Hypoglycemia: blood glucose 52 with diaphoresis and tremor — treated with 15 g of fast-acting carbohydrate per protocol, rechecked in 15 minutes at 88 with resolution of symptoms; held the next insulin dose pending review per parameters, SBAR to the provider, and the cause (a missed meal) identified; responsible party notified. Will reassess glucose and intake. Skilled recognition and treatment required — a daily SNF-level need. (Glycemic management detail routes to the Diabetes overlay.)
Model abnormal 2
Hyperglycemia with concern for decompensation: glucose 420 with polyuria, thirst, and mild lethargy — correction insulin administered per the ordered scale, hydration encouraged, ketones/labs obtained per order, provider notified, and the resident monitored for signs of DKA/HHS (mental status, respirations, vital signs). Will reassess glucose and symptoms; supports the Section N update. Skilled assessment and escalation required.
