4312830
Beschreibung
Mindmap von Jamie R Pascual, aktualisiert more than 1 year ago
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Erstellt von Jamie R Pascual
vor fast 9 Jahre
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Diabetes Mellitus/ Diabetes
- DIABETIC FOOT ULCER:
- ATI: Aply lotion to the
dry areas of my feet,
avoiding between the
toes"
- ATI: Aply lotion to the
dry areas of my feet,
avoiding between the
toes"
- Peripheral Neuropathy:
Prevent Injuries: Monitor
temperature of water
with a thermometer.
- ATI: INSULIN: GLARGINE & REGULAR:
"Draw up the insulin glargine and the
regular insulin into two separate
syringes."
- Short acting insulin
first NPH is safe to mix
with short acting."
- INSULIN
- ATI TEACHING: Must be taken
subcutaneously because oral
form will be destroyed by
digestive enzymes.
- ATI TEACHING: Must be taken
subcutaneously because oral
form will be destroyed by
digestive enzymes.
- Short acting insulin
first NPH is safe to mix
with short acting."
- ATI: Mild Tremor, Slight diaphoresis & fully oriented
- Nursing Action Priority:
- Assess the client's blood glucose level.
- Rational: Most likely hypoglycemia. Blood glucose must be checked to confirm
the problem and document HIGH/LOW BS to determine the best TX.
- Rational: Most likely hypoglycemia. Blood glucose must be checked to confirm
the problem and document HIGH/LOW BS to determine the best TX.
- Assess the client's blood glucose level.
- Nursing Action Priority:
- NCLEX MADE EASY: S/S
- Polydipsia, Polyphargia, Polyuria, Weight loss
- INTERVENTIONS
- monitor acid-base & fluid balance
- S/S OF Hyopglycemnia
- Vagueness, slow cerebration, dizziness, weaknesss,pallor,
tachycardia, diaphoresis, seizures, coma)
- S/S KETOACIDOSIS (acetone breath, dehydration, weak or rapid pulse,Kussmaul's respirations)
- HYPERosmolar coma (Polyuria, thirst, neurologic abnormalities, stupor)
- Be prepared to treat hypoclycemnia, immediately give carbohydrates
in the form of fruit juice, hard candy & honey): if UNCONSCIOUS,
maintain safety until administered I.V.
- Be prepared to treat hypoclycemnia, immediately give carbohydrates
in the form of fruit juice, hard candy & honey): if UNCONSCIOUS,
maintain safety until administered I.V.
- HYPERosmolar coma (Polyuria, thirst, neurologic abnormalities, stupor)
- S/S KETOACIDOSIS (acetone breath, dehydration, weak or rapid pulse,Kussmaul's respirations)
- Vagueness, slow cerebration, dizziness, weaknesss,pallor,
tachycardia, diaphoresis, seizures, coma)
- S/S OF Hyopglycemnia
- monitor acid-base & fluid balance
- INTERVENTIONS
- Polydipsia, Polyphargia, Polyuria, Weight loss
- Type 2 diabetes
- ATI: Rosiglitazone (Advandia) What should nurse monitor for?
- "Swollen Ankles"
- Rational: Rosiglitazone can lead to fluid retention, exacerbation of heart failure, and an increased incidence of angina & myofarction.
- Rational: Rosiglitazone can lead to fluid retention, exacerbation of heart failure, and an increased incidence of angina & myofarction.
- "Swollen Ankles"
- ATI: Rosiglitazone (Advandia) What should nurse monitor for?
- PROPER FOOT CARE
- Wear clean socks daily,
Fited for shoes late in the
day when feet are swollen
require a larger shoe,
Should not be barefoot at
anytime, Keep feet dry &
moisture free
(contraindicated: soaking
feet)
- Wear clean socks daily,
Fited for shoes late in the
day when feet are swollen
require a larger shoe,
Should not be barefoot at
anytime, Keep feet dry &
moisture free
(contraindicated: soaking
feet)
Medienanhänge
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