Nursing care of Diabetes Mellitus with Ketoacidosis in Childhood : Case Study

Abstract

A 13 years old Thai male, No history of DM. to hospitalization in King Narai Hospital on 1 March 2017 by refer from community hospital due to unconsciousness. Respiratory failure was show. Intubation and ventilator were done for respiratory support. DTX high. DM and Diabetes ketoacidosis were diagnosis.

Tissue hypoxia from acidosis and electrolyte imbalance were shows. Nursing care plan to standardization respiratory  care, intraveneous insulin administration, contineous closely blood sugar level monitoring and ventilator associated pneumonia prevention. Then patient was better conscious and stability condition;  weaning protocol was done and extubation was successes. Dischange planning were performed during rehabilitation to prevented long term complication under multidisplinary care team. Nursing care plan to care giver empowerment for promoted patient and family’s self care ability. Dischage date on 11 March 2017. Length of stay were 11 days.

To implements nursing care in this case, nurses must uses knowledge and experience to assess DTX. This is especially important for pediatric patients with respiratory failure who haven’t had previous respiratory problems. Checking DTX in necessary. Other than nurses must demonstrate competency in education and empowerment pediatric DM patients and families for adaptation, life style change, complication prevent, collaborative with multidiscipline team and evaluate continuous holistic care for a better quality of life in their environment.