糖尿病护理（Diabetes care）.docVIP

糖尿病护理（Diabetes care） Nurse * *: diabetes is a chronic blood glucose (the blood sugar) characterized by elevated levels of metabolic diseases, can cause multi system damage and cause eye, kidney, nerve, heart, blood vessels and other tissues in chronic lesions. Treatment methods are: general treatment, that is, diabetes education, diet treatment, physical exercise, oral hypoglycemic drugs, insulin treatment, pancreas and islet transplantation. Today, nursing rounds are conducted with 45 bed patient Du Xianzhen as an example to discuss the care of diabetic patients. Ask the responsible nurse for medical history first. The nurse patient X: women, 68 years old, because of thirst, polydipsia 10+ chills, fever 1+ weeks, disturbance of consciousness for a long time, was admitted to hospital on December 31, 2006, car into the ward, passive posture, lethargy, bilateral pupil big round about 3mm, sensitive to light reflex, T36 C, P98. R20, BP140/90mmHg, 52mmol/L, blood glucose, systemic edema, urinary retention, oxygen inhalation compliance 3 L / min, hypoglycemic, anti-inflammatory, rehydration, maintaining water and electrolyte balance, the catheter, the air cushion bed, is currently in a stable condition, blood glucose 13mmol/L. Nurse: Please * * * * million nurses according to the history and the present nursing problem. Nurse 000 * *: the patients nursing problems: P1, nutritional disorders: the amount needed for the body - and lack of insulin in the body, glucose can not make full use of or control improper diet. P3, lack of disease knowledge, and lack of information sources. P4, infection is related to hyperglycemia, microcirculation disturbance and weakened organism defense function. P5, potential complications, ketoacidosis are related to insulin disruption or lack of dose, improper diet, infection, and various stress reactions. Nurse * *: please ask the nurse to talk about the patients nursing measures. What * * n: I1: according to the patients weight and ideal refe