| 0800 |
Mary Rolland, RN |
Assumed care of patient at 0700. Patient arrived to ED via ambulance from long term care at 0745. Long term care states they sent the patient due to periods of confusion. Patient has had diabetes x 12 years and had a stroke a year ago when he was then sent to live at long term care facility. Facility states patient is normally oriented but has been having periods of confusion recently. On arrival to ED patient GCS=14 (confused to place). Facility states patient baseline blood sugar has been steadily climbing the past 2 weeks with typical results between 160 and 200mg/dL and increasing urine output. Patient has been taking oral antidiabetic medications as ordered. Facility states patient does not exercise due to residual weakness from the stroke. Patient has frequent visitors at facility and keeps a dish of hard candies that family restocks. Patient with ulcer to left leg with redness and swelling and facility states they have an appointment with PCP to assess the ulcer this upcoming week. Patient resting comfortably at this time. POC Blood glucose = 721mg/dL. Dr. James ED attending made aware of critical result. 20G IVR inserted in RFA, labs drawn and held, awaiting orders from Dr. James. |