hypoglycimia patient care report

by Efrain Dach DVM 3 min read

Hypoglycemia (Nursing) - StatPearls - NCBI Bookshelf

9 hours ago  · Identifying this phenomenon is vital. When patients experience hypoglycemia particularly at night, this should be reported to the provider for the proper management of insulin in the diabetic patient. Hypoglycemia is relatively common in neonates, particularly in mothers with uncontrolled diabetes. >> Go To The Portal


Medication

It is important for patient to be able to treat mild to moderate hypoglycemia at home. Keep glucose tablets if prone to hypoglycemia; ½ cup of juice; hard candy; Honey or syrup. This is the nursing care plan for hypoglycemia. So, hypoglycemia or low blood glucose occurs when a blood glucose level drops below 70.

Therapy

Keep glucose tablets if prone to hypoglycemia; ½ cup of juice; hard candy; Honey or syrup. This is the nursing care plan for hypoglycemia. So, hypoglycemia or low blood glucose occurs when a blood glucose level drops below 70.

Self-care

When patients experience hypoglycemia particularly at night, this should be reported to the provider for the proper management of insulin in the diabetic patient. Hypoglycemia is relatively common in neonates, particularly in mothers with uncontrolled diabetes.

Nutrition

Hypoglycemia Revisited in the Acute Care Setting 1 Definition of hypoglycemia. The lower limit of the fasting plasma glucose concentration is normally... 2 Incidence. Patients with T1DM could experience an average two episodes of symptomatic hypoglycemia... 3 Clinical presentations. Hypoglycemic symptoms in adults can be divided into autonomic,...

How to treat mild to moderate hypoglycemia?

What is the nursing care plan for hypoglycemia (low blood glucose)?

When to report hypoglycemia in a diabetic patient?

How to define hypoglycemia in acute care?

How do you assess a patient with hypoglycemia?

If you have hypoglycemia symptoms, your health care provider will likely conduct a physical exam and review your medical history. If you use insulin or another diabetes medication to lower your blood sugar, and you have signs and symptoms of hypoglycemia, test your blood sugar levels with a blood glucose meter.

What can the nurse do for a patient with hypoglycemia?

Severe hypoglycemia can be treated with intravenous (IV) dextrose followed by infusion of glucose. For conscious patients able to take oral (PO) medications, readily absorbable carbohydrate sources (such as fruit juice) should be given.

What is a nursing diagnosis for hypoglycemia?

Nursing Diagnosis: Unstable Blood Glucose Level related to insufficient checking of blood sugar levels and lack of compliance to proper diabetes management secondary to hypoglycemia as evidenced by fatigue and tremors.

What are the 3 P's of hypoglycemia?

The main symptoms of diabetes are described as the three polys - polyuria, polydipsia, and polyphagia. Individuals with high risk for developing diabetes should be alert to these symptoms and seek medical attention if they notice the above symptoms.

How do you manage a patient with hyperglycemia?

TreatmentGet physical. Regular exercise is often an effective way to control your blood sugar. ... Take your medication as directed. ... Follow your diabetes eating plan. ... Check your blood sugar. ... Adjust your insulin doses to control hyperglycemia.

How do you manage hypoglycaemia in nursing times?

Management of hypoglycaemia The aim of treatment is to bring the blood glucose level rapidly back up to target before neuroglycopenic effects occur, but without overcompensating and causing high blood glucose levels afterwards. Approximately 15-20g of rapid-acting carbohydrate should be taken orally.

What are the 4 types of nursing diagnosis?

There are 4 types of nursing diagnoses according to NANDA-I. They are: Problem-focused. Risk....Problem-focused diagnosis. A patient problem present during a nursing assessment is known as a problem-focused diagnosis. ... Risk nursing diagnosis. ... Health promotion diagnosis. ... Syndrome diagnosis.

How do you write a nursing diagnosis?

A nursing diagnosis has typically three components: (1) the problem and its definition, (2) the etiology, and (3) the defining characteristics or risk factors (for risk diagnosis). BUILDING BLOCKS OF A DIAGNOSTIC STATEMENT. Components of an NDx may include problem, etiology, risk factors, and defining characteristics.

How do you write a nursing care plan?

Nursing care plans follow a five-step process: assessment, diagnosis, outcomes, implementation, and evaluation.Assess the patient. The first step to writing a care plan is performing a patient assessment. ... Make a diagnosis. ... Set goals and outcomes. ... Determine nursing interventions. ... Evaluate the plan.

What are the three classic signs of hypoglycemia?

Initial signs and symptoms of diabetic hypoglycemia include: Looking pale (pallor) Shakiness. Dizziness or lightheadedness.

What are the 3 signs of hyperglycemia?

SymptomsFrequent urination.Increased thirst.Blurred vision.Fatigue.Headache.

Which of the following are signs and symptoms of hypoglycemia?

Signs and symptoms of low blood glucose(happen quickly)Feeling shaky.Being nervous or anxious.Sweating, chills and clamminess.Irritability or impatience.Confusion.Fast heartbeat.Feeling lightheaded or dizzy.Hunger.More items...

What is hypoglycemia in diabetes?

What is Hypoglycemia? Hypoglycemia, or low blood glucose, happens when blood glucose levels drop too low. For most people with diabetes this means a glucose less than 70 mg/dl. Hypoglycemia can be caused by skipping a meal or a snack, eating less than usual, taking too much diabetes medication, or more exercise than usual.

How to treat low blood sugar?

How to treat a low blood sugar: Step 1: Check your glucose. If your glucose is between 51-70 mg/dl, eat or drink 15 grams of carbohydrate to raise glucose. If you your glucose is less than 50 mg/dl, take 30 grams of carbohydrate. Good sources of 15 grams fast acting carbohydrate are: Step 2: Wait 15 minutes, and check your glucose.

How to treat low blood sugar with a carbohydrate diet?

If your blood sugar is still below 70 mg/dl, eat another 15 grams of fast acting carbohydrate food. If you still do not feel better, call your doctor. Step3: Eat a meal or snack 30-60 minutes after treating low blood sugar.

Pathophysiology

Hypoglycemia occurs when the blood glucose levels drop below 70mg/dL. Once this happens, the counterregulatory hormones stimulate the autonomic nervous system to elicit a response such as tremors, sweating, irritability, tachycardia and hunger.

Etiology

Causes of hypoglycemia are varied, but it is seen most often in diabetic patients. This condition typically arises from abnormalities in the mechanisms involved in glucose homeostasis. The most common cause of hypoglycemia in patients with diabetes is injecting a shot of insulin and skipping a meal or overdosing insulin

Desired Outcome

The patient is expected to have blood glucose levels above 70 mg/dL and the patient should be able to recognize signs and symptoms of low blood glucose.

HYPOGLYCEMIA IN DIABETES

The topic of hypoglycemia in diabetes has been reviewed in detail recently ( 1, 11 ). The clinical syndrome is most convincingly documented by Whipple’s triad ( 12 ): symptoms consistent with hypoglycemia, a low plasma glucose concentration, and relief of those symptoms when the plasma glucose concentration is raised.

QUESTIONS

The Workgroup first established a set of guiding principles regarding the ideal definition of hypoglycemia in individuals with diabetes.

APPENDIX

Belinda P. Childs, ARNP, MN, CDE; Nathaniel G. Clark, MD, MS, RD; Daniel J. Cox, PhD; Philip E. Cryer, MD (chair); Stephen N. Davis, MD, Monica M. DiNardo, MSN, CRNP, CDE; Richard Kahn, PhD; Boris Kovatchev, PhD; and Harry Shamoon, MD.

Article Information

The meeting of this workgroup and the resulting report were made possible by unrestricted educational grants from Abbott Diabetes Care, Amylin Pharmaceuticals, Eli Lilly and Company, LifeScan, Medtronic Diabetes, and Novo Nordisk Pharmaceuticals. The authors acknowledge the review and comments on the manuscript by Scott Jacober, DO, CDE; David L.

Nursing Diagnosis

Risk for unstable blood glucose level related to inadequate glucose supply as evidenced by dizziness, fatigue, and tachycardia.

Nursing Diagnosis

Risk for injury related to inadequate glucose supply as evidenced by dizziness and disorientation.

Nursing Diagnosis

Lack of knowledge on diabetes management related to episodes of hypoglycemia as evidenced by unawareness about the implications of skipping a meal

Nursing interventions for lack of knowledge with rationales

To conclude, hypoglycemia is a common problem among diabetic patients. As a nurse, you must quickly identify and treat appropriately for hypoglycemia.

What is hypoglycemia in the brain?

Inference. Hypoglycemia is a condition when there is inadequate blood glucose supply for the body’s energy consumption needs. A blood glucose level of below 60mg/dl can define this condition and it is primarily due to an underlying disease, called diabetes mellitus. In connection, glucose is an essential component of the brain’s activity.

What is the meaning of "signs and symptoms of hypoglycemia, insulin peak and action#N#

-signs and symptoms of hypoglycemia, insulin peak and action#N#-preventive measures and compliance to regular blood glucose monitoring#N#-compliance to diet , exercise, and medication regimens#N#-to carry an identification badge or Medic alert bracelet so that during times of emergency, proper care can be provided immediately

What happens if you don't have enough glucose in your brain?

If the brain is deprived of glucose for a long time, the brain cells can be destroyed leading to permanent brain damage (coma), memory loss, and decreased learning ability.

What are the symptoms of a pounding pulse?

Difficulty concentrating, changes in behavior like irritability. Diaphoresis, cold clammy skin. Sleeplessness, confusion. A rapid, pounding pulse. These manifestations may vary in every individual, so they should take note of it to determine their symptoms.

Is diabetes mellitus a disease?

Digg. Hypoglycemia is not a disease but a condition, which is brought about by underlying comorbidity called Diabetes Mellitus. It is a result of several situations like an overdose of insulin, or oral hypoglycaemic agents, delay in eating or taking less food than usual, alcohol intake, nutritional imbalance, or overexertion from vigorous exercise ...

Is chocolate fast acting?

-Fast-acting sugar or simple sugars are easily digested and absorbed compared to complex sugars. If necessary, do not give chocolates since it requires a longer time to be absorbed in the body and at the same time, it has unnecessary fats.

What to do if you have a history of hypoglycemia?

Emphasize the benefits of eating right and on time. Explain the need to eat carbohydrate-rich food before exercising. If your patient has a history of hypoglycemia, advice the patients to be ready with candies or chocolates in case of symptoms appear.

What is hypoglycemia on Tumblr?

Tumblr. Telegram. Mix. Digg. Hypoglycemia refers to low blood sugar or glucose reading in the blood. The severity of its symptoms may seem like diseases but it is not. Hypoglycemia is a sign of an underlying health problem. Most of the time, this condition occurs in medication dependent diabetic patients.

How to prevent unstable glucose levels?

Acknowledge factors that may lead to unstable blood glucose. Verbalize understanding of body and energy needs. Verbalize plan for modifying factors to prevent/minimize shifts in glucose level. Maintain glucose in a satisfactory range.

Can insulin-dependent patients have hypoglycemia?

Patients taking oral hypoglycemic agents and insulin-dependent patients are at risk for hypoglycemia. Hypoglycemia may also occur in people without diabetes, as well. It may be due to the sudden decrease in food intake or excessive use of energy.