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Category Archives: Metabolic & Endocrine

Fatigue — Diabetes Mellitus

Diabetes Mellitus Nursing Care Plans

Nursing Diagnosis:  Fatigue
May be related to
  • Decreased metabolic energy production
  • Altered body chemistry: insufficient insulin
  • Increased energy demands: hypermetabolic state/infection
Possibly evidenced by
  • Overwhelming lack of energy, inability to maintain usual routines, decreased performance, accident-prone
  • Impaired ability to concentrate, listlessness, disinterest in surroundings
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Deficient Fluid Volume — Diabetes

Deficient Fluid Volume Diabetes Mellitus Nursing Care Plan

Nursing Diagnosis: Deficient Fluid Volume
May be related to
  • Osmotic diuresis (from hyperglycemia)
  • Excessive gastric losses: diarrhea, vomiting
  • Restricted intake: nausea, confusion
Possibly evidenced by:
  • Increased urinary output, dilute urine
  • Weakness; thirst; sudden weight loss
  • Dry skin/mucous membranes, poor skin turgor
  • Hypotension, tachycardia, delayed capillary refill

Imbalanced Nutrition Less Than Body Requirements — Diabetes Mellitus

 Imbalanced Nutrition Less Than Body Requirements — Diabetes Mellitus Nursing Care Plans

Nursing Diagnosis: Imbalanced Nutrition Less Than Body Requirements
May be related to:
  • Insulin deficiency (decreased uptake and utilization of glucose by the tissues, resulting in increased protein/fat metabolism)
  • Decreased oral intake: anorexia, nausea, gastric fullness, abdominal pain; altered consciousness
  • Hypermetabolic state: release of stress hormones (e.g., epinephrine, cortisol, and growth hormone), infectious process
Possibly evidenced by:
  • Increased urinary output, dilute urine
  • Reported inadequate food intake, lack of interest in food
  • Recent weight loss; weakness, fatigue, poor muscle tone
  • Diarrhea
  • Increased ketones (end product of fat metabolism)

Powerlessness — Diabetes Mellitus

 Powerlessness — Diabetes Mellitus Nursing Care Plan

Nursing Diagnosis: Powerlessness
May be related to
  • Long-term/progressive illness that is not curable
  • Dependence on others
Possibly evidenced by
  • Reluctance to express true feelings; expressions of having no control/influence over situation
  • Apathy, withdrawal, anger
  • Does not monitor progress, nonparticipation in care/decision making
  • Depression over physical deterioration/complications despite patient cooperation with regimen

Risk for Disturbed Sensory Perception — Diabetes Mellitus

 Risk for Disturbed Sensory Perception — Diabetes Mellitus Nursing Care Plan

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Nursing Diagnosis: Sensory Perception, risk for disturbed (specify)
Risk factors may include
  • Endogenous chemical alteration: glucose/insulin and/or electrolyte imbalance

Risk for Infection — Diabetes Mellitus

Risk for Infection — Diabetes Mellitus Nursing Care Plans

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Nursing Diagnosis:  Risk for Infection
Risk factors may include:
  • High glucose levels, decreased leukocyte function, alterations in circulation
  • Preexisting respiratory infection, or UTI

Diabetes Mellitus Nursing Care Plans

 Diabetes Mellitus Nursing Care Plans

 Image Courtesy: http://nurseslabs.com

Diabetes is a chronic disease, which occurs when the pancreas does not produce enough insulin, or when the body cannot effectively use the insulin it produces. This leads to an increased concentration of glucose in the blood (hyperglycaemia).

  • Type 1 diabetes (previously known as insulin-dependent or childhood-onset diabetes) is characterized by a lack of insulin production.
  • Type 2 diabetes (formerly called non-insulin-dependent or adult-onset diabetes) is caused by the body’s ineffective use of insulin. It often results from excess body weight and physical inactivity.
  • Gestational diabetes is hyperglycaemia that is first recognized during pregnancy.

Hyperthyrodism

Description

  1. Hyperthyroidism is a hyperthyroid state resulting from hypersecretion of thyroid hormones (T3 and T4).
  2. Hyperthyroidism is characterized by an increased rate of body metabolism.
  3. A common cause is Graves’ disease, also known as toxic diffuse goiter.

Clinical manifestations are referred to as thyrotoxicosis.

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