Diabetes-Related Gastroparesis in the Acute Care Setting: A Case Report.

IF 2 Q2 NURSING AACN Advanced Critical Care Pub Date : 2023-03-15 DOI:10.4037/aacnacc2023730
Kristine Batty, Patricia Pugh, Alyson Schwartzbauer, Tricia Carvalho, Andrew P Demidowich
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Abstract

Diabetes-related gastroparesis is a challenging complication of diabetes that often results in flares of intractable vomiting and recurrent hospitalizations. Currently, there is no standard of care or guidelines for the management of diabetes-related gastroparesis in the acute care setting, leading to inconsistent and suboptimal care for these patients. Consequently, patients with diabetes-related gastroparesis may have prolonged inpatient lengths of stay and frequent readmissions affecting their overall health and well-being. Successful management of diabetes-related gastroparesis requires a coordinated multimodal approach to address the different components of an acute flare, including nausea and vomiting, pain, constipation, nutrition, and dysglycemia. This case report demonstrates how the development and implementation of an acute care diabetes-related gastroparesis treatment protocol demonstrates efficacy and promise for better quality of care for this population.

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急性护理环境中的糖尿病相关胃轻瘫:一例报告。
糖尿病相关胃轻瘫是糖尿病的一种具有挑战性的并发症,通常导致难治性呕吐和反复住院。目前,在急性护理环境中,没有糖尿病相关胃轻瘫管理的护理标准或指南,导致对这些患者的护理不一致和不理想。因此,糖尿病相关性胃轻瘫患者可能会延长住院时间,频繁再入院,影响他们的整体健康和福祉。糖尿病相关胃轻瘫的成功治疗需要一个协调的多模式方法来解决急性发作的不同组成部分,包括恶心和呕吐、疼痛、便秘、营养和血糖异常。本病例报告展示了急性护理糖尿病相关胃轻瘫治疗方案的发展和实施如何证明了这一人群的疗效和更好的护理质量。
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来源期刊
CiteScore
2.10
自引率
4.50%
发文量
37
期刊介绍: AACN Advanced Critical Care is a quarterly, peer-reviewed publication of in-depth articles intended for experienced critical care and acute care clinicians at the bedside, advanced practice nurses, and clinical and academic educators. Each issue includes a topic-based symposium, feature articles, and columns of interest to critical care and progressive care clinicians. AACN Advanced Critical Care contains concisely written, practical information for immediate use and future reference. Continuing education units are available for selected articles in each issue. AACN Advanced Critical Care is an official publication of the American Association of Critical-Care Nurses.
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