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Seena's diabetes care Huge goal: stablized VS (Assessment (How much is…
Seena's diabetes care Huge goal: stablized VS
Assessment
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?
Diagnosis
hyperglycemia
dehydration
malnutrition
hypovolemic
Intervention
Hyperglycemia
Monitor VS 1-2 hours. Goal: 5-8 mmol/day 8-1-mmol/night
administrate medication
soft food when VS stable
Blood test for glucose in blood
Urine test for Ketone
Hypovolemic + dehydration
strictly follow fluid limit: 2500.
Measure blood pressure
Measure input and output
check for skin integrity
malnutrition
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
Evaluation
VS to normal rage
regain energy
rehydrated
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
Goal: Provide correct information and prevent injury
Diet
Exercise
Medication