中华护理杂志 ›› 2023, Vol. 58 ›› Issue (24): 2964-2966.DOI: 10.3761/j.issn.0254-1769.2023.24.003

• 糖尿病护理专题 • 上一篇    下一篇

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

张星(), 曾莉容(), 裴佳, 陈浩莹   

  1. 519000 珠海市 中山大学附属第五医院内分泌与代谢病学科
  • 收稿日期:2023-03-27 出版日期:2023-12-20 发布日期:2023-12-19
  • 通讯作者: 曾莉容,E-mail:1341682207@qq.com
  • 作者简介:张星:女,硕士,护师,E-mail:1461432532@qq.com

Nursing care of a case of fulminant type 1 diabetes mellitus related to immune checkpoint inhibitor

ZHANG Xing(), ZENG Lirong(), PEI Jia, CHEN Haoying   

  • Received:2023-03-27 Online:2023-12-20 Published:2023-12-19

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。

关键词: 免疫检查点抑制剂, 暴发性1型糖尿病, 肿瘤护理

Abstract:

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.

Key words: Immune Checkpoint Inhibitor, Fulminant Type 1 Diabetes Mellitus, Oncologic Nursing