Question

Discuss the nursing implications for insulin and oral hypoglycemic agents used to treat clients with diabetes mellitus.

Use the nursing process as a framework for providing individualized care to clients with diabetes mellitus.

Answer 1

Nursing Implication for insulin and hypoglycemic agents:

• Monitor the blood glucose level and noted for abnormal glucose level and information to the physician.
• Administer diabetic medication as per the physician order.
• If the diabetic order is through phone check twice by saying the units in numbers.
• Explain the patient about the nature of the oral hypoglycemic agents before administration.
• Inform to recognize the symptoms of hypoglycemia.
• Follow the guidelines for insulin administration.
• Educate the client about the type, storage, and route of administration.
• Explain about the diet plan, exercise based on the individual needs.

Nursing process for the patient with diabetes mellitus:

Assessment	Nursing diagnosis	Goal	Planning	Intervention	Evaluation
pain Thirst Dehydration	Risk for impaired skin integrity related to diabetic neuropathy, as a result, decreased tissue perfusion.	To maintain normal skin integrity	Assess neurological status. Maintain hydration status. Assess the extremity pulses, color, temperature, and sensation.	Assessed the neurological status Maintained the hydrological status Assessed the extremities.	Maintain intact skin without dryness.
weight loss	Imbalanced nutrition related to diabetes as evidenced by insulin, physical therapy.	To maintain normal nutritional status.	Assess the nutritional status of the client. Check daily weight. Maintain the diet plan	Assessed the nutritional status of the client. Monitored daily weight. Maintained diet plan.	The client has attained the normal nutritional status.
lack of knowledge	Deficient knowledge related to insulin therapy	To improve knowledge related to insulin therapy.	Assess the level of knowledge of diabetes. Explain about the insulin therapy explain about the complication of insulin.	Patient knowledge has been assessed. Explained about the insulin therapy. explained about the complication of insulin.	The client has gained knowledge of insulin therapy.