Nursing Care Plan for Diabetes

6 Diabetes Mellitus Nursing Care Plans
January 9, 2025 – 10:24 am

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Weigh daily or as ordered. Weighing serves as an assessment tool to determine the adequacy of nutritional intake.
Ascertain patient’s dietary program and usual pattern then compare with recent intake. Identifies deficits and deviations from therapeutic needs.
Auscultate bowel sounds. Note reports of abdominal pain, bloating, nausea, vomiting of undigested food. Maintain NPO status as indicated. Hyperglycemia and fluid and electrolyte disturbances can decrease gastric motility and/or function (due to distention or ileus) affecting choice of interventions. Note: Chronic difficulties with decreased gastric emptying time and poor intestinal motility may suggest autonomic neuropathies affecting the GI tract and requiring symptomatic treatment.
Provide liquids containing nutrients and electrolytes as soon as patient can tolerate oral fluids then progress to a more solid food as tolerated. Oral route is preferred when patient is alert and bowel function is restored.
Identify food preferences, including ethnic and cultural needs. If patient’s food preferences can be incorporated into the meal plan, cooperation with dietary requirements may be facilitated after discharge.
Include SO in meal planning as indicated. To promote sense of involvement and provide information to the SO to understand the nutritional needs of the patient. Note: Various methods available or dietary planning include exchange list, point system, glycemic index, or pre selected menus.
Observe for signs of hypoglycemia: changes in LOC, cold and clammy skin, rapid pulse, hunger, irritability, anxiety, headache, lightheadedness, shakiness. Hypoglycemia can occur once blood glucose level is reduced and carbohydrate metabolism resumes and insulin is being given. If the patient is comatose, hypoglycemia may occur without notable change in LOC. This potentially life-threatening emergency should be assessed and treated quickly per protocol. Note: Type 1 diabetics of long standing may not display usual signs of hypoglycemia because normal response to low blood sugar may be diminished.
Perform fingerstick glucose testing. Beside analysis of serum glucose is more accurate than monitoring urine sugar. Urine glucose is not sensitive enough to detect fluctuations in serum levels and can be affected by patient’s individual renal threshold or the presence of urinary retention. Note: Normal levels for fingerstick glucose testing may vary depending on how...
Source: nurseslabs.com
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Nursing Care Plans For Diabetes.

Tests for diabetic patients are done both when fasting and after food. The blood and urine of both these are studied clearly to get a confirmed stature of a diabetic patient. If the symptoms are alarming, the same is done repeatedly after a systematic gap.

These patients are monitored closely by keeping a check on their glucose and blood pressure level. They are not allowed to undergo any surgery unless and until their sugar level is brought under check.

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