SUBJECTIVE DATA

OBJECTIVE DATA

ANALYSIS OF DATA

PLAN & EXPECTED OUTCOME

NURSING INTERVENTIONS

SCIENTIFIC EBP RATIONALE 1

Nursing Diagnosis: Imbalanced Nutrition: less than body requirements related to inability to utilize nutrients to meet metabolic needs as evidenced by increased urination Mataas talaga Insulin is a hormone that The patient will verbalize Weigh client each visit. Increased regulates the metabolism of sugar ko pag Weigh gain is the key index for nagbubuntis, as fsg levels carbohydrates, fats and starches understanding of individual And encourage client to deciding caloric adjustments verbalized by the in the body by controlling the treatment regimen and need periodically monitor for frequent self-monitoring client Increased blood glucose level. In weigh at home rd deficiency in insulin production, by the 3 day of nursing urination the glucose level build up in the interventions blood and urine, causing The patient will maintain excessive urination, thirst, Assess caloric intake and Aids in evaluating clients hunger, and problems with fat fasting serum glucose levels dietary pattern using 24understanding of and/or adherence to and protein metabolism. between 60-100 mg/dL hour recall (Microsoft Encarta Refence dietary regimen regularly after 1 week of Library 2004) nursing intervention Review/provide info regarding any required changes in diabetic management like change in diet or insulin injecting or fsg self-monitoring Metabolism and fetal/maternal needs change greatly during gestation, requiring close monitoring and adaptation. Research suggests antibodies against insulin may cross the placenta, causing inappropriate fetal weight gain

Teach client finger-stick method for self-monitoring of glucose. Have client demonstrate procedure

Insulin needs for the day can be adjusted based on periodic serum glucose reading.

Recommend monitoring urine for ketones on awakening and when a planned meal or snack is delayed

Insufficient caloric intake is reflected by ketanoria, indicating need for an increase of carbohydrates or addition of an extra snack in the dietary plan