摘要
总结1例免疫检查点抑制剂相关暴发性1型糖尿病患者的护理经验。护理要点:早期充分的液体支持,改善肾灌注;动态监测及总结血糖变化规律,实施目标导向性血糖管理方案;加强营养支持;定期随访与健康教育。经过积极治疗与精心护理,患者病情好转并顺利出院。电话随访3个月,血糖控制平稳,营养状况改善,整体状况良好。
The observation and nursing care of a case of fulminant type 1 diabetes mellitus related to immune checkpoint inhibitor were summarized.To improve prognosis of the disease and guarantee patients’safety,key points of nursing are as following:sufficient early liquid resuscitation to improve renal perfusion;dynamic monitoring and summary of blood glucose changes,implementing a target-oriented blood glucose management program;providing nutritional support;regularly follow-up and health education.After positive rescue and careful nursing,no serious complications occurred;blood glucose was controlled well;nutritional status was improved;the patient was in stable conditions and was discharged.Telephone follow-up of the patient for 3 months showed stable blood glucose and good condition.
作者
张星
曾莉容
裴佳
陈浩莹
ZHANG Xing;ZENG Lirong;PEI Jia;CHEN Haoying
出处
《中华护理杂志》
CSCD
北大核心
2023年第24期2964-2967,共4页
Chinese Journal of Nursing
关键词
免疫检查点抑制剂
暴发性1型糖尿病
肿瘤护理
Immune Checkpoint Inhibitor
Fulminant Type 1 Diabetes Mellitus
Oncologic Nursing
