POSTPARTAL DIABETES MELLITUS

POSTPARTAL DIABETES MELLITUS - POSTPARTALDIABETESMELLITUS

Info iconThis preview shows pages 1–3. Sign up to view the full content.

View Full Document Right Arrow Icon
POSTPARTAL DIABETES MELLITUS (To be used in conjunction with customary postpartal plans of care.) CLIENT ASSESSMENT DATA BASE (Refer to CP: Diabetes Mellitus: Prepregnancy/Gestational; and CP: Intrapartal Diabetes Mellitus.) Activity/Rest Fatigue, especially when labor was long or difficult (increases glucose needs) Circulation May have elevated BP, edema (signs of PIH that developed during prenatal, intrapartal, or postpartal period History of vascular changes associated with diabetes that impair circulation/kidney functioning; venous thrombosis Elimination Polyuria Food/Fluid Polydipsia, polyphagia Nausea/vomiting Ketonuria, elevated serum glucose May report episodes of hypoglycemia, glycosuria Safety Healing of episiotomy or cesarean incision may be delayed. May report visual disturbances. Sexuality Uterus may be relaxed/boggy, and lochia may be heavy with clots present. Current pregnancy may have involved uterine overdistension (macrosomia or hydramnios). Labor may have been prolonged/augmented or induced. Preterm, large-for-gestational age, or low-birth-weight infant. Teaching/Learning Change in stability of diabetes, adjustment of insulin therapy. Type of infant feeding planned affects caloric needs and insulin requirements. DIAGNOSTIC STUDIES Fasting (Daily) or Serum Glucose:  Assesses control (increased risk of hypoglycemia). Hb/Hct:  Baseline studies. Glycosylated Hemoglobin (HbA 1c ):  May be elevated (greater than 8.5%), indicating inadequate control of serum  glucose levels. Urinalysis:  May show glucose, ketones, or protein. NURSING PRIORITIES 1. Maintain normoglycemia. 2. Prevent or minimize complications.
Background image of page 1

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
3. Promote parent-infant bonding. 4. Provide information concerning postpartal changes and diabetic management. DISCHARGE CRITERIA Gestational Diabetes 1. Regains euglycemia without need of medication 2. Understands nature of condition and prognosis for future Diabetes Because this is a life-long condition, client’s care will be transferred to primary care provider at completion of  postpartum period. NURSING DIAGNOSIS: NUTRITION: altered, risk for less than body requirements Risk Factors May Include: Inability to ingest/utilize nutrients appropriately, increased metabolic  demands (recuperation, lactation) Possibly Evidenced By: [Not applicable; presence of signs/symptoms establishes an  actual  diagnosis] DESIRED OUTCOMES/EVALUATION  Maintain serum glucose levels within individually  CRITERIA—CLIENT WILL: determined parameters, free of hypoglycemia/ hyperglycemia.
Background image of page 2
Image of page 3
This is the end of the preview. Sign up to access the rest of the document.

Page1 / 7

POSTPARTAL DIABETES MELLITUS - POSTPARTALDIABETESMELLITUS

This preview shows document pages 1 - 3. Sign up to view the full document.

View Full Document Right Arrow Icon
Ask a homework question - tutors are online