Rouine screening for all overweight adults and those older than 45įor paients with hypoglycemia, DKA, hyperosmolar hyperglycemic nonketoic syndrome HYDRATE THROUGH IV Idenify, monitor, and teach paients at risk Risk for peripheral neurovascular dysfuncionįew or no hyper or hypoglycemic emergenciesĪdjust lifestyle to accommodate diabetes plan with a minimum of stress LDL & VLDL, Decreased HDL/ A1C level >6%/ Glycosuria, Glucose level exceeding 200 mg/dL / Leukocytosis/ Increased BUN & Creat./ Increased Triglycerides, chol. Possible Diagnosic Findings: Serum electrolyte abnormaliies/ Fasing Blood Glucose Level of 126 mg/dLor higher/ Oral glucose tolerance and /or random
Pigmented skin lesions, ulcers, hair loss on toes, acanthosis nigricansĭry mouth, vomiing, fruity mouth (DKA), altered relexes, restlessness, confusion, stupor, coma, muscle wasing Sunken eyeballs, history of vitreal hemorrhages, cateracts, dry, warm and inelasic skin Thirst, N&V, poor healing diet compliance/ Eliminaion (Consipaion, diarrhea, frequent urinaion – bladder infecion, nocturia – urinary inconinence) Important Health Informaion : Health percepion – health management (malaise)/ Nutriional-metabolic (obesity, weight loss or gain, hunger, MEDICATIONS (Insulin, OA, coricosteroids, diureics, phenytoin) PAST HEALTH HISTORY (viral infecions, trauma, infecion, stress, pregnancy, chronic pancreaiis, Cushing syndrome, acromegaly, family hx) Review DM/ insulin and the nursing process. NRRN for insulin! Roll the N in your hands for the cloudy efect. Nasogastric and Gastrostomy tubes : Check placement and residual, paient in High Fowlers.Īddiional Notes: Snap of neck of ampule and use a ilter need to draw up. Never allow a paient to use another paient’s eye medicaion. Avoid cornea and eyelids to avoid infecion. Intraocular/ Oic/ Intranasal : Insert distsks into paient’s eye that can remain there for up to 1 week.Ī. Readily absorbed and work rapidly because of the rich vascular alveolar capillary network present in the pulmonaryį. Inhalaion : Through nasal and oral passage. NEVER OCCLUDE THE EAR CANAL! Do not force medicaion into an occluded earĮ. IM Z-track method (Pull skin on one side, hold skin to side, wait for 10 seconds then withdraw needle and release the skin). SQ best sites are outer posterior aspect of upper arms, abdomen, anterior thigh.ī. Intraperitoneal, intrapleural, intra-arterial)Ī. Parental: ID (dermis injecion 10-15 degree angle), SQ (issue injecion below dermis 45 degree angle), IM (90 degree angle), IV (epidural, intrathecal, intraosseous, Buccal Alternate cheeks with each subsequent dose to avoid mucosal irritaion.ī.
DO NOT DRINKĪNYTHING UNTIL MED HAS COMPLETELY DISSOLVED. Sublingual under the tongue but not swallowed. Oral (easiest) : PO, sublingual, buccalĪ. Review medicaion administraion process and the nursing process (all routes and proper techniques)Ī.