GRUPS :

1. DESI ARISANDI (19.01.055)

2. ERMENILDA (19.01.082)
3. NELMY APRIANI (19.01.064)
4. NOVIYANTI IKE SYAFITRI (19.01.065)

Student Nursing Care Plans

Diabetes Melitus : Symptoms include increased thirst, frequent urination, hunger, fatigue, and
blurred vision. In some cases, there are no symptoms.

ASSESSM DIAGNOS OUTCOME INTERVENTION RATIONALE EVALUATION

ENT IS S
Symptoms Hypogylyc - There is no - Assess the -To see or an -There is no
include emia and hypo/hyperg patient’s food indication of the hypo/hyperglyc
increased hyperglyce lycemia. intake occurrence of emia.
thirst, mia are - Blood sugar - Feed according hypoglycemia -Blood sugar
frequent associated levels within to thw diet when the food levels within
urination, with normal - Observe and served is not normal limits :
hunger, inadequac limits : GDS assess the signs finished GDS <140
fatigue, y of <140 mg/dl, and symptoms -Preventing mg/dl, 2 hours
and insulin 2 hours of hypoglycemia / blood sugar PP
blurred factor and blood sugar hypo/hyperglyc hyperglycemia <200 mg/dl
vision. In insulin PP <200 emia -The insulin
some resistance mg/dl - Monitor and reaction can
cases, record occur suddenly,
there are peripheral namely hypo /
no blood sugar hyperglycemia
symptoms. levels/glu which can be
- Give and fatal
maintain IV -Hyperglycemia
fluids (NaCl causes
0.9%) dehydration
- Give insulin or associated with
oral therapy hyperosmolar
effects
-Insulin
increases the
entry of glucose
into cells and
reduces
gluconeogenesis
 Hipertensi : Headache, neck pain

ASSESS DIAGNOSIS OUTCOME INTERVENTIO RATIONAL EVALUATION

MENT NS E
Headache, Increased blood - To see the - Monitor blood Provide - To see the
neck pain pressure due to progress of pressure comfort progress of
decreased lowering blood - Provide a calm, lowering blood
cardiac output is pressure comfortable pressure
indicated by - Helps reduce environment, - Helps reduce
having a history sympathetic reduce sympathetic
of hypertension stimulation to activities stimulation to
with a blood promote relaxation - Limit the promote
pressure of - Reduces stress number of relaxation
175/100 mmHg. and tension that visits - Reduces stress
affects blood - Perform a and tension that
pressure. comfortable affects blood
- Thiazide may be action such as pressure.
used to lower massage the - Thiazide may
blood pressure. neck and head be used to lower
Kidney function is - Collaboration blood pressure.
relatively normal in drug Kidney function
administration: is relatively
thiazide normal
-

Tubercolosis : Area of pain, chest cough, b;oody or chronic, whole body, night sweats, fever,
loss of appetite, fatigue, malaise, chills or sweating. Also common : phlegm, reduced muscle
mass, shortness of breath, swollen lymph nodes or severe involuntary weight loss.

ASSESSME DIAGNOS OUTCOME INTERVENTI RATIONALE EVALUATI

NT IS ONS ON
Area of pain, Pain The patient - Assess pain, -Knowing the The patient
chest cough, associated feels record effectiveness of feels
b;oody or with comfortabel location and treatment, comfortabel
chronic, inflammati pain scale change
whole body, on of the with PQRST pain
night sweats, bronchi, - Observe non- characteristics
fever, loss of inflammati verbal signs indicate
appetite, on of discomfort inflammation of
fatigue, alveoli and such as the bronchi
malaise, persistent facial and the alveoli.
chills or cough expression -identify the
sweating. - Pay attention level of pain
Also to the type -determine pain
common : and source of management
phlegm, pain strategies
reduced - each non- -to reduce pain.
muscle mass, pharmacologi -semi fowler
shortness of cal position or
breath, techniques sitting position
swollen such as optimize
lymph nodes relaxation maximum lung
or severe techniques, expansion,
involuntary guided reduce tightness
weight loss. imagery and and minimize
traction shortness of
massage breath
- Provide a -to facilitate pain
comfortable management
position such -relieving pain
as a semi with
fowler pharmacologica
- Increase rest l therapy
or sleep
- Collaboration
of providing
analgesics