Nursing Interventions
This is the first nursing priority when treating a patient in DKA or HHS.
initiating IV fluid to rehydrate the patient.
This pancreatic cell secretes insulin.
beta cell
Patients should be taught to check blood glucose at this time every night.
bedtime
This condition is most commonly seen in Type 2 diabetes.
HHS
This chronic complication causes numbness and tingling in the feet.
diabetic neuropathy
This type of insulin is administered as a continuous IV infusion during DKA.
regular insulin
This pancreatic cell secretes glucagon to raise blood glucose levels.
alpha cell
Patients with diabetes should never stop this medication during illness.
insulin
Ketone production is a key feature of this condition.
DKA
This tool is used to assess protective sensation in diabetic patients.
monofilament
This electrolyte must be closely monitored because insulin shifts it into cells
potassium
This condition is more commonly associated with Type 1 diabetes.
diabetic ketoacidosis
This daily self-care practice helps prevent diabetic foot complications.
daily foot inspection
This condition typically has a higher mortality rate.
HHS
This organ system is assessed by monitoring creatinine levels in HHS.
the kidneys
This assessment helps detect early neurological complications during DKA treatment
frequent neurological checks
This condition is characterized by severe hyperglycemia without ketosis.
hyperosmolar hyperglycemic state
This action should be taken if a patient has vomiting and persistent hyperglycemia.
notifying the healthcare provider
This IV fluid is used first in both DKA and HHS.
0.9% normal saline
This finding may indicate poor perfusion in severe hyperglycemia.
altered mental status
This action should be taken if a patient’s potassium level is below 3.3 mEq/L.
holding insulin and replacing potassium
This breathing pattern is commonly seen in patients with DKA.
Kussmaul respirations
This footwear recommendation helps prevent foot ulcers in diabetic patients.
properly fitted shoes
This complication can occur if glucose levels are lowered too rapidly.
cerebral edema
This long-term complication can result from uncontrolled diabetes and poor foot care.
amputation