Hyperglycemia

Presenting problems (clinical manifestation)

High glucose level

Increased thirsty and hunger

Blurr vision

Frequently urination

Fluid volume deficent

Dignosis

Excessive glucose level

Nurses interventions

Put patient on caught-bedl

Insert urinary catheter

Offer patient drinking water

Offer patient a prescribed meal diet to accommodate hunger

Reduce insulin dose

Monitor respiratory the patterns and blood pressure changed

Assess capillary refill and skin tugor

Monitor input and output and take note of spacific gravity

Administer medication. As prescribed

Health educates the patientlt on the importance of physical activities

Expected goals

Normal glucose level

Patient demonstrates adequate rehydration

Stable vital signs

Defination

Refers to elevated blood glucose level that occurs in variety of clinical situations

Pathophysiology

Insulin secretion from B-cells in pancreas reduces glucose output by liver

Then hyperglycemia develops

Assessment

Observe patient for any signs of dehydration

Patient history

Ask the patient how frequently she/she passes urine

Assess if the patients understands what diet is best for diabetic person

And increases glucose uptake by skeletal muscle or adipose :