Patient knowlegeCan the paitent steps their the subricesof all physicaloghyCan the paitent made what to do confrim Blood GLU before 70 or alove 74 ) Katrient of present of issue goverment of serchingCan the present difreation are follow to use goverment ? stress drawup paitent?
Therapeteuticcommunicationopen Discussion peovide MaterialsEnroll in diabetos education progarmRefer to Diabetes Educator Demonstrate Insulm therapy return demo upon intial teaching and follow up Check injection sutes for sings of rotating sites / infections Review administration procedures such as technique Review blood GLU history
Lifelong treatment Drug therapy insulinoral agentsnutrition therapy Maintain blood GLU to preventhyper /hypoglycemaExercise Regular consistent physical routineBlood GLU Maintaringpancreas Transplantationusually perfromed together withkidney transplant lifelong immunosuppression
Treatment of severecomplicationsdiabetic Keconadosis (DKA) hing blood GLUketones present vombing servere fud and electrolyte depletion Hyperosmolar Hyperghycemic syndrome high blood GLU over 600 but NQ ketomesdehydrationtreatmentmonitor blood GLU and presence of ketones in unnite closelyadmin IV flods to correct dehydration and fud/ electrroyte imblance Assess renal and cardioplumonary statusmonitor LOG
Nursing Responsibities of the Surgical patientinfrom pt that stress induces hyperghycemiacontinue regular mealsIncrease nondalric fluds( broths, water, det geltan) check blood GLU every 4 hourscheck kotones d blood GlU greater than 240Take insuintoral agerts (QA)as procrebedDISCONTINUE METFORMIN if presenbedrequired contrast dyeWAITuntill 48 hours post - procedure AND venrty serum creatinne levels are normal then continue mettormn levels are normal then continue mettormin as presenbedUNCONSCIOUS PTHYPOGLYCEMIA observe Pl for searching tachycarda tremors MONITOR GLUCLOSELYI
Prevention Reduce onset of server complicationsBlood GLU monitoring proper nutrition to prevent hyper/hypoglycemia Good hygine for infection controlpain control Neuropathy Medicatuions Duloxetine, Gabapentin, Pregabain Assess pt for sings of depressionRefer patient to resource materialssuch as online stes (ADA)
Diabetes Mellitus concept Map