BY: Amy Rose Abueva, Karyll Chelsea Gulfan

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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

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