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ACUTE PANCREATITIS (NURSING MANAGEMENT (administer analgesics (pethidine)…
ACUTE PANCREATITIS
NURSING MANAGEMENT
administer analgesics (pethidine) as prescribed.
advice patient to lie on right hand side
assess pain to avoid analgesics usage.
to relieve tension on abdomen.
keep patient on parinetal nutrition.
avoid fats and caffeine in diet.
nasogastric suction to prevent abdominal distention.
IV plasma and 0,9% saline for fluid replacement.
antiemetic (metoclopride) for vomiting.
monitor vital signs to prevent complications
fowlers position for ease of breathing.
PATHOPHYSIOLOGY
alcohol use causes pancreatitis.
bacterial or viral infections cause acute pancreatitis.
leading to erosion and hemorrhage (Quillen 2001)
pancreatitis is a complication of mumps
activation of enzymes leads to vasodilation.
duodenitis produces pancreatitis.
gallstones enter pancreatic ducts tot activate enzymes.
spasms and oedema of ampulla of veter occurs
is associated with biliary duct diseases and gallstones.
self digestion of pancreas by proteolytic enzymes.
SIGNS AND SMYPTOMS
a rigid abdomen
ecchymosis around the ambilicus.
abdominal guarding.
hypotension and hypovolemia.
tenderness and back ache.
respiratory distress.
severe abdominal pains.
DIAGNOSTIC PROCEDURES
CT-scan
blood studies such as haematocrit and haemoglobin levels
ultrasound
X-ray studies
DEFINATION
severe inflammation of the pancreas
SURGICAL MANAGEMENT
laperatomy for diagnosis
