الثلاثاء، 26 يونيو 2018

95-pincriasitis

About
Inflammation of the pancreas that can be life-threatening.
Assess
Epigastric or Left upper quadrant abdomen pain, nausea, vomiting, Elevated amylase and lipase, abdomen tenderness and rigidity, jaundice
Complications
Pancreatic pseudocyst; abscess; re-occurrence of pancreatitis
Diagnosis
  • Acute pain related to inflammatory changes of the pancreas
  • Imbalanced nutrition: less than body requirements related to NPO status, malnutrition
  • Deficient fluid volume related to emesis, diarrhea, decreased fluid intake, fever
  • Ineffective coping related to denial of alcohol use
Goals
  • The client will state a decrease in pain.
  • The client will have pancreatic enzymes returning to normal.
Interventions
  • Monitor pain levels and utilize prn medications if elevated.
  • Monitor bowel sounds, nausea.
  • Maintain client NPO as indicated.
  • Administer medications ( antiemetics, antibiotics, enzymes, etc.) as ordered.
  • Administer TPN and IV hydration as ordered.
  • Teach client other pain relieving measures ( positioning, relaxation, distraction, etc).
  • Teach client it may be necessary to abstain from alcohol to prevent reoccurrence.
  • Monitor for signs/ symptoms of complications.

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