NPO
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In the past 2 weeks I have had 3 hyperglycemic patients, all of whom were having other issues that put them on the cusp of emergency transport (one got upgraded after seizing 30 seconds into transport).
I am wondering how hyperglycemia of this level can effect a patient, and if the other issues were possibly a result of the hyperglycemia. All of these patients have had persistent hyperglycemia following insulin administration.
Patients 1 and 2 had BGL of 500+, going down to 450 and 480 after 10 units of regular insulin, before coming back up to the 500s. Patient 2 was less severe with 450 down to 380 after 9 units. All of these patients received their insulin about an hour before the second BGL check.
I have always been told HYPERglycemia is better than HYPOglycemia, but now every time hyperglycemia comes over my page I start preparing for a messed up SNF patient.
I am wondering how hyperglycemia of this level can effect a patient, and if the other issues were possibly a result of the hyperglycemia. All of these patients have had persistent hyperglycemia following insulin administration.
Patients 1 and 2 had BGL of 500+, going down to 450 and 480 after 10 units of regular insulin, before coming back up to the 500s. Patient 2 was less severe with 450 down to 380 after 9 units. All of these patients received their insulin about an hour before the second BGL check.
I have always been told HYPERglycemia is better than HYPOglycemia, but now every time hyperglycemia comes over my page I start preparing for a messed up SNF patient.