Posted: March 18th, 2023

Comparison of Acute Complications of Diabetes

Comparison of Acute Complications of Diabetes Hypoglycemia Diabetic Ketoacidosis Hyperosmolar Hyperglycemic Nonketotic syndrome Clinical Manifestations Diagnostic Data

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Interventions Patient Teaching See attached doc for the detail worksheet. Fill out the Table below comparing the Acute Complications of Diabetes.

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Citations and references required List Clinical Manifestations that may be observed. - 1 Indicates diagnostic Data used to monitor the exemplar. - 1 Identify nursing and medical interventions that may be used to treat the exemplar, Including medications. - 2 Identify patient teaching for patients with the conditions. - 1 Total - 5 Comparison Of Acute Complications Of Diabetes ________________________- Clinical Manifestations Hypoglycemia Diabetic Ketoacidosis Hyperosmolar Hyperglycemic Nonketotic syndrome Symptoms Shakiness, palpitations, sweating, anxiety, confusion, seizures Thirst, polyuria, abdominal pain, nausea, vomiting, fruity breath, Kussmaul respirations, confusion Weakness, altered mental status, seizures, coma, polyuria, polydipsia, blurry vision Signs Tachycardia, tachypnea, cool and clammy skin, altered mental status Dehydration, hypotension, tachycardia, Kussmaul respirations, fruity breath Dehydration, hypotension, tachycardia, altered mental status, coma Diagnostic Data Hypoglycemia Diabetic Ketoacidosis Hyperosmolar Hyperglycemic Nonketotic syndrome Blood glucose level < 70 mg/dL > 250 mg/dL > 600 mg/dL Arterial blood gas (ABG) Not routinely indicated, may show low blood glucose and high lactate levels pH < 7.3, low bicarbonate levels, high anion gap pH > 7.3, high serum osmolality, elevated blood glucose Serum electrolyte levels Normal or low potassium, low sodium, low magnesium, low phosphate Low potassium, low sodium, low bicarbonate, high anion gap, high ketones High sodium, high osmolality, high glucose, elevated serum urea nitrogen (BUN) and creatinine

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Interventions Hypoglycemia Diabetic Ketoacidosis Hyperosmolar Hyperglycemic Nonketotic syndrome Medical Administer fast-acting glucose, glucagon, IV dextrose Administer IV fluids, insulin, electrolyte replacement Administer IV fluids, insulin, electrolyte replacement, correct underlying cause Nursing Monitor blood glucose, vital signs, neurologic status, administer medications and treatments as ordered Monitor blood glucose, vital signs, ABG, electrolyte levels, administer medications and treatments as ordered Monitor blood glucose, vital signs, ABG, electrolyte levels, administer medications and treatments as ordered Patient Teaching Hypoglycemia Diabetic Ketoacidosis Hyperosmolar Hyperglycemic Nonketotic syndrome Prevention and recognition of hypoglycemia symptoms, carry fast-acting glucose, regular monitoring of blood glucose levels Importance of insulin compliance, recognition of DKA symptoms, regular monitoring of blood glucose levels Importance of fluid intake and recognition of symptoms of dehydration and hyperglycemia, regular monitoring of blood glucose levels References: American Diabetes Association. (2021). Standards of Medical Care in Diabetes—2021. Diabetes Care, 44(Supplement 1), S1-S232. Kitabchi, A. E., Umpierrez, G. E., Miles, J. M., & Fisher, J. N. (2009). Hyperglycemic crises in adult patients with diabetes. Diabetes Care, 32(7), 1335-1343.

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