NURSING 3SS3 Chapter n/a: Case Scenario #1: Pancreatitis Readings
8 Sep 2018
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Document Summary
Acute pancreatitis: acute inflammatory process of the pancreas, ranges from mild edema to severe hemorrhagic necrosis, most common in middle age men/women. In the intestine it is activated by trypsin by enterokinase. that is produced. Mild pancreatitis: edematous or intestinal pancreatitis, functions of the gland return to normal upon recovery. Severe pancreatitis: necrotizing pancreatitis, endocrine and exocrine function decreases permanently. Inflammation reduces diaphragm movement, leads to atelectasis: cardiovascular, hypotension, tetany, caused by hypocalcaemia, sign of severe disease, caused by calcium and fatty acids combining. Diagnostic studies: measurements of serum amylase and lipase, serum amylase level is elevated early and remains for 24-72 hrs, serum lipase level elevated, ultrasonography, radiography, ct, used to identify pancreatic problems. Increase liver enzyme, triglyceride, glucose, bilirubin, and decrease calcium: ct with iv contrast material best to confirm pancreatitis. Collaborative care: relief pain, prevent shock, reduce pancreatic secretions, control of fluid and electrolytes, prevent/treat infections, removal of cause.
