paccookie
Forum Lieutenant
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You are a medic on a medic/medic truck. You are called non-emergency to a reported fall from a standing position at home. Pt reported to be C/A/O. Arrive on scene and find the pt's wife at the door saying, "I think his sugar dropped." Pt is sitting on the couch, looking fatigued. History of HTN, IDDM (poorly controlled), MI, right BKA, CHF. Meds include Zaroxolyn, Lasix, Lisinopril, ASA, Coreg, Plavix, Digoxin. Pt is C/A/O, but is a little slow to respond. He seems tired, as though answering your questions requires great effort. He states that he came home from work, ate lunch and gave himself 10 units of regular insulin. Then he sat down on the couch and felt like he passed out. And now you're here. Wife is worried about his heart. Skin is cold and diaphoretic. Unable to palpate radial pulses. Initial blood glucose is "high." What's your next move?