4 Diabetes Mellitus Nursing Care Plans

Nursing Care Plans |

Diabetes Mellitus Nursing Care Plans Diabetes mellitus is a metabolic disease characterized by dysregulation of carbohydrate, protein, and lipid metabolism. The primary feature of this disorder is elevation in blood glucose levels (hyperglycemia), resulting from either a defect in insulin secretion from the pancreas, a change in insulin action, or both. Sustained hyperglycemia has been shown to affect almost all tissues in the body and is associated with significant complications of multiple organ systems, including the eyes, nerves, kidneys, and blood vessels.

Here you view 4 Diabetes Mellitus Nursing Care Plans

1. Deficient Fluid Volume

Glucose appears in the urine (glycosuria) because the kidney excretes the excess glucose to make the blood glucose level normal. Glucose excreted in the urine acts as osmotic diuretic and causes excretion of increased amount of water, resulting in fluid volume deficit or polyuria.

Assessment

Nursing Diagnosis

Planning

Nursing
Interventions

Rationale

Evaluation

Subjective:(none)Objective:

elevated temperature of 38.4°C/axilla
increased urine output.
sweating of the skin
thirst
exhaustion
weight loss
dry skin or mucous membrane

Deficient Fluid Volume r/t intracellular DHN 2° the DM II

Short Term:After 3° of NI, patient shall have verbalized understanding of causative factors and purpose of individual therapeutic interventions and medications.Long Term:After 2 days of NI, the patient shall have maintained fluid volume at a functional level as evidenced by individual good skin turgor, moist mucous membrane and stable vital signs.

Establish rapportTake and record vital signsMonitor the temperatureAssess skin turgor and mucous membranes for signs of dehydrationEncourage the patient to increase fluid intake

Administer IVF as ordered by the Doctor

Administer anti-pyretic as prescribed by the Doctor.

Friendly relationship with patient and to be able to each other’s concernTo obtain baseline dataTo monitor changes in temperatureDry skin and mucous membranes are signs of dehydrationTo replace fluid loss and prevent dehydration

To replace electrolytes and fluid loss

To decrease body temperature and will have less occurrence of dehydration.

Short Term:After 3° of NI, patient will have verbalized understanding of causative factors and purpose of individual therapeutic interventions and medications.Long Term:After 2 days of NI, the patient will have maintained fluid volume at a functional level as evidenced by individual good skin turgor, moist mucous membrane and stable vital signs