University:
West Coast University
Course:
NURS 110 | Introduction to Professional Nursing
Academic year:

2021
Views:

441

Pages:

1
Author:

Genevieve Wright

Etiology Illness possible at any age Type 2 usually occurs in obese adults Heredity Environment Stress Diet Lack of exercise Pregnancy PCOS Pathophysiology A condition of fasting hyperglycemia that occurs despite the availability of endogenous insulin. Insulin levels produced varies and despite the availability of insulin, its functioning is impaired by insulin resistance Insulin resistance exceeds the ability of the pancreas to compensate and over time the pancreas fails to produce enough insulin for the body There is an insufficient production of insulin to prevent the breakdown of fats with resultant ketosis, type 2 diabetes is characterized as a nonketotic form of diabetes Diagnostic Tests/ Laboratory Values Fasting plasma glucose (FPG) 70-110 <126mg/dL Hemoglobin A1C > 6.0% Random BG <200 Urinalysis Clinical Manifestations (Include- Vital Signs, Pain) Medical Management (Include- Medications, IV Fluids) Insulin replacement o Rapid acting  Aspart o Short acting  Reg. Humulin R o Intermediate  NPH Humulin o Long acting  Glargine Oral antidiabetic drugs o Metformin o Glipizide o Actos Meal planning Exercise Pancreas transplantation Weight reduction Potential Complications DKA Renal failure Recurrent infections/slow healing Metabolic acidosis Glaucoma Coma/death CVD/stroke Admitting Diagnosis Diabetes Type 2 Polydipsia Polyuria Polyphagia Fatigue Vision changes Dehydration Poor skin turgor Fatigue Cold, clammy skin-hypoglycemia Nursing Considerations Demonstrate checking blood sugar using glucometer. Demonstrate location for insulins. Demonstrate how to rotate sites, and proper clean of area. Dietician Consult Reference(s) in APA Format Ignatavicius, D. D., & Workman, M. L. (2015). Medical-Surgical Nursing - E-Book. Elsevier Gezondheidszorg. Nnp-Bc, C. R. P. L. T. S., & Arnp, P. J. W. M. (2013). Basic Nursing: Concepts, Skills & Reasoning (1st ed.). F.A. Davis Company. Pagana, K. D., & Pagana, T. J. (2018). Mosby's manual of diagnostic and laboratory tests. St. Louis, MO: Elsevier. Patient/ Family Education Encourage diabetic diet plan. Encourage increase physical activity. Teach how to administer diabetic medications. S/S of hyper glycemia and hypoglycemia