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Nursing Care Plan DM Type 2

Nursing Care Plan DM Type 2

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Published by Mark Llego
To download this document visit http://nursingstudentreviewers.blogspot.com/
To download this document visit http://nursingstudentreviewers.blogspot.com/

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Published by: Mark Llego on Nov 12, 2009
Copyright:Attribution Non-commercial


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NCP DM TYPE IIASSESSMENTDIAGNOSISPLANNINGINTERVENTION RATIONALEEVALUATIONSubjective:“Hindigumagaling angsugat ko”(Mywoundsare nothealing)Asverbalizedby thepatient.Objective:•Flushedappearance.•Wounddrainage.•V/Staken asfollows: T:37.4P:87 R:19BP:Risk forinfectionrelated to highglucose levels,decreasedleukocytefunction.After 8 hoursof nursinginterventions,the patient willidentifyinterventionsto prevent orreduce risk of infectionIndependent:•Observe forsigns of infection andinflammation.•Promote goodhand washingby nurse andpatient. •Maintainaseptictechnique forIV insertionprocedure,administrationof medications,and providingmaintenanceand site care.Rotate IV sites•Patient may beadmitted withinfection, which couldhave precipitated theketoacidotic state, ormay develop anosocomial•Reduces the risk of cross-contamination•High glucose in theblood creates anexcellent medium forbacterial growth.•After 8 hoursof nursinginterventions,the patientwas able toidentifyinterventionsto prevent orreduce risk of infection.
120/90as indicated.•Providecatheter orperineal care. Teach thefemale patientto clean fromfront to backafterelimination.• Provideconscientiousskin care,gentlymassage bonyareas. Keepthe skin dry,linens dry andwrinkle free.
Place insemi –fowler’s•Minimizes the riskfor infection.•Peripheralcirculation may beimpaired, placingpatient at increasedrisk for skin irritationor breakdown andinfection.• Facilitates lungexpansion andreduces risk of aspiration.Decreasesusceptibility toinfection.• Identifies

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