Diabetes nurse

A new chapter opener describes the work and career of a diabetes nurse. 

Type 2 diabetes Nurse s Heaith Study Lower RR with increased dietary fiber Salmeron et at. (1997a) Dietary fiber, glycemic load, and risk of non-insulin-dependent diabetes mellltus In women. JAMA 2TT M2.-ATI. 

Type 2 diabetes Nurse s Heaith Study Lower RR with increased whoie grains Liu et ai. (2000) A prospective study of whole-grain intake and risk of type 2 diabetes mellitus in US women. American Journai of Public Health 90 1409-1415. 

The hydantoins may affect the blood glucose levels. In some patients these drugs have an inhibitory effect on the release of insulin in the body, causing hyperglycemia The nurse closely monitors blood glucose levels, particularly in patients with diabetes. The nurse reports any abnormalities to the primary health care provider. 

List some nursing diagnoses particular to a patient taking an anti diabetic drug. 

Nursing management of a patient with diabetes requires diligent, skillful, and comprehensive nursing care... 

Insulin is available in concentrations of U100 and U500. The nurse must read the label of die insulin bottle carefully for the name, source of insulin (eg, human, beef, pork, beef and pork, purified beef), and die number of units per milliliter (U/ mL). The dose of insulin is measured in units (U). U100 insulin has 100 units in each milliliter U500 has 500 units in each milliliter. Most people with diabetes use the U100 concentration. Fhtients who are resistant to insulin and require large insulin doses require the U500 concentration. 

If the patient has recently received a diagnosis of diabetes mellitus and has not received an oral antidiabetic drug, or if the patient is known to have diabetes and has been taking one of these drags, the nurse should include weight, blood pressure, pulse, and... 

The nurse encourages the patient to talk about die disorder, express concerns, and ask questions. Allowing diese patients time to talk may help them begin to cope with their diabetes. 

MANAGING LACTIC ACIDOSIS. When taking metformin, the patient is at risk for lactic acidosis. The nurse monitors die patient for symptoms of lactic acidosis, which include unexplained hyperventilation, myalgia, malaise, gastrointestinal symptoms, or unusual somnolence If the patient experiences these symptoms, the nurse should contact the primary care provider at once. Elevated blood lactate levels of greater than 5 mmol/L are associated with lactic acidosis and should be reported immediately. Once a patient s diabetes is stabilized on metformin therapy, the adverse GI reactions that often occur at the beginning of such therapy are unlikely to be related to the drug therapy. A later occurrence of GI symptoms is more likely to be related to lactic acidosis or other serious disease. 

If the diagnosis of diabetes mellitus is new, the nurse discusses the disease and methods of control... 

Before administering die first dose of vasopressin for die management of diabetes insipidus, die nurse takes die patient s blood pressure, pulse, and respiratory rate. The nurse weighs the patient to obtain a baseline weight for future comparison. Serum electrolyte levels and odier laboratory tests may be ordered by die primary health care provider. 

Thyroid hormone replacement therapy in patients with diabetes may increase the intensity of the symptoms or the diabetes. The nurse closely monitors the patient with diabetes during thyroid hormone replacement therapy for signs of hyperglycemia (see Chap. 49) and notifies the primary health care provider if this problem occurs. 

GN Glomerulonephritis graduate nurse IDDM Insulin-dependent diabetes mellitus... 

Individuals with diabetes should receive medical care from a team coordinated by a physician. Such a physician-coordinated team may include nurses, a dietician and a pharmacist preferably trained as diabetes educators. The management plan should be discussed with the patients and their family, and prescribed as individualized therapeutic plans. 

Trinidad. Hot water extract of the lead is taken orally to increase milk supply of nursing mother. On first day, the mother drinks tea of Stachytarpheta jamaicensis leaves, on the second day, she drinks tea made from olive leaves and milk, and on the third day she will be able to nurse the baby . Tunisia. Extract of the dried leaf is taken orally for diabetes and as a hypotensive . Turkey. The fruit is used externally as a skin cleanser ". 

---