Clinical case

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Clinical Case Study
“Acute Pancreatitis”
Presented by : Hafiz Muhammad Tanveer
Roll Number : 2022009
Class: BSc Nursing semester (IV)

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Objectives:
• Case Scenario
• Pathophysiology
• Diagnostic test
• Integration of Health Assessment
• Integration of Adult Health Nursing
• Integration of Pharmacology
• Patient Education

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Patient Scenario:-
A 42 years old male patient with the
active complain of acute epigastric pain,
fever, nausea, vomiting and vital signs
BP=148/87, PR=111, SPO2=97%,
T=100*F with an history of laparoscopic
cholecystectomy done 15 days ago.
Medical diagnosis:
• Acute pancreatitis

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What is Pancreatitis

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Pathophysiology:-
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Auto digestion of pancreas
Inflammation of
Pancreas
Pancreatitis
Accumulation of pancreatic enzymes
Activation of Trypsin
Stone in Common bile duct
Temporary Obstruction of bile duct

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Causes
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Diagnostic test:-
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• Serum Amylase
• Serum lipase
• Ultrasound
• CT Scan
• CRP
• USG
• Electrolytes
Na= 140
K= 3.2
Ca= 8.6
• CBC
• Bilirubin test
1.5

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NORMAL CT SCAN IMAGE OF
PANCREASE
ABNORMAL ACUTE PANCREATITIS

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Integration of Health Assessment:-
Physical
Assessment
Pain radiating
towards back
No Edema No Ascites Bruises on
Right Arm
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Sign & Symptoms
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COLDERRA
Characteristics: Sharp pain
Onset: After eating a meal
Location: Epigastric region ( U p p e r l e f t s i d e o r
m i d d l e o f t h e a b d o m e n )
Duration: continuesly
Exacerbation: After mobilization (when the
patient moves) and after eating
Radiation: Radiate to back side of body
Relief: When at rest and after taking medicine
Associated signs and symptoms: Nausea,
vomiting, and fever

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Integration ofAHN:-
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Nursing Intervention:
 Monitor vital signs
 Monitor labs
 Taped sponging to reduce fever
 Use of distraction techniques
 Promoting deep breathing exercise
 Reliving pain
 Improving nutritional status
 Limit caffeine and alcohol
 Nasogastric suction to relive nausea and vomiting
 Maintaining skin integrity
 Administer analgesics as prescribed

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Integration of Pharmacology:-
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Vancomycin
Doxycycline
Pipracillin+Tazobactum
Amlodipine
Tramadol
Enoxaparin
Ketorolac
Omeprazole
Paracetamol

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CMAP:-
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NCP:-
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“
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NCP

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Patient Education:
• Use Soft diet
• Avoid fatty foods
• Hand hygiene
• Proper wound care
• Avoid Alcohol and smoking
• Monitor Temperature
• Don’t skip any dose
• Maintain healthy weight
• Follow up

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References:-
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1. Bruner & Suddarth’s text book of Medical-Surgical Nursing
2. Porth’s Pathophysiology.

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Thank You