Republic of the Philippines

NUEVA ECIJA UNIVERSITY OF SCIENCE AND TECHNOLOGY

Cabanatuan City, Nueva Ecija, Philippines

COLLEGE OF NURSING

NAME: Delos Santos, Gian M.

SECTION: BSN-1C

NURSING CARE PLAN FOR DIABETES MELLITUS TYPE 2

Nursing Assessment Planning Nursing Interventions Evaluation
Subjective: After 8 hours of nursing intervention, Independent: After 8 hours of nursing intervention
“Hindi gumagaling ang sugat ko” (My secretion will be mobilized, airway goal partially met.
wounds are not healing) patency will be maintained free of Encourage practicing deep breathing
evidenced patient’s ability to effectively techniques Every one to two hours during the day,
Objective: cough out secretions, clear lung sounds, the patient was able to perform deep
Flushed appearance normal body temperature , and Guide patients through coughing drills breathing exercises and coughing.
uncompromised respiratory rate.
Wound drainage. Increase fluid intake as necessary while Clients' inspiratory crackles and
keeping an eye on the rate, rhythm, respiratory rate are within normal
depth, and difficulty of breathing. limits.
V/S taken as follow:
Assist the patient into a backrest with a At the right lower lobe, there are still
T: 37.5 modest height. audible crackles during inspiration.
P:88
R:20 Auscultate the lung fields, noticing any Cough continues to be productive.
BP:120/90 places where the airflow is reduced or
absent and any advantages breath sounds.

Dependent:
Administer prescribed drugs such
bronchodilators, expectorants, and
mucolytic agents.

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 Republic of the Philippines
NUEVA ECIJA UNIVERSITY OF SCIENCE AND TECHNOLOGY
Cabanatuan City, Nueva Ecija, Philippines

COLLEGE OF NURSING

As necessary, administer nebulizations.

Book Reference:
Doenges M. E. Moorhouse M. F. & Murr A. C. (2019). Nurse's pocket guide: diagnoses prioritized interventions and rationales (15th ed.). F.A. Davis.

ISO Transforming Communities through Science and Technology

Telefax No. (044) 463-0226
9001:2015 neustmain@neust.com
Certified
www.neust.edu.ph