Lavin-Tompkins J
Endocrine Division, Duke University Medical Center in Durham, North Carolina 27710, USA.
Lippincotts Prim Care Pract. 1997 Nov-Dec;1(5):519-26.
Primary care providers are now asked to render care to diabetic patients that once was the province of specialists. An increasing number of these patients are using insulin pumps to manage their diabetes. Inherent in the use of pumps are unique day-to-day situations that must be addressed with timely solutions to avoid adverse metabolic effects and to maximize the benefits of this type of therapy. To increase the primary care provider's comfort level with handling these situations, this article examines four problem areas, using a case study format followed by a discussion of the solutions to each problem. The four areas reviewed are pump training and education, infusion set change issues, skin issues, and rate adjustment.
如今，初级保健提供者被要求为糖尿病患者提供曾经属于专科医生范畴的护理。越来越多的此类患者正在使用胰岛素泵来控制他们的糖尿病。使用胰岛素泵存在一些独特的日常情况，必须及时解决这些情况，以避免不良代谢影响，并使这种治疗方式的益处最大化。为了提高初级保健提供者处理这些情况的舒适度，本文以案例研究的形式探讨了四个问题领域，随后讨论了每个问题的解决方案。所探讨的四个领域是泵的培训与教育、输液器更换问题、皮肤问题以及速率调整。
