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[NGN] ATI RN COMPREHENSIVE GI Preparation for Exam 3 $17.99   Add to cart
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[NGN] ATI RN COMPREHENSIVE GI Preparation for Exam 3
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[NGN] ATI RN COMPREHENSIVE GI Preparation for Exam 3Acute Pancreatitis • Anacute inflammation of the pancreas with the degree of inflammation varying from mild edema to severe hemorrhagic necrosis. • Commoncauses:-Gallbladder ds (gallstones)-Chronic alcohol intake-Smoking-Biliary sludge (cho...

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  • September 29, 2024
  • 11
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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[NGN] ATI
RN
COMPREH
ENSIVE GI
-
Preparation
for Exam 3

, Acute Pancreatitis
• An acute inflammation of the pancreas with the
degree of inflammation varying from mild edema
to severe hemorrhagic necrosis.

• Common causes:
-Gallbladder ds (gallstones)
-Chronic alcohol intake
-Smoking
-Biliary sludge (cholesterol crystals & calcium salts)
-Trauma
-Viral infections (HIV)
-NSAIDs

• Clinical Manifestations:
-Abdominal pain LUQ or mid epigastric area, pain commonly radiates to
the back.
-Pain has a sudden onset & is described as severe,
deep, piercing, continuous/steady.
-Aggravated by eating or recumbent (lying down), not relieved by
vomiting.
-May be accompanied by flushing, cyanosis, & dyspnea.
-N/V
-Low-grade fever
-Leukocytosis
-Hypotension
-Tachycardia
-Jaundice
-Abdominal tenderness with muscle guarding
-Bowel sounds may be diminished or absent
-Lungs are commonly involved, with crackles present
-Shock may occur b/c of hemorrhage into the pancreas

• Collab Care:
-Relief of pain (analgesics)
-Prevention or alleviation of shock
-Decrease of pancreatic secretions
-Correction of fluid & electrolyte imbalances
-Prevention or tx of infections
-Removal of the precipitating cause
-Aggressive hydration
-Pain management
-Management of metabolic complications
-Minimization of pancreatic stimulation
-Tx & control of pain are important, Morphine may be
used & may be combined with an antispasmodic.
-If shock is present, blood volume replacements & expanders such as
dextran or albumin may be given.
-Decrease or suppress pancreatic enzymes to

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