What do I do if my sugar is too low? Again, remember evaluation is usually looking back at what told us we had a problem and seeing it fixed. And long term I want to see those wounds heal without complication. So again, wounds and ulcers that are going to be slow healing and giving us a lot of problems. Nursing Care Plan of Child with Diabetes Diabetes Mellitus: A chronic disorder involving primarily carbohydrate metabolism and characterized by partial and /or complete insulin inefficiency. You find out that the patient does not know how to check his blood sugar properly and interpret the results. During your assessment you ask the patient about his knowledge about diabetes. Healthy weights are calculated based on height and sex of the patient. So how do I know if it gets better? A normal blood sugar level ranges between 70-150. The patient is on an insulin gtt per protocol. Uncontrolled diabetes is mostly common caused by patient knowledge deficient of not knowing how to manage their diabetes properly. The patient states “I have always thought I can eat whatever I want, when I want, and insulin coverage can be at my discretion”. Well we just said potassium decreases with insulin and increases in acidosis and that cellular dehydration happens a lot if we have the hyperosmolarity from the hyperglycemia. Scribd is the world's largest social reading and publishing site. The formatting isn’t always important, and care plan formatting may vary among different nursing schools or medical jobs. We’ve got to monitor that blood glucose level. Duration: Up to 12 hours, -Intermediate Action They are conscious and awake, but feel cold and clammy, diaphoretic, weak, and slightly confused. She states she urges him to but he does not comply. Many patients lack the knowledge about diet regimes, how to give insulin properly, sliding scale dosages, common signs and symptoms of high blood sugar, dosing insulin when sick, and how insulin works. Diabetes is a complex disease that requires nurses to stay up-to-date on the latest approaches to managing the condition. This is our hypothetical patient. of a care plan. (Picmonic), Diabetes Interventions And so you get high sugar means lots of bacteria in these wounds. The patient is shocked at what you educate him about and says he wants to get serious about managing his diabetes because he doesn’t want to “be in the ICU again”. So this tissue and skin integrity becomes a big thing for your patients with diabetes. Which statement by the client indicates a need for more education? So let’s look at fluid and electrolytes. -The patient will be supplied with a free 30 day supply of testing strips, lancets, one free glucometer, and insulin syringes. They’ve got all the three PS. The best way to make sure students with diabetes get the care they need and are treated fairly is to put in place written plans. Your most classic signs of diabetes where you have polydipsia or excess thirst. (Biodigital), Diabetes Type 2 Well, we know that this patient is not able to appropriately regulate their blood glucose levels, right? This lesson is part of the NURSING.com Nursing Student Academy. Remember that uncontrolled diabetes can lead to blindness, peripheral vascular disease, and heart problems. Tells me how I’m going to know it got better. Desired Outcomes: Display normally reactive NST and negative OCT and/or CST. If you do, you’ll retain a great deal for current use, as well as, for the exam. -The patient will verbalize how often and when he needs to check his blood sugar. And then of course if you’ve got a severe case, you might see some signs of DKA or HHNS just depending. Let’s say they got a lot of insulin. 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