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Diabetic problem
1. Case Study
Mr Hassan is your diabetic patient , aged 45 years and suffer from diabetes
Since 5 years , he ring you this morning because he feel severe epigastric
.Pain associated with repeated vomiting and Sweating
Ask the patient 3 questions before you advice him
Remind me about your treatment
Do you have any other $ diarrhea, chest pain
Make random sugar and call me immediately
No diarrhea
Random sugar is HHH
2. ,Mr Hassan you have to be admitted to Hospital immediately
once their let the physician to call me
In the ER the physician , after a short history ,and checking vital signs
recommend the Nurse to take the followings
Random Sugar
Bp 90/60
Pulse 100 regular
Temp 37.5 C
ABG arterial sample
Iv root and take an enough venous sample
Urine
ECG
3. Work blood for
• Random sugar
• Urine for sugar and acetone
• Electrolytes
• Renal function,hepatic function
• CBC
• Serial Troponin HS, cardiac enzymes
• Urine and Bld culture
• ECG
• Chest radiology and US bed side