DR.

SADA’S DIABETIC BALANCE SHEET

Patient’s Name_____________Sex___Age___ Unconsciousness Time __________Precipitating Factor______________Bed#____ Known Diabetic___ hypertensive__

Day Hrs Pulse Temp BP R/R Type RBS Insulin N/Saline D/Saline Antibiotic KCL Urine Renal Sign MANAGEMENT
Maintain 2 I/V lines
Ketone Catheterize the patient
GCS Urea A. Rehydrate the patients
Inj: N/Saline 3L I/V Within
Inj: Kcl 1amp in each 3 hours
E /4 Creatinine
B. Control Blood Sugar
M /6 Serum Electrolytes Inj: Plain Insulin 10Units I/M Stat
V /5 Sodium Inj: Plain Insulin 10Units I/V
Inj: Plain I nsulin 10Units I/V per hrly
/15 Potassium To fall Blood Sugar upto 250mg /dl
then
Pupil Ca Sndz Chloride Inj: Plain Insulin 10 units S/C 2 hrly
Until ketone bodies are –ve in urine
Antibiotic HCO3
C. Treate Precipitating cause
Blood Blood Test Inj. Ampicilin & Inj: Genticine
GCS LFT Hb% Or 3rd generation antibiotic
E /4 HIV D. Monitoring
Inj:D/Saline 1L
M /6 MP (Slowly) for 4 hours
Until patient takes orally
V /5 HBsAg Inj:D/Saline 1L + Inj:Kcl I/V
(Slowly) for 4 hours
/15 Cause HCV
Encourage patient to take orally and
Pupil Liver Function Avoid
Bicarbonate until PH < 6.9
Antibiotic T.Billirubin Fall of Blood Sugar below 200mg/dl

Drugs D.Billirubin Consultant Dr.

House Officer Dr.
GCS Alk.Phosph
E /4 SGPT Advertise Here
M /6 Albumin
V /5 Gen. Exam Download this chart
www.chandka.5u.com
/15 Dehydration www.chandka.tk
Pupil Chest
Constructive criticisms are as always welcomed Dr Sada Hussain Channa sadahussain@hotmail.com (Intern Medical unit II October 2k3 ~March 2k4)