LOW GLYCEMIA⚠️⚠️⚠️

60 YEAR OLD MALE LORRY DRIVER CAME TO CASUALITY IN DROWSY [ SEMICONSCIOUS ]
STATE. ON PRESENTATION GRBS 36 MG/DL , KEPT ON 25% D. AFTER 25% D HIS GRBS IS 176 MG/DL [ REGAINED CONSCIOUSNESS , ORIENTED TO T/P/P ].

PATIENT HAD H/O IRRELAVANT TALK AT 12.45 PM ON 29-06-2021 , UPROLLING OF EYES , SWEATING. NO H/O INVOULANTARY MOVEMENTS/MICTURITION/FROATH FROM MOUTH. 

3 MONTHS BACK ON ROUTINE CHECK UP HIS BLOOD SUGARS RAISED TO 540 MG/DL AND
STARTED ON INSULIN BIPHASIC ISOPHANE 25 U-X-15 U.

2 MONTHS AGO HE HAD ITCHING OVER B/L UL&LL.

K/C/O DM-2 SINCE 3 YEARS AND ON INJ. BIPHASIC ISOPHANE INSULIN 25U-X-15U
K/C/O HTN SINCE 2 YEARS

APPETITE NORMAL , MIXED DIET , BOWEL&BLADDER REGULAR, OCCASIONAL ALCOHOLIC.

NO PALLOR , ICTERUS , CYANOSIS , CLUBBING , LYMPHADENOPATHY. EDEMA OF FEET
PITTING TYPE UPTO B/L THIGH REGION.

PR-78BPM , BP-160/100 MMHG , TEMP- AFEBRILE , SPO2- 98% ON RA
CVS - S1 S2 HEARD , R/S - BAE , NVBS , P/A - SOFT , NON TENDER , CNS - SEMICONSCIOUS ,
E3V1M4

Investigations :-

HEMOGRAM :
HB - 11.3 GM/DL
TOTAL COUNT - 12900 CELLS/CUMM
NEUTROPHILS - 72
LYMPHOCYTES - 16
ESINOPHILS - 3
MONOCYTES - 8
BASOPHILS - 0
PCV - 33.2 VOL%
MCV - 88.3 FL
MCH - 30.1 PG
MCHC - 34 %
RDW-CV - 13.2%
RDW-SD - 43.7 FL
RBC COUNT - 3.7 MILLIONS/CUMM
PLATELET COUNT - 2.93 LAKHS/CUMM
SMEAR - NORMOCYTIC NORMOCHROMIC BLOOD PICTURE WITH LEUKOCYTOSIS
HBA1C - 6.7%

Treatment Given(Enter only Generic Name)
DAY 1 :
1. INJ. LASIX 40 MG IV/BD
2. TAB. TELMA 40 MG PO/OD
3. TAB. PCM 500 MG PO/SOS
4. TAB. PANTOP 40 MG PO/OD
DAY 2 :
1. TAB. TELMA 40 MG PO/OD
2. TAB. GLIMI M1 PO/OD
3. TAB. TECZINE 10 MG PO/OD FOR 2 WEEKS
4. TAB. DOLO 650 MG PO/BD
5. ATARAX ANTI ITCH LOTION L/A FOR 2 WEEKS
6. MOISTUREX SOFT LOTION L/A FOR 2 WEEKS

Advice at Discharge
1. TAB. TELMA 40 MG PO/OD
2. TAB. GLIMI M1 PO/OD
3. TAB. TECZINE 10 MG PO/OD FOR 2 WEEKS
4. TAB. DOLO 650 MG PO/BD
5. ATARAX ANTI ITCH LOTION L/A FOR 2 WEEKS
6. MOISTUREX SOFT LOTION L/A FOR 2 WEEKS

Follow Up
REVIEW AFTER 15 DAYS TO MEDICINE &DERMA OP

When to Obtain Urgent Care
IN CASE OF ANY EMERGENCY IMMEDIATELY CONTACT YOUR CONSULTANT DOCTOR OR
ATTEND EMERGENCY DEPARTMENT.

Preventive Care
AVOID SELF MEDICATION WITHOUT DOCTORS ADVICE,DONOT MISS MEDICATIONS. In case
of Emergency or to speak to your treating FACULTY or For Appointments, Please Contact:
08682279999 For Treatment Enquiries 

Patient/Attendent Declaration : - The medicines prescribed and the advice regarding preventive aspects of care ,when and how to obtain urgent care have been explained to me in my own language
SIGNATURE OF PATIENT /ATTENDER
SIGNATURE OF PG/INTERNEE
SIGNATURE OF ADMINISTRATOR
SIGNATURE OF FACULTY

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