Differentiating Diabetes Complications: Whats Your Call?
Differentiating diabetes complications: Whats your call? Author: Cynthia Ticker, RN, BSN, CDE, CPT Carlos Suarez, age 74, arrives at the emergency department by ambulance after collapsing at home. Emergency personnel report that he is confused and cant tell them what caused his collapse. His vital signs are temperature 102.4 F, respirations 22 breaths/minute, pulse 110 beats/minute, and blood pressure 90/60 mm Hg. He has dry mucous membranes, poor skin turgor, and bilateral wheezing in both lungs. A fingerstick blood glucose level reads high on the meter, indicating a value above 600 mg/dl. Mr. Suarezs wife states that she called 911 after finding her husband lying in the bedroom unresponsive. She says he has a history of hypertension, for which hes taking chlorothiazide (a thiazide diuretic), and hyperlipidemia, which he controls with atorvastatin. Two days ago, he finished a 5-day course of antibiotics prescribed for bronchitis. She also says her husband has been drinking fluidsand urinatingmore frequently than usual. STAT laboratory tests show a plasma glucose level of 1,050 mg/dl, plasma osmolarity above 320 mOsm/kg, serum sodium level below 120 mEq/L, serum potassium level of Continue reading >>