10 hours ago Patient Pancreatitis Medical Report Patient Name: Patient D.O.B: Today’s Date: Patients present Illnesses: This patient has current conditions and past illnesses of Cystic Fibrosis, Gallstones, pancreas divisum, Hypertension, Rheumatoid Arthritis, history of high triglyceride levels, and also has been diagnosed with Hypertriglyceridemia and a history of Acute Pancreatitis. >> Go To The Portal
Nursing documentation of the case of a patient with acute pancreatitis involves the following: Client’s description of response to pain and acceptable level of pain. Prior medication use. Caloric intake. Individual cultural or religious restrictions and personal preferences.
Assessment and Diagnostic Findings. The diagnosis of pancreatitis is based on a history of abdominal pain, the presence of known risk factors, physical examination findings, and diagnostic findings. Serum amylase and lipase levels. These are used in making diagnosis, although their elevation can be attributed to many causes,...
Severe abdominal pain. Abdominal pain is the major symptom of pancreatitis that causes the patient to seek medical care and this result from irritation and edema of the inflamed pancreas. Boardlike abdomen. A rigid or boardlike abdomen may develop and cause abdominal guarding. Ecchymosis.
Planning and goals developed for a patient with pancreatitis involves: Relief of pain and discomfort. Improvement in nutritional status. Improvement in respiratory function. Improvement in fluid and electrolyte status.
The most common symptom associated with pancreatitis is pain localized to the upper-to-middle abdomen. Patients often report that their pain radiates to the back.
DiagnosisBlood tests to look for elevated levels of pancreatic enzymes, along with white blood cells, kidney function and liver enzymes.Abdominal ultrasound to look for gallstones and pancreas inflammation.Computerized tomography (CT) scan to look for gallstones and assess the extent of pancreas inflammation.More items...•
Diagnosis of Acute Pancreatitis Acute pancreatitis is confirmed by medical history, physical examination, and typically a blood test (amylase or lipase) for digestive enzymes of the pancreas. Blood amylase or lipase levels are typically elevated 3 times the normal level during acute pancreatitis.
Upper abdominal pain. Abdominal pain that radiates to your back. Tenderness when touching the abdomen. Fever.
Physical examination findings most specific for the patient with acute pancreatitis include upper abdominal tenderness and diminished, but not absent, bowel sounds.
The presenting symptoms of acute pancreatitis are typically abdominal pain and elevated pancreatic enzymes, which are evident in blood and urine testing because of an inflammatory process in the pancreas.
In general, normal results are 0 to 160 units per liter (U/L) or 0 to 2.67 microkat/L (µkat/L). Normal value ranges may vary slightly among different laboratories. Some laboratories use different measurement methods.
The normal range for adults younger than 60 is 10 to 140 U/L. Normal results for adults ages 60 and older is 24 to 151 U/L. Higher than normal levels of lipase mean that you have a problem with your pancreas. If your blood has 3 to 10 times the normal level of lipase, then it's likely that you have acute pancreatitis.
Serum amylase and lipase levels are typically elevated in persons with acute pancreatitis. However, these elevations may only indicate pancreastasis. In research studies, amylase or lipase levels at least 3 times above the reference range are generally considered diagnostic of acute pancreatitis.
The most common cause of acute pancreatitis is having gallstones. Gallstones cause inflammation of your pancreas as stones pass through and get stuck in a bile or pancreatic duct.
Sometimes people with severe acute pancreatitis can develop a complication where the pancreas loses its blood supply. This can cause some of the tissue of the pancreas to die (necrosis). When this happens, the pancreas can become infected, which can spread into the blood (sepsis) and cause organ failure.
Pancreatitis is an inflammation (swelling) of the pancreas. When the pancreas is inflamed, the powerful digestive enzymes it makes can damage its tissue. The inflamed pancreas can cause release of inflammatory cells and toxins that may harm your lungs, kidneys and heart.
Your healthcare provider will look at your past health. He or she will give you a physical exam.
Most people recover without any problems. A small number of cases end up with fluid collections around the pancreas that require drainage.
Pancreatitis is the redness and swelling (inflammation) of the pancreas. This happens when digestive juices or enzymes attack the pancreas. The pancreas lies behind your stomach on the left side of your belly. It is close to the first part of your small intestine (the duodenum). The pancreas is a gland.
It may be sudden (acute) or ongoing (chronic). The most common causes are alcohol abuse and lumps of solid material (gallstones) in the gallbladder. The goal for treatment is to rest the pancreas and let it heal.
Pancreatitis often gets better in a few days. If any problems happen, treatment may include: NG tube (nasogastric tube). This is a thin tube passed down your nose and into your stomach. It is used if vomiting is a problem. The tube can be used for a few weeks.
The pancreas is a gland. It does 2 main things: It makes enzymes and sends them into your small intestine. These enzymes help break down food . It makes the hormones insulin and glucagon and sends them into your bloodstream. These hormones control your body’s blood sugar level.
The treatment goal is to rest the pancreas and let it heal. In most cases, you: Will be in the hospital for a few days. Will be given IV (intravenous) fluids. Will be given pain medicine and medicines that fight bacterial infections (antibiotics) If mild, you may be able to eat clear liquids or a low-fat diet.
The diagnosis of acute pancreatitis requires two out of the following three features (as per the revised Atlanta classification) [9]: (1) abdominal pain consistent with acute pancreatitis, (2) serum lipase or amylase activity at least three times greater than the upper limit of normal, and (3) characteristic findings of acute pancreatitis on contrast-enhanced CT or MRI or USG. The common causes of pancreatitis, which were ruled out in this case, included biliary tract disease (e.g. gallstones), alcohol, hypertriglyceridemia, hypercalcemia, trauma, history of surgical procedures/post-ERCP (endoscopic retrograde cholangiopancreatography), developmental anomalies, and tumors. Drug-induced pancreatitis has not been reported with either ivermectin or favipiravir. Infections with viruses, helminths, and protozoa are known to cause pancreatitis, and viral infections such as those from hepatitis viruses, Coxsackieviruses, Echoviruses, mumps virus, cytomegalovirus, Epstein-Barr virus, Varicella Zostervirus, and influenza virus (H1N1) are the most common infectious cause (65% cases) of acute pancreatitis [10].
Anand et al. [11] reported the development of acute pancreatitis in a patient 10 days after the first positive PCR report. The patient was readmitted after discharge with fever, abdominal pain, and constipation, and CT obtained on day 3 of readmission indicated acute pancreatitis [11]. They raised the possibility of an association between this novel coronavirus and acute pancreatitis [11]. The temporal presentation of acute pancreatitis in their case matches that of our case; however, a serum amylase level test was not done in their patient on admission.
Contrast-enhanced CT of the abdomen (axial section) showing free fluid in the pelvis and ascites (solid red arrow).
The signs and symptoms of pancreatitis include: Severe abdominal pain. Abdominal pain is the major symptom of pancreatitis that causes the patient to seek medical care and this results from irritation and edema of the inflamed pancreas. Boardlike abdomen.
Management of pancreatitis is directed towards relieving symptoms and preventing or treating complications.
Pancreatitis, which is the inflammation of the pancreas, can be acute or chronic in nature. It may be caused by edema, necrosis or hemorrhage. In men, this disease is commonly associated with alcoholism, peptic ulcer, or trauma; in women, it’s associated with biliary tract disease. Prognosis is usually good when pancreatitis follows biliary tract disease, but poor when the factor is alcoholism. The mortality rate may go as high as 60% when the disease is associated with necrosis and hemorrhage. (Schilling McCann, 2009)
Alcohol abuse. Eighty percent of the patients with pancreatitis have biliary tract disease or a history of long-term alcohol abuse.
This is a major cause of morbidity and mortality in patients with pancreatitis because of resulting hemorrhage, septic shock, and multiple organ failure. Septic shock. Septic shock may occur with bacterial infection of the pancreas.
A prolonged period is needed to regain the strength of a patient who has experienced pancreatitis and to return to the previous level of activity.
The overall mortality rate of patients with pancreatitis is 2% to 10%. Even though the frequency is about 5000 new cases per year in the United States, with a mortality rate of about 10%, it is yet unknown about the number of clients who have recurrent acute pancreatitis or chronic pancreatitis.