Sys Dis DM - Active Learning Templates PDF

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Summary

Active Learning Templates...

Description

ACTIVE LEARNING TEMPLATE:

System Disorder

ER FUKUDA ST UDENT NAME _____________________________________ DIABETES MELLITUS DISORDER/DISEASE PROCESS __________________________________________________________

Alterations in Health (Diagnosis) Blood glucose alterations

Pathophysiology Related to Client Problem Partial or complete metabolic deficiency of insulin by destruction of pancreatic beta cells for Type 1, Type 2 arises when the body fails to use insulin properly.

REVIEW MODULE CHAPTER ___________

Health Promotion and Disease Prevention Routinely checking of BG levels. Exercise regimen, Diet pattern.

ASSESSMENT

SAFETY CONSIDERATIONS

Risk Factors

Expected Findings

*Genetics can predispose a person to type 1 or 2. *Toxins and viruses can predispose an individual to diabetes leading to type 1. *Obesity, physical inactivity, triglycerides greater than 250 mg/dL, and hypertension can lead to insulin resistance.

Laboratory Tests

Hypoglycemia: 250mg/dL

Diagnostic Procedures

*8-hr fasting blood glucose level of 126 mg/dL or greater. *Random blood glucose of 200 mg/dL or greater. *Oral glucose tolerance test of 200 mg/dL or greater. *Glycosylated hemoglobin (HbA1C)

Self-monitored blood glucose: is essential to management of diabetes. Measurements should be checked at a minimum before meals and at bedtime.

PATIENT-CENTERED CARE

Nursing Care Monitor: vitals, BG levels, I&O & weight, skin integrity and healing status of wounds, sensory alterations, dietary practice, exercise patterns.

Complications Medications *Insulin *Insulin pumps *Insulin injections

Client Education *Check the accuracy of the strips with the control solution provided. *Keep a record of the SMBG that includes time, date, serum glucose levels, insulin does, food intake, and other events that can alter glucose levels.

Therapeutic Procedures

Interprofessional Care

*Assist with exercise plan. *Discuss child illness management guidelines

*Refer the child and family to a diabetes nurse educator for comprehensive education in diabetes management.

ACTIVE LEARNING TEMPLATES

Assess Allergies Safety precaution when administering meds.

*DKA (Diabetic Ketoacidosis): An acute, life-threatening condition characterized by hyperglycemia (glucose >330mg/dL), ketonemia, glycosuria, ketonuria, and acidosis (pH 7.30 and bicarb 15 mmol/L).

THERAPEUTIC PROCEDURE

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