Frank is being transferred to the ICU. If you were the ICU nurse, what would you have to consider in Frank’s case?
As the ICU nurse receiving this patient, I would be encouraged to think that Frank is exhibiting classic signs of Acute Pancreatitis. This gastrointestinal disorder, is characterized by a reversible inflammatory response of the pancreatic acini resulting from premature activation of pancreatic enzymes, primarily trypsin. The inflammatory response; subsequently, causes severe tissue damage locally in the pancreas and in some instances, reach adjacent or surrounding tissues, leading to a systemic inflammatory response and multiple organ failure(Grossman & Porth, 2013).
Among the most common causes of acute pancreatitis, includes the presence of gallbladder stones, which causes an …show more content…
M Typically the treatment modality includes adequate pain management, preferably with Demerol as it causes less spasm when compared with the use of morphine. Moreover, the patient is placed on NPO status for approximately 14-48 hours to give the affected pancreas time to rest and prevent further tissue damage. Nevertheless, a nutritional plan should be implemented if possible after 48 hours as this ailment is an active inflammatory disorder and high caloric intake is required to assist to assist and promote a prompt recovery process. Continuous IV fluids infusion is used to restore the lost of plasma volume, prevents dehydration and ensures that the rest of the organs receive adequate blood supply to support the healing process, all while also improving cardiovascular function. Extreme vital signs monitoring is required to maintain proper cardiopulmonary functioning. Gastric suction may be used, only if there is an indication suggesting of a paralytic ileus, persistent vomiting and to reduce abdominal distention(Grossman & Porth, 2013)(Takeda et al.
As the ICU nurse receiving this patient, I would be encouraged to think that Frank is exhibiting classic signs of Acute Pancreatitis. This gastrointestinal disorder, is characterized by a reversible inflammatory response of the pancreatic acini resulting from premature activation of pancreatic enzymes, primarily trypsin. The inflammatory response; subsequently, causes severe tissue damage locally in the pancreas and in some instances, reach adjacent or surrounding tissues, leading to a systemic inflammatory response and multiple organ failure(Grossman & Porth, 2013).
Among the most common causes of acute pancreatitis, includes the presence of gallbladder stones, which causes an …show more content…
M Typically the treatment modality includes adequate pain management, preferably with Demerol as it causes less spasm when compared with the use of morphine. Moreover, the patient is placed on NPO status for approximately 14-48 hours to give the affected pancreas time to rest and prevent further tissue damage. Nevertheless, a nutritional plan should be implemented if possible after 48 hours as this ailment is an active inflammatory disorder and high caloric intake is required to assist to assist and promote a prompt recovery process. Continuous IV fluids infusion is used to restore the lost of plasma volume, prevents dehydration and ensures that the rest of the organs receive adequate blood supply to support the healing process, all while also improving cardiovascular function. Extreme vital signs monitoring is required to maintain proper cardiopulmonary functioning. Gastric suction may be used, only if there is an indication suggesting of a paralytic ileus, persistent vomiting and to reduce abdominal distention(Grossman & Porth, 2013)(Takeda et al.