China is a country that has a high rate of Diabetic. There are about over 30 million patient with diabetic, with 90% of them II Diabetes. For the patients with II Diabetes have no typical symptoms of “eating much, drink much, urinate much and light weight”, about 67% of the patient are not diagnosed yet.
Even of those patients that have been diagnosed of Diabetes, only a quarter has done the test of urinary microalbuminuria to discover diabetic nephropathy as soon as possible. At the same time, about half of the diabetic have hypertension, and they often ignore the protection of kidney while taking depressurization medicine.
The nursing care plan for people with Diabetics
1. Management of blood glucose
Fluctuating blood glucose is an independent risk factor for diabetics on dialysis. Presence of hypoglycemia will cause such symptoms as headache, sweating, hunger, irritation, barylalia, etc. Observe if the patient has any sign of hypoglycemia during dialysis. Prepare one or several candies for emergency use. Management of blood glucose helps to reduce risks of diabetic complications.
2. Management of high blood pressure
Healthy kidneys help to regulate blood pressure. Diseased kidneys will cause high blood pressure. Insufficiency in removing excessive water during dialysis will increase BP level. For people on maintenance dialysis, high blood pressure can worsen kidney condition and increase risks of heart disease and other vial complications. Monitoring blood pressure before, during and after dialysis is recommended; those on anti-hypertensive medicines are suggested to test BP for several more times during dialysis to evaluate if BP is controlled well.
3. Keep track of the intake of water and sodium
Keep a record of 24h urine output and the intake of sodium and fluid. Generally, it is suggested that daily fluid intake should be 500ml+ the urine output the day before.
If you have any question, you can ask our online doctor or send us an email to kidneycares@hotmail.com. We will reply you as soon as possible.
