1. A 35-year-old male was admitted to the hospital with abdominal pain and nausea and was diagnosed with acute pancreatitis based on elevated serum amylase and lipase levels and abdominal ultrasound findings. 2. He was treated with IV fluids, pantoprazole, ondansetron, tramadol, thiamine injections, and later ceftriaxone injections. His condition was monitored over three days and showed improvement. 3. Acute pancreatitis can be caused by gallstones, heavy alcohol use, certain medications, and other factors. It leads to inflammation of the pancreas and pain in the upper abdomen. Treatment focuses on pain relief, rehydration, and addressing the

1. CASE PRESENTATION ON
ACUTE PANCREATITIS
SUBMITTED BY
METI.BHARATH KUMAR
16DK1T0014
Pharm.D Internship

2. DEMOGRAPHIC DETAILS
• NAME: jaya ramudu
• AGE:35 years
• GENDER:male
• DEPARTMENT:general medicine
• UNIT:mm-7
• IP NO:68856
• DOA:18/12/2021
• CONSULTANT PHYSICIAN: Dr.harikrishna P.G

3. SUBJECTIVE EVIDENCE
• A 35 years male patient was admitted in the male medical ward unit-7
with the chief complaints of,
pain in the abdomen (epigastric region) since 2 days associated
with nausea.
no c/o of fever,cold,cough, loose stools.
PAST HISTORY: k/c/o DCLD with portal HTN used medication.
h/o: alcoholic and smoker +

4. OBJECTIVE EVIDENCE
• USG abdomen: appears bulky and hypocentre with minimal
sascoonding inflammatory changes.
IMPRESSION: “Acute pancreatitis” with grade 2 fatty liver .
Serum amylase:225 u/L ( 40 to 110)
Serum lipase: 198 U/L (10 to 140 )

5. ASSESSMENT
• Based on the subjective and objective evidence the case is confirmed
as “ ACUTE PANCREATITIS”.

6. PLAN OF TREATMENT
MONITOR VITALS DAY 1
• Pt is c/c
• Temp: afebrile
• Bp:110/70 mm hg
• PR: 92 bpm
• Sp02 : 98 % at RA
• CVS : s1s2+
• RS :BAE+
• p/a: tenderness +
• RBS: 98 mg/dl
Rx
• 1.NBM till further order
• 2.IVF : 1 unit NS
3 unit RL
1 unit 25% D
• 3.inj.pantop 40 mg IV OD
• 4.inj.vomiset 2 cc IV BD
• 5.inj.thiamine 2 amp in 100 ml NS IV
OD
• 6.inj.tramadol 2 amp in 100 ml NS IV
OD
• 7.RBS monitor 8 th hourly

7. PLAN OF TREATMENT
MONITOR VITALS DAY 2
• pt is c/c
• Temp: afebrile
• Bp:120/80 mm hg
• PR: 94 bpm
• Sp02 : 98 % at RA
• CVS : s1s2+
• RS :BAE+
• p/a: tenderness +
• RBS: 112 mg/dl
Rx
• 1.NBM till further order
• 2.IVF : 1 unit NS
2unit RL
1 unit 25 % D
• 3.inj.pantop 40 mg IV OD
• 4.inj.vomiset 2 cc IV BD
• 5.inj.thiamine 2 amp in 100 ml NS IV OD
• 6.inj.tramadol 2 amp in 100 ml NS IV OD
• 7.RBS monitor 8 th hourly

8. PLAN OF TREATMENT
MONITOR VITALS DAY 3
• pt is c/c
• Temp: afebrile
• Bp:120/80 mm hg
• PR: 94 bpm
• Sp02 : 98 % at RA
• CVS : s1s2+
• RS :BAE+
• p/a: tenderness +
Rx
• 1.inj.ceftriaxone 1 g IV BD
• 2.IVF : 1 unit NS
1unit RL
• 3.inj.pantop 40 mg IV OD
• 4.inj.vomiset 2 cc IV BD
• 5.inj.thiamine 2 amp in 100 ml NS
IV OD
• 6.inj.tramadol 2 cc IM BD

9. DRUG CHART
S.NO GENERIC
NAME
BRAND
NAME
INDICATION DOSE ROA FREQUENCY
1 Ceftraixone Reduce infection 1g IV BD
2 Pantoprazole Pantop Reduce acidity 40mg IV OD
3 Ondansetron Vomiset To reduce vomitings 2 cc IV BD
4 Tramadol To reduce pains 2 cc IM BD
5 Inj.thiamine Vitamin supplement 2 amp IV OD

10. PHARMACEUTICAL CARE ISSUES
• No pharmaceutical care issues found the prescription was
rational.

11. DISCUSSION
• The pancreas is an organ located behind the stomach and near the small intestine.
It produces and distributes insulin, digestive enzymes, and other necessary
hormones.
• Acute pancreatitis (AP) is inflammation of the pancreas. It occurs suddenly and
causes pain in the upper abdominal (or epigastric) region. The pain often radiates
to your back.
CAUSES:
• Direct causes
• Other direct causes of acute pancreatitis include:
• sudden immune system attacks on the pancreas, or autoimmune pancreatitis
• pancreatic or gallbladder damage from surgery or injury
• excessive fats called triglycerides in your blood

12. • Indirect causes
• Indirect causes of acute pancreatitis include:
• alcohol abuse
• cystic fibrosis, a serious condition that affects your lungs, liver, and
pancreas.
• Kawasaki disease, a disease that occurs in children younger than 5 years old
• viral infections like mumps and bacterial infections like mycoplasma.
• Reye’s syndrome, a complication from certain viruses that can also affect
the liver.
• certain medications containing estrogen, corticosteroids, or certain
antibiotics.

13. RISK FACTORS
• Alcohol consumption.
• Tobacco smoking
• A family history of cancer ,inflammation or any other pancreatic
condition may also put at risk.

14. PATHOPHYSIOLOGY

15. DIAGNOSIS
• Ultrasound of abdomen
• Blood test looks for
serum amylase
serum lipase
TREATMENT AND PATIENT COUNSELLING
• Make sure you get enough
fluids,usually intravenously.
• Pain medictions to relieve pain.
• Life style and diet changes.
• Stay hydrated at all times.
• Keep a water bottle or an
electrolyte infused drink.
• Quit the alcohol consumption.