Reasons why BAC would continue to go up hours after admission

  1. I'm just wondering why someone's BAC would continue to go up and up and up upon recheck even 5 hours after admission onto the unit. The RN I'm working with says that with it being 5 hours since admit the BAC should not still be going up.
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    About Topaz7

    Joined: May '12; Posts: 126; Likes: 62
    LPN; from US
    Specialty: Psychiatric- Detox and ECT


  3. by   dansamy
    Some gastric absorption delay?
  4. by   ktwlpn
    That little bottle of vodka in the backpack under the bed?
  5. by   dansamy
    Quote from ktwlpn
    That little bottle of vodka in the backpack under the bed?
    Or that. :-D
  6. by   Topaz7
    Possible but we searched the patient and they cane in with no belongings.
  7. by   dansamy
    Then I think you have some underlying pathology. Some form of delayed gastric absorption, delayed alcohol metabolism, something.
  8. by   Topaz7
    Ok. Thanks for the response!
  9. by   Meriwhen
    Either they are sneaking ETOH, they had a load of it immediately before they checked in, and/or their body is slow in processing it for whatever reason.

    I've seen spikes in an hour or two post-admission, but not five hours later. In most cases it shouldn't be going up that late after the last drink...that's not to say it can't happen though.
  10. by   morte
    Liver disease?
  11. by   Topaz7
    Came in at .147 next check .159 after five hours it was a .195- had patient drink a lot of water and it came down to .107 after 3 glasses of water. Does dehydration play a role in it?
  12. by   Topaz7
    3 16oz glasses
  13. by   ktwlpn
    How is the patient? Have you unriddled the riddle?
  14. by   Topaz7
    I have not solved the riddle lol maybe ill pick the dr.s brain a bit