- Fluid Volume Deficit
- Ineffective breathing pattern
- Risk for infection
- Imbalance nutrition less than body requirements
- Anxiety
- Deficit Knowledge
B. Discharge Planning
- Give a description orally and in writing about the care and treatment given.
- Teach and evaluation to recognize symptoms of shock and diabetic acidosis and handling emergency
- Simulate mode of administration of insulin therapy ranging from preparation and injection equipment to local.
- Teach monitoring or checking blood glucose and glucose in the urine
- Planning a diet, make a schedule.
- Planning exercise, explain the impact of exercise with diabetic
- Teach how to prevent hyperglycemia and hypoglycemia and inform the symptoms that arise from both.
- Describe the complications that arise
- Teach prevent infection: foot hygiene, avoid injury, use a soft toothbrush.
DM Diabetes Mellitus Nanda NIC NOC
Nursing Diagnosis :
Fluid Volume Deficit
Definition: Decrease in intra-vascular fluid, interstitial, and / or intra-cellular. This leads to dehydration, loss of fluids with sodium expenditure
Limitation of Characteristics:
- Weakness
- Thirst
- Decreased skin turgor / tongue
- Mucous membranes / dry skin
- Increased pulse rate, decreased blood pressure, decreased volume / pulse pressure
- Completion of decreased venous
- Changes in mental status
- The concentration of urine increased
- Body temperature increase
- Hematocrit rises
- Losing weight immediately (except in the third spacing)
- Loss of fluid volume is actively
- Failure of regulatory mechanisms
NANDA NOC:
- Fluid balance
- Hydration
- Nutritional Status: Food and Fluid Intake
- Maintain urine output according to age and weight, specific gravity of normal urine, normal hematocrit
- Blood pressure, pulse, body temperature within normal limits
- There are no signs of dehydration, elasticity good skin turgor, mucous membranes moist, no excessive thirst
NANDA NIC:
Fluid Management :
- Weigh diapers / pads if necessary
- Maintain a record intake and output accurately
- Monitor the status of hydration (moisture of mucous membranes, adequate pulse, orthostatic blood pressure), if necessary
- Monitor vital signs
- Monitor input of food / fluid and calculate the daily calorie intake
- Collaboration IV fluid administration
- Monitor the nutritional status
- Give IV fluids at room temperature
- Encourage oral input
- Provide appropriate replacement of nasogastric output
- Encourage the family to help patients eat
- Offer a snack (fruit juices, fresh fruit)
- Collaboration doctor if signs of excess fluid appears to deteriorate
- Adjust the possibility of transfusion
- Preparation for transfusion