3. • REASON FOR ADMISSION : Pain in abdomen from 3 days.
• Pain in abdomen from 3 days which is insidious in onset gradually
progessive associated with 1 episode of vomiting
Watery consistency,non blood stained, non foul smelling stools.
PAST MEDICAL HISTORY : K/C/O Acute pancreatitis
SOCIAL HISTORY : Alcoholic since 3 years
4. OBJECTIVE EVIDENCE
• Laboratory investigation :
Date 15/4 16/4 17/4 18/4 19/4 20/4
TEMP 98 F 98 F 98 F 98 F 98 F 98 F
BP 108/68 108/68 120/80 106/64 118/74 120/74
RR 20 20 20 20 20 20
PR 76 84 90 92 88 80
6. LIVER FUNCTION TEST
• Total Bilirubin : 3.11 mg/dL
• Direct Bilirubin : 0.44 mg/dL
• Indirect Bilirubin : 2.7 mg/dL
• Total Protein : 6 g/dL
• Albumin : 3.3 g/dL
• Globulin : 2.7 g/dL
• AG ratio : 1.2
• ALT : 6 1U/L
• AST : 15 IU/L
7. ELECTROLYTES
• Sodium : 132 mEq/L
• Potassium : 3.93 mEq/L
• Calcium : 100 mEq/L
OTHER INVESTIGATIONS:
Lipase : 738 U/L
Amylase : 3958 U/L
ULTRASOUND ABDOMEN AND PELVIS
Features likely suggestive of pancreatitis with walled off necrosis
Right simple cortical cystsTake a multivitamin supplement to ensure that you’re getting the nutrition you need.
8. GOALS OF TREATMENT
• To relieve signs and symptoms
• To improve the patient quality of life
9. TREATMENT CHART
SL.
NO
BRAND NAME GENERIC NAME DOSE FREQUENCY 15/4 16/4 17/
4
01 INJ. PAN PANTOPRAZOLE 40mg 1-1-1 - y Y
02 INJ. EMESET ONDANSETRON 4mg 1-1-1 - y y
03 INJ.BUSCOPAN HYOSCINE
BUTYLBROMIDE
10mg/IM 1-0-1 - y y
04 IV FLUIDS Nacl solution 100ml/hr - y y y
05 Inj.DYNAPAR IN
100mL Normal saline
Diclofenac 75mg/mL 1-0-1 Y Y Y
11. PHARMACIST INTERVENTION
• Anemia is not treated.
• Glucose levels should be monitored as pancreatitis increase the levels
of blood glucose levels.
• Antibiotics like imipenem should be given to treat acute pancreatitis.
