Quote History Originally Posted By GypsyDoc:
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The glucose of 1666 came from a guy who was sent to us from his snf where the staff were concerned about his fever and tachycardia. He's been in a persistent vegetative state for several months s/p a spice-o-genic cardiac arrest and anoxic brain injury. On exam, he's unresponsive (at baseline), he has a trach with some purulent drainage from around the stoma, also vent dependent. Sinus tach, 130s, BP 80s/30s. A PEG is in place with either purulent peristomal drainage or tube feed leaking, not sure which. No urinary catheter, but a foley placed shortly after he got to us returned an adequate amount of urine. He also had a flimsy looking PICC in place. I think his white count was 32, and I'm pretty sure he was in status epilepticus but you wouldn't know it from his vegetative state. The lab was insistent that we must have sent them TPN-contaminated blood.
Disposition was ICU with septic pna.
Na+ of 175 was found in a 90+ Asian woman with "no medical problems" except for dimentia. Her family said she hasn't been acting like herself, whatever that means, and they told us to basically rehydrate her, tune her up, and send her home. She was responsive but minimally interactive, afebrile, hemodynamically stable, but with some major family ignorance and resistance to treatment.