Friday, August 04, 2006


brittle diabetics scare me.

here is my night with 1/6 patients: normal CBG 70 - 110 ..

@1700 CBG 352 - 8 units per sliding scale
@2000 CBG 452 - 12 units per sliding scale & 35 units scheduled lantus
@2151 CBG 399 - 6 units per sliding scale
@0000 CBG 115 - pt begins bottoming out as result of lantus
@0010 - stuff sandwich in patients mouth and make her eat to keep up CBG
... when she woke up in the am her CBG was 47.

wtf!!! and the last eve i had her she was up to 569 ! o and she came into the ER with a CBG of 16. hooray for discharge tomorrow :)

*edit . boo. she is not leaving until monday so i had her again last night. but guess whaaat! first CBG of the night was 150 and she received noooo cover! i was so happy and excited that i paged the doc with the news with lots of !!!!! it was actually low bc i ended up babysitting her and bugging her for three hours not to snack before dinner. but then i had to see the other patients so the second one of the night was 313. still under 400 woohoo! which means we did not have to draw any blood. literally :D damn it feels good to be a gansta !

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