Diabetes Mellitus System Disorder Type 1 and 2 PDF

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ACTIVE LEARNING TEMPLATE:

System Disorder

Espinosa ST UDENT NAME Catherine _____________________________________ Diabetes Mellitus Type 1 and Type 2 DISORDER/DISEASE PROCESS __________________________________________________________

Alterations in Health (Diagnosis) -Lack of knowledge -Hyperglycemia -Hypoglycemia

Pathophysiology Related to Client Problem -DM1: autoimmune disorder in which body develops antibodies against insulin and/or the pancreatic beta cells that make insulin. -DM2: resistance to insulin action, aka, adult onset diabetes or non insulin dependent diabetes. Risk factors that contribute to DM 2: Obesity; Having a family hx of DM

48 REVIEW MODULE CHAPTER ___________

Health Promotion and Disease Prevention -Self monitoring of blood glucose -Increase level of exercise -Eating a healthy balanced diet by including fruits, vegetables and whole grains

ASSESSMENT

SAFETY CONSIDERATIONS

Risk Factors

Expected Findings -Polyuria -Polydipsia -Polyphagia -Sudden vision changes -Tingling or numbness in the hands or feet

-Genetic predisposition -Obesity -Older Age -Inactivity

Laboratory Tests

Complications Medications -Insulin -Enteric-coated aspirin

Client Education -A balanced program of exercise and rest can help keep blood sugar level stable. -Check blood sugar level before and after exercise. -Always carry a carbohydrate snack (like crackers) to eat if feeling weak. -Advise patients to inspect feet daily and avoid going barefoot.

-ACE inhibitors

Therapeutic Procedures -Drug Therapy -Nutrition Therapy -Exercise Therapy

ACTIVE LEARNING TEMPLATES

-Prolonged wound healing

-ECG -Dental examination -Neurological examination

PATIENT-CENTERED CARE

-Recording of I&O -Maintain blood glucose levels at normal or near-normal levels -Assess ability of patients and caregivers for administering insulin. -Assess patient's response to insulin therapy. -Regular bathing with emphasis to foot care to prevent infection.

-PVD

Diagnostic Procedures

-Fasting blood glucose -Urinalysis -BUN and Creatinine

Nursing Care

-Allergic reaction to insulin

-Angiotensin 2 receptor blockers -Antihyperlipidemic drugs -Oral Hypoglycemics

-Potential increase of infection and necrotic ulcers which can lead to amputations. -Neuropathy

Interprofessional Care -PCP -Dietician -Physical Therapist -Occupational Therapist

-Hypotension -Muscle wasting -Cardiovascular disease...