Case 5 – Use for questions 65-71 JB is a 35-year-old female…
Case 5 – Use for questions 65-71 JB is a 35-year-old female (132 kg, BMI 42) who was intubated and admitted to the ICU following a highway speed motor vehicle accident. The patient’s blood alcohol content upon arrival to the emergency department was 0.32% (four times the legal driving limit of 0.08% in Wisconsin). The patient sustained multiple orthopedic injuries from the accident, requiring several visits to the OR during her first 48 hours of admission. The patient does not have any past medical history on file. However, her family mentions that she regularly consumes 5-6 alcoholic beverages a day. On day three of admission, when propofol is turned off for the patient’s spontaneous awakening and breathing trial, she becomes extremely agitated and delirious. After some discussion on rounds, the medical team believes the patient is going through severe alcohol withdrawal.