Pancreatitis System Disorder PDF

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Summary

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ACTIVE LEARNING TEMPLATE:

System Disorder

Espinosa ST UDENT NAME Catherine _____________________________________ Pancreatitis DISORDER/DISEASE PROCESS __________________________________________________________

Alterations in Health (Diagnosis) -Acute pain -Fluid imbalance -Electrolyte imbalance -Impaired nutritional intake

Pathophysiology Related to Client Problem Inflammation of the pancreas. Spillage of pancreatic enzymes into surrounding pancreatic tissue causes autodigestion and severe pain.

43 REVIEW MODULE CHAPTER ___________

Health Promotion and Disease Prevention -Alcohol and smoking cessation -Fat restriction in diet and encourage carbohydrates -Recognize and report S&S of infection, diabetes, or steatorrhea

ASSESSMENT

SAFETY CONSIDERATIONS

Risk Factors

Expected Findings

-Abdominal Surgery -Alcoholism -Cystic Fibrosis -Gallstones -Infection

-Abdominal Pain -N&V -Leukocytosis -Hypotension -Tachycardia

Laboratory Tests

Diagnostic Procedures

-Serum Amylase and Lipase -Blood glucose -Serum Calcium -Serum Triglycerides

-Chest X Ray -Contrast-enhanced CT -Abdominal ultrasound -Endoscopic Ultrasound

PATIENT-CENTERED CARE

Nursing Care -Monitor VS, response to IV fluids, and electrolyte balance -Assess respiratory status (e.g. lung sounds, O2 saturation level) -Because hypocalcemia can occur, observe for symptoms of tetany and muscular twitiching -Focus on pain relief by administering pain medication and assist w/ comfortable positioning -Observe for fever

Therapeutic Procedures -Surgical Therapy -Drug Therapy -Nutritional Therapy

ACTIVE LEARNING TEMPLATES

-Assess for respiratory distress in the patient with severe acute pancreatitis -Pain and restlessness can increase the metabolic rate and contribute to hemodynamic instability. -Oral care is essential to prevent parotitis

Complications Medications Opiods Anticholinergics

Client Education -Coughing, deep breathing, and turning can prevent respiratory tract infection -Avoid crash and binge dieting because that can precipitate attacks -Stress importance of alcohol abstinence because that can prevent future attacks of acute pancreatitis and development of chronic pancreatitis

Proton Pump Inhibitors (PPI's) Antibiotics Antacids

Interprofessional Care -Gastroenterologist -Pancreas Surgeon

-Pseudocyst and abscess -Pleural effusion -Atelectasis -Acute Respiratory Distress Syndrome...