Chapter 23, Problem 1CCS

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 reportedthat Mr. Boulard was clearly 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

BP: 95/58 pH: 7.1 Odor: “fruity acetone”

HR: 110 Glucose: 345 mg/dl pH: 4.3

Ketone bodies: 22 mg/dl Glucose: strongly positive

Blood alcohol: 110 mg/dl

Urine glucose is usually negative. Using the information in Appendix F, 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.