A Patient With An Acute Pancreatic Attack

1344 Words Nov 7th, 2015 6 Pages
Imbalanced nutrition
The next step in treating a patient with an acute pancreatic attack is focusing on the patient’s current diet and nutrition status. The patient experiencing an acute pancreatitis will need many diet modifications to limit the amount of stimulation to the stomach. However, the patient’s nutrition status must be closely monitored and the appropriate interventions to maintain the patient 's health must be implemented. Acute pancreatitis is a hypermetabolic and hypercatabolic event. Therefore, treatment and maintenance of an individual with acute pancreatitis is contradicting itself. Interventions for this nursing diagnosis include; assessing bowel sounds, maintaining a NPO status, initiating a parental and/ or enteral nutrition if ordered and assessing tolerance of oral intake once the pain has resided.

Maintain NPO status and gastric suctioning in acute phase
The first step taken in the care for a patient with acute pancreatitis is initiating an NPO (nothing by mouth) diet order. The primary health provider will order this. The typical NPO order is at least 3 to 7 days. Eating will cause future inflammation and autodigestion of the pancreas. Brenner & Krenzer explains that by keeping a patient NPO until their serum amylase levels return to normal and the pain subsides. Conjunctively the patient receives "IV fluids and proton pump inhibitors to decrease gastric acid secretions" (Brenner & Krenzer, 2010, pg. 35). Croghan discusses that the use of…
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