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  • NCP 1

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    Andrea Marie Sevilla
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    1. The patient has gestational diabetes caused by excessive hormones during pregnancy leading to insulin resistance and high blood sugar. 2. Nursing interventions will help the patient maintain blood glucose in a satisfactory range within 4-6 hours and acknowledge factors causing unstable levels. 3. After 4-6 hours of nursing care, the patient was able to maintain blood glucose satisfactorily and understood body and energy needs. Goals were fully met.

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    1. The patient has gestational diabetes caused by excessive hormones during pregnancy leading to insulin resistance and high blood sugar. 2. Nursing interventions will help the patient maintain blood glucose in a satisfactory range within 4-6 hours and acknowledge factors causing unstable levels. 3. After 4-6 hours of nursing care, the patient was able to maintain blood glucose satisfactorily and understood body and energy needs. Goals were fully met.

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    © All Rights Reserved
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    33 views3 pages

    NCP 1

    Uploaded by

    Andrea Marie Sevilla
    1. The patient has gestational diabetes caused by excessive hormones during pregnancy leading to insulin resistance and high blood sugar. 2. Nursing interventions will help the patient maintain blood glucose in a satisfactory range within 4-6 hours and acknowledge factors causing unstable levels. 3. After 4-6 hours of nursing care, the patient was able to maintain blood glucose satisfactorily and understood body and energy needs. Goals were fully met.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
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    of 3

    Nursing Nursing

    Cues Scientific Rationale Objectives Rationale Evaluation


    Diagnosis Interventions
    Subjective: Unstable Blood Gestational diabetes is Within 4 to 6 Independent: Independent: After 4 to 6 hours
    - “Diri na ak Glucose Level caused when there are hours of nursing 1. Perform 1. All available of nursing
    sugad related to excessive counter- intervention, fingerstick glucose interventions, the
    kakusog adherence to insulin hormones of client will be able glucose monitors will client was able to
    kumaon kesa diabetes pregnancy. This leads to: testing. provide maintain glucose
    han una ky management to a state of insulin satisfactory in satisfactory
    bagan waray plan as resistance and high • Maintain readings if range,
    ko na gana” evidenced by blood sugar in the glucose in properly used acknowledge
    as reported lack ofmother. There may be satisfactory and factors that lead
    verbalized. interest in food
    defective insulin range maintained to unstable
    - “Gutiay la an receptors. Hormones • Acknowledge and routinely glucose and
    ginkaon han Source: that raise blood sugar factors that calibrated. verbalize
    akon asawa Marilynn E. include the glucagon, lead to understanding of
    kaninan aga” Doenges, epinephrine and unstable 2. Review 2. Identifies body and energy
    as verbalized Mary norepinephrine, glucose. client’s dietary deficits and needs.
    by the Moorhouse cortisol, growth • Verbalize program and deviations
    significant and Alice hormone, etc. these understanding usual pattern; from Goals were
    other Murr (2019). hormones are released of body and compare with therapeutic completely met.
    - “Skyflakes Nursing Care due to stress. Thus, energy needs. recent intake. plan, which
    nala akon Plans: during phases of stress may
    ginkakaon Guidelines for like pregnancy precipitate
    para la Individualizing diabetes control unstable
    mamay sulod Client Care worsens and blood glucose and
    ak tiyan ky Across the sugar rises. uncontrolled
    waray ako Life Span. hyperglycemia.
    ganahi” as Philadelphia, Source: Mandal,
    verbalized Pennsylvania: Ananya. (2019, 3. Identify food 3. Incorporating
    F.A. Davis February 26). preferences, as many of the
    Objective: Company. Diabetes including client’s food
    - Glucose Page 383. Pathophysiology. ethnic and preferences
    monitoring News-Medical. cultural needs. into the meal
    results: 104 Retrieved on plan as
    mg/dL at September 21, 2021 possible
    5pm and 79 from increases
    mg/dL at https://www.news- cooperation
    5am medical.net/ with dietary
    - Diagnosis of health/Diabetes- guidelines
    gestational Pathophysiology after
    diabetes. .aspx. discharge.
    - Patient has 4. Observe for 4. Once
    not fully signs of carbohydrate
    consumed hypoglycemia metabolism
    her meal. – changes in resumes,
    LOC, cool and blood glucose
    clammy skin, level will fall,
    rapid pulse, and as insulin
    hunger, is being
    irritability, adjusted,
    anxiety, hypoglycemia
    headache, may occur.
    light-
    headedness,
    and
    shakiness.

    Collaborative: Collaborative:
    1. Monitor 1. Blood glucose
    laboratory will decrease
    studies, such slowly with
    as serum controlled fluid
    glucose, replacement
    acetone, pH, and insulin
    and HCO3. therapy. With
    the
    administration
    of optimal
    insulin
    dosages,
    glucose can
    then enter the
    cells and be
    used for
    energy. When
    this happens,
    acetone levels
    decrease and
    acidosis is
    corrected.

    Source: Marilynn
    E. Doenges,
    Mary Moorhouse
    and Alice Murr
    (2019). Nursing
    Care Plans:
    Guidelines for
    Individualizing
    Client Care
    Across the Life
    Span.
    Philadelphia,
    Pennsylvania:
    F.A. Davis
    Company. Pages
    383 to 385.

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