Acute Pancreatitis

●Diagnostics

○Abdominal ultrasound

○Xray

○Contrast-enhanced CT scan

○Endoscopic retrograde cholangiopancreatography (ERCP)

■Lay down

■Aspiration precautions

○Endoscopic ultrasonography (EUS)

○Magnetic resonance cholangiopancreatography (MRCP)

○Angiography

○Chest x-ray

●Treatment

○Objectives include

■Relief of pain

■Maybe they go to surgery

○Conservative therapy

■They won’t heal if they don’t get enough nutrition

■Shock

■Fluid/electrolyte imbalance

■Ongoing hypotension

●Vasoactive drugs: dopamine

■Send for culture sensitivity

○Surgery

■For gallstones

●Ercp

●Cholecystectomy

○Female, fair, fat, forty, and fertile

■Drug

●IV Morphine

●Antispasmodics (dicyclomine (Benytl)

●H2 blockers

○Nutrition

■NPO

■NOOOOO ALCOHOL

●Assessment

○Subjective

■Medications

○Objective

■Cyanosis-- give them oxygen

■Changes of the skin

●Grey turners thing?

●Implementation

○Acute care

Acute Pancreatitis - Lecture notes Topic 4

Adult Health Nursing II (NSG-430)

Grand Canyon University

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