nitro#1

I'm not licensed to Dx anything but sounds like S/S of early onset insulin resistance.

Another thing you might consider is calling a family member or friend of the intoxicated Pt. to come and get them. Doesn't work every time, but every once in a while helps. I agree that lots of alcoholics just want to sleep it off, some believe they are great lovers. When that is the case you can call the police fearing the Pt has laid hands on the nurse. Doesn't work every time but every once in a while helps.

I work in a drug and ETOH detox rehab hospital. Not much can frustrate one more than careing for the addicted Pt. I need to say that when a person presents with a BAL higher than whatever the legal limit is in that state and asking for help then one accepts a tremendous liability by D/C that person back into the public legally intoxicated.