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在住院患者中管理选择的慢性疾病
Robert L Gauer1, Alain Abellada2, Matthew Stewart2
1Womack Army Medical Center, Fort Liberty, North Carolina; Uniformed Services University of the Health Sciences, Bethesda, Maryland.
American family physician
|February 23, 2024
概括
患有慢性疾病的住院患者需要持续管理. 关键领域包括血压,糖尿病,酒精戒断和静脉血栓塞瘤预防,以获得最佳的护理和结果.
科学领域:
- 内部医学 内部医学
- 医院 医院 医疗 医疗 医疗 医疗
- 关键护理医学 关键护理医学
背景情况:
- 慢性疾病管理必须延伸到住院治疗.
- 住院治疗可能会加剧慢性疾病或引入新的风险.
- 需要具体的指导方针来管理急性护理机构中常见的慢性疾病.
研究的目的:
- 概述在住院期间管理慢性疾病的最佳实践.
- 为关键疾病提供基于证据的建议,包括高血压,糖尿病,戒酒和静脉血栓栓塞.
- 强调患者安全和优化临床结果.
主要方法:
- 审查当前的文献和临床指南.
- 对住院患者管理血压,糖尿病,酒精使用障碍和静脉血栓塞性疾病的综合建议.
- 专注于在急性护理环境中的实际应用.
主要成果:
- 避免急性降低血压而不会损害目标器官;如果需要,更喜欢非静脉注射药物.
- 用胰岛素控制血糖,以140-180 mg/dL为目标,以减少并发症.
- 治疗酒精戒断综合征使用二或巴比他.
- 对大多数住院患者实施静脉血栓预防,首选低分子量肝素.
结论:
- 在住院期间,持续,量身定制的慢性疾病管理至关重要.
- 建议针对血压,葡萄糖,酒精戒断和静脉瘤预防采取特定的治疗策略.
- 遵守这些指导方针可以提高患者的安全性并减少不良事件.
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