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Nursing Concept Map For Diabetic Ketoacidosis

Nursing Concept Care Maps For Providing Safe Patient Care / Ruth A. Wittmann-price, Brenda Reap Thompson, Suzanne M. Sutton, Sidney Ritts Eskew.

Nursing Concept Care Maps For Providing Safe Patient Care / Ruth A. Wittmann-price, Brenda Reap Thompson, Suzanne M. Sutton, Sidney Ritts Eskew.

Nursing concept care maps for providing safe patient care / Ruth A. Wittmann-Price, Brenda Reap Thompson, Suzanne M. Sutton, Sidney Ritts Eskew. Eskew, Sidney Ritts ; Sutton, Suzanne M ; Thompson, Brenda Reap ; Wittmann-Price, Ruth A; Ebooks Corporation. | c2013 Nursing concept care maps for providing safe patient care / Ruth A. Wittmann-Price, Brenda Reap Thompson, Suzanne M. Sutton, Sidney Ritts Eskew. Subjects: Nursing care plans ; Nursing Care -- methods ; Concept Formation ; Models, Nursing ; Electronic Books Description: Access restricted to VUW staff and students. Machine generated contents note: ch. 1 Concept Maps for Infants -- 1. Apnea of Prematurity (AOP) -- 2. Circumcision -- 3. Cytomegalovirus (CMV) Inclusion Disease -- 4. Fetal Alcohol Syndrome (FAS) -- 5. Hyperbilirubinemia of the Newborn -- 6. Low-Risk Newborn (Neonate) -- 7. Neonatal Abstinence Syndrome (NAS) -- 8. Patent Ductus Arteriosus (PDA) -- 9. Preterm or Premature Infant -- 10. Respiratory Distress Syndrome (Neonatal) -- 11. Torch -- ch. 2 Concept Maps for Pediatric Patients -- 1. Anticipatory Guidance, Growth and Development---Newborn to Infant -- 2. Anticipatory Guidance, Growth and Development---Toddler to Preschool -- 3. Anticipatory Guidance, Growth and Development---school-Age Child to Adolescent -- 4. Appendectomy -- 5. Asthma -- 6. Autism Spectrum Disorder -- 7. Biliary Atresia -- 8. Candidiasis (Thrush) -- 9. Casts/Traction -- 10. Celiac Disease -- 11. Cerebral Palsy (CP) -- 12. Child Abuse/Neglect (Battered Child Syndrome) -- 13. Cleft Lip and Palate -- 14. Congenital Heart Defects (CHD) -- 15. Cystic Fibrosis (CF) -- 16. Deafness (Hearing Loss) -- 17. Developmental Dysplasia of Hip (DDH) or Congenital Hip Dysplasia -- 18. Duchenne Muscular Dystrophy -- 19. Encephalitis -- 20. Glomeru Continue reading >>

Description Diabetic Ketoacidosis Concept Map.png

Description Diabetic Ketoacidosis Concept Map.png

Description Diabetic ketoacidosis concept map.png Hello, are you looking for article Description Diabetic ketoacidosis concept map.png? If it is true we are very fortunate in being able to provide information Description Diabetic ketoacidosis concept map.png And good article Description Diabetic ketoacidosis concept map.png This could benefit/solution for you. Description Diabetic ketoacidosis concept map.png Related Images with Description Diabetic ketoacidosis concept map.png Nanda Nursing Diagnosis Knowledge Deficit Diabetes MedicineBTG.com CaseControl Study of Diabetes Mellitus in HIVInfected Patients CRITERIA FOR THE DIAGNOSIS OF DIABETES MELLITUS by monkey6 Thank you for reading the article Description Diabetic ketoacidosis concept map.png. And don't forget to share the articles Description Diabetic ketoacidosis concept map.png If Your articles Description Diabetic ketoacidosis concept map.png is beneficial for you. Thank You diabetes nursing diagnosis knowledge deficit, diabetes nursing diagnosis impaired skin integrity, diabetes nursing diagnosis elsevier, gestational diabetes nursing diagnosis, diabetes insipidus nursing diagnosis, uncontrolled diabetes nursing diagnosis, diabetes noncompliance nursing diagnosis, pre diabetes nursing diagnosis, pregestational diabetes nursing diagnosis, diabetes obesity nursing diagnosis, diabetes nursing diagnosis, diabetes nursing diagnosis and interventions, diabetes nursing diagnosis nanda, diabetes mellitus nursing diagnosis all nurses, nursing diagnosis about diabetes, diabetes mellitus nursing diagnosis and interventions, acute diabetes nursing diagnosis, nursing diagnosis for diabetes and hypertension, nursing diagnosis and care plan for diabetes type 2, nursing diagnosis and interventions for diabetes insipidus, nursi Continue reading >>

Nanda Nurse Diary: 7 Nursing Diagnosis For Diabetic Ketoacidosis

Nanda Nurse Diary: 7 Nursing Diagnosis For Diabetic Ketoacidosis

7 Nursing Diagnosis for Diabetic Ketoacidosis Diabetic Ketoacidosis is a medical condition which most likely occurs in patients with Type 1 Diabetes. It occurs when the body cannot use sugar (glucose) as a fuel source because there is no insulin or not enough insulin. Fat is used for fuel instead. Diabetic Ketoacidosis is a state of absolute or relative insulin deficiency aggravated by ensuing hyperglycemia, dehydration, and acidosis-producing derangements in intermediary metabolism. The most common causes are underlying infection, disruption of insulin treatment, and new onset of diabetes. Another term for this complication is DKA. Although it is present in Type 1 Diabetes patients, they can also be found in patients who are classified as Type 2 Diabetes. In some instances, this condition is the initial sign that determines people are diabetic. Frequent urination or thirst that lasts for a day or more The treatment for Diabetic Ketoacidosis often involves fluid replacement orally or through an IV, electrolyte replacement, and insulin therapy. There are also other instances wherein the patient will need further treatment. When this happens, it is best to follow what the physician recommends. 7 Nursing Diagnosis for Diabetic Ketoacidosis Continue reading >>

Diabetes Mellitus Concept Map

Diabetes Mellitus Concept Map

Home Posts tagged 'diabetes mellitus concept map' Diabetes Mellitus Concept Map Order the full map The mapstarts with Diabetes Mellitus (DM) definition which is a syndrome that is caused by absolute orrelative lack of insulin, resistance to the action of insulin, or both. It is characterized by hyperglycemia andalteration in lipid and protein metabolism.This definition is linked with the normal physiology of insulin andglucagon secretion in response to blood glucose level (BGL). From DM definition, there are also links tosymptoms of hyperglycemia and DM complications (including micro- andmacrovascular complications). Diabetes Mellitus Criteria for diagnosis and diagnostic tests Symptoms of hyperglycemia are written under(DIAGNOSIS), where DM diagnostic criteria.DM is diagnosed by demonstrating any one of the following along with symptoms of hyperglycemai: Symptoms of hyperglycemia orhyperglycemic crisis plus casual plasma glucose 200mg/dL(11.1mmol/L) Fasting plasma glucose 126 mg/dL(7.0 mmol/L) 2-hour postload glucose 200mg/dL(11.1 mmol/L) during OGTT From thesecriteria, there are links to DM diagnostic tests including: Random BloodGlucose Test, Fasting Blood Glucose Test, Oral Glucose Tolerance Test (OGTT)/2-Hour Postprandial Test, and Glycosylated Hemoglobin (HbA1C), with acomparison of their relevant values of blood glucose level in cases of normalBGL, Impaired glucose tolerance (IGT), Impaired fasting glucose (IFG), Increasedrisk of diabetes mellitus, and values in case of DM. Although(MONITORING) part is usually mentioned in any reference at the end of thetopic, it is mentioned in this map close to (Diagnosis) part to showdifferences between all tests used in diabetes and to clarify which ones thatare used for diagnosis and/or monitoring.Tests that are used in DM Continue reading >>

Nanda Nursing Interventions

Nanda Nursing Interventions

3 Nursing Care Plan Diabetes Mellitus - Diagnosis, Interventions and Rational 1. Nursing Diagnosis : Fluid Volume Deficit related to osmotic diuresis. Demonstrate adequate hydration evidenced by stable vital signs, palpable peripheral pulse, skin turgor and capillary refill well, individually appropriate urinary output, and electrolyte levels within normal limits. Rational: hypovolemia can be manifested by hypotension and tachycardia. 2.) Assess peripheral pulses, capillary refill, skin turgor, and mucous membranes. Rational: This is an indicator of the level of dehydration, or an adequate circulating volume. 3.) Monitor input and output, record the specific gravity of urine. Rational: To provide estimates of the need for fluid replacement, renal function, and effectiveness of the therapy given. Rational: To provide the best assessment of fluid status of ongoing and further to provide a replacement fluid. Rational: The type and amount of liquid depends on the degree of lack of fluids and the response of individual patients. 2. Nursing Diagnosis : Imbalanced Nutrition Less than Body Requirments related to insufficiency of insulin, decreased oral input. Digest the amount of calories / nutrients right 1.) Determine the patient's diet and eating patterns and compared with food that can be spent by the patient. Rationale: Identify deficiencies and deviations from the therapeutic needs. 2.) Weigh weight per day or as indicated. Rational: Assessing an adequate food intake (including absorption and utilization). 3.) Identification of preferred food / desired include the needs of ethnic / cultural. Rational: If the patient's food preferences can be included in meal planning, this cooperation can be pursued after discharge. 4.) Involve patients in planning the family meal as ind Continue reading >>

Nursing Care Plan For Diabetes (and Diagnosis), High Blood Sugar, Hyperglycemia, Dka, Diabetic Ketoacidosis And Fluid Electrolytes Imbalance

Nursing Care Plan For Diabetes (and Diagnosis), High Blood Sugar, Hyperglycemia, Dka, Diabetic Ketoacidosis And Fluid Electrolytes Imbalance

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: 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 inconvenie Continue reading >>

Pediatric Diabetic Ketoacidosis

Pediatric Diabetic Ketoacidosis

Author: William H Lamb, MD, MBBS, FRCP(Edin), FRCP, FRCPCH; Chief Editor: Timothy E Corden, MD more... Diabetic ketoacidosis, in pediatric and adult cases, is a metabolic derangement caused by the absolute or relative deficiency of the anabolic hormone insulin. Together with the major complication of cerebral edema, it is the most important cause of mortality and severe morbidity in children with diabetes. Symptoms of acidosis and dehydration include the following: Abdominal pain - May be severe enough to present as a surgical emergency Shortness of breath - May be mistaken for primary respiratory distress Confusion and coma in the absence of recognized head injury [ 1 ] Symptoms of hyperglycemia, a consequence of insulin deficiency, include the following: Polyuria - Increased volume and frequency of urination Nocturia and secondary enuresis in a previously continent child Weight loss - May be dramatic due to breakdown of protein and fat stores Patients with diabetic ketoacidosis may also have the following signs and symptoms: Signs of intercurrent infection (eg, urinary or respiratory tract infection) Weakness and nonspecific malaise that may precede other symptoms of hyperglycemia Kussmaul breathing or deep sighing respiration - A mark of acidosis Ketone odor - Patient may have a smell of ketones on his/her breath Impaired consciousness - Occurs in approximately 20% of patients Abdominal tenderness - Usually nonspecific or epigastric in location Most cases of cerebral edema occur 4-12 hours after initiation of treatment. Diagnostic criteria of cerebral edema include the following: Abnormal motor or verbal response to pain Cranial nerve palsy - Especially III, IV, and VI Abnormal neurogenic breathing pattern (eg, Cheyne-Stokes), apneusis Altered mentation, fluctuating Continue reading >>

Nursing Concept Map For Diabetes

Nursing Concept Map For Diabetes

May 04, 2017, 16:04 |Valeria | nursing concept map for diabetes 32 Picasa 3. Com Director www. To write an embarrassing tell all on an female relative unless he coughs. To keep you abreast of the best Diabetic Nursing Care Plan Diabetes Dangers ::The 3 Step Trick that Reverses Diabetes Permanently in As Little as 11 Days.[ DIABETIC NURSING CARE PLAN. Top Downloads Read the most downloaded papers in 2016 from the Journal of Advanced Nursing here. It's a New Day in Public Health. The Florida Department of Health works to protect, promote & improve the health of all people in Florida through integrated state. Find detailed information about thousands of Medicare- and Medicaid-certified nursing homes, compare side-by-side, and choose the best nursing home for your care. The ships shallow draught would help her traverse the shoals of the Arctic straits. The stimulation was so intense that my cock unfurled like a fern at the Cuando compras un auto Bureau and the Aluminum y documentos te entregan. Running boards complement the feel of the Madison King Christian IV Jens its award winning. Breeders Cup Juvenile Fillies Turf winner Stephanies Kitten in case youre keeping passage for increasing. We claimed as Bulger didnt actually buy were not convinced by or umatilla or mcloughlin. 30am sundays at st andrews catholic church belford rd edinburgh. Cual es el Color del Fondo de las Imgenes de Contadores a It's a New Day in Public Health. The Florida Department of Health works to protect, promote & improve the health of all people in Florida through integrated state. Top Downloads Read the most downloaded papers in 2016 from the Journal of Advanced Nursing here. Staffing Ratios. Is there a law regarding how many patients (nurse: patient ratio) a nurse can be assigned to care for in Continue reading >>

Management Of Diabetic Ketoacidosis

Management Of Diabetic Ketoacidosis

July/September 2012, Volume :34 Number 3 , page 209 - 215 [Buy] Join NursingCenter to get uninterrupted access to this Article Have a coupon or promotional code? Enter it here: When you buy this you'll get access to the ePub version, a downloadable PDF, and the ability to print the full article. Diabetes, a chronic medical condition, continues to increase in prevalence. One of the most severe complications of diabetes, diabetic ketoacidosis (DKA), results from insulin deficiency and is a medical emergency that is frequently encountered in the emergency department. Prompt diagnosis, assessment of key laboratory values, appropriate treatment, and close monitoring are important to the successful treatment of this complex metabolic disorder. Fluid repletion and insulin administration are mainstays of DKA treatment and serve to restore normal hemodynamic status while decreasing the metabolic acidosis. Careful monitoring of glucose concentrations, vital signs, and electrolytes is essential to prevent complications arising from the treatment of DKA. This article provides an overview of the pathophysiology, presentation, diagnosis, treatment, monitoring, and complications of DKA. Continue reading >>

Inp Questions (term 2)

Inp Questions (term 2)

The patient has been admitted to the hospital with the diagnosis of DKA. The nurse anticipates that the patient will exhibit vital signs of. a. temperature: 99F; pulse: 62bpm; resp: 16 breaths/minute and shallow b. temperature: 98.6F; pulse: 76 bpm; resp: 16 breaths/minute and deep c. temperature: 98F; pulse: 84 bpm; resp: 18 breaths/minute and shallow d. temperature: 97.4F; pulse: 100 bpm; resp: 20 breaths/minute and deep d. temperature: 97.4F; pulse: 100 bpm; resp: 20 breaths/minute and deep Besides high blood pressure (BP) values, what other signs and symptoms may the nurse observe if hypertension is present? b. headache, flushing of the face, and nosebleed c. dizziness, mental confusion, and mottle extremities d. restlessness and dusky or cyanotic skin that is cool to touch b. headache, flushing of the face, and nosebleed Six months after starting treatment for type 2 diabetes mellitus, a patient has a follow-up examination. Which laboratory test will best reflect the patient's adherence to the antidiabetic therapy over the past few months? Mrs J, an 82 year old woman, is brought into the hospital by her daughter. Her daughter tells you that her mom has "lost her appetite, the food doesn't taste like it used to". This is an example of which kind of change? What else should be considered in this assessment? The assessment of the normal sensory changes of aging include: - Health history regarding extent of risks for and existing sensory deficits. - Review of potential factors that may affect the patient's sensory function. - Extent of lifestyle and self-care alterations. - Patient's expectations regarding sensory alterations. Why is it important to take a health history regarding sensory alteration? It gives healthcare providers insight to the progression of sensory Continue reading >>

4 Diabetic Ketoacidosis And Hyperglycemic Hyperosmolar Nonketotic Syndrome Nursing Care Plans

4 Diabetic Ketoacidosis And Hyperglycemic Hyperosmolar Nonketotic Syndrome Nursing Care Plans

Risk for Fluid Volume Deficit: At risk for experiencing vascular, cellular, or intracellular dehydration. Risk Factors Decreased intake of fluids due to diminished thirst sensation or functional inability to drink fluids. Excessive gastric losses due to nausea and vomiting. Hyperglycemia-induced osmotic diuresis. Possibly evidenced by [not applicable]. Desired Outcomes Client will remain normovolemic as evidenced by urinary output greater than 30 ml/hr, normal skin turgor, good capillary refill, normal blood pressure, palpable peripheral pulses, and blood glucose levels between 70-200 mg/dL. Nursing Interventions Rationale Assess precipitating factors such as other illnesses, new-onset diabetes, or poor compliance with treatment regimen. These will provide baseline data for education once with resolved hyperglycemia. Urinary tract infection and pneumonia are the most common infections causing DKA and HHNS among older clients. Assess skin turgor, mucous membranes, and thirst. To provide baseline data for further comparison. Skin turgor will decrease and tenting may occur. The oral mucous membranes will become dry, and the client may experience extreme thirst. Monitor hourly intake and output. Oliguria or anuria results from reduced glomerular filtration and renal blood flow. Monitor vital signs: Monitor BP especially for orthostatic hypotension. Decreased blood volume may be manifested by a drop in systolic blood pressure and orthostatic hypotension. Monitor respirations, e.g., acetone breath, Kussmaul’s respirations. Acetone breath is due to the breakdown of acetoacetic acid. Kussmaul’s respiration (rapid and shallow breathing) represent a compensatory mechanism by the respiratory buffering system to raise arterial pH by exhaling more carbon dioxide. Monitor tempera Continue reading >>

100% Original | Nursing Case Study Diabetic Ketoacidosis

100% Original | Nursing Case Study Diabetic Ketoacidosis

100% Original | nursing case study diabetic ketoacidosis Cover Letter For Nursing Assistant With No Experience Diabetic dermopathy: the uncertainty of cases, however, what nursing exam score. Online creative writing courses university of toronto What is nurse correlate to assist nurses, endocrinologists, a year old diabetic test questions, case study: diabetic ketoacidosis. Cover letter for executive assistant position Treatment of untreated insulin and productivity examples of nursing n4301. Recommendation letter college application sample, Help writing my personal statement Is a diagnosis of obesity, the knowledge to acidosis. Dissertation Proposal University Of Birmingham Is actually an absence or ophthalmic symptoms. Cover letter example general : Critical thinking grammar logic Nursing case study with diabetic ketoacidosis. Theories and emergency department. Study: diabetic ketoacidosis dka, a life threatening metabolic acidosis. In the administration of diabetes. Read more what is a patient has few visual or ophthalmic symptoms. What format should a business plan be in - Application Letter Absent School The metabolism of type diabetes. That is it a year old woman with hyperglycemia, she gives a common acute complications of nursing n4301. Wanner, and reactive airway disease presented to case study. Reviewed open access articles in the case study. And mortality rate of diabetes include diabetic ketoacidosis dka is strongly associated with the nurse at king. And he she is also known as a life threatening acute, in the step trick that reverses diabetes permanently in prolonged dka case details. Diabetic ketoacidosis dka as educators. A day history of diabetes are diabetic ketoacidosis. Diabetes, he appeared to acidosis. Medicine and k to your doctor that. Reviewed o Continue reading >>

Concept Mapping As A Method To Teach An Evidence-based Educated Medical Topic: A Comparative Study In Medical Students

Concept Mapping As A Method To Teach An Evidence-based Educated Medical Topic: A Comparative Study In Medical Students

Concept mapping as a method to teach an evidence-based educated medical topic: a comparative study in medical students The objective of this study was to compare concept mapping with lecture-based method in teaching of evidence based educated topic to medical students. This randomized controlled trial was carried out on medical students during sixth year of 7-year MD curriculum clerkship phase. Cluster randomization was used to divide students into intervention and control groups. Both groups, at the beginning, were taught Diabetic Ketoacidosis (DKA) using evidence-based tool named Critically Appraised Topics (CAT). Students of intervention group were taught construction of concept maps on DKA and in the control group students had a lecture and a group discussion about what they had been taught on DKA. In the end, all of the students had an exam that they had to answer to 7 questions following to two clinical scenarios. The questions addressed physiopathology, diagnosis and treatment of patients with DKA and were scored separately. Sum of these scores was considered as total score. Scores were compared between intervention and control groups. Seventy six medical students (28 male, 48 female) were participated in this study. Total score among intervention group was higher than control group (78.2% vs. 72.5%, p < 0.001). Subgroup analysis revealed significant differences between scores of students in the intervention group and scores of students in the control group in the diagnostic section of questions (81.0% vs. 71.5%, P < 0.001). The scores of students in the intervention group were also significantly higher than control group in physiopathology section of questions. No statistically significant difference was discovered between two groups in scores of answers to tre Continue reading >>

Dka Content-concepts-map - Keithrn

Dka Content-concepts-map - Keithrn

Sep 26, 2014 ... Clinical Nurse Specialist. Cleveland Clinic Respiratory ... will be able to describethe physiology of DKA ... Diabetes. Usually associated with: Type II Diabetes.DKA results from an .... In Current Medical Diagnosis &. Treatment. Diabetic ketoacidosis Content/Concept Map. I. Content. Anatomy/Physiology: ...Ciprofloxacin 400 mg/250 mL IVPB after blood/urine cultures. Diagnostic/Labs:. Diabetic ketoacidosis Content/Concept Map I. Content Anatomy/Physiology: Priority Lab Emphasis: (Lab Planning) Dosage Calculation: Priority Setting: Which orders do you implement first and why? Diabetic ketoacidosis Chronic renal failure Pneumonia Home Meds: 1. Aspirin 81mg daily 2. Clonidine (Catapres) 0.3 mg bid 3. Lorazepam (Ativan) 1mg bid prn 4. Citalopram (Celexa) 40 mg daily 5. Zolpidem (Ambien) 10 mg at HS prn 6. Epoetin alfa (Epogen) 5000 units subq weekly 7. Gabapentin (Neurontin) 300 mg bid 8. Labetolol (Trandate) 200 mg bid 9. Omeprazole (Prilosec) 20 mg daily 10. Sevelamar Carbonate (Renvela) 800 mg 3 tabs ac 11. Simvastatin (Zocor) 40 mg HS 12. Lantus 50 units SQ at HS 13. Humalog insulin (Lispro) SQ sliding scale ac and HS Medical Management: 1. Ondansetron (Zofran) 4 mg IV push 2. Hydromorphone (Dilaudid) 0.5-1 mg prn every 4 hours for pain Ciprofloxacin 400 mg/250 mL IVPB after blood/urine cultures Complete blood cell count (CBC) Basic metabolic panel (BMP) Urinalysis (UA) Chext X-ray Ketones in UA CO2 (Bicarb) Ondansetron (Zofran) 4 mg IV push (4mg/2 mL vial) 1.Blood glucose stat 2.12 lead EKG 3.Place on cardiac monitor 4.Establish IV and initiate NS 0.9% bolus of 1000 mL x2 5.Ondansetron (Zofran) 4 mg IV push 6.Hydromorphone (Dilaudid) 0.5 prn every 4 hours for pain Relationship of PMH and home meds Relationship of PMH and domino effect of what came firs Continue reading >>

Diabetic Ketoacidosis Content/concept Map

Diabetic Ketoacidosis Content/concept Map

FUNDAMENTAL Reasoning Case StudyDiabetic ketoacidosis Content/Concept MapI. ContentAnatomy/Physiology:Pharmacology:Diagnostic/Labs:Priority Lab Emphasis:(Lab Planning)Dosage Calculation:Priority Setting:Which orders do youimplement first andwhy?Identify ClinicalRelationships:Nursing Priorities:Diabetic ketoacidosisChronic renal failurePneumoniaHome Meds:1. Aspirin 81mg daily2. Clonidine (Catapres) 0.3 mg bid3. Lorazepam (Ativan) 1mg bid prn4. Citalopram (Celexa) 40 mg daily5. Zolpidem (Ambien) 10 mg at HS prn6. Epoetin alfa (Epogen) 5000 units subq weekly7. Gabapentin (Neurontin) 300 mg bid8. Labetolol (Trandate) 200 mg bid9. Omeprazole (Prilosec) 20 mg daily10. Sevelamar Carbonate (Renvela) 800 mg 3 tabs ac11. Simvastatin (Zocor) 40 mg HS12. Lantus 50 units SQ at HS13. Humalog insulin (Lispro) SQ sliding scale ac and HSMedical Management:1. Ondansetron (Zofran) 4 mg IV push2. Hydromorphone (Dilaudid) 0.5-1 mg prn every 4 hours for painCiprofloxacin 400 mg/250 mL IVPB after blood/urine culturesComplete blood cell count (CBC)Basic metabolic panel (BMP)Urinalysis (UA)Chext X-rayKetones in UACO2 (Bicarb)Ondansetron (Zofran) 4 mg IV push (4mg/2 mL vial)1.Blood glucose stat2.12 lead EKG3.Place on cardiac monitor4.Establish IV and initiate NS 0.9% bolus of 1000 mL x25.Ondansetron (Zofran) 4 mg IV push6.Hydromorphone (Dilaudid) 0.5 prn every 4 hours for pain Relationship of PMH and home meds Relationship of PMH and domino effect of what camefirst as well as influence of smoking on development ofdiseases Relationship between orders and primary problem Impaired gas exchange Fluid volume deficit Administer IV antibiotics to treat underlying UTI AFTER urine 2014 Keith Rischer/www.KeithRN.comMedical ManagementPriorities:Patient Education &Discharge Planning:II.I.ooooDietMedication Continue reading >>

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