ACTIVITY 1: Nursing Care Plan

Guidelines
1. Review the topic discussed about Type 1 Diabetes Milletus
2. Identify one priority problem to a client with specific problem.
● lack of insulin in the body. Insulin is a required anabolic hormone that regulates glucose, lipid, protein, and mineral metabolism as well as growth.
3. Make a Nursing Care Plan.
4. Include collaborative intervention.
5. You will be grade according to rubrics attached below.

NURSING DIAGNOSIS RATIONALI INTERVENTION RATIONALI EVALUATION

Risk for Unstable Blood Glucose Hypoglycemia, otherwise, occurs ● Assist the patient in ➢ This information provides the ● Patient has a blood glucose
Level related to Insulin deficiency most often as the result of excess identifying eating patterns basis for individualized reading of less than 180 mg/dL;
or excess. insulin administration in the person that need to be modified. dietary instruction related to fasting blood glucose levels of
with diabetes mellitus. It may also the clinical condition that less than <140 mg/dL; and
occur to a person who has excessive contributes to fluctuation in hemoglobin A1C level <7%.
alcohol intake, prolonged fasting and blood glucose levels.
Subjetive: starvation states, adrenal ● Administer basal and prandial ➢ Adherence to the therapeutic
Patient verbalized that they are insufficiency, and eating disorders insulin. regimen promotes tissue
experiencing Fatigue, they feel weak such as anorexia nervosa. Low blood perfusion. Keeping glucose in
and they are having blurred vissoins. glucose levels after meals may be the normal range slows
they also experience irritability and linked to gastric bypass surgery or progression of microvascular
their mood changes often. excess consumption of refined disease.
carbohydrates and is the result of ● Refer to a registered dietitian ➢ An individualized meal plan
increased insulin production. for individualized diet depends on the patient’s
Objective: instruction. body, weight, blood glucose
➢ BP: Is below 140/80mmHg values, activity patterns, and
➢ GLUCOSE LEVEL: A specific clinical condition.
reading of more than 200 Modifications in the patient’s
mg/dL (11.1 mmol/L) food intake will contribute
stabilization of blood glucose
levels.
GOAL: ● Administer insulin ➢ Insulin is required to lower
● Patient should have a blood medications as directed. blood glucose levels in type 1
glucose reading of less than 180
diabetes, and for many
mg/dL; fasting blood glucose
patients with type 2 diabetes.
Patients receiving TPN may
require insulin to maintain
levels of less than <140 mg/dL;
and hemoglobin A1C level <7%.
● Report BP of more than 160
mm Hg (systolic). Administer
hypertensive as prescribed.
● Provide food or other sources
of glucose as directed for
hypoglycemia.
● Educate the patient about the
importance of following a
prescribed meal plan.
● Educate the patient about the
proper ways of taking
prescribed medications.
● Review the progress toward
goals during each patient
visit.
● Instruct the patient
experiencing hypoglycemia
about appropriate actions to
raise blood glucose.
stable blood glucose in
response to high dextrose
concentration in the solution.
➢ Hypertension is commonly
associated with diabetes.
Control of BP prevents
coronary artery disease,
stroke, retinopathy, and
nephropathy.
➢ A rapidly absorbed form of
glucose is indicated to
manage hypoglycemia. These
forms of glucose may include
oral intake of hard candy or
fruit juice. For the patient
who cannot take something
orally, intravenous injection
of glucose may be indicated.
➢ A prescribed meal plan will
help the patient maintain
stable blood glucose levels.
➢ The patient with diabetes
needs to learn about taking
insulin or oral hypoglycemic
drugs to lower blood glucose.
➢ Patient involvement in the
treatment plan enhances
adherence to treatment plan.
➢ Food intake is appropriate in
most cases of hypoglycemia
to raise blood glucose levels.
Eating a rapidly absorbed
source of glucose is
appropriate for patients with
diabetes.
 ● Discuss the importance of
balance exercise with food
intake.
● Teach the patient on
measuring capillary blood
glucose.
● Instruct patient to carry
medical alert information.
● Refer the patient to an
exercise physiologist,
physical therapist, or cardiac
rehabilitation nurse for
specific exercise instructions.
Please write down the link or name of book you use or reference use.
REFERENCES:
https://nurseslabs.com/risk-unstable-blood-glucose-level/
https://nurseslabs.com/diabetes-mellitus-type-1-juvenile-diabetes-nursing-care-plans/3/
https://nanda.org/
➢ Exercise balances glucose
levels by facilitating uptake
of glucose into cells. The
patient needs to understand
the relationship of exercise,
food intake, and blood
glucose levels.
➢ Capillary blood glucose
monitoring provides the
patient with immediate
information about blood
glucose.
➢ The medical team needs to be
able to identify the patient as
having a clinical condition
linked with unstable blood
glucose.
➢ Specific exercises can be
prescribed based on any
physical limitations the
patient may have.