Assignment Task
Mr. Sharif is a 61-year-old man who was admitted to hospital with progressively worsening, cramping lower abdominal pain with abdominal distension. It was associated with anorexia and vomiting. Plain abdominal x-ray showed dilated small bowel loops. Computed tomography (CT) of the abdomen demonstrated multiple loops of dilated, gas and fluid-filled small bowel. Laparoscopic management of acute small bowel obstruction (SBO) was done, and he is Day 2 post op. He has a history CCF, COPD, T2DM and is on insulin. Mr. Sharif’s medications include digoxin, lasix, coversyl, captopril, aspirin, metformin, H. Actrapid 12 units TDS and Vannair inhaler,
Sharit pressed the call bell asking for his primary nurse. The primary nurse was in the process of handing over to evening shift nurse and had attended the call bell. Sharit said that he is not feeling well and asked if the nurse could help him. The primary nurse replied that she is currently in the handover process and the evening shift nurse will attend to him shortly. Since no one had turned up. Sharif pressed the call bell again for help. The evening shift nurse responded to Sharif approximately 10 minutes later and found that he is not responding. The nurse immediately calls for help and pressed the emergency bell. On checking the blood sugar level of the patient, it was 1.9 mmol/L. The patient was resuscitated by the MET call team and had immediately shifted to ICU. The evening, nurse later identified that the patient had a BGL of 4.1 mmol/L at. pre-lunch and the morning nurse had administered 12 units of Human. Actrapid and the patient did riot received lunch from the hospital kitchen.
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