Patient continues to be stable with no new problems

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January 15, 2022 Progress note This patient continues to be stable with no new problems. Her cultures remain negative, and she remains afebrile. Her clearance is pending, but she certainly has settled down nicely. The main problem we are having is with her diabetic management. It simply is not working with the former twice a day of 70/30 insulin plus a nighttime Lantus. I think we should go one way or the other, and we will go to Humalog before each meal, starting with an estimated dose of 15 per meal and 40 of Lantus in the evening, and we will titrate from there. We will get Accu-Cheks before each meal to reflect the previous meal's dose of Humalog and adjust it accordingly. Other than that, tomorrow we will review her case with infectious disease with regard to the duration of her antibiotic therapy. Thus far, our cultures have remained negative; however, the positive group B strep is not the type of typical contaminant you get in a blood culture, and we must take it at face value. Time spent re-evaluating the patient, reviewing the chart, and rearranging diabetic management was 25 minutes; more than half of the time was.

Reference no: EM133693780

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