(1)Polyuria with possible involuntary urination of children at night.
(2)Polydipia( Increased thirst)and polyphagia.( Excessive hunger)
(3) Blurred vision.
(4) Noticeable weight loss.
(5)Dry skin.
(6)Fatigue. (Extreme mental and physical tiredness)
NURSING RESPONSIBILITIES:
(1)Keep side rails up to prevent falls. Pad the hard surface floor to prevent physical injuries. Monitor intake and output. Give adequate fluids and IV fluids.Document what goes in and what comes out.
(2) Monitor vital sign to prevent hypotension,and cardiac issues.
(3)Monitor levels of consciousness. and assessment of neurological status.
(4) Monitor laboratory tests for hypokalemia, low blood sugar.
(5) Give low dose of insulin as ordered by the doctor.
(6)Encourage frequent ambulation and turn and reposition to maintain skin integrity.
(7) Education, education and education of patient family and patient. What are their level of education, experiences and learning needs. Do not judge them,educate them.Each individual stresses differently, so minimize their stress from lack of knowledge.
(8) Assessment of their psychological and emotional needs is very important because the initiatial diagnosis will be shocking them and can lead to panic, fears and uncertainty.
(9) Provide a positive environment for learning. Educate them on what to do such as monitor blood sugar, hypoglycemia and hyperglycemia signs,insulin injection, meal planning, skin care and exercise.
(10)Teach one skill at a time to prevent learning exhaustion and not more than 15 to 20minutes for each session. Information should be very simple to understand. From the known to the unknown,that is from simple to complex.
Nurses You Move Me 