Nursing care for the patient with diagnosis of hyperglycemic hyperosmolar nonketotic
coma
No worries, learning is a process!
, check blood glucose STAT, if Check ABCs, Fluid Therapy
less than 70mg/dL, replacement started first,
immediately begin treatment immediate Iv administration of
for hypo by ingesting 15 to 0.9% or 0.45% NaCl at a rate
20g of a simple (fast0acting) dependent on cardiac status
carbohydrate, like 4 to 6 oz of and the degree of fluid
fruit juice or a regular soft volume deficit, Intravenous
drink or 8 oz of low fat milk or administration of short acting
if available, commercial insulin, Electrolyte
products like gels or tablets replacement, Assessment of
containing specific amounts of mental status, Recording of
glucose to be used in such intake and output, central
situations. Check blood venous pressure monitoring (if
glucose about 15 min indicated), assessment of
following initial treatment and blood glucose levels,
treatment should be repeated assessment of blood and urine
if blood glucose remains for ketones, ECG monitoring,
below 70mg/dL assessment of cardiovascular
and respiratory status
carbohydrate diabetes meal plan
Give this one a try later!
meal plans are created with consistent carbohydrate content; each
breakfast contains same amount of carbohydrates as the previous day,
same method for lunch and dinner
Therapeutic benefits of regular physical activity
Give this one a try later!
, decreased need for diabetes medicines in order to reach target blood
glucose goals
Important to compensate for extensive planned or spontaneous activity
Give this one a try later!
monitoring blood glucose level to make adjustments in the insulin dose (if
taken) and food intake
Patient and caregiver teaching guide for diabetic exercise
Give this one a try later!
does not have to be vigorous to be effective, can be brisk walking
Delegation: Role of LPN/LVN
Give this one a try later!
1) ADMINISTER oral hypoglycemic meds & routinely scheduled insulin
regimens to STABLE PATIENTS 2) MONITOR diabetic patient for symptoms
of hypoglycemia, DKA, HHS 3) in ambulatory/home setting, MONITOR
patient self management of insulin, oral hypoglycemics, nutrition, physical
activity 4) REPORT concerns w/ patient self management in home setting to
RN.
coma
No worries, learning is a process!
, check blood glucose STAT, if Check ABCs, Fluid Therapy
less than 70mg/dL, replacement started first,
immediately begin treatment immediate Iv administration of
for hypo by ingesting 15 to 0.9% or 0.45% NaCl at a rate
20g of a simple (fast0acting) dependent on cardiac status
carbohydrate, like 4 to 6 oz of and the degree of fluid
fruit juice or a regular soft volume deficit, Intravenous
drink or 8 oz of low fat milk or administration of short acting
if available, commercial insulin, Electrolyte
products like gels or tablets replacement, Assessment of
containing specific amounts of mental status, Recording of
glucose to be used in such intake and output, central
situations. Check blood venous pressure monitoring (if
glucose about 15 min indicated), assessment of
following initial treatment and blood glucose levels,
treatment should be repeated assessment of blood and urine
if blood glucose remains for ketones, ECG monitoring,
below 70mg/dL assessment of cardiovascular
and respiratory status
carbohydrate diabetes meal plan
Give this one a try later!
meal plans are created with consistent carbohydrate content; each
breakfast contains same amount of carbohydrates as the previous day,
same method for lunch and dinner
Therapeutic benefits of regular physical activity
Give this one a try later!
, decreased need for diabetes medicines in order to reach target blood
glucose goals
Important to compensate for extensive planned or spontaneous activity
Give this one a try later!
monitoring blood glucose level to make adjustments in the insulin dose (if
taken) and food intake
Patient and caregiver teaching guide for diabetic exercise
Give this one a try later!
does not have to be vigorous to be effective, can be brisk walking
Delegation: Role of LPN/LVN
Give this one a try later!
1) ADMINISTER oral hypoglycemic meds & routinely scheduled insulin
regimens to STABLE PATIENTS 2) MONITOR diabetic patient for symptoms
of hypoglycemia, DKA, HHS 3) in ambulatory/home setting, MONITOR
patient self management of insulin, oral hypoglycemics, nutrition, physical
activity 4) REPORT concerns w/ patient self management in home setting to
RN.
