Hyperosmolar Hyperglycaemic State Nursing Assignment 2022

NURSING ASSIGNMENT 1
NURSING ASSIGNMENT
By:
Professor’s Name:
College:
Course:
Date:

NURSING ASSIGNMENT 2
Contents
Introduction...........................................................................................................................................3
ISBAR Handover.....................................................................................................................................4
Pathophysiology....................................................................................................................................6
Multidisciplinary care............................................................................................................................7
Main problems..................................................................................................................................7
Goals of care......................................................................................................................................8
Medical care......................................................................................................................................8
Nursing care.....................................................................................................................................10
Conclusion...........................................................................................................................................13
References...........................................................................................................................................14

NURSING ASSIGNMENT 3
Introduction
The hyperosmolar hyperglycaemic state is a diabetes mellitus (DM) metabolic complexity
described by serious hyperglycemia, hyperosmolar plasma, altered consciousness and
outrageous lack of hydration. Often, it occurs in type 2 DM, frequently in the setting of
physiologic pressure (Kitabchi, Umpierrez and Murphy 2015).
Hyperosmolar Hyperglycaemic was recently named hyperosmolar hyperglycaemic
nonketotic coma, however, the name was changed because less than 20% of patients with
HHS have coma.
The hyperosmolar hyperglycaemic syndrome is most regularly found in patients with type
2 DM with reduced fluid intake as seen in Mr. Stan Coombe who is experiencing increased
dehydration (Urden, Stacy and Lough 2017).
Regular manifestations of Hyperosmolar hyperglycaemic syndrome include blood glucose
levels more than 600 mg/dl, outrageous thirst, high blood pressure, perplexity or languor, dry
mouth, fever and skin that is dry and warm.

NURSING ASSIGNMENT 4
ISBAR Handover
Identification Patient's name: Mr. Stan Coombe
Age: 76 years
Sex: Male
Situation Mr coombe is suffering from type II diabetes mellitus.
Background
history
History of the current problem: The patient had a myocardial
infraction eight years ago. For about eight hours, at least once a week
the patient has paroxysmal atrial fibrillation occurrence. He also
experiences chest pain associated with very short breath. He has been
admitted to the medical ward with urinary tract infection, pneumonia,
and hyperglycemia.
Assessment Current vital signs and observations:
Temperature: 37.8
Pulse:98
Resp: 24
SaO2 90% on room air, 94% on 2 L via nasal specs
BP: 142/92
The patient is likely to be suffering from Hyperosmolar
Hyperglycaemic Syndrome.