Help Quick! DKA nursing dx!

[nurseshawna]

I have a 15 yr old patient with DKA. For the life of me, I cannot figure out a nursing dx for her. My book lists a couple, but they refer mainly to new dx's of DM, which this is not. My care plan book has:

Body temperature alteration, risk for related to decreased sensitivity of thermoreceptors.

Fluid volume deficit related to active loss.

Thought process alteration related to physiologic causes.

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Fluid volume is a good one since she also has dehydration, but am I wrong in thinking I need to be looking for something that deals with blood sugars?

Please help! I think my brain is fried beyond belief and I can't think straight!

[Tony35NYC]

Here are a few

1. F&E imbalance r/t nausea/vomiting and osmotic diuresis

2. Altered nutrition, less than body needs, r/t metabolic disease process

3. Ineffective therapeutic regimen management, r/t improper management of Diabetes Mellitus

4. Knowledge deficit, r/t complications of DM

5. Risk for falls r/t to orthostatic hypotention

6 Risk for injury r/t to diabetic neuropathy

7. Ineffective tissue perfusion r/t reduced oxygenation

8. Reduced cardiac output r/t to dyspnea

9. Skin turgor, alterations in elasticity r/t fluid volume deficit

10. Anxiety/Fear r/t progress of disease process