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?
No.
