Patient blood glucose at 1616 was 64.Hypoglycemia protocol not ordered; team paged requesting protocol to be ordered.Patient refusing po intake, 25mls of d50 given per protocol.Recheck after 15 min was 24.Patient completely alert, even agitated during cares.Team paged.Second dose of d50 given.Continuous d5ns initiated per new order.Bg (blood glucose) continued to drop with rechecks, glucometer showed a bg of 27 and then 11.Attempted again with new test strips, bg was 99.Concern that the test strips for the glucometer are defective.Rn believes that she gave the malfunctioning bottle of test strips to unit leadership so that they could not be used again/follow up could be done.However, she states that in the chaos of dealing with the bg issue she may have thrown the defective strips in the garbage and set aside the test strips that were working.
|