itku2er Posted November 28, 2007 Share Posted November 28, 2007 68 yo female with a blood glucose of LO on the one touch. Non responsive snoring resps. VS T 97.8 P 66 thready R 36 BP 180/100 (this isnt as simple as it sounds.) Link to comment Share on other sites More sharing options...
Connie31079 Posted November 28, 2007 Share Posted November 28, 2007 Was enough blood put on the test strip before it was tested by the glucometer? Can we re-test again, to see if we get another "LO" reading? Were the batteries checked at crew change in the glucometer to make sure it was working properly? This has happened to me before, thought someone was hypoglycemic, and wasn't, because the glucometer failed. If glucometer checks out fine, and still get a reading of "LO" on subsequent readings, then full assessment....another set of vitals, 12 lead, oxygen, IV, lung sounds, neuro exam....anybody know this patient? PMHx, meds she's on, compliant with meds?? Last time she was seen with normal LOC, was she complaining of feeling unwell, etc.... Link to comment Share on other sites More sharing options...
itku2er Posted November 28, 2007 Author Share Posted November 28, 2007 yes batteries were ok. Checked on 2 different machines. previously she had no complaints she was talking no complaints she was found like this. HX diabetic type 2 h/o CVA recent surgery on abd. Link to comment Share on other sites More sharing options...
Connie31079 Posted November 28, 2007 Share Posted November 28, 2007 IDDM or NIDDM? CVA Hx, was it hemmorragic or embolic in nature?? Hmmm....recent abd. surgery....thinking maybe she threw a clot here? Pupils? What she showing on the monitor? A-fib? Another reason to being thinking "clot". Wouldn't hurt to treat for hypoglycemia, but obviously that's not the only problem, Terri-Lynn wouldn't make it that easy! Link to comment Share on other sites More sharing options...
itku2er Posted November 28, 2007 Author Share Posted November 28, 2007 NRS on monitor After she had 1 amp of d50 and 1mg of glucogen bs was bouncing from 150 back down to 50 CVA was hemmoragic 2 years ago Link to comment Share on other sites More sharing options...
Just Plain Ruff Posted November 28, 2007 Share Posted November 28, 2007 this is not good. I'm suspecting some sort of tumor on the kidney or a infection of some sort what's her temp? vitals now? Are her pupils deviated or different shapes? what is her blood pressure from each arm? How far are we from the hospital? I'd put her on the stretcher and get her goin to the ER. what medications is she on? Do they all seem to be accounted for? Is she on insulin? Link to comment Share on other sites More sharing options...
unknown Posted December 15, 2007 Share Posted December 15, 2007 Pat her down for a insulin pump, then stop it. IV give glucose, thiamine. Then recheck glucose. Link to comment Share on other sites More sharing options...
BushyFromOz Posted December 15, 2007 Share Posted December 15, 2007 Acute pancreatitis Link to comment Share on other sites More sharing options...
Chief1C Posted December 15, 2007 Share Posted December 15, 2007 "LO" on my glucometer means less than 29mg/dl. Link to comment Share on other sites More sharing options...
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