ptspook1

My teachers would not accept AEB DKA... my teachers would prefer: Risk for ineffective breathing pattern r/t hyperglycemia secondary to DKA AEB patient stating "sometimes it's hard to breath" or pt 30 RPM or difficulty performing ADL's. We are also not allowed to do r/t DKA as that is a medical diagnosis... it has to be r/t hyperglycemia secondary to DKA (our teachers are soooooo picky about these stupid diagnosis). Also by putting secondary to DKA you dont run the risk of repeating yourself because it makes you think..... WHAT PHYSICAL EVIDENCE MADE ME PICK THIS DIAGNOSIS. My teachers also told me that when you do Risk for diagnosis the AEB is not quite as important, but they usually want you to put a reson that you chose that particular diagnosis in there over another one. If you think really hard you can probably come up with something that made you think that particular diagnosis fit better than others. If not.... you should probably pick a different one. However sounds to me that Knowledge deficit should be number 1 priority!! Thinking that you dont need to take insulin if you dont eat carbs is a BIG knowledge deficit. Remember your AEB needs to be something that you can physically witness or the patient can verbalize. Your goals ALWAYS need to be measurable... That's the part they always get me on! Hope this helps!