Fc is a 54-year-old man with a history of chronic heavy alcohol use. he has frequent bouts of gastrointestinal bleeding for which he has been hospitalized on six separate occasions over the years. he continues to drink and exhibits most of the common manifestations of alcoholic cirrhosis. he was recently hit by a car and was hospitalized for a broken leg. he appeared to be under the influence of alcohol at the time of the accident and had a blood alcohol level of 1.8. fc's family reports that his mental functioning has deteriorated significantly over the past few months.

FC
Chronic HYPONATREMIA
FC has a massive depleted electrolyte issue due to Dehydration. Among other many contributing factors.

FC is losing Cognitive Faculties due not only to Alcoholism but because the Digestive System absorbs more than 90% of the neuro transmitter, Serotonin. His Testosterone is most likely severely low, around double digits as not only alcoholism but continued system distress significantly lowers sex hormones in both men and women. If FC began drinking before the age of 22, He most likely stunted the natural development of the Brain as it is not fully developed, scientist have said, until an avg of 22. I believe it is actually around 30. If FC smokes, FC is contributing the increased chance that the amount of O2 present in the blood is very low and resulting in the brain not recieving critical amounts of Oxygen.

Very few people survive a BAC of 1.8 accompanied by Blunt Trauma such as being hit by a Car, let alone AT all. FC must either get help, seeing as how their mental state is "altered chronically" I would them committed and then treated. Either that, or be complicit in their slow death. It is blunt, honest, and it is nothing short of the Facts. Truth does not hurt, Facts do. The fact is, if i were a doctor, FC would not have left my care until FC recieved care for Chronic Abuse of Alcohol. Which also accompanies many mental disorders. i took an oath as a Healthcare professional in the Navy. Doctors and Civilian practitioners are not doing enough to follow their oaths. Its about more than going through the motions and not violating a contract. Keeping an oath is a lifestyle, its often times going to be a risk to your livelihood, future, and family life. So anyone claiming to be a "healthcare Professional" that does not risk it all to prevent such happenings as preventable death, is nothing short of a misguided individual. There is my complete answer. FC either gets help or a stroke, heart attack, exsanguination "bleed out" internally is likely in their future. If they havent disowned you, you aren't trying hard enough. thats a quote and not an accusation.

Ithink the answer is c. i’m not sure though i’ll notify you when i have an exact answer!