Pt.'s BS was 295. I administered insulin, then to find out pt. wasn't hungry. Pt. said though he did want to eat his peaches. So, he did. I administed Sliding Scale insulin according to his sugar level and then there was an additional 2 units of regular scheduled on the emar. So my patient in total recieved 11 Units of Novolin regular insulin.
Me being a student I didn't even think about pt. not eating his entire lunch........I feel like a total idiot and awful that I could have possibly caused my pt to bottom out. I do not know what happened after I left. It happened over a week ago and i'm just thinking about it now...I start to over analyze my clinical days and here I am trying to rationale everything........ugh. I feel awful. I know that if a pt. is NPO they say to admin the insulin?....i'm so confused!!! Diabetes and insulin confuse me so much. When I think i'm doing good in clinical I come home and know that I made a mistake!!
If I bottomed out my pt. wouldn't my clinical instructor find out by the hospital? and let me know?! I'm so stressed. My biggest fear is really hurting someone...........