Hypoglycemia, also known as low blood sugar or low blood glucose, is when blood sugar decreases to below normal.
The most common cause of hypoglycemia is medications used to treat diabetes mellitus such as insulin, sulfonylureas, and biguanides. Risk is greater in diabetics who have eaten less than usual, exercised more than usual, or drunk alcohol. Other causes of hypoglycemia include kidney failure, certain tumors, liver disease, hypothyroidism, starvation, inborn error of metabolism, severe infections, reactive hypoglycemia, and a number of drugs including alcohol.
This may result in a variety of symptoms including clumsiness, trouble talking, confusion, loss of consciousness, seizures, or death. A feeling of hunger, sweating, shakiness, and weakness may also be present. Symptoms typically come on quickly. (wikipedia)
Activity Intolerance - 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.
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.
Dysrhythmia Management :
- 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.
