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NURSING CARE PLAN

Assessment Nursing Planning Intervention Rationale Evaluation


Diagnosis

Subjective: High risk of During the treatment Nursing Management: (5) After the treatment in
As the patient diabetes related  Eating very frequent long term
verbalized, his to uncontrolled Patient will achieve - Decrease low sugar small meals low sugar The patient able to
situation continued blood sugar. and maintain glucose diet improves insulin perform glucose
for more than a week function. monitoring.
in satisfactory range.
with uncontrolled - Patient intake and
Patient will able to  Diet specific necessary
blood sugar. output was He able to monitor
monitor progress and to maintain
monitored progress and make
make the adjustments normoglycemia
the adjustments
needed to get blood - check patient urine needed to get blood
sugar under control. and blood for signs  to keep the blood sugar under control.
of kidney damage. glucose and blood
the patient will take pressure levels under he understand the
Objective: him medications to - Teach patient how control, can help slow importance of taking
-increase blood sugar avoid of the the progression of
to perform home medication.
complication. glucose monitoring. kidney disease.
Vital sing:
T:37.6C0 active exercises was
patient will active - Instruct patient to demonstrated and
PR:88bpm  Blood glucose is
exercises would be take oral amended to the
RR:20% monitored before
demonstrated and hyperglycemic health teachings
BP:154/96mmHg meals and at bedtime.
would amend to the medications as given.
health teachings given. Glucose values are
directed. used to adjust insulin
doses.
Medical Mgt (5):  to control blood
glucose levels. They
METFORMIN 750mg/Oral also reduces insulin
resistance.
Diamicron MR 60mg/Oral

Glibenclamide 5mg/Oral

humalog insulin 100


units/ml/ SC

Glucose tolerance (GTT)


Fasting 200mg/dl
Glucose 75g intake
After 1 hour 210mg/dl
After 2 hour 205mg/dl

Oral glucose tolerance


(OGTT)
50 gram glucose challenge
After 1 hour 200mg/dl

HbA1c
14.5%
Al Riyada College for Health Sciences
Jamjoom Center, Jeddah, KSA

Name of Student: Rawan Musa Khateeb Date Submitted: 16.6.2021 MR: _________

Name of Hospital: _______________________________ Area: medical ward Room#:_____________

Patient Data

Name of Patient: Ali***** Age: 64years Gender: Male.

Nationality: Saudi Marital Status: Married

DOA (Date of Admission): 19.9.2020

Medical Diagnosis: High risk of diabetes.

Reason for admission: Uncontrolled blood sugar.

CASE STUDY CONFIRMATION BY THE CI: __________________________ SIGN/DATE: ________________


References
Shamard Charles, M. (2021, April 29). Symptoms of Uncontrolled Diabetes. Retrieved from
https://www.verywellhealth.com/uncontrolled-diabetes-symptoms-5120437 #:~:text=Uncontrolled diabetes is when
your,blood vessels, and vital organs.

WebMD. (n.d.). Diabetes Complications: How Uncontrolled Diabetes Affects Your Body. WebMD.
https://www.webmd.com/diabetes/guide/risks-complications-uncontrolled-diabetes #:~:text=Uncontrolled%20diabetes
%20means%20your%20blood,problems%20related%20to%20your%20diabetes.

Healthline Media a Red Ventures Company. (2005). Retrieved 2021, from https://www.healthline.com/health/type-2-
diabetes/complications-uncontrolled-diabetes#complications

American Diabetes Association. (2004). Physical activity/exercise and diabetes. Diabetes care, 27(suppl 1), s58-s62.
Florence, J. A., & Yeager, B. F. (1999, May 15). Treatment of Type 2 Diabetes Mellitus. Retrieved from
https://www.aafp.org/afp/1999/0515/p2835.html

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