Do a Case Study on Alcohol Abuse

Do a Case Study on Alcohol Abuse

Case study from Elsevier on Alcohol abuse Scenario
JH is a 49 yo man was seen in the ED 2 days ago, diagnosed with alcohol intoxication and released after 8 hours to his brothers care. He was brought back to the ED 12 hours ago with an active GI bleed and is being admitted to the ICU, his diagnosis is upper GI bleed and alcohol intoxication.
You are assigned to admit and care for JH for the remainder of your shift. According to
the ED notes, his admission vital signs were 84/56,110,26 and he was vomiting bright red
blood. His labs were remarkable for Hct 23%, alanine transaminase ALT 69 IU/ml.
asparate transaminase (AST) 111 IU/ml and serum alcohol 271 mg/dl. He was given IV
fluids and transfused 6 units of packed RBC's in the ED. On initial assessment, you note
that JH's VS are BP 154/90mmHG, pulse 98 beats/min, he has a slight tremor in his
hands, and he appears anxious. He complains of a headache and appears flushed. You
note that he has not had any emesis and has not had any frank red blood in his stools or
black tarry stools over the past 5 hours. NSG350 – Case Study on Alcohol AbuseIn response to your questions, JH denies that he

as a alcohol problem but later admits to drinking approximately a fifth of vodka daily for
the past 2 months. He reports having been drinking just before his admission to the ED.
He admits to having had seizures while withdrawing from alcohol in the past.

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