Assessment

Nursing
Diagnosis

Inference

Risk for Altered

Cerebral Tissue
Perfusion related
to inadequate
glucose supply to
the brain.

Hypoglycemia is a
condition when
there is inadequate
blood glucose
supply for the
bodys energy
consumption needs.
A blood glucose
level of below than
60mg/dl can define
this condition and it
is primarily due to
an underlying
disease, called
diabetes mellitus.

NURSING CARE PLAN FOR HYPOGLYCEMIA

Outcome
Nursing
Interventions

Rationale

Evaluation

-Administer fastacting sugar

containing food/
drink i.e. orange
juice or candy.

-Fast acting sugar or

simple sugars are
easily digested and
absorbed compared
to complex sugars. If
necessary, do not
give chocolates since
it requires longer
time to be absorbed
in the body and at
the same time, it has
unnecessary fats.

After 8 hours of
nursing care, the goal is
met as evidenced by
clients blood glucose
level of 6.2mmol/L and
absence of weakness,
confusion or any signs
of progression to
profound
hypoglycemia.

-Check blood sugar

level on the onset of
symptoms and
recheck again after
treatment within 15
to 30 minutes (until
the blood sugar level
is within or more
100mg/dl).

- Monitoring the
blood glucose level
signifies the need for
more or just enough
intake of
carbohydrate/
sugar; to prevent
overeating.

- After ingestion of
simple sugars, the
client may pursue a
small snack or if it is
meal time, he may
consume his meal
right away.

- Protein, fats and

other nutrients,
same with
carbohydrates
provides energy to
the body.

Subjective:
I just feel dizzy...)
verbatim of client.
Objective:
Sweating
Trembling hands
Recent blood
glucose level:
2.9mmol/L
PP: 102bpm
RR: 21bpm
BP: 110/70mmHg

*High risk diagnosis

is supposed to have
no subjective and
objective data since
it means that the
condition has not yet
ensued. This is only
to provide an idea
about the condition
of the client.

In connection,
glucose is an
essential component
for the brains
activity. If the brain
is deprived with
glucose for a long
time, the brain cells
can be destroyed
leading to
permanent brain
damage (coma),
memory loss and
decreased learning
ability.

After 8 hours of
nursing care,
client will be able
to resume
normal blood
glucose level and
be free from risk
for altered
cerebral tissue
perfusion.

-It could provide

-Assess for familial

history of diabetes,
medications taking,
exercise and diet
program and other
essential data from
the client.

-Encourage client to
verbalize the signs
and symptoms he
felt during the onset
and tell him to
familiarize himself of
these symptoms.
- Educate client to
monitor blood
glucose regularly
and should take with
him any sugar
containing food
every time he would
go out for work or
any activity.
-Emphasize to take
or wear any
identification card
notifying that he has
a medical condition
and it should have
significant numbers

baseline data for

clients treatment
regimen. The client
may have delayed
his meal, had rigid
exercise activity or
had taken some
other medications
prior to onset; which
adjustment or
modification may be
needed.
- Individuals may
feel varying
symptoms of
hypoglycemia and it
may be the same
every time it occurs.
- It could help in
times symptoms of
hypoglycemia may
once again occur.

-In case, client may

feel hypoglycaemic
again especially if he
becomes
unconscious,
someone could
provide proper care
to him.

like his physician or

family members and
medications, if there
is any.