Looking for a nursing care plan for diabetes? This nursing care plan and interventions are for thefollowing conditions: Diabetes, High Blood Sugar, Hyperglycemia, DKA, Diabetic Ketoacidosis, and Fluid and Electrolytes Imbalance.
What are nursing care plans? How do you develop a nursing care plan? What nursing care plan book do you recommend helping you develop a nursing care plan?
This care plan is listed to give an example of how a Nurse (LPN or RN) may plan to treat a patient with those conditions.
Important Disclosure: Please keep in mind that these care plans are listed for Example/Educational purposes only, and some of these treatments may change over time. Do not treat a patient based on this care plan.
Care Plans are often developed in different formats. The formatting isn’t always important, and care plan formatting may vary among different nursing schools or medical jobs. Some hospitals may have the information displayed in digital format, or use pre-made templates. The most important part of the care plan is the content, as that is the foundation on which you will base your care.
Nursing Care Plan for: Diabetes, High Blood Sugar, Hyperglycemia, DKA, Diabetic Ketoacidosis, Fluid and Electrolytes Imbalance.
If you want to view a video tutorial on how to construct a care plan in nursing school, please view the video below. Otherwise, scroll down to view this completed care plan.
Scenario: |
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A 38 year old male presents to the ER. He states he has been having blurry vision, extreme thirst, and frequent urination since last Sunday night after he attended a Super Bowl Party. It is now Tuesday. He stated that since yesterday morning he has been vomiting. Pt states he has been a type 1 diabetic since he was 5 years old. He states he finds being a diabetic an inconvenience and hardly ever checks his sugar and only occasionally will he give himself insulin injections. Pt VS: HR 106, BP 108/68, O2 Sat 97% on RA 25, On assessment, pt eyes look sunken, skin turgor greater than 3 seconds, breath smells fruity, and pt skin looks dry and flushed. Pt takes the following medications: Neurontin 300mg PO BID, Lortab 10-325mg 1-2 Tabs every 6 hours as needed for pain, Metformin 1000 mg PO BID, Regular Insulin per sliding scale with meals (pt states he only does this occasionally), Levemir 35 units subq at night (pt states he hasn’t taken this in over 2 months). Lab work: Glucose 636, K+ 2.9.
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Nursing Diagnosis: |
| Fluid and Electrolyte Imbalance related to diabetes as evidence by Glucose 636 and K+ 2.9. |
Subjective Data: |
| He states he has been having blurry vision, extreme thirst, and frequent urination since last Sunday night after he attended a Super Bowl Party. He stated that since yesterday morning he has been vomiting. Pt states he has been a type 1 diabetic since he was 5 years old. He states he finds being a diabetic an inconvenience and hardly ever checks his sugar and only occasionally will he give himself insulin injections. Regular Insulin per sliding scale with meals (pt states he only does this occasionally), Levemir 35 units subq at night (pt states he hasn’t taken this in over 2 months). |
Objective Data: |
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VS: HR 106, BP 108/68, O2 Sat 97% on RA 25, On assessment, pt eyes look sunken, skin turgor greater than 3 seconds, breath smells fruity, and pt skin looks dry and flushed. Pt takes the following medications: Neurontin 300mg PO BID, Lortab 10-325mg 1-2 Tabs every 6 hours as needed for pain, Metformin 1000 mg PO BID. Lab work: Glucose 636, K+ 2.9.
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Nursing Outcomes: |
| -Pt’s Blood Glucose will be 80-150 within 24 hours.-Pt K+ Level will be 3.5-5.0 within 12 hours.
-Pt will verbalize 4 long-term side effects of un-managed diabetes by discharge. -Pt will demonstrated to the RN how to take his blood sugar and how to get himself insulin injections by discharge. |
Nursing Interventions: |
| -Pt will be started on an Insulin gtt and blood sugars will be check every hour per md order until pt’s blood sugars are 80-150.-Pt will be given potassium supplementation per md order and a BMP will be drawn 1 hour after potassium supplementation is given to check K+.
-The nurse will verbalize and provide printed material to pt on the side effects of un-managed diabetes. – The nurse will demonstrate to the pt how to check blood sugars and give insulin injections properly and will ask the patient to reciprocate. |