NURS 4390 Lecture Notes - Lecture 16: Yabby You, Pancreatic Duct, Ondansetron
3 May 2020
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Document Summary
Exocrine: digestive enzymes: trypsin, chymotrypsin, amylase, lipase. Inflammatory disorder of the pancreas: premature activation of pancreatic enzymes. When someone eats a meal, enzymes can"t get out and go into circulation buildup of enzymes starts eating pancreas. Etiology: gallstone disease and obstruction of the pancreatic duct, alcoholism. Lipase break down fat and calcium levels decrease. Report from the ed nurse fair, fat, forty, fertile, female likely to develop gall bladder disease. S vivian jackson 60 year old female admitted to the ed with c/o intense abdominal pain that radiates to her back, nausea & vomiting. Vital signs: 108/70 37. 9 -128-28 o2 sat 88% she rates pain at 7/10. Pain is biggest issue of pancreatitis, priority problem. Meds given: dilaudid 2mg ivp x2, zofran 4mg ivp. Sometimes people have ng tubes to keep acid out of the stomach. Enzymes are stuck in the pancreas, but fluids still seep out with enzymes in it.
