Skyler Hansen is an 18-year-old male diagnosed with type 1 diabetes 6 months ago. He was brought to the Emergency Department by his friends. The friends report that he started acting “weird” while they were playing basketball. He has not eaten anything for 5 hours. Skyler told them that he felt lightheaded and was going to lie down on the cement. They became nervous and decided to bring him in to the Emergency Department. The patient is drowsy, wakes with stimulus, has slurred speech, is diaphoretic, and is acting irrationally.
Marilyn Hughes is a 45-year-old female who suffered a left mid shaft tibia-fibula fracture while slipping on icy stairs this morning. She was taken to surgery for an open reduction with internal fixation (ORIF). She returned from surgery 1345 hours. She has a below the knee splint dressing Vital signs have been stable and neurovascular checks have been within normal range. She has an intravenous of Normal Saline infusing at 75 mL/hour. She is tolerating liquids well without nausea. Her diet could probably be advanced to regular dinner for tonight. She has a family member at the bedside who has been with her throughout the day. She began complaining of pain shortly after returning from surgery. She has a PCA in for pain management with a background infusion of 1 mg/hr of Morphine, with a bolus of 1 mg per bolus with lockout interval of 15 minutes. She is now on every 30 minute post-op vital signs. Last vital signs were blood pressure: 130/82, heart rate: 88, respiration rate: 16 oxygen saturation 92%.
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