• Author / Uploaded
• Richelle Sandriel C. de Castro

• Categories
• Vesícula biliar
• Páncreas
• Bilis
• Vesícula (Biología y química)
• Membrana celular

Citation preview

Concordia College College of Nursing

Case Study On Acute Pancreatitis Prepared by: De Castro, Richelle Sandriel C. BSN III-D Submitted to: Mrs. Cedie Loo RN, MSN I. INTRODUCTION

Acute pancreatitis is an acute inflammatory process with variable involvement of adjacent and remote organs. Although pancreatic function and structure eventually return to normal, the risk of recurrent attacks is nearly 50% unless the precipitating cause is removed. Initial manifestations and exacerbations of chronic pancreatitis may be indistinguishable from attacks of acute pancreatitis. And they should be treated as such. The inflammation begins in the perilobular and peripancreatic fatty tissue, manifested by edema and spotty fat necrosis. The disease may progress to the peripheral acinar cells, pancreatic ducts, blood vessels, and bordering organs. In severe cases; patchy areas of the pancreatic parenchyma become necrotic. II. OBJECTIVES General: After this case study, I will be able to know what Acute Pancreatitis is, causes of Acute Pancreatitis, how it is acquired and prevented, its treatments and prevention its occurrence. Specific: • • • •

After the completion of this study, I will be able to: Define what is Acute Pancreatitis Trace the pathophysiology of Acute Pancreatitis Enumerate the different sign and symptoms of Acute Pancreatitis Identify and understand different types of medical treatment necessary for the treatment of Acute Pancreatitis

III. PATIENT’S PROFILE Name: E.S Address: San Juan City Age: 65 years old Sex: Female Nationality: Filipino Religion: Roman Catholic Date & Time of Admission: April 16, 2010 (09:34 pm) Mode of Arrival: wheelchair Chief Complaint: Severe Abdominal Pain Source of Information: Patient, Chart, SO Final Diagnosis: Acute Pancreatitis, Acalculous Cholecystitis, Multiple Hepatic Cysts

IV. NURSING HISTORY

PAST MEDICAL HISTORY According to the patient’s SO, she had completed his childhood immunization. He had no allergy to foods or medications. She has hypertension and takes Amiodipine and Metropolol to manage her illness. On June 2006, the patient was admitted at a government hospital due to Polycystitis. HISTORY OF PRESENT ILLNESS According to the patient’s SO, 3 days prior to admission the patient experienced sudden onset of abdominal pain, diffuse. No meds taken or consultation made. 2 days PTA the patient still have the same abdominal pain, this time was more severe and they monitored it. The patient is negative to bladder change. Few hours PTA, the patient could not any more tolerate the pain; she was brought to OLLH hence admitted. FAMILY HEALTH HISTORY According to the patient’s SO, both his maternal and paternal have a history Hypertension and Kidney Problem: Polycystic Kidney. PERSONAL / SOCIAL HISTORY The patient is the 4th among 6 siblings. She is living with 7 other family members. His spouse is unemployed and so was she. They are only financially supported with their children who are working. V. Laboratory Works TEST 1. Serum amylase

PURPOSE

NURSING CONSIDERATIONS

NORMAL VALUES

ABNORMAL RESULTS

Levels of The patient need 26 to 102 A marked increase amylase in a not fast before units/L (more than three blood sample test but must (SI, o.4 to 1.74) times the upper Most abstain alcohol. limit of normal) in commonly If severe the level strongly used test to abdominal pain suggests acute diagnosis of occur, obtain pancreatitis. acute sample before After the onset of pancreatitis. therapeutic acute pancreatitis, To evaluate intervention. levels of amylase in possible Handle sample the blood rise pancreatic gently to prevent within six to 12 injury caused hemolysis. hours, peak within by abdominal 12 to 48 hours and trauma. remain elevated for three to five days in uncomplicated attacks.

2. Serum lipase

Determines Instruct less than 160 levels of lipase patient to fast units/L in a blood overnight (SI,