Seena's diabetes care Huge goal: stablized VS
Assessment
Diagnosis
Intervention
Evaluation
Problem
Polyuria Polydipsia Polyphagia
Weakness and blurred vision
BP 119/76 P 98 Temp 36.9 HF 15 GM 31,6 kg 49
High ketones
Family in countryside
How much is Blood sugar when she arrived to ward?
Is she dehydrated?
How tired is she?
Is she still in need to urinate?
any sign of keto acidosis?
how long has she been feeling?
hyperglycemia
dehydration
malnutrition
hypovolemic
Hyperglycemia
Monitor VS 1-2 hours. Goal: 5-8 mmol/day 8-1-mmol/night
administrate medication
Hypovolemic + dehydration
strictly follow fluid limit: 2500.
malnutrition
Measure blood pressure
Measure input and output
check for skin integrity
possible malnutrition due to character of type 1 diabetes. it burns fat for fuel
monitor weight
monitor exhausion and provide comfort to rest
family.
provide information about daughter's diabetes
take care of younger daughter
VS to normal rage
soft food when VS stable
regain energy
rehydrated
Blood test for glucose in blood
Urine test for Ketone
Goal: Provide correct information and prevent injury
Diet
Exercise
Medication
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