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Script : CA 2
Dr kriza: Based on FBS result, there is too much sugar in the blood, it becomes viscous. In order to
prevent further complications we will monitor blood glucose every 4 hours and we will administer
sliding dose of insulin. The dose of the insulin will depend on how high your blood sugar is and given
before meals.
Nurse hana: Yes Doc ill come with you on your rounds.
Dr. Kriza: Okay mam plead monitor his blood sugar via cbg every 4 hours. give him D5050 when his CBG
is less than 70 and 4 units of Fast Acting Insulin if his CBG is above 200
Dr. krizalyn give the chart to nurse Hana. Nurse Hana carried out order.
Nurse hana: Good Morning Sir, I am Nurse Hana, Please state your name sir.
Nurse Hana: Based on his FBS result, there is too much sugar in Sir Jacob’s Blood, to avoid further
complication, we must monitor the blood sugar of the patient. If the result is too high, We will
administer insulin and when its too low we will give him a dose of D5050 which is a fluid for patients
with very low sugar in the blood.
Nurse hana: Hi Sir, please state your name and your birthday.
Nurse hana: Okay Sir, I’ll give Insulin sir because your blood sugar is high.
Christine: Nurse what are the factors for having Diabetes and how to avoid it
Nurse Hana: Diabetes may be acquired genetically or through sedentary lifestyle. when we take too
much sugar like candies, or too much rice, our body cannot accommodate them anymore , that’s the
reason why the sugar comes in to our blood. when there is sugar in our blood, our blood becomes
viscous and which can lead to further complications like thrombosis or diabetic ketoacidosis. we can
avoid this by exercising and disciplining ourselves in what we eat.