3. DEFINATION:Acute pancreatitis is a condition where the pancreas becomes
inflamed (swollen) over a short period of time. The pancreas is a small organ,
located behind the stomach, that helps with digestion.
ETIOLOGY:The most common causes of acute pancreatitis include gallstones,
alcohol use, and hypertriglyceridemia
4. PATIENT DEMOGRAPHICS DETAILS
Patient name :××××
Age :38yrs/M
Chief consultant:Dr:Srimannarayana
Chief complaints :A 38 years old male
patient presented with complaints of
epigastric pain radiating to
back,belching,H/O Alcohol intake 1week
back.Now admitted in this hospital for
further evaluation and management.
Known allergies: Nil
Provisional diagnosis:Acute pancreatitis
5. DAY NOTES-1
Physical examination
Paramet
ers
Nrml
ranges
Day 1 Day2
Blood
pressure
120/80m
mhg
120/80m
mhg
120/80
Pulse
rate
72b/min 90b/min 80b/min
Tempera
ture
98.6F 98.6F 98.6
Respirati
on rate
16-
20b/min
20b/min 20b/min
Spo2 >95% 95% 95%
Special investigations:CT abdominal plain
Liver function test
Parameters Nrml
ranges
Day -1
Total
bilirubin
0.1-1.2mg/dl 1.2
SGOT 7-56 units 27
SGPT 8-45 units 20
Alkalin
phosphate
44-147 72
Total
protein
6-8.3 grams 7.1
Albumin/glo
bulin
3.4-5.4
grams
3.3/3.8
Systemic examination:
sensorim: conscious and awake
RS:clear
CVS:s1s2+
P/A:soft,BS+
CNS:NAD
LAB INVESTIGATION
6. Brand name Generic name Category Dose Frequency Route
Inj.pan Pantoprazole PPI 40mg BD Iv
Inj.Buscopan Hyoscien
butylbromide
Antispasmodics 2ml TD Iv
Inj.pcm Paracetamol Antipyretic 1gm BD Iv
Inj.zofer Ondensetron Antiemetic 4mg BD Iv
Spy.sucrocoat Sucrolfate Antiulcerants 15ml TDS P/O
DRUG CHART
Interactions:
Sucrolfate-food (moderate)
When you have food in your stomach, sucralfate
isn't able to properly coat your ulcers to allow
them to heal. The fix is pretty simple: Take
sucralfate on an empty stomach, at least 1 hour
before or 2 hours after you eat.
7. PATIENT COUNSELING:
About the disease:Acute pancreatitis can cause changes in how the
lungs work, causing the level of oxygen in the blood to fall to dangerously
low levels.
Complications:shock, pulmonary edema, pleural effusion,acute kidney
failure,coagulopathy,hypocalcaemia, hyperglycemia,vascular leak syndrome
Risk factors:Obesity, cigarette smoking, excessive alcohol
intake,Diabetes,family history of pancreatitis
About medication:All prescribed medications must
be taken with the recommended frequency
Discharge
medication:tab.pan,tab.buscopan,syp,sucracoat,tab.cre
on,syp.dupalac
About drugs:
Tab.pan-used to treat peptic ulcers, gastroesophageal reflux disease (GERD).
Tab.buscopan-relieves stomach cramps and period pains by helping your digestive system and bladder relax.
Syp.sucracoat-used to treat intestinal ulcers.
Inj.zofer-used to treat nausea and vomitings.
Inj.pcm-provide relief from fever and mild-to-moderate pain
Life style modifications:
1.maintain a healthy diet.
2.Avoid alcohol intake.
3.Dietary changes/avoid high fat foods.
