A pt is diabetic. Only on Lantus, blood sugars almost never normal and often as high as 300's. Nurses and other doctors have tried to talk with the doctor about the plan of care, meanwhile pt remains poorly managed. What should the primary doc do? What should the nurses do? I know the right thing to do, just wonder what some of you would do.
2nd patient - This oneA pt was refusing all meds, food, fluid x several days, pt is full code - is doc wrong to not give any thought to missed seizure meds?
Pt. seizes, doc says it isn't a real seizure. Of course, the doc didn't see the event or after-event state the pt was in. Whether it was or wasn't, what about the future while the pt is still refusing all oral intake? Seizure could happen any time, right?