Question

Part II - What to Test? The patient was taken to the hospital via ambulance. On the way she was given a treatment consisting of a bolus injection (an injection given rapidly, all at once) of 50 mL 50% dextrose (D-glucose). At the hospital, the doctor examined the patient and found her to exhibit rapid, labored breathing while remaining unresponsive. Pulse oximetry showed blood oxygen saturation at 93%. The medical team obtained another fingerstick glucose, which now registered 37 mg/dL. An interview with family members revealed that the patient had been vomiting, and that they could not recall her eating during this binge- drinking episode. The doctor ordered further tests. Use this new information to refine your hypotheses and consider what further information you need to determine what is happening with the patient's metabolic processes. Be prepared to ask for test results, and give a rationale for ordering each test. As a class, you will come up with a complete list of tests that you would like to see. Answer the following questions to guide your thoughts. Questions 1. Were your hypotheses consistent with all the information you now have about the patient? 2. What medical tests would you like to see, and how will you use the results to confirm or rule out your suspicions about the patient's condition? Part III - Results Once the test results were returned, the doctor reviewed them and determined the next steps for the patient. Use the test results (provided by your instructor) to determine the metabolic state of the patient, and what might be the next treatment steps. Your team should be prepared to participate in a class discussion about the patient. This will include discussing the significance of test results, working as a class to come up with an overall picture of the patient's metabolism that fits the medical facts of the case, and predicting possible outcomes for this patient.

Answer 1

Part II:-

Answer1:- Yes the hypothesis is consistent with the information as alcohol causes hypoglycemia and it leads to metabolic acidosis which leads to rapid laboured breathing and Oxygen saturation fall....

Answer2:

Alcohol concentration in blood..

Random Blood Sugar to glucose concentration...

ABG( Acid Blood Gas) analysis for acidosis...