Chinese Journal of Emergency and Critical Care Nursing >
Nursing care of a patient with acute myocardial infarction with euglycemic diabetic ketoacidosis complicated with cerebral hemorrhage
To summarize the nursing experience of a case of acute myocardial infarction with euglycemic diabetic ketoacidosis complicated with cerebral hemorrhage. According to the characteristics of atypical symptoms，high risk of the disease and rarity of euglycemic diabetic ketoacidosis，measures such as observation and identification of atypical symptoms，systematic evaluation of the risk of ketosis，goal-oriented control of blood glucose，refined fluid management，correction of internal environment disorders，assessment of thrombi and bleeding risk，psychological nursing with emotional ABC management theory were adopted. After 16 days of comprehensive treatment and careful nursing，the patient’s condition was stable with good mood and discharged.
ZOU Shuang , SONG Jianping , CHEN Hailian , ZHENG Linlin . Nursing care of a patient with acute myocardial infarction with euglycemic diabetic ketoacidosis complicated with cerebral hemorrhage[J]. Chinese Journal of Emergency and Critical Care Nursing, 2025 , 6(7) : 843 -845 . DOI: 10.3761/j.issn.2096-7446.2025.07.012
| [1] | 黄强, 李春坚. 急性ST段抬高型心肌梗死溶栓治疗专家共识[J]. 中国介入心脏病学杂志, 2024, 32(7):364-382. |
| Huang Q, Li CJ. Expert consensus on thrombolytic therapy for ST-segment elevation myocardial infarction[J]. Chin J Intervent Cardiol, 2024, 32(7):364-382. | |
| [2] | Zhang P, Pang S, Du LJ, et al. Clinical characteristics and outcomes of patients with intracerebral hemorrhage after acute myocardial infarction[J]. Int J Cardiol, 2023, 390:131218. |
| [3] | He XY, Huang AH, Lv F, et al. Trends in diabetic ketoacidosis-and hyperosmolar hyperglycemic state-related mortality during the COVID-19 pandemic in the United States:a population-based study[J]. J Diabetes, 2024, 16(8):e13591. |
| [4] | Chow E, Clement S, Garg R. Euglycemic diabetic ketoacidosis in the era of SGLT-2 inhibitors[J]. BMJ Open Diabetes Res Care, 2023, 11(5):e003666. |
| [5] | Backer Z, Nashed B, Khan AA, et al. Acute ST-elevation myocardial infarction presenting with persistent vomiting[J]. Cureus, 2022, 14(7):e26920. |
| [6] | 陆菊明. 《中国2型糖尿病防治指南(2020年版)》读后感[J]. 中华糖尿病杂志, 2021, 13(4):301-304. |
| Lu JM. Reaction to guideline for the prevention and treatment of type 2 diabetes mellitus in China(2020 edition)[J]. Chin J Diabetes Mellit, 2021, 13(4):301-304. | |
| [7] | 王丽竹, 兰美娟, 杨燕, 等. ICU精准化液体信息管理系统的构建及应用研究[J]. 中华急危重症护理杂志, 2021, 2(5):400-404. |
| Wang LZ, Lan MJ, Yang Y, et al. The construction and application of precise fluid volume management system in ICU[J]. Chin J Emerg Crit Care Nurs, 2021, 2(5):400-404. | |
| [8] | 王红磊, 常虹, 裴雪琴, 等. 斯金纳健康教育结合ABC情绪管理在中老年高血压病人中的应用[J]. 护理研究, 2024, 38(3):480-487. |
| Wang HL, Chang H, Pei XQ, et al. Application of Skinner’s health education combined with ABC emotional management in middleaged and elderly hypertensive patients[J]. Chin Nurs Res, 2024, 38(3):480-487. |
/
| 〈 |
|
〉 |