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

Author:

Batty Kristine1,Pugh Patricia2,Schwartzbauer Alyson3,Carvalho Tricia4,Demidowich Andrew P.5

Affiliation:

1. Kristine Batty is Endocrine Nurse Practitioner, Johns Hopkins Community Physicians, Howard County General Hospital, Division of Hospital Medicine, Johns Hopkins Medicine, 5755 Cedar Lane, Columbia, MD 21044 (kbatty2@jhmi.edu); and Joint Faculty Appointment, Johns Hopkins School of Nursing, Baltimore, Maryland.

2. Patricia Pugh is Chair and Medical Director, Department of Emergency Medicine, Howard County General Hospital, Division of Hospital Medicine, Johns Hopkins Medicine, Columbia, Maryland.

3. Alyson Schwartzbauer is Nurse Practitioner, Department of Anesthesia and Critical Care Medicine, Johns Hopkins Medicine, Baltimore, Maryland.

4. Tricia Carvalho is Nurse Practitioner, Gastro Health of Maryland, Columbia, Maryland.

5. Andrew P. Demidowich is Assistant Professor of Medicine, Division of Endocrinology, Diabetes and Metabolism, Department of Medicine, Johns Hopkins School of Medicine, Baltimore, Maryland; and Chief of Inpatient Endocrinology, Johns Hopkins Community Physicians, Howard County General Hospital, Division of Hospital Medicine, Johns Hopkins Medicine, Columbia, Maryland.

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.

Publisher

AACN Publishing

Subject

Critical Care Nursing,Emergency Medicine,General Medicine

Reference30 articles.

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2. Prevalence and incidence of microvascular and macrovascular complications over 15 years among patients with incident type 2 diabetes;An;BMJ Open Diab Res Care,2021

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4. Diabetic gastroparesis;Bharucha;Endocr Rev,2019

5. ACG clinical guideline: gastroparesis;Camilleri;Am J Gastroenterol,2022

Cited by 1 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Inpatient diabetes management;Annals of the New York Academy of Sciences;2024-07-25

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