65 year old male with ? Hypoglycemia seizures secondary to OHA's and Renal failure
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A 65 year old male came to casuality with c/o unresponsiveness since 7.30pm on 10-05-2022
Patient is a K/C/O DM since 20years on OHA's ( T.metformin 500mg OD, T.Glimi M1 afternoon )
K/C/O HTN since 3 years
H/O pedal edema 2 years ago
H/O diabetic ulcers over B/L for 2 years ago
Today morning patient felt anxiety, giddiness and was taken to local RMP , GRBS was around 500 mg/dl and was advised to take T.GLIMI M2/BD.
Pt was found unresponsive at 7.30pm at home and attenders thought it was due to hyperglycemia and gave one more T.GLIMI M2 and was brought here.
PAST HISTORY:
K/C/O DM on OHA's since 20 years (T.metformin 500mg OD, T.Glimi M1 afternoon)
K/C/O HTN on T.TELME 40MG OD since 3 years
H/O Diabetic ulcers 2 years ago
On examination:
Patient is conscious/coherent/ cooperative
No pallor /icterus/cyanosis/clubbing/lymphadenopathy Vitals on admission:
BP -220/110mmhg
PR-87BPM
RR-16CPM
SPO2-99 ON RA
GRBS-22 mg /dl
Systemic examination:
CVS - S1 S2 heard
RS- BAE + ,NVBS HEARD
P/A - SOFT ,NON TENDER
Pt was unresponsive E1V1M1
TREATMENT GIVEN:
1) 25% D 100 bolus given
2)500ml 5% D @100ml/he continued
3) TAB.NICARDIA 20MG PO STAT
4)T.TELMA 40MG PO/OD
5)GRBS HOURLY MONITORING
6)BP CHARTING HOURLY
7)STRICT I/V CHARTING
8) W/H OHA's
