Nursing Care Plan for Hypoglycemia
Activity Intolerance related to imbalance of oxygen supply and demand, weakness.
Defining characteristics:
- Fatigue and weakness.
- The response to activity indicates abnormal pulse and blood pressure.
- Changes in ECG showed arrhythmia / dysrhythmia.
- Dyspnea and discomfort.
- Agitated.
with expected outcomes:
Activity Tolerance:
- Oxygen saturation within normal limits when activity.
- HR in the normal range when the activity.
- Respiration in the normal range when the activity.
- Systolic blood pressure in the normal range when the activity.
- Diastolic blood pressure in the normal range when the activity.
- ECG within normal limits.
- Skin color.
- Breathing efforts when the activity.
- Walking in the room.
- Walk away.
- Climbing up the stairs.
- ADL strength.
- The ability to talk while exercising.
Interventions :
Therapeutic Activities:
- Note the frequency of heart rhythm, changes in blood pressure before, during and after activity as indicated.
- Increase rest, limit activity and provide leisure activities that are not heavy.
- Limit visitors.
- Monitor response to emotional, physical, social and spiritual.
- Describe the pattern of a gradual increase in activity.
- Help clients recognize a meaningful activity.
- Help clients know the options for activity.
- Determine the client's commitment to increase the frequency of the activity.
- Collaboration related to the physical, recreational therapy, proper supervision activity program.
- Help the client make a specific plan for the transfer of routine daily activity.
- Help the client / family know all the quality of a shortage of activity.
- Train the client / family about the role of physical, social, spiritual, sense activity in health care.
- Help the client / family environment with a desire to adjust the activity.
- Provide activities that increase attention in a certain period.
- Facilitation replacement activity when the client has passed the deadline, energy and movement.
- Provide an environment that is not harmful to walk as indicated.
- Provide positive reinforcement for participation in the activity.
- Help the client generates its own motivation.
- Monitor the emotional, physical, social, and spiritual activities.
- Help the client / family getting monitor progress toward achieving the goal.
Energy Management :
- Observation of the client restrictions in activity.
- Encourage to express feelings towards limitations.
- Assess the factors that cause fatigue.
- Monitor nutrition and adequate sources of energy.
- Monitor the client for physical fatigue and emotional excess.
- Monitor the cardiovascular response to activity.
- Monitor patterns of sleep and duration of sleep / rest.
- Knowing for certain clients and families who have a history of heart.
- Monitor and check oxygenation deficiency, acid-base balance, electrolytes.
- Record ECG.
- Advise the client to break every attack.
- Record the frequency and duration of the attack.
- Monitor hemodynamic status.
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