Diabetes Mellitus

GROUPS 1
AIDATUL FAUZIAH
TRI RISKA HIDAYATI
RESTU DIANA PUTRI
PUTRI ROEL DEAPY
LISA RAHMAWATI
DEDEF NOFRIKA

Diabetes mellitus is a chronic state of hyperglikemia caused by environmental factors and heredity together, have a chronic hyperglikemia characteristics can not be cured but can be controlled (WHO).

Etiology
Diabetes Type I:  Genetic factors  Immunological Factors  Environmental factors Diabetes Type II Risk factors: 1) Age (insulin resistance tends to increase at the age of 30 years); 2) Obesity; 3) family history; 4) Lifestyle.

Clinical manifestations

 Polyuria (urinating a lot)  Polydipsia (drinking a lot)  Poliphagi (lots of eating)  Weight loss, fatigue, irritability fatigue, lack of energy.  Eyes blurred

Medical management
• • • • • Diagnostic Examination Education Diabetes management Physical exercise (sports) Pharmacological

CASE
Tn.K , male gender , age 42thn , already married , the Islamic religion , ethnic Betawi , a job as an employee , home address Jln . Kampung Baru No. 72 Rt 09 Rw 08 , the source uses the cost of insurance , Tn.K admitted to hospital , with complaints of weakness , dizziness , nausea , vomiting , body ache, the client has a history of diabetes mellitus , attached RL infusion of IGD , the room roses given Magtral drugs , Protop , Glucophage , remapin , lapibial , KSR , Na.diklopenak , intervask , and laboratory examination . BP: 120/90 mmHg Temperature : 37ºC RR : 18 x/menit P: 80x/menit

• • • •

• • • • • • •

Name : Mr. K Gender : Male Age : 42 years Religions : Islam Marital Status : Married Last Education : High School Occupation : Employee

Data Focus
NO SUBJECTIVE DATA NO DATA OBJECTIVE

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Clients say limp Nausea clients say Said clients often thirsty Clients say bitter tongue Client says no appetite Clients say often bak ± 14x/hari Client says tired during the move The client said it was difficult to move as usual The client said it was more than five days the iv has not changed

1 2 3 4 5 6 7 8 9 10

Clients limp clients pale clients often vomiting polyuria and polydipsia clients experience client just finished eating half anxious clients dry mucous membranes , conjunctival pallor clients , kapilerirefil 3 seconds , less elastic skin turgor bb before ill 72 kg , 69 kg sore bb clients need help in activities

Nursing Diagnosis
1. Disorders of fluid and electrolyte balance is less than body requirements related to excessive output. 2. Changes in nutrition less than body requirements related to inadequate intake. 3. Risk of infection associated with high levels of glucose in the blood. 4. Fatigue berhabungan with decreased metabolic energy production.

Intervention
Of nursing diagnoses that have been found, the authors develop a plan of nursing in accordanc

No

Nursing Diagnosis

Objective

Results Criteria

Intervention

Disorders of fluid and electrolyte Having done 2x24 hour Normal vital signs , good 1Assess vital signsb. balance is less than body nursing care for problems skin turgor , moist mucous 2.Examine for signs of dehydration.

requirements related to excessive of fluid and electrolyte membranes , kapilerirefil examined for signs of dehydration output on the mark with : imbalance, less than body less DS : Clients say fatigue, nausea requirements client says , the client says resolved frequent thirst , frequent urinating client said can than 3 seconds , 3.Monitor input and discharge.

be electrolyte

levels

within 4.Collaboration in providing fluid therapy (intravenous). 5.Encourage clients to drink at least 2500 ml / day.

normal limits.

6.Encourage clients to consume a lot
DO : Client limp , clients often vomiting , client anxiety , dry mucous conjunctival membranes pallor clients , , of bananas. 7.Collaboration in delivering kalum or other electrolytes indicated. orally as

kapilerirefli 3 seconds , kurnag

elastic skin turgor , the client
installed on the left hand and Sodium Chloride infusion

Na.Klorida 3 % 15 drops / min , BP : 180/110 mm Hg , S : 37 ° C , N : 93x/menit , RR : 22x/menit , laboratory results : potassium 2.9 mEq / l , Sodium 117meq / l , chloride 82 mEq / l .

Implementation
Author indent implementation in accordance with the plan of action but not all made ​possible because of the limitations of 2x24 hours .

Evaluation
changes in nutrition less than body requirements related to inadequate intake , the risk of infection associated with invasive procedures

no 1

Diagnosis

Implementation

Evaluation S: The client said client said fresh

Paraf

Disorders of fluid and at 08.30 assessing vital signs, S electrolyte balance is reviewing less than 08.45 signs

of feeling. no weakness, nausea reduced

body dehydration, intravenous fluids client says, the client can say BAK halted controlled.

requirements related to at 09:45 replace the already

excessive output

depleted, 11:00 am advocating O: TD: 160/100mmHg, S: 36.4 ° C, N:
clients to drink 11:15 at least 90x/menit, RR: 19x/menit, clients do not

2500ml/hari,

monitor look weak, muksa membranes moist,

input and discharge, at 11:45 clients look more tanang, moist mucous encourages clients to many membranes, conjunctival pallor,

maakan bananas, at 12.00 giving kapilerirefli 2 seconds, elastic skin oral potassium (KSR 3x1) as indicated. turgor. A:The problem clients with disorders of fluid and electrolyte balance is less than the body needs can be resolved in part. P: Continue Nursing Interventions: a, b, c, d, g. ,

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