The nurse in the surgical unit is caring for a 63-year-old male client.
1900:
- nothing by mouth (NPO) after 2000
- no oral glucose-lowering medicines on the morning of surgery
- fingerstick glucose every 2 hours while NPO
The nurse has reviewed the Orders from 1900 and the Progress Notes from 0900.
Click to highlight the findings below that require immediate follow-up.
Progress Notes
0900: Client is NPO and waiting for surgery at 1000. Glucose at 0400 was 92 mg/dL (fasting reference range 70–99 mg/dL). No glucose check has been done since 0400. Client reports that he took the usual glipizide with a sip of water at 0615. The client also says that the last dose of empagliflozin was 4 days ago. Right knee pain rated 5 on a scale of 0 to 10, the same as on admission. Alert and speaking clearly.