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Glucose Levels During Cardiac Failure

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prison-nurse

New User, Becoming EHEALTHy
Joined: 27 Oct 2003
Posts: 1
Location: Defiance, OH
Glucose Levels During Cardiac Failure
Posted: 10-27-03 03:43am

An inmate had been vomiting and came to medical to be evaluated by nursing staff. Bp 140/110, r 16 easy and unlabored, p 72 steady and even. Inmate complained of aching in neck from vomiting, angry that cell was so cold, asked for extra blankets. Skin warm, dry. On almost an afterthought, checked bs=300+. Inmate takes glucotrol. Suspected inmate had eaten recently, was fibbing about vomiting to get attention to gain an extra blanket. Sent him back to his unit.
On the next shift, the inmate's vitals bottomed out, he was sent to er where he expired. Bs had been 400+ when checked before he went out. What is the connection?
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docrum

New User, Becoming EHEALTHy
Joined: 15 Nov 2003
Posts: 24
Location: UK

Posted: 11-15-03 15:24pm

It sounds like he had diabetic ketoacidosis
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