548 CASE SCENARIO. DIABETIC KETOACIDOSIS.TRANSFER FROM ICU TO GS.

Diabetic ketoacidosis is a serious complications of diabetes, where there is not enough insulin in the body, so the body produces excess body acids known as Ketones.

KINGDOM OF GOD HOSPITAL LOS ANGELES CALIFORNIA 900000.

INTERDISCIPLINARY KARDEX.

Age/ Sex :35years old woman.

Account number: Q0056343826.

MR # : Q00058867644.

Admission date : 03/14/2021@06am.

Location : General Surgery.

Room # 62114.

Attending doctor. Meranda,Nick.

Patient name: Blessing Jesus.

Resuscitation Status: Full Code.

Allergy :Vancomycin(rash), Hydrocodone( anxiety).

.Height : 5feet 3inches.Weight: 156lbs.

Alert and oriented x4.

Primary diagnosis: DKA,Hyperglycemia. ( ICU transfer)

Secondary diagnosis: Chronic Anemia, Hypertension.

ESRD.

Risk for Falls: Yes.(fall prevention protocol in place yellow armband,yellow gown,Fall Risk sign on the door)

Do you have advance Directive?.No.

Copy of Advance Directive on the chart.

Diet: Carb Controlled cardiac diabetic diet.

02 @2liter NC.

Left Upper Extremity AV Fistula.

ESRD.Hemodialysis Monday /Wednesday /Friday.

Plans right subclavian Permacath tomorrow.

Medications:

Zosyn 3.375gm IV Q8hours.

Carvedilo 6.25mg po Bid scheduled.

Plavix 75mg po daily scheduled.

Morphine sulfate 2mg IV Q6hour prn moderate pain.

Dilaudid 0.5mg IV Q4hours prn severe pain. Zofran 4mg IV Q4hours prn nausea/vomiting.

Benadryl 25mg po Q4hours prn itching.

0.9NS @125ml/hour IV right forearm 18guage clean/ dry/ intact.

Accucheck Qac/Qhs.

Insulin sliding scale. Regular insulin.

Blood sugar. 60 to 150 zero insulin.

151 to 200 give 2units of insulin.

201 to 250 give 4units.

251 to 300 give 6units.

301 to 350 give 8units.

351 to 400 give 12units and call the doctor.

Discharge plans: Discharge home in two days with daughter when medically stable.