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Discussion

Never too careful

Had a sitch that reminded me that ANYTHING IS POSSIBLE, do your assessment. Briefly; Pt with Blood Glucose 540ish, also, Hypertensive to the effect 215ish/ 125ish consistently. Previous 3 checks at 1/2 intervals. We gave insulin, came down to 390ish, Doc and I consulted on next insulin dosage, and HTN treatment. 2 more Units insulin SQ and 0.1 Catapres. I walked into the room, no change is appearance of patient, no s/s of distress etc. I. Gave the Catapres and BEFORE it even entered pt's stomach I checked the B/P....132/78!!!!!! Who wouldathunk??? Not me....no hurt, watched closely and gave another 1000ml NS. That was a little disturbing, ever happen to you, where no one got hurt, but you got a wake up call?

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    I was told by a pa anything that happens in the ed we can fix. If it's low, we make it go higher.

    I accidentally gave a pt 10 u of insulin when the order was for 2u.

    The way the computer was set up, it looked like 10u but that was part of a scale.

    We no longer use the sliding scale. Just specific units to be given.

    He was watched and fed and no issues. His bs was just below 200 when he was given it.

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