Teaching plan help!!!
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Hello everybody, this is for my first teaching plan but Im not sure were to start. Would apreciate some insight into this one. My patient was alert but non verbal, admitted due to altered mental status rule out CVA but the primary diagnosis was uncontrolled DM. He has history of DM, CHF, A-fib, Aortic stenosis.
He is very weak, cannot even feed himself (has NGT) or bathe himself.
Now, does the uncontrolled DM dx imply that he wasnt taking his insulin? also at the hospital the medex was handwritten and I didnt see (or possibly missed it) insulin on there. Is there anytime a pt with DM wouldnt be on a sliding scale of insulin? The only med I tried to copy (it was badly scribled) that I couldt find in my drug book was Imden 30mg PO daily (now im pretty sure that cant be insulin because it isnt administered PO). What is this? can I do a teaching plan revolving around the Dx Risk for unstable glucose. What about the fact that my patient is very weak and non verbal?
Thanks for any comments