Get Answer: Acute Pancreatitis Year Question Guide
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What This Question Is About
This question relates to acute pancreatitis year and requires a structured academic response.
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Original Question
Acute Pancreatitis MR is a 57 year old Hispanic male with a history of HTN who presented to the ED with complaints of severe abdominal pain in the left upper quadrant (LUQ), radiating to the back. He also reports being nauseated and vomiting prior to admission. His current Medications: Amlodipine (Norvasc) 5 mg PO daily Vital Signs: Temp: 101 degrees F HR 114 RR 26 BP 92/58 Physical Exam: General: Thin Hispanic male lying on the stretcher in the fetal position in distress Neuro: AA O times 3. CN II-XII grossly intact HEENT: icteric sclera Neck: – JVD, no carotid bruits, bilaterally Lungs: clear bilaterally Cardiac: Reg, S1, S2 Abdomen: round, + guarding, BS not auscultated Extremities: – edema, bilaterally, feet warm, DP/PT: 1+ bilaterally Skin: Slightly yellow, warm, dry, intact in all areas Laboratory Data: Serum amylase: 400 U/L Serum lipase: 600 U/L Urinary amylase: 3800 U/Day WBC: 20,000/uL Blood glucose: 180 mg/dL Serum calcium 7 mg/dL MD Orders: Admit to floor NPO NG Tube to low, intermittent suction Bedrest IV: Ringer’s Lactate at 75 ml/hour Meds: Morphine via PCA Pantoprazole (Protonix) 40 mg IV BID Discussion Questions Explain the pathophysiology of acute pancreatitis. What are the most common causes of acute pancreatitis? How do the results of VA’s laboratory values relate to the pathophysiology of acute pancreatitis? What causes hypocalcemia in acute pancreatitis? How does the nurse assess for hypocalcemia? Describe the characteristics of the pain that occurs in acute pancreatitis. What complications can occur with acute pancreatitis? Why is VA NPO? What is the purpose of the NG tube? Identify the purpose of each medication prescribed for this patient. What are the priority nursing diagnoses?
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