HISTORY:
Hypoglycemic episodes for
Blood glucose level:
Recent HbA1c level: %
Other elements:
EXAM:
General appearance:
Vital signs: , BP , HR , RR , SpO2 %, Temp °
Head:
Eyes: -R: , -L: ,
Neck:
Heart: ,
Lungs: ,
Abdomen: , , ,
Skin:
Extremities: , , cap refill , pulses ,
Neurologic: cranial nerves , strength , sensation , reflexes , cerebellar function , gait
Mental status: , , speech , mood , thought process , , judgment
ASSESSMENT:
Hypoglycemia
DDx:
PLAN:
- Blood work: , , , , , , , ,
- Immediate glucose administration
- Normal saline with 5% dextrose at cc/hr
-
- Insulin dose adjustment
- Anti-diabetic medication adjustment
- Advise to avoid fasting
- Referral to endocrinologist
- Follow-up in
- Return if hypoglycemic symptoms persist or if new symptoms develop such as confusion, seizures, or loss of consciousness