The Tired Swimmer

Medical/Nursing Management:

Monitor vital signs, note the presence of orthostatic blood pressure: Hypovolemia can be manifested by hypotension and tachycardia. Weight can be increased with normal laboratory values ​​and no signs of malnutrition: Demonstrate behaviors, lifestyle changes to improve and maintain a proper weight. Observation for signs of infection. Assess the level of knowledge.

Medical/Nursing Management:

Monitor vital signs, note the presence of orthostatic blood pressure: Hypovolemia can be manifested by hypotension and tachycardia. Weight can be increased with normal laboratory values ​​and no signs of malnutrition: Demonstrate behaviors, lifestyle changes to improve and maintain a proper weight. Observation for signs of infection. Assess the level of knowledge.

Nursing Diagnosis:

Fluid volume deficit, Imbalanced nutrition, less than the body requirements, Rik for infection, Fatigue, Knowledge deficit.

Nursing Diagnosis:

Fluid volume deficit, Imbalanced nutrition, less than the body requirements, Rik for infection, Fatigue, Knowledge deficit.

Goals: Weight WNL,

HbA1C <6.5%

V/S WNL

Total cholesterol < 200, LDL < 100

Triglycerides < 200 HDL > 35(men) >45(women)

Goals: Weight WNL,

HbA1C <6.5%

V/S WNL

Total cholesterol < 200, LDL < 100

Triglycerides < 200 HDL > 35(men) >45(women)

Pathophysiology:

Peripheral resistance to insulin, especially in muscle cells.

Increase production of glucose by the liver.

Altered pancreatic insulin secretion.

Pathophysiology:

Peripheral resistance to insulin, especially in muscle cells.

Increase production of glucose by the liver.

Altered pancreatic insulin secretion.

Clinical Manifestations:

Polyuria, Polydipsia, Polyphagia, Progressive cachexia, increasing in specific gravity of urine, blurred vision, Slow healing sores or frequent infections, Area of darkened skin, Weight loss, Fatigue.

Clinical Manifestations:...