sugar crash!
the fall files
lab detectives
muscle and kidney mayhem
medication station
100

this condition occurs when blood glucose falls too low for the body to function properly

hypoglycemia

100

the patient suffered a fracture to this bone after falling at home

the humerus

100

On admission, the patient's potassium was low at this value.

3.3 mEq/L

100

This condition occurs when damaged muscle tissue breaks down and releases its contents into the bloodstream.

rhabdomyolysis

100

The patient received 2 mg IV of this PRN medication for severe right arm pain.

morphine

200

the patient's blood glucose was this number when she was found severely hypoglycemic

48 mg/dL

200

The patient's humeral neck fracture occurred on this side of her body.

the right side

200

By October 4, the patient's potassium had improved to this value.

4.2 mEq/L

200

This is one of the major organs that can become damaged as a result of rhabdomyolysis.


the kidneys

200

This 40 mg subcutaneous medication was prescribed to help prevent venous thromboembolism.

enoxaparin 

300

the patient took 54 units of this long acting insulin before her hypoglycemic episode (name)

insulin degludec

300

This family member discovered the patient lying on the floor after being unable to contact her.

her sister

300

This laboratory marker of muscle injury increased from 239 to 562 and finally 2,274.

creatinine kinase (CK)

300

This condition involves a sudden decrease in kidney function, causing waste products to accumulate in the blood.

acute kidney injury

300

The patient's listed allergies were to these two pain medications, with hives and itching as the reported reactions.

Toradol and Tramadol

400

after taking her insulin, the patient could not remember if she had done this, potentially contributing to her low blood glucose

eaten anything

400

During the nursing assessment, the patient rated her right arm pain this high on a 0–10 scale.

10/10

400

The patient's eGFR increased slightly from 50 to this value, although it remained low.

52

400

During rhabdomyolysis, injured muscle cells release this protein, which can damage the kidneys.

myoglobin

400

These two medications were prescribed to treat the patient's overactive bladder.

mirabegron and oxybutynin

500

following her hypoglycemic episode, the patient received this solution at a rate of 50 mL/hr

D5 0.9% NS

500

This diagnostic imaging study confirmed an impacted fracture of the patient's right humeral neck.

right shoulder x-ray

500

This oxygen-carrying blood component decreased from 11.2 to 10.8 g/dL during hospitalization.

hemoglobin

500

Myoglobin released during rhabdomyolysis can injure these microscopic structures inside the kidneys.

the renal tubules 

500

This muscle relaxant was prescribed to help relieve muscle pain related to the patient's humeral neck fracture.

cyclobenzaprine

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