Nursing Diagnosis for Metabolic and Endocrine Disorders

Eating Disorders: Anorexia Nervosa/ Bulimia Nervosa

• Imbalanced nutrition, less than body requirements
• Actual or risk for deficient fluid volume
• Disturbed thought process
• Disturbed body image
• Low self-esteem
• Impaired parenting
• Risk for impaired tissue integrity
• Knowledge deficient (learning need) regarding condition, prognosis, treatment regimen, self-care, and discharge needs

Eating Disorders: Obesity

• Imbalanced nutrition, less than body requirements
• Actual or risk for deficient fluid volume
• Disturbed thought process
• Disturbed body image
• Chronic low self-esteem
• Impaired parenting
• Risk for impaired skin integrity
• Disturbed thought process
• Disturbed body image

Obesity: Surgical Interventions (Gastric Partitioning/Gastroplasty, Gastric Bypass)

• Ineffective breathing pattern
• Risk for ineffective tissue perfusion
• Risk for deficient fluid volume
• Imbalanced nutrition less than body requirements
• Risk for impaired tissue integrity
• Risk for infection
• Diarrhea
• Knowledge deficient (learning need) regarding condition, prognosis, treatment regimen, self-care, and discharge needs

Diabetes Mellitus/ Diabetic Ketoacidosis

• Deficient fluid volume (specify)
• Imbalanced nutrition less than body requirements
• Risk for infection (sepsis)
• Risk for disturbed sensory perception (specify)
• Fatigue
• Powerlessness
• Knowledge deficient (learning need) regarding condition, prognosis, treatment regimen, self-care, and discharge needs

View Sample Nursing Care Plan for Diabetes Mellitus type 1

View Sample Nursing Care Plan for Diabetes Mellitus type 2

Hyperthyroidism (Thyrotoxicosis, Grave’s Disease)

• Risk for decreased cardiac output
• Fatigue
• Risk for imbalanced nutrition, less than body requirements
• Anxiety (specify level)
• Risk for disturbed thought process
• Risk for impaired tissue integrity
• Knowledge deficient (learning need) regarding condition, prognosis, treatment regimen, self-care, and discharge needs

Thyroidectomy

• Risk for ineffective airway clearance
• Impaired verbal communication
• Risk for injury (tetany)
• Acute pain
• Knowledge deficient (learning need) regarding condition, prognosis, treatment regimen, self-care, and discharge needs

Hepatitis

• Fatigue
• Imbalanced nutrition less than body requirements
• Risk for deficient fluid volume
• Low self-esteem
• Risk for infection
• Risk for impaired skin or tissue integrity
• Imbalanced nutrition less than body requirements

View Sample Nursing Care Plan for Hepatitis A

Cirrhosis of the liver

• Imbalanced nutrition less than body requirements
• Excess fluid volume
• Risk for impaired tissue integrity
• Risk for ineffective breathing pattern
• Risk for injury (hemorrhage)
• Risk for acute confusion
• Disturbed self-esteem
• Disturbed body image
• Knowledge deficient (learning need) regarding condition, prognosis, treatment regimen, self-care, and discharge needs

View Sample Nursing Care Plan for Liver Cirrhosis

Pancreatitis

• Acute pain
• Risk for deficient fluid volume
• Imbalanced nutrition less than body requirements
• Risk for infection
• Risk for ineffective breathing pattern
• Knowledge deficient (learning need) regarding condition, prognosis, treatment regimen, self-care, and discharge needs

Total Nutritional Support: Parenteral/ Enteral Feeding

• Imbalanced nutrition less than body requirements
• Risk for infection
• Risk for injury (multifactor)
• Risk for aspiration
• Risk for imbalance fluid volume
• Fatigue
• Knowledge deficient (learning need) regarding condition, prognosis, treatment regimen, self-care, and discharge needs

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