Symptoms And Treatment Of Acute Pancreatitis

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Acute Pancreatitis Kathleen Kelly NURS 116 Mrs. Lois Orndorf 4/30/2015 Introduction Client J.D. is a 45 year old white male who presents to the emergency department with a chief complaint of severe epigastric and LUQ pain that radiates to his back and shoulder. He has been nauseated and has vomited several times. Client J.D. has been previously healthy. The pain awoke the client from sleep about 24 hours ago and it has become progressively worse since then. His vital signs: 90/50-150-32-100.5-96% on RA. The client also has elevated serum amylase and lipase levels. The client has abdominal tenderness, muscular guarding, and his bowel sounds are diminished. Lung auscultation revealed crackles in the base of the left lung. He rates his pain 8/10. The client describes the pain as constant and sharp and it becomes worse when he is lying on his back. The client is currently NPO and is on the stretcher in the fetal position in an attempt to gain some relieve from the discomfort. The client may be experiencing an episode of acute pancreatitis. It is recommended that this client be seen immediately. IV fluids of LR should be started along with an abdominal CT scan, pain medication, an anti-emetic for the nausea and vomiting and the client should be admitted for observation. Pathophysiology/Etiology The pancreas is an elongated organ located toward the back of the abdomen behind the stomach and it is part of the body 's endocrine system. The endocrine system is a
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