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Complex Diabetes Dyfunction

N470: MEDICAL/SURGICAL
NURSING III
Complications of Diabetes Mellitus

Acute Complications
 Somogyi Effect
 Pathophysiology

 Clinical presentation
Complications of Diabetes Mellitus

Acute Complications
 Somogyi Effect
 Assessment

 Nursing Interventions
Complications of Diabetes Mellitus

Acute Complications
 Dawn Phenomenon
 Pathophysiology

 Clinical presentation
Complications of Diabetes Mellitus

Acute Complications
 Dawn Phenomenon
 Assessment

 Nursing Interventions
Complications of Diabetes Mellitus

Acute Complications
 Diabetic Ketoacidosis
 Definition

 Etiology
Complications of Diabetes Mellitus

Acute Complications
 Diabetic Ketoacidosis
 Signs & Symptoms
Complications of Diabetes Mellitus

Acute Complications
 Diabetic Ketoacidosis
 Assessment

 Laboratory studies

 Diagnostic studies
Complications of Diabetes Mellitus

Acute Complications
 Diabetic Ketoacidosis
• Nursing Interventions
 Treatment goals

 Fluid resuscitation
Acute Complications
 Diabetic Ketoacidosis
• Nursing Interventions
 Insulin Therapy

 Electrolyte correction
Complications of Diabetes Mellitus

Acute Complications
 Hyperglycemic Hyperosmolar Syndrome (HHS)
 Etiology/ Pathophysiology
Complications of Diabetes Mellitus

Acute Complications
 Hyperglycemic Hyperosmolar Syndrome (HHS)
 Signs/Symptoms
Complications of Diabetes Mellitus

Acute Complications
 HHS
 Assessment
Complications of Diabetes Mellitus

Acute Complications
 HHS
 Nursing Interventions
Complications of Diabetes Mellitus

Chronic Complications
 Eye/Retinal
 Diabetic retinopathy
Complications of Diabetes Mellitus

Chronic Complications
 Macrovascular

 Microvascular
Complications of Diabetes Mellitus

Chronic Complications
 Nephropathy
Complications of Diabetes Mellitus

Chronic Complications
 Neuropathy
Exercise & the Diabetic Client

 Physical exam prior to starting exercise program should


include:

 Program should be individually designed

 Frequency – 3 – 5 times per week

 Exercise benefits
References

 Morton, G. & Fontaine, D. (2009). Critical Care


Nursing: A Holistic Approach. Baltimore: Lippincott.

 Osborn, K., Wraa, C., &Watson, A. (2010). Medical -


Surgical Nursing: Preparation for Practice. New
York: Pearson
Pharmacology in Diabetic Clients

REVIEW

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