Nursing care of a case of fulminant type 1 diabetes mellitus related to immune checkpoint inhibitor
10.3761/j.issn.0254-1769.2023.24.003
- VernacularTitle: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
- Author:
Xing ZHANG
1
;
Lirong ZENG
;
Jia PEI
;
Haoying CHEN
Author Information
1. 519000 珠海市 中山大学附属第五医院内分泌与代谢病学科
- Keywords:
Immune Checkpoint Inhibitor;
Fulminant Type 1 Diabetes Mellitus;
Oncologic Nursing
- From:
Chinese Journal of Nursing
2023;58(24):2964-2967
- CountryChina
- Language:Chinese
-
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.