Nursing Care Plan

Assessment Nursing Inference Planning Intervention Rationale Evaluation

Diagnosis
Subjective: Fluid volume Diabetes After 8 hours Independent: • Hypovole After 8 hours of
“Pakiramdam ko deficient mellitus (DM) of nursing mia Nursing
lagi akong related to is a chronic interventions, • Monitor may be interventions, the
nanghihina saka osmotic metabolic the patient orthostatic manifested by patient was able to
na uuhaw” (I feel diuresis from disorder will blood hypotension demonstrate
weak and I’m hyperglycemia caused by an demonstrate pressure and adequate
always absolute or adequate changes. tachycardia. hydration
thirsty) as relative hydration • Monitor evidenced by
verbalized by the deficiency of respiratory • Lungs stable vital signs,
patient. insulin, an pattern like remove palpable
Objective: anabolic Kussmaul’s carbonic acid peripheral pulses,
· Dry skin and hormone. Respirations through good skin turgor
mucous Type 1 and respirations, and capillary
membrane. diabetes acetone producing a refill.
· Poor skin mellitus can breath. compensatory
turgor. occur at any • Monitor respiratory
· Sudden weight age and is temperature, alkalosis for
loss. characterized skin color ketoacidosis.
· V/S taken as by the marked and
follows: and moisture. • Fever,
T:37.1 progressive • Assess chills,
P:85 inability of the peripheral and
R:20 pancreas to pulses, diaphoresis
BP: 110/80 secrete insulin capillary arecommon
because of refill, skin with infectious
autoimmune turgor, process; fever
destruction of and mucous with flushed,
the beta cells. membrane. dry skin may
It commonly • Monitor reflect
occurs in input and dehydration.
children, with a output. Note
fairly abrupt onset; urine specific • Indicators
however, gravity. of
newer • Weigh daily. level of
antibody tests • Maintain fluid dehydration,
have allowed intake at adequacy of
for the least circulating
2500 ml / day volume.
identification of
more people within cardiac
with the newonset
tolerance • Provides
with ongoing
adult oral intake is estimate of
form of type 1 resumed. volume
diabetes • Promote replacement
mellitus called comfortable needs, kidney
latent environment. function, and
autoimmune Cover patient
diabetes of the with light
adult (LADA). sheets.
The
Collaborative:
distinguishing
characteristic Administer fluids
of a patient as indicated.
with type 1
diabetes is
that, if his or
her insulin is
withdrawn,
ketosis and
eventually
ketoacidosis
develop.
Therefore,
these patients
are dependent
on exogenous
insulin.