NCP for Hypoglycemia - Nursing Diagnosis and Interventions

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NCP for Hypoglycemia - Nursing Diagnosis and Interventions

Nursing Care Plan for Hypoglycemia

Hypoglycemia is a condition where the fasting plasma blood sugar levels less than 50 mg /%.

Populations that have a high risk of experiencing hypoglycemia are:

• Diabetes mellitus.
• Parenteral nutrition.
• Sepsis.
• Enteral feeding.
• Corticosteroid therapy.
• Infants with mothers with diabetic.
• Infants, with small for gestational age.
• Infants whose mothers drug addiction.
• Burns.
• Cancer of the pancreas.
• Addison's disease.
• Hyperfunctioning adrenal glands.
• Liver disease.

Type of hypoglycemia are classified into several types namely:

• Early neonatal transitional: large size or normal baby, with damage to the pancreatic production system, resulting in hyper-insulin.
• Classic Transient Neonatal: occurs when infants are malnourished, so the deficiency of fat and glycogen reserves.
• Secondary: as a response to the stress of the newborn resulting in increased metabolism that requires a lot of glycogen reserves.
• Recurrent: caused by the enzymatic breakdown, or impaired insulin metabolism.

Assessment

Basic data that needs to be examined are:
1. The main complaint: often unclear, but usually symptomatic, more frequent hypoglycemia and a secondary diagnosis that accompanies other previous complaints such as asphyxia, seizures, sepsis.

2. History:

• ANC.
• Perinatal.
• Post natal.
• Immunization.
• Diabetes mellitus in the elderly / family.
• The use of parenteral nutrition.
• Sepsis.
• Enteral feeding.
• Use of Corticosteroid therapy.
• Mothers who use or drug addiction.
• Cancer.

3. Focus Data
Subjective Data:

• Often entered with complaints that are not clear.
• Complaining baby cold sweat that much.
• Hunger (babies often cry).
• Headache.
• Frequent yawning.
• Irritabel.

Objective data:

• Parestisia on the lips and fingers, restlessness, nervousness, tremors, convulsions, stiff,
• Hight-pitched cry, lethargy, apathy, confusion, cyanosis, apnea, irregular rapid breathing, sweating, eye circles, refusing to eat and coma.
• Plasma glucose less than 50 g /%.

Nursing Diagnosis and Interventions

1. Risk for complications
related to lower plasma glucose levels such as mental disorders, behavioral disorders, autonomic nerve function disorders, hypoglycemic coma

Interventions:

• Check serum glucose before and after meals.
• Monitor: glucose, pallor, cold sweat, skin moist.
• Monitor vital signs.
• Monitor consciousness.
• Monitor sign of nerves, irritability.
• Perform oral administration of sweet milk 20 cc X 12.
• Analysis of environmental conditions that could potentially cause hypoglycemia.
• Weight checks every day.
• Check for signs of infection.
• Avoid the occurrence of hypothermia.
• Collaborate provision of oxygenation.

2. Risk for infection
related to a decrease in endurance

Inerventions:

• Perform maintenance procedures hands before and after the action.
• Ensure that every object that is used in contact with baby be clean or sterile.
• Prevent contact with others who suffer from respiratory tract infections.
• Note the condition of the baby feces.
• Encourage families to follow aseptic procedures septic.
• Give antibiotics as profolaksis in accordance with the order.

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