The Management of Acute Pancreatitis Assignment

Assignment Task

Joelle, a 56-year-old female, has presented to ED with complaints of severe abdominal pain, localised in the upper abdomen. She describes the pain as constant, sharp, and radiating to her back. She notes that the pain started suddenly after consuming a large fatty meal. Abdominal examination reveals tenderness in the left upper abdomen with guarding and rebound tenderness. Bowel sounds are diminished.
Subjective and objective data

• Vital signs: BP 90/40 mmhg, HR 130 BPM, T 38.5o c, RR 28 breaths per minute
• Elevated amylase, lipase, and WBC.
• Weight 130kg, Height 157cm
• Current medication: Ibuprofen PRN and Ramipril 5mg daily.
• Hypertension, diagnosed 3 years ago.
• Cholelithiasis, diagnosed 6 years ago- on the surgery waiting list.
• Current smoker, 10 cigarettes a day, and alcohol intake, 8 standard drinks per week.
• Main diet consists of processed and fatty foods.

Pathophysiology

• Discuss the pathophysiology of acute pancreatitis. Include in your answer the pathophysiological changes that may have contributed to Joelle’s altered vital signs as well as her clinical presentation.

Pharmacology

• Joelle is commenced on Albumin, Esomeprazole, an opioid as well as an antibiotic. Discuss Albumin and Esomeprazole. Include in your answer classification, mechanisms of action, rationale for use in Joelle’s case, as well as the most common ADR’s (DO NOT USE TABLES).

Specific Nursing Care

Providing Evidence Based Research (EBR) and rationale, discuss the specific nursing consideration for
Joelle.

Discharge education

Discuss what discharge education would be appropriate post recovery, considering Joelle’s comorbidities and associated risk factors.

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