医学
胃轻瘫
呕吐
糖尿病
恶心
重症监护医学
人口
并发症
糖尿病管理
便秘
2型糖尿病
内科学
胃排空
环境卫生
内分泌学
胃
作者
Kristine Batty,Patricia Pugh,Alyson Schwartzbauer,Tricia Carvalho,Andrew P. Demidowich
标识
DOI:10.4037/aacnacc2023730
摘要
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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