Question

Discharge education on Insulin pumps usages?

11- Assessing diabetes mellitus pts after surgical procedure?

12- Assessment of DM pts who is experiencing numbness and reduced sensation?

Answer 1

Diabetes Mellitus is a metabolic disorder in which the blood sugar level remains elevated.

diabetic people face more problem during surgery than a normal individual, especially when there is less tendency to control blood sugar level or had a history of neuropathy and nephropathy.

assessment of the RISKS ARE:

1. Hyperglycemia and hypoglycemia are the two main risks that can appear followed by a surgical procedure in a diabetic patient.

2.slow wound healing or poor wound healing due to elevated sugar level.

3. Infection or recurrent infection can occur in a patient with diabetes, such as pneumonia and UTI.

4. Diabetic ketoacidosis

5. Electrolyte imbalance in which increase or decrease the amount of potassium and sodium can occur.

These risks should be assessed in the patient after the surgical procedure if any occur it should be managed as soon as possible.

12. ANSWER

Chronically high blood sugar and diabetes may cause peripheral neuropathy which may lead to nerve damage.it is considered as the most common complication of diabetes in which numbness in hand, feet, and legs occur with or without pain in legs and hands,

it is the inevitable nerve damage that occurs in 60 % to 70 % of the individual with high blood sugar level, the complication of nerve damage can be avoided by keeping blood sugar level in normal range.

many complications can arise such as numbness in feet, hands, no sensation of heat and cold in the peripheral body part and also cuts and sores went unnoticed due to numbness, if proper care and treatment of wound at the numb site are done properly, it can lead to a foot ulcer.

assessment is done by full medical examination and neurological examination

NEUROLOGICAL EXAMINATION is done to check the reflexes, muscle strength, posture, and coordination.

OTHER LAB TEST INCLUDES

A Blood test for an autoimmune disease, blood glucose level.

Nerve function test,  skin biopsy, and the Nerve biopsy are performed to check the functioning of nerves.

after assessment medication, treatment and other therapy should be provided to reduce the risk of peripheral neuropathy.