61 yr old male
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New admission, icu bed 4
61 Yr male ,
Came with chief complaints of brief loss of consciousness 2hr ago . His GRBS on admission was 39mg/dl. After connecting on 25D he regained his consciousness.
Pt was apparently asymptomatic 3 yrs back . Then he developed weakness for which he went to hospital & diagnosed with HTN & was started on Tab. TELMA- AM . But was on irregular medication. Then he was fine till yesterday night. Then he had dinner & took HTN medication. Then he suddenly had brief loss of consciousness for 2 hrs
K/c/o HTN Since 3 yrs ( not on regular medication)
Not a k/c/o DM , TB , EPILEPSY
S :he is concious
O
Pt. Is concious and coherent
PR 67bpm
RR 18cpm
TEMP : 97.9°F
BP 120/80 mmHg
RS: BAE+, clear
CVS: S1 S2 + , NO added sounds
P/A: soft and non tender.
CNS : NAD
A Hypoglycemia under evaluation
Plan of treatment
1. IVF DNS @75 ml/hr
2. Hourly GRBS MONITORING
provisional diagnosis: hypoglycemia secondary to OHA under evaluation.
Treatment
1. IVF DNS @75 ml/hr
2. Hourly GRBS MONITORING
21/08/22
S : no fresh complaints
O
Pt. Is concious, coherent, cooperative
PR 68bpm
RR 18cpm
TEMP : 98.7 F
BP 120/80 mmHg
RS: BAE+, clear
CVS: S1 S2 + , NO added sounds
P/A: soft and non tender.
CNS : NAD
A Hypoglycemia under evaluation
Plan of treatment
1. Stop OHA
2. IV fluids 25% dextrose infusion @ 10ml/ hr
3. Hourly GRBS monitoring
4.tab. telma 40mg po/od
5. Megaheal ointment for leg ulcer/tid
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