There is a family history of diabetes mellitus. Patient reports having been extremely thirsty and hungry with frequent urination along with numbness and tingling in lower extremities. The patient has a right lower extremity ulcer. The patent tested positive for COVID three weeks ago and has had a decrease in activity since. The patient reports nausea and vomiting over the past 3 days. Spouse is at the bedside.
0900: The patient is alert and oriented with periods of confusion, speech clear and lungs are clear upon auscultation. Skin is dry and appropriate for ethnicity. Bowels sounds present in all quadrants and urine is light yellow.

Skyler Hansen is an 18-yeardd male diagnosed with type 1 diabetes 6 months ago. He was brought to the Emergency Department by his mother. The mother reports that he started acting "weird" after a wrestling tournament. He had not felt well on the bus ride with the team so his mother decided he should ride with her. His mother demes a history of chronic illness but did say he had 'like a cold but with a stomachache" about 3 months ago.

She also says that he has been very thirsty. and they had to stop several times for him to urinate. She is also worried because he almost missed his wrestling •weight class parameters because he was significantly lighter this past weekend than he has been in the past. even with him eating more than usual.

Capillary blood glucose obtained; machine gives no value. Instead, an error message indicating 'hi’ displays on the machine. He A/O x 4. He complains of a 'stomachache' and reports he has nausea and experienced vomiting shortly before arrival. His Skin is warm and dry, but his face is flushed. When asked about pain. he says he has a headache, and his vision is blurry. Noted fruity odor to his breath during vital signs.

Skyler Hansen is an 18-yeardd male diagnosed with type 1 diabetes 6 months ago. He was brought to the Emergency Department by his mother. The mother reports that he started acting "weird" after a wrestling tournament. He had not felt well on the bus ride with the team so his mother decided he should ride with her. His mother demes a history of chronic illness but did say he had 'like a cold but with a stomachache" about 3 months ago.

She also says that he has been very thirsty. and they had to stop several times for him to urinate. She is also worried because he almost missed his wrestling •weight class parameters because he was significantly lighter this past weekend than he has been in the past. even with him eating more than usual.
Capillary blood glucose obtained; machine gives no value. Instead, an error message indicating 'hi’ displays on the machine. He A/O x 4. He complains of a 'stomachache' and reports he has nausea and experienced vomiting shortly before arrival. His Skin is warm and dry, but his face is flushed. When asked about pain. he says he has a headache, and his vision is blurry. Noted fruity odor to his breath during vital signs.

Skyler Hansen is an 18-yeardd male diagnosed with type 1 diabetes 6 months ago. He was brought to the Emergency Department by his mother. The mother reports that he started acting "weird" after a wrestling tournament. He had not felt well on the bus ride with the team so his mother decided he should ride with her. His mother demes a history of chronic illness but did say he had 'like a cold but with a stomachache" about 3 months ago.

She also says that he has been very thirsty. and they had to stop several times for him to urinate. She is also worried because he almost missed his wrestling •weight class parameters because he was significantly lighter this past weekend than he has been in the past. even with him eating more than usual.

On admission: Capillary blood glucose obtained; machine gives no value. Instead, an error message indicating 'hi’ displays on the machine. He A/O x 4. He complains of a 'stomachache' and reports he has nausea and experienced vomiting shortly before arrival. His Skin is warm and dry, but his face is flushed. When asked about pain. he says he has a headache, and his vision is blurry. Noted fruity odor to his breath during vital signs.

1530: Patient is on regular insulin drip at 2 units/hour. IV Site without redness. edema, or drainage. Resting quietly. CBG is now 140.

Skyler Hansen is an 18-yeardd male diagnosed with type 1 diabetes 6 months ago. He was brought to the Emergency Department by his mother. The mother reports that he started acting "weird" after a wrestling tournament. He had not felt well on the bus ride with the team so his mother decided he should ride with her. His mother demes a history of chronic illness but did say he had 'like a cold but with a stomachache" about 3 months ago.

She also says that he has been very thirsty. and they had to stop several times for him to urinate. She is also worried because he almost missed his wrestling •weight class parameters because he was significantly lighter this past weekend than he has been in the past. even with him eating more than usual.
On admission: Capillary blood glucose obtained; machine gives no value. Instead, an error message indicating 'hi’ displays on the machine. He A/O x 4. He complains of a 'stomachache' and reports he has nausea and experienced vomiting shortly before arrival. His Skin is warm and dry, but his face is flushed. When asked about pain. he says he has a headache, and his vision is blurry. Noted fruity odor to his breath during vital signs.

1530: Patient is on regular insulin drip at 2 units/hour. IV Site without redness. edema, or drainage. Resting quietly. CBG is now 140.

Skyler Hansen is an 18-yeardd male diagnosed with type 1 diabetes 6 months ago. He was brought to the Emergency Department by his mother. The mother reports that he started acting "weird" after a wrestling tournament. He had not felt well on the bus ride with the team so his mother decided he should ride with her. His mother demes a history of chronic illness but did say he had 'like a cold but with a stomachache" about 3 months ago.

She also says that he has been very thirsty. and they had to stop several times for him to urinate. She is also worried because he almost missed his wrestling •weight class parameters because he was significantly lighter this past weekend than he has been in the past. even with him eating more than usual.

On admission: Capillary blood glucose obtained; machine gives no value. Instead, an error message indicating 'hi’ displays on the machine. He A/O x 4. He complains of a 'stomachache' and reports he has nausea and experienced vomiting shortly before arrival. His Skin is warm and dry, but his face is flushed. When asked about pain. he says he has a headache, and his vision is blurry. Noted fruity odor to his breath during vital signs.

1530: Patient is on regular insulin drip at 2 units/hour. IV Site without redness. edema, or drainage. Resting quietly. CBG is now 140.

2000: CBG is 40mg/dl. Patient is lethargic and skin is cold and clammy. Lung sounds diminished on O2 at 2 liters via nasal canula. Abdomen is soft with hypoactive bowel sounds x 4 quadrants. Physician notified and new orders received.