CASE STUDYAcute PancreatitisPatient ProfileV.A. is a 55-year-old man admitted to the hospital with acute pancreatitis.Subjective Data• Has severe abdominal pain in the LUQ radiating to the back• States that he is nauseated and has been vomitingObjective DataPhysical Examination• Vital signs: Temp 101°F (38.3°C), HR 114 bpm, RR 26, BP 92/58• Jaundice noted in scleraLaboratory Tests• Serum amylase: 400 U/L (6.67 mkat/L)• Serum lipase: 600 U/L.Urinary amylase: 3800 U/day• WBC count: 20,000/μLBlood glucose: 180 mg/dL (10 mmol/L)• Serum calcium: 7 mg/dL (1.7 mmol/L)Collaborative Care• NPO status• NG tube to low, intermittent suction• IV therapy with lactated Ringer's solutionMorphine PCAPantoprazole (Protonix) IV. 1. Explain the pathophysiology of acute pancreatitis.2. What are the most common causes of acute pancreatitis?3. How do the results of V.A.'s laboratory values relate to the pathophysiology of acute pancreatitis?4. What causes hypocalcemia in acute pancreatitis? How does the nurse assess for hypocalcemia?5. Describe the characteristics of the pain that occurs in acute pancreatitis.6. What complications can occur with acute pancreatitis?7. Why is V.A. NPO? What is the purpose of the NG tube?8. Identify the purpose of each medication prescribed for this patient.9. Priority Decision: Based on the assessment data presented, what are the priority nursing diagnoses? Are there anycollaborative problems?

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1. Explain the pathophysiology of acute pancreatitis. 2. What are the most common causes of acute pancreatitis? 3. How do the results of V.A.'s laboratory values relate to the pathophysiology of acute pancreatitis? 4. What causes hypocalcemia in acute pancreatitis? How does the nurse assess for hypocalcemia? 5. Describe the characteristics of the pain that occurs in acute pancreatitis. 6. What complications can occur with acute pancreatitis? 7. Why is V.A. NPO? What is the purpose of the NG tube? 8. Identify the purpose of each medication prescribed for this patient. 9. Priority Decision: Based on the assessment data presented, what are the priority nursing diagnoses? Are there any collaborative problems?

1. Explain the pathophysiology of acute pancreatitis. 2. What are the most common causes of acute pancreatitis? 3. How do the results of V.A.'s laboratory values relate to the pathophysiology of acute pancreatitis? 4. What causes hypocalcemia in acute pancreatitis? How does the nurse assess for hypocalcemia? 5. Describe the characteristics of the pain that occurs in acute pancreatitis. 6. What complications can occur with acute pancreatitis? 7. Why is V.A. NPO? What is the purpose of the NG tube? 8. Identify the purpose of each medication prescribed for this patient. 9. Priority Decision: Based on the assessment data presented, what are the priority nursing diagnoses? Are there any collaborative problems?

Surgical Tech For Surgical Tech Pos Care

5th Edition

ISBN:9781337648868

Author:Association

Publisher:Association

Chapter9: Surgical Pharmacology And Anesthesia

Section: Chapter Questions

Problem 9.5CS

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