60-year-old female (a frequent flyer know to us) with low temp this am (87.6 –Shouldn’t they have maybe taken it twice to see if that was really what they got?) and low blood sugar(given 2 mg glucagon by nursing staff at 6 AM), now this afternoon (5 PM) has high blood sugar (400) and a normal temp (98.6). Family, who has come to visit, wants her evaluated at the ED.
Here is her medical history taken from the nursing home W10 exactly as written: HTN, CHF, dementia, IDDM, hyponatremia, dehydration, anemia, depression, PVD, seizure, GERD, acute respiratory failure, CAD, hypothyroid, UTI, mental status changes, agitation, dsyphagia, pancyoponia(sic), bilateral urethra stents, chronic/acute renal failure, facial fractures, cellulitis, hematoma R hip, constipation, coagupathy(sic), PE, GI bleed, hemolytic anemia, high cholestrol, mediastial mass, edema, high K, OBS, atonic bladder, DJD, hypocalcemia, hypoxia, sepsis.
Code status: Full
I checked her sugar. It was 266. Vitals stable. Patient mental status — babbling per norm.
And did the family come to the hospital?