Last night one of the residents where I work possibly had a low BG hit her suddenly. She got up to use the toliet, then called for my help. Her legs were herking when I entered her room. She was alert and responsive to my questions. After a few minutes she became suddenly lethergic, but still was talking with me. Her BP was a little high, pulse and O2 were fine. Her skin color was good, she didn't feel hot, or cold to the touch. She has Alzheimer's and a pacemaker. I was able to get her to eat a slice of cheese and about 10 carbs of a brownie. She cannot have acidic foods or drinks because of another medical condition. There are notes posted in several locations reminding staff to never give her acidic things. Her diabetes is controlled by oral meds. She doesn't have a Glucometer. No Drs. order for one and I don't know if we can test her if there is no order from her Dr. I plan on talking with my Boss about this. At my old job each Diabetic resident had their own and we tested them if they showed signs of being high or low, besides other usual BG checks. After about an hr she was responding like her usual cheerful self.
Seemed a little easier to know what to do for her after all my practice this year getting to know what to do for myself. At my old job there were a few residents who would often drop low during the night. I always felt under prepared to help them. Wondering if what food we had would help or not. I will be talking with my boss about having a few more food options on hand. The only other protein choice was ham. This resident does not eat ham due to her religion. The only other quick acting carbs on hand were OJ, lemonade, cherry pie and of course sugar. I figure when in doubt go for the chocolate.
This was my 12th night on the job and I don't know f she has a history of lows. Another thing to talk with my boss about. Since the resident has Alzheimer's she is not able to tell me about what is normal for her or not. She did remember that she has diabetes and was wondering why I was letting her eat a brownie. Made her laugh when I apologized for giving her more cheese after eating chocolate. I explained it was chemistry. Said you didn't know I was a chemist. When she laughed at me I knew she was feeling better.
Oh, I just remebered there was applesauce. use it twice a night for another resident for her crushed pain medication. Rats, I hate when my mind buts something in a compartment. I had ruled out what was in the fridge door because it has the yogurt, she can't have some dairy. I didn't ask about yogurt but had asked if she could have cheese on the first day of training in Memory Care 3 weeks ago. Another question when I talk with the Boss.
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