post-admission n.d. n.d. n.d. 13.3 21.0 761 (0.76) 325 (0.32) 192 (0.19) 5. What are the temporary and permanent physiological effects of alcohol intoxication?
Transcribed Image Text:Part II. Case Study Questions: 1. What is this patient's most striking clinical and laboratory result(s)? A 25-year-old man was brought to the emergency center after being found unresponsive by his family. The family gave a history of the patient having consumed a liter of whiskey earlier that evening on a dare by his friends. He had a previous history of consuming 6 pints of beer per day since the age of 10 years Physical Examination Vital signs: temperature, 98.7 °F; respiratory rate, 10 per minute; pulse, 84 beats per minute (bpm); blood pressure, 122/70 mmHg. He had no gag reflex and no response to pain. He was comatose with pinpoint (meiosis), but reactive pupils. He did not have any needle track marks. He had respiratory failure and was intubated. 2. Based on the laboratory results and symptoms, what is your initial diagnosis? Laboratory Test results (Table below) Test Patient's Results Normal Ranges 0.2-1.3 mg/dL 21-72 IU/L 14-50 IU/L 25-125 IU/L 3. Total bilirubin ALT 0.7 30 46 What qualitative test(s) can you conduct to support your diagnosis? (Discuss extensively as possible AST ALP 86 554 165 295-535 IU/L 8-78 IU/L 30-300 IU/L 137-145 mmol/L 22-32 mmol/L LD GGT 4. How is ethanol broken down in the body? Show and discuss its chemical reaction. Amylase Sodium CO2 Ethanol @ hrs post-admission n.d. n.d. n.d. 13.3 21.0 761 (0.76) 325 (0.32) 192 (0.19) 5. What are the temporary and permanent physiological effects of alcohol intoxication?
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