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    Nursing Care Plan Diabetes 2

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    Ysun Espino
    The nursing care plan addresses a patient with diabetes mellitus type 1 who presents with symptoms of dehydration including weakness, thirst, dry skin and weight loss. The nursing diagnosis is fluid volume deficient related to osmotic diuresis from hyperglycemia. The plan is to monitor the patient's vital signs, respiratory status, temperature, skin condition and output over 8 hours with the goal of hydration. Interventions include administering fluids, monitoring intake and output, and weighing the patient daily. The expected outcome is that the patient will demonstrate adequate hydration through stable vital signs and improved skin turgor after 8 hours of nursing care.

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    Nursing Care Plan Diabetes 2

    Uploaded by

    Ysun Espino
    819 views3 pages
    The nursing care plan addresses a patient with diabetes mellitus type 1 who presents with symptoms of dehydration including weakness, thirst, dry skin and weight loss. The nursing diagnosis is fluid volume deficient related to osmotic diuresis from hyperglycemia. The plan is to monitor the patient's vital signs, respiratory status, temperature, skin condition and output over 8 hours with the goal of hydration. Interventions include administering fluids, monitoring intake and output, and weighing the patient daily. The expected outcome is that the patient will demonstrate adequate hydration through stable vital signs and improved skin turgor after 8 hours of nursing care.

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    37239119-Nursing-Care-Plan-Diabetes-2.doc

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    The nursing care plan addresses a patient with diabetes mellitus type 1 who presents with symptoms of dehydration including weakness, thirst, dry skin and weight loss. The nursing diagnosis is fluid volume deficient related to osmotic diuresis from hyperglycemia. The plan is to monitor the patient's vital signs, respiratory status, temperature, skin condition and output over 8 hours with the goal of hydration. Interventions include administering fluids, monitoring intake and output, and weighing the patient daily. The expected outcome is that the patient will demonstrate adequate hydration through stable vital signs and improved skin turgor after 8 hours of nursing care.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    819 views3 pages

    Nursing Care Plan Diabetes 2

    Uploaded by

    Ysun Espino
    The nursing care plan addresses a patient with diabetes mellitus type 1 who presents with symptoms of dehydration including weakness, thirst, dry skin and weight loss. The nursing diagnosis is fluid volume deficient related to osmotic diuresis from hyperglycemia. The plan is to monitor the patient's vital signs, respiratory status, temperature, skin condition and output over 8 hours with the goal of hydration. Interventions include administering fluids, monitoring intake and output, and weighing the patient daily. The expected outcome is that the patient will demonstrate adequate hydration through stable vital signs and improved skin turgor after 8 hours of nursing care.

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    Nursing Care Plan

    Assessment Nursing Inference Planning Intervention Rationale Evaluation


    Diagnosis
    Subjective: Fluid volume Diabetes After 8 hours Independent:  Hypovolemia After 8 hours of
    “Pakiramdam ko deficient mellitus (DM) of nursing may be Nursing
    lagi akong related to is a chronic interventions,  Monitor manifested by interventions, the
    nanghihina saka osmotic metabolic the patient orthostatic hypotension patient was able to
    na uuhaw” (I feel diuresis from disorder will blood and demonstrate
    weak and I’m hyperglycemia caused by an demonstrate pressure tachycardia. adequate
    always absolute or adequate changes. hydration
    thirsty) as relative hydration  Monitor  Lungs remove evidenced by
    verbalized by the deficiency of respiratory carbonic acid stable vital signs,
    patient. insulin, an pattern like through palpable
    Objective: anabolic Kussmaul’s respirations, peripheral pulses,
    · Dry skin and hormone. Respirations producing a good skin turgor
    mucous Type 1 and compensatory and capillary
    membrane. diabetes acetone respiratory refill.
    · Poor skin mellitus can breath. alkalosis for
    turgor. occur at any  Monitor ketoacidosis.
    · Sudden weight age and is temperature,
    loss. characterized skin color  Fever, chills,
    · V/S taken as by the marked and and
    follows: and moisture. diaphoresis
    T:37.1 progressive  Assess arecommon
    P:85 inability of the peripheral with infectious
    R:20 pancreas to pulses, process; fever
    BP: 110/80 secrete insulin capillary with flushed,
    because of refill, skin dry skin may
    autoimmune turgor, reflect
    destruction of and mucous dehydration.
    the beta cells. membrane.
    It commonly  Monitor input  Indicators of
    occurs in and level of
    children, with a output. Note dehydration,
    fairly abrupt onset; urine specific adequacy of
    however, gravity. circulating
    newer  Weigh daily. volume.
    antibody tests  Maintain fluid
    have allowed intake at  Provides
    for the least ongoing
    identification of 2500 ml / day estimate of
    within cardiac volume
    more people
    tolerance replacement
    with the newonset with needs, kidney
    adult oral intake is function, and
    form of type 1 resumed.
    diabetes  Promote
    mellitus called comfortable
    latent environment.
    autoimmune Cover patient
    diabetes of the with light
    adult (LADA). sheets.
    The
    Collaborative:
    distinguishing
    characteristic Administer fluids
    of a patient as indicated.
    with type 1
    diabetes is
    that, if his or
    her insulin is
    withdrawn,
    ketosis and
    eventually
    ketoacidosis
    develop.
    Therefore,
    these patients
    are dependent
    on exogenous
    insulin.

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