Medical Surgical Nursing

(Tina Sui) #1

  • S &S of DKA/ HHNS


Nursing Diagnoses



  • Risk for fluid volume deficit related to polyuria and dehydration

  • Imbalanced nutrition related to imbalance of insulin, food, and physical activity

  • Deficient knowledge about diabetes self-care skills/information


Nursing Diagnoses



  • Deficient knowledge about diabetes self-care skills/information

  • Potential self-care deficit related to physical impairments or social factors

  • Anxiety related to loss of control, fear of inability to manage diabetes, misinformation


related to diabetes, fear of diabetes complications


Collaborative Problems/ Potential Complications



  • Fluid overload, pulmonary edema, and heart failure

  • Hypokalemia

  • Hyperglycemia and ketoacidosis

  • Hypoglycemia

  • Cerebral edema


Diabetes Mellitus Nursing Management Planning



  • Overall goals:

  • Active patient participation

  • No episodes of acute hyperglycemic emergencies or hypoglycemia

  • Maintain normal blood glucose levels

  • Prevent chronic complications

  • Lifestyle adjustment with minimal stress


Nursing Interventions



  • Maintaining Fluid and Electrolyte Balance

  • Improving Nutritional Intake

  • Reducing Anxiety

  • Improving Self-Care

Free download pdf