Ineffective Breathing Pattern - Nursing Care Plan for Diabetic Ketoacidosis
Nursing Care Plan for Diabetic Ketoacidosis
Diabetic ketoacidosis is a state of urgency, or acute from Type I diabetes, is caused by the increased acidity of body ketone bodies due to a lack or deficiency of insulin, with characteristic hyperglycemia, acidosis, and ketones due to a lack of insulin (Stillwell, 1992).
Signs and symptoms
Ineffective Breathing Pattern related to a decreased ability to breathe
Expected outcomes:
Intervention:
Diabetic ketoacidosis is a state of urgency, or acute from Type I diabetes, is caused by the increased acidity of body ketone bodies due to a lack or deficiency of insulin, with characteristic hyperglycemia, acidosis, and ketones due to a lack of insulin (Stillwell, 1992).
Signs and symptoms
- Polyuria
- Polydipsia
- Blurred vision
- Weak
- Headache
- Orthostatic hypotension (decrease in systolic blood pressure of 20 mmHg or more when standing)
- Anorexia, Nausea, Vomiting
- Abdominal pain
- Hyperventilation
- Changes in mental status (unconscious, lethargic, coma)
- High blood sugar levels (over 240 mg / dl)
- There are ketones in the urine
- Breath smelling of acetone
- Ileus can occur secondary to the loss of K + due to osmotic diuresis
- Dry skin
- Sweat
- Kusmaul (rapid, deep) because of metabolic acidosis
Ineffective Breathing Pattern related to a decreased ability to breathe
Expected outcomes:
- Regular breathing pattern.
- Respiration rate back to normal.
- Easy to breathe.
Intervention:
- Assess respiratory status by detecting pulmonary.
- Give chest physiotherapy including postural drainage.
- Suction to discharge mucus.
- Identification capability and provide confidence in breathing.
- Collaboration in the provision of medical therapy.
