The pancreas is a complex exocrine and endocrine gland located in the upper abdominal region. Acute pancreatitis occurs when the pancreas digests itself through the action of proteolytic enzymes like trypsin. It ranges in severity from mild to rapidly fatal. Clinically, it manifests with severe abdominal pain, back pain, nausea, vomiting, and fever. Diagnosis is based on abdominal pain, risk factors, and elevated pancreatic enzymes in blood tests. Treatment focuses on pain relief, nutritional support, and preventing complications through careful monitoring. Surgery may be needed in severe cases to drain the pancreas or remove necrotic tissue. Nursing care involves pain management, respiratory support, nutrition, monitoring for complications, and patient education
The pancreas is a complex exocrine and endocrine gland located in the upper abdominal region. Acute pancreatitis occurs when the pancreas digests itself through the action of proteolytic enzymes like trypsin. It ranges in severity from mild to rapidly fatal. Clinically, it manifests with severe abdominal pain, back pain, nausea, vomiting, and fever. Diagnosis is based on abdominal pain, risk factors, and elevated pancreatic enzymes in blood tests. Treatment focuses on pain relief, nutritional support, and preventing complications through careful monitoring. Surgery may be needed in severe cases to drain the pancreas or remove necrotic tissue. Nursing care involves pain management, respiratory support, nutrition, monitoring for complications, and patient education
The pancreas is a complex exocrine and endocrine gland located in the upper abdominal region. Acute pancreatitis occurs when the pancreas digests itself through the action of proteolytic enzymes like trypsin. It ranges in severity from mild to rapidly fatal. Clinically, it manifests with severe abdominal pain, back pain, nausea, vomiting, and fever. Diagnosis is based on abdominal pain, risk factors, and elevated pancreatic enzymes in blood tests. Treatment focuses on pain relief, nutritional support, and preventing complications through careful monitoring. Surgery may be needed in severe cases to drain the pancreas or remove necrotic tissue. Nursing care involves pain management, respiratory support, nutrition, monitoring for complications, and patient education
The pancreas is a complex exocrine and endocrine gland located in the upper abdominal region. Acute pancreatitis occurs when the pancreas digests itself through the action of proteolytic enzymes like trypsin. It ranges in severity from mild to rapidly fatal. Clinically, it manifests with severe abdominal pain, back pain, nausea, vomiting, and fever. Diagnosis is based on abdominal pain, risk factors, and elevated pancreatic enzymes in blood tests. Treatment focuses on pain relief, nutritional support, and preventing complications through careful monitoring. Surgery may be needed in severe cases to drain the pancreas or remove necrotic tissue. Nursing care involves pain management, respiratory support, nutrition, monitoring for complications, and patient education
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BY:
Amy Rose Abueva,
Karyll Chelsea Gulfan Pancreas Complicated exocrine and endocrine gland located in the upper abdominal region Non-capsulated lobular organ about 12 to 20 cm long and lies behind the peritoneum of the posterior abdominal WHAT IS wall Divided into head, body, and tail PANCREAS? Acute pancreatitis ranges from a mild, self- limited disorder to a severe, rapidly fatal disease that does not respond to any treatment. Mild acute pancreatitis is characterized by edema and inflammation confined to the pancreas Acute Pancreatitis PATHOPHYSI- Self-digestion of the pancreas by its own proteolytic enzymes, principally trypsin, causes OLOGY acute pancreatitis. 1. sever abdominal pain 2. back pain 3. edema of the inflamed pancreas 4. abdominal distention 5. Nausea and vomiting CLINICAL 6. Fever, jaundice, mental confusion, and agitation may also occur MANIFESTATION Hypotension is typical and reflects hypovolemia and shock. In addition to hypotension, the patient may develop tachycardia, cyanosis, and cold, clammy skin. Acute renal failure is common. The diagnosis of acute pancreatitis is based on a history of abdominal pain, the presence of known risk factors, physical examination findings, and ASSESSMENT diagnostic findings. Serum amylase and lipase levels are used in making the diagnosis of acute & FINDINGS pancreatitis. The white blood cell count is usually elevated. Transient hyperglycemia and glycosuria and elevated serum bilirubin levels occur in some patients with acute pancreatitis.
X-ray studies of the abdomen and chest may be
obtained to differentiate pancreatitis from other disorders that can cause similar symptoms and to detect pleural effusions. Ultrasound and contrast-enhanced computed tomographic (CT) scans are used to identify an increase in the diameter of the pancreas and to detect pancreatic cysts, abscesses Management of acute pancreatitis is directed toward relieving symptoms and preventing or treating complications. All oral intake is withheld, to inhibit stimulation of the pancreas and its secretion of enzymes. Parenteral nutrition is usually an important part of therapy, particularly in debilitated patients, because of MEDICAL the extreme metabolic stress associated with acute pancreatitis MANAGEMENT The current recommendation is that, whenever possible, the enteral route should be used to meet nutritional needs in patients with pancreatitis. Patients who do not tolerate enteral feeding require parenteral nutrition. Nasogastric suction may be used to relieve nausea and vomiting and to decrease painful abdominal distention and paralytic ileus Although surgery is often risky because the acutely ill patient is a poor surgical risk, it may be performed to assist in the diagnosis of pancreatitis (diagnostic laparotomy), to establish pancreatic drainage, or to SURGICAL resect or debride a necrotic pancreas. The patient who undergoes pancreatic surgery may have multiple MANAGEMENT drains in place postoperatively, as well as a surgical incision that is left open for irrigation and repacking every 2 to 3 days to remove necrotic debris. 1. Relieving Pain and Discomfort 2. Nasogastric suction may be used to relieve nausea and vomiting or to treat abdominal distention 3. Improving Breathing Pattern : The nurse maintains the patient in a semi-Fowler's position NURSING 4.Frequent changes of position are necessary to INTERVENTION prevent atelectasis and pooling of respiratory secretions 5. Improving Nutritional Status: Laboratory test results and daily weights are useful to monitor the nutritional status. CONCEPT MAP PATIENT DATA NURSING CARE PLAN DIAGNOSTIC TEST DISCHARGE PLAN