Interventions are needed from an interprofessional team to allow the patient their best chance of survival. Care of these patients can consist of nurses, physicians, surgeons, case managers, nursing assistants, nutritionists, pharmacists, and radiologists. These professionals are needed to diagnose, manage, and rehabilitate the patient during the acute care process (Ignatavicius, 2013, p.1322). The nurse can use the nursing theory of Modeling and Role modeling when caring for these patients. The priority for these patients are to relieve symptoms, anticipating complications, and decreasing inflammation of the pancreas (Ignatavicius, 2013, p.1322).
Nonsurgical Interventions
Since the most common symptom …show more content…
The use of nonpharmacological interventions, such as deep breathing and diversional activities, will also aid in the decreased pain level. With mild cases, it is very important to hydrate the patient and to keep the patient at a nothing by mouth status in the acute phase (Quatrara, 2011, p.8). Maintenance of electrolytes, such as calcium and magnesium, may be indicated from decreased intake, and an accurate intake and output is crucial (Quatrara, 2011, p.10). In this case, the nursing diagnosis of Risk for electrolyte Imbalance related to an inadequate intake, is appropriate (Sparks-Ralph & Taylor, 2014, p.796). The patient should be weighed every day to monitor fluid balances. The patient may also need a Foley catheter to accurately measure output (Ignatavicius, 2013, p.1322). For more severe cases, nasogastric suction and decompression may be needed to prevent gastric acid from entering the gastrointestinal tract. If a nasogastric tube is present, oral hygiene is needed to prevent drying of mucous membranes and to prevent infection (Quatrara, 2011, p.8). Assessing the patient’s gastrointestinal mobility is crucial in determining the development of a paralytic ileus. It is important to ask the patient about …show more content…
If gallstones are present, a sphincterotomy may be performed to open the sphincter of Oddi to help rid the gallstones from the body (Ignatavicius, 2013, p.1325). If this is unsuccessful, surgery may be indicated. A laparoscopic cholecystectomy may be performed to remove the gallbladder and gallstones, and a minimally invasive surgery may be performed to drain abscesses (Ignatavicius, 2013, p.1325).
Conclusion
Acute pancreatitis is a serious and life threatening condition. It is crucial for nurses to understand the pathophysiology, causes, clinical manifestations, consequences, and nursing interventions in order to provide the best care for these patients and to reduce mortality. By knowing these concepts, nurses can provide a dramatic difference in preventing complications with acute