Unformatted text preview: ACTIVE LEARNING TEMPLATE: System Disorder STUDENT NAME______________________________________ Hyperglycemia
DISORDER/DISEASE PROCESS___________________________________________________________ REVIEW MODULE CHAPTER____________ Alterations in
Health (Diagnosis) Pathophysiology Related
to Client Problem
-Beta cell dysfunction and insulin resistance
-Leads to decreased tissue glucose utilization
(adipose tissue, skeletal muscle, liver) Health Promotion and
Disease Prevention
-Can effect Type I and
Type II diabetics ASSESSMENT Risk Factors
-Illness, infection
-Corticosteroids
-Too much food
-Too little or no diabetes medication
-Inactivity
-Emotional, physical stress
-Poor absorption of insulin Laboratory Tests SAFETY
CONSIDERATIONS Expected Findings
-Elevated blood glucose (Higher than 130 mg/dL)
-Hot, dry skin,
-Fruity breath
-Slow wound healing
-Blurry vision
-Skin rash
-Repeated vaginal infections (yeast loves glucose)
-3 P's (polyuria, polyphagia, polydipsia) Diagnostic Procedures -Check urine for ketones PATIENT-CENTERED CARE Nursing Care
-Administer insulin as prescribed
-Monitor blood glucose Q6H
-Encourage oral fluid intake of sugar-free fluids to
prevent dehydration
-Test urine for ketones and report if outside of
expected reference range
-Consult HCP if manifestations persist Therapeutic Procedures Complications
Medications
-Administer
insulin as
prescribed Client Education
-Advise to take prescribed dose of medication at
proper time
-Accurately administer insulin, noninsulin
injectables, OA
-Make healthy food choices
-Follow sick day rules when ill
-Check blood glucose routinely
-Wear or carry diabetes identification Interprofessional Care
-Conntact HCP re:
ketonuria (if ketones
found in urine) ACTIVE LEARNING TEMPLATES ...
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