Hyperglycemia2.pdf - ACTIVE LEARNING TEMPLATE System Disorder STUDENT NAME Hyperglycemia DISORDER\/DISEASE PROCESS REVIEW MODULE CHAPTER Alterations in

Hyperglycemia2.pdf - ACTIVE LEARNING TEMPLATE System...

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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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