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Lack of Knowledge On Diabetes Management or Blood Glucose Management

The patient has poorly controlled diabetes with frequent hypoglycemia and weight gain. The nursing assessment found risk for unstable blood glucose and the goal was to maintain glucose in a satisfactory range through 8 hours of interventions. Interventions included assessing for signs of hypoglycemia, monitoring blood glucose levels, administering insulin as directed, providing food for hypoglycemia, and educating the patient on following their meal plan and proper medication administration.

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Danica Kate Galleon
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817 views2 pages

Lack of Knowledge On Diabetes Management or Blood Glucose Management

The patient has poorly controlled diabetes with frequent hypoglycemia and weight gain. The nursing assessment found risk for unstable blood glucose and the goal was to maintain glucose in a satisfactory range through 8 hours of interventions. Interventions included assessing for signs of hypoglycemia, monitoring blood glucose levels, administering insulin as directed, providing food for hypoglycemia, and educating the patient on following their meal plan and proper medication administration.

Uploaded by

Danica Kate Galleon
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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ASSESSMENT NURSING DIAGNOSIS GOAL INTERVENTIONS RATIONALES EVALUATION

Subjective: “I have Risk for unstable blood After 8 hours of nursing Assess for signs of Manifestations of hypoglycemia may depend on Goal met
Poor glycemic control, glucose level related to interventions the patient hypoglycemia. every individual but are consistent in the same
Lack of knowledge on After nursing
frequent hypoglycemia, will Maintain glucose in individual. The signs are the result of both increased
diabetes management or interventions the
and weight gain satisfactory range adrenergic activity and decreased glucose delivery
blood glucose patient Maintain
complicated his case”. to the brain. The patient mat experience tachycardia,
management glucose in satisfactory
diaphoresis, tremors, dizziness, headache, fatigue,
  range
hunger, and visual changes.
Objective:
A lot of drugs can cause fluctuations in blood
Diabetic retinopathy glucose as a side effect. Beta-blockers,
was noted, his blood corticosteroids, thiazide diuretics,estrogen,
urea nitrogen (BUN) Assess medications taken isoniazid, lithium, and phenytoin can cause
regularly. hyperglycemia. Regular use of salicylates,
was 24 mg/dl,
disopyramide, insulin, sulfonylurea agents, and
creatinine was 0.93 pentamidine can cause hypoglycemia.
mg/dl, and urinalysis
was protein-negative. Normal fasting blood glucose for an adult is 70 to
105mg / d * L . Critical values for hypoglycemia are
less than 40 to 50 mg / d * L . Critical values for
Monitor blood glucose hyperglycemia are greater than 400mg / d * L .
levels as fasting and Patients receiving total parenteral nutrition (TPN)
postprandial levels. may have a higher than normal blood glucose value
because the solution contains up to 50% dextrose.
Patients with reactive hypoglycemia will have a
blood glucose level less

Insulin is required to lower blood glucose levels in


type 1 diabetes, and for many patients with type 2
diabetes. Patients receiving TPN may require insulin
to maintain stable blood glucose in response to high
dextrose concentration in the solution.
Administer insulin
medications as directed
A rapidly absorbed form of glucose is indicated to
manage hypoglycemia. These forms of glucose may
include oral intake of hard candy or fruit juice. For
the patient who cannot take something orally,
intravenous injection of glucose may be indicated
A prescribed meal plan will help the patient
maintain stable blood glucose levels.

Provide food or other


The patient with diabetes needs to learn about
sources of glucose as
taking insulin or oral hypoglycemic drugs to lower
directed for hypoglycemia. blood glucose

Food intake is appropriate in most cases of


hypoglycemia to raise blood glucose levels. Eating a
Educate the patient about the rapidly absorbed source of glucose is appropriate for
importance of following a patients with diabetes.
prescribed meal plan.
Educate the patient about the
proper ways of taking
prescribed medications.
Instruct the patient
experiencing hypoglycemia
about appropriate actions to
raise blood glucose.

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