Nursing Diagnosis for Diabetes Mellitus: Imbalanced Nutrition Less Than Body Requirements related to an increased metabolism of proteins, fats.
Goal: patient's nutritional needs can be met.
the expected outcomes:
Patients can ingest calories or nutrients right.
Stable weight or addition to the usual range.
Nursing Interventions imbalanced Nutrition Less Than Body Requirements - Nursing Care Plan for Diabetes Mellitus
Independent
1. Measure weight as indicated.
Rational:
Assessing adequate food intake.
2. Determine the diet program, diet, and compare it with foods that can be spent on the client.
Rational:
Identify deficiencies and irregularities of therapeutic needs.
3. Auscultation of bowel sounds, record abdominal pain, or abdominal bloating, nausea, vomiting and maintain a state of fasting as indicated.
Rational:
Hyperglycemia, fluid and electrolyte balance disorders decrease gastric motility or function (distension or paralytic ileus).
4. Give liquid foods that contain nutrients and electrolytes. Furthermore, providing a more solid foods.
Rational:
Oral feeding is better given to the client's conscious and gastrointestinal function well.
5. Identify the preferred food.
Rational:
Cooperation in planning meals.
6. Involve the family in meal planning.
Rational:
Increase the sense of involvement, providing information to families to understand the nutritional needs of the client.
7. Observation sign of hypoglycemia (altered levels of consciousness, or cold clammy skin, rapid pulse, hunger, sensitive stimuli, anxiety, headache, dizziness).
Rational:
On carbohydrate metabolism (blood sugar will be reduced and while still given insulin, the hypoglycemic events occurred without showing changes in level of consciousness.
Collaboration
8. Make checks blood sugar with a finger stick.
Rational:
Analysis on a bed of blood sugar monitoring is more accurate than the sugar in the urine.
9. Monitor laboratory tests (blood glucose, acetone, pH, HCO3)
Rational:
Blood sugar decreases slowly with the use of fluid and insulin therapy can be controlled so that glucose enter the cells and be used for a source of calories. Currently, acetone levels decreased and acidosis can be corrected.
10. Give regular insulin treatment with iv
Rational:
Regular insulin has a rapid onset and quickly too helps move glucose into the cells. Giving through IV because of absorption from the subcutaneous tissue is very slow.
11. Give glucose solution (destroksa, half normal saline).
Rational:
Glucose solution was added after insulin and blood sugar liquids carrying about 250 mg / dl. With nearly normal carbohydrate metabolism, care be taken to avoid hypoglycemia.
12. Consultation with a dietician.
Rational:
Useful in calculating and adjusting the diet to meet nutritional needs.
Defining Characteristics of Imbalanced Nutrition Less than Body Requirements
Imbalance Nutrition Less than Body Requirements related to psychological factors
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