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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Spring 2023
Symposium: Diabetes Case Reports|
March 15 2023
Diabetes-Related Gastroparesis in the Acute Care Setting: A Case Report
Kristine Batty, PhD, APRN-CNP;
Kristine Batty, PhD, APRN-CNP
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 ([email protected]); and Joint Faculty Appointment, Johns Hopkins School of Nursing, Baltimore, Maryland.
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Patricia Pugh, DO;
Patricia Pugh, DO
Patricia Pugh is Chair and Medical Director, Department of Emergency Medicine, Howard County General Hospital, Division of Hospital Medicine, Johns Hopkins Medicine, Columbia, Maryland.
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Alyson Schwartzbauer, CRNP;
Alyson Schwartzbauer, CRNP
Alyson Schwartzbauer is Nurse Practitioner, Department of Anesthesia and Critical Care Medicine, Johns Hopkins Medicine, Baltimore, Maryland.
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Tricia Carvalho, CRNP;
Tricia Carvalho, CRNP
Tricia Carvalho is Nurse Practitioner, Gastro Health of Maryland, Columbia, Maryland.
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Andrew P. Demidowich, MD
Andrew P. Demidowich, MD
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.
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AACN Adv Crit Care (2023) 34 (1): 47–52.
Citation
Kristine Batty, Patricia Pugh, Alyson Schwartzbauer, Tricia Carvalho, Andrew P. Demidowich; Diabetes-Related Gastroparesis in the Acute Care Setting: A Case Report. AACN Adv Crit Care 15 March 2023; 34 (1): 47–52. doi: https://doi.org/10.4037/aacnacc2023730
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