C/o fever from 2 am associated with chills and rigors
He was diagnosed as diabetic 1 week back by a local RMP and was prescribed with tab glimi m1 po bd
Vitals :
At 4 am :
BP: 130/80 mm hg
PR:60bpm
RR: 20/min
GRBS: 48mg/dl
Spo2: 100%
At 8am:
S:
Fever spikes +
O:
Pt is c/c/c
Well oriented to time , place and person
At 8am :
BP: 120/80mm hg
PR: 80bpm
RR: 20 /min
GRBS: 70mg/dl
Spo2: 100%
Temp: 97F
CVS: s1, s2 present
RS: BAE + NVBS
P/A : soft , non tender, bowel sounds present
CNS: NFND
A:
OHA induced hypoglycaemia
K/c/o DM2 since 1 week
P:
1) ivf DNS @75ml/hr
2) tab Dolo 650mg po tid
3) GRBS charting 1 hrly
