Diabetic patients need complex nursing care. As diabetes are becoming quite prevalent today, nurses need to be highly knowledgeable and skilled when it comes to caring for their diabetic patients. Here is a sample of nursing care plan for diabetes:
Nursing Care Plan for Diabetes:
Subjective Data from Diabetic Patients:
The patient states he has been having blurry vision, extreme thirst, and frequent urination since last Sunday night after he attended a Super Bowl Party. He stated that since yesterday morning he has been vomiting. Patient states he has been a type 1 diabetic since he was 5 years old. He states he finds being a diabetic an inconvenience. He hardly ever checks his sugar and only occasionally will he give himself insulin injections. Regular Insulin per sliding scale with meals (patient states he only does this occasionally), Levemir 35 units subq at night (patient states he hasn’t taken this in over 2 months).
- Heart Rate 106, Blood Pressure 108/68, O2 Sat 97% on RA 25,
- On assessment, patient eyes look sunken, skin turgor greater than 3 seconds, breath smells fruity, and patient’s skin looks dry and flushed.
- Patient takes the following medications: Neurontin 300mg PO BID, Lortab 10-325mg 1-2 Tabs every 6 hours as needed for pain, Metformin 1000 mg PO BID. Lab work: Glucose 636, K+ 2.9.
- Patient’s Blood Glucose will be 80-150 within 24 hours. And patient’s K+ Level will be 3.5-5.0 within 12 hours.
- Patient will utter more than 4 long-term side effects of unmanaged diabetes by discharge.
- Patient will show the nurse how to take his blood sugar and how to get himself insulin injections by discharge.
- Patient will be started on an Insulin gtt and blood sugars will be check every hour per md order until pt’s blood sugars are 80-150.
- Patient will be given potassium supplementation per md order and a BMP will be drawn 1 hour after potassium supplementation is given to check K+.
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