Sunday, August 26, 2012

Nursing Diagnosis Knowledge Deficit - Gestational Diabetes Mellitus

Nursing Diagnosis for Gestational Diabetes Mellitus : Knowledge Deficit : the diabetic condition, prognosis and the need for action.

Expected outcomes:
  1. Participate in the management of diabetes during pregnancy.
  2. Expressing an understanding of the procedures, laboratory tests and activities involving the control of diabetes.
  3. Demonstrate proficiency own monitor and insulin administration.

Intervention:

1. Assess knowledge of the processes and actions, including the relationship of the disease with diet, exercise, stress and insulin requirements.
Rational: Gestational Diabetes Mellitus risk of glucose uptake in cells that are not effective, the use of fats and proteins for energy excessively and cellular dehydration when water flows out of the cell by hypertonic glucose concentration in serum.

2. Provide information about the workings and the adverse effects of insulin and review the reasons for avoiding oral hypoglycemic drugs.
Rationale: Metabolic Changes in prenatal causes insulin needs change. First trimester insulin requirement is low but becomes two times and four times during the second and third trimester. Although insulin does not cross the placenta, oral hypoglycemic agents and potential harm to the fetus.

3. Describe normal weight gain.
Rational: calorie restriction caused ketonemia can cause fetal damage and inhibit optimal protein utilization.

4. Provide information about the need for a light training program.
Rationale: Exercise after meals can help prevent hypoglycemia and stabilize glucose irregularities, unless there is excess glucose, which exercise can improve ketoacidosis.

5. Provide information on the effects of pregnancy on diabetic conditions and future expectations.
Rationale: Increased knowledge can reduce fear, increase cooperation, and help reduce fetal complications.

6. Discuss recognize the signs of infection.
Rationale: It is important to seek medical attention early to avoid complications.

7. Encourage maintained home assessment on levels of serum glucose, insulin dose, diet and exercise.
Rationale: When reviewed by the practitioner care giver, the diary can be helpful for evaluation and treatment.

8. Aids to the study of glucose, are instructed to accompany it with milk 8 oz and check the glucose level in 15 minutes.
Rationale: The symptoms of hypoglycemia such as diaphoresis, tingling sensations and palpitations with glucose levels below 70 mg / in need of immediate action. The use of glucagon as a combination of milk may increase serum glucose levels without the risk of turning into hyperglycemia.

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