Diabetes Mellitus Concept Map Nursing

Diabetes Mellitus
Patient knowlege
  • Can the paitent steps their the subrices
of all physicaloghy
  • Can the paitent made what to do
confrim
  • Blood GLU before 70 or alove 74 )
  • Katrient of present of issue
  • goverment of serching
  • Can the present difreation are follow
to use goverment ? stress draw
up paitent?
Therapeteutic
communication
  • open Discussion
  • peovide Materials
  • Enroll in diabetos education progarm
  • Refer to Diabetes Educator
  • Demonstrate Insulm therapy
  • return demo upon intial teaching and follow up
  • Check injection sutes for sings of
  • rotating sites / infections
  • Review administration procedures
  • such as technique
  • Review blood GLU history
Lifelong treatment
  • Drug therapy
  • insulin
  • oral agents
  • nutrition therapy
  • Maintain blood GLU to prevent
  • hyper /hypoglycema
  • Exercise
  • Regular consistent physical
  • routine
  • Blood GLU Maintaring
  • pancreas Transplantation
  • usually perfromed together with
  • kidney transplant
  • lifelong immunosuppression
Treatment of severe
complications
  • diabetic Keconadosis (DKA) hing blood GLU
  • ketones present vombing servere fud and
  • electrolyte depletion
  • Hyperosmolar Hyperghycemic syndrome high
  • blood GLU over 600 but NQ ketomes
  • dehydration
  • treatment
  • monitor blood GLU and presence of ketones in unnite closely
  • admin IV flods to correct dehydration and fud/ electrroyte imblance
  • Assess renal and cardioplumonary status
  • monitor LOG
Nursing Responsibities
of the Surgical patient
  • infrom pt that stress induces hyperghycemia
  • continue regular meals
  • Increase nondalric fluds( broths, water, det
  • geltan)
  • check blood GLU every 4 hours
  • check kotones d blood GlU greater than 240
  • Take insuintoral agerts (QA)as procrebed
  • DISCONTINUE METFORMIN if presenbed
  • required contrast dye
  • WAITuntill 48 hours post - procedure AND venrty
  • serum creatinne levels are normal then continue
  • mettormn levels are normal then continue
  • mettormin as presenbed
  • UNCONSCIOUS PT
  • HYPOGLYCEMIA observe Pl for searching
  • tachycarda tremors MONITOR GLU
  • CLOSELYI
Prevention
  • Reduce onset of server complications
  • Blood GLU monitoring
  • proper nutrition to prevent hyper/
  • hypoglycemia
  • Good hygine for infection control
  • pain control
  • Neuropathy Medicatuions
  • Duloxetine, Gabapentin, Pregabain
  • Assess pt for sings of depression
  • Refer patient to resource materials
  • such as online stes (ADA)
Diabetes Mellitus
concept Map
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