Nursing Care Plan for Patient with Diabetes
Added on 2021-04-19
7 Pages860 Words129 Views
Running head- NURSINGCare plan for patient with hyperglycemiaName of the StudentName of the UniversityAuthor Note
1NURSINGAssessmentDiagnosisPlanningInterventionRationaleEvaluationSubjective:He reportsthat he issufferingfrom type1diabetes for15 years andis not takinginsulin forthe past 3daysObjective:Bloodglucose- 320,frequentthirst, drymouthBlood glucoselevels beyond125 mg/dLconfirmsdeficiency ofinsulin hormonein the body thatcontributes todiabetesAfter aninterventionperiod of 24hours, bloodglucoselevels will bebrought inthe range of125-200 mg/dL. The patientwill besubjected toan Insulinglucosetolerance testand the bloodsugar levelswill bechecked everyhour until thepredetermined levels areachieved1. The patientwill also beadministeredaspirin tolower risks ofcardiovascular disordersIndividualssufferingfrom diabetesmanifest beta-celldysfunctionand insulinresistance,whichincreaseshepaticglucoseproduction2.Diabetes isalsoassociatedwithabnormalcholesterollevels, obesityandhypertensionthat increasescardiovascular risks3.After 24hours of theintervention, the patientwilldemonstratereducedbloodglucoselevelsSubjective:Dark urine andPatient’sThe patientDecreasedAfter 481Pisprasert, V. et al,Limitations In The Use Of Indices Using Glucose And Insulin Levels To Predict InsulinSensitivity: Impact Of Race And Gender And Superiority Of The Indices Derived From Oral Glucose Tolerance TestIn African Americans(2018) http://care.diabetesjournals.org/content/36/4/845.short2Fu, Zhuo, Elizabeth R. Gilbert and Dongmin Liu, "Regulation Of Insulin Synthesis And Secretion And PancreaticBeta-Cell Dysfunction In Diabetes" (2013) 9(1)Current Diabetes Review shttp://www.ingentaconnect.com/content/ben/cdr/2013/00000009/00000001/art00004
2NURSINGHe reportshaving darkurineObjective:Voiding lessthan30cc/hoururine outputmuch less thannormal 50-62cc/hour indicatesthat the patientsuffers fromdehydration. urine outputwill be closeto the normalamountwithin 48hours.will be startedonintravenousnormal salineat 150cc/hourfor twoconsecutivedays and theurine colourand amountshall berecorded. Thepatient willalso beprovided withfruit juicesand adequatreamounts ofwater toreplace thelost fluids. urine outputor oliguriamostcommonlyoccurs due todehydration.This occursdue toinability ofthe kidneys toretainmaximumamount offluid4. Paleyellowcolouredurineindicatesproperhydration.However,dark urinecommonlyoccurs due todehydrationand indicatespresence ofpotentiallyharmful wasteproducts inbodyhours of theintervention, the patientwilldemonstratepale yellowcoluredurine and anoutput equalto 120-150cc/hour.3Sattar, N., "Revisiting The Links Between Glycaemia, Diabetes And Cardiovascular Disease" (2013)56(4)Diabetologiahttps://link.springer.com/article/10.1007/s00125-012-2817-54Berti de Marinis, Giulia et al, "A 40-Year-Old Man With Recurrent Fainting, Hypotension, Lower Limb EdemaAnd Oliguria With Body Weight Gain And Secondary Erythrocytosis" (2011) 7(5)Internal and EmergencyMedicinehttps://link.springer.com/article/10.1007%2Fs11739-011-0692-6
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