1. Explain the pathophysiology of acute pancreatitis. 2. What are the most common causes of acute pancreatitis? 3. How do the results of V.A.'s laboratory values relate to the pathophysiology of acute pancreatitis? 4. What causes hypocalcemia in acute pancreatitis? How does the nurse assess for hypocalcemia? 5. Describe the characteristics of the pain that occurs in acute pancreatitis. 6. What complications can occur with acute pancreatitis? 7. Why is V.A. NPO? What is the purpose of the NG tube? 8. Identify the purpose of each medication prescribed for this patient. 9. Priority Decision: Based on the assessment data presented, what are the priority nursing diagnoses? Are there any collaborative problems?
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- Subject: MEDSURG NURSING 1. A 44-year-old guitarist of a rock band is admitted to the hospital with pancreatitis. Which type of pain is the patient most likely to have? a. Burning pain which occurs 2 – 3 hours after meals and is relieved by antacids. b. Midepigastric pain radiating to his back that is aggravated by a fatty meal c. Severe abdominal distention and pain with associated bloody diarrhea d.Right lower quadrant pain with rebound tenderness 2. Which of the following laboratory values should a nurse expect to be elevated in a patient who has pancreatitis? a. Blood calcium levels b. Blood urea nitrogen c. Alanine aminotransferase (ALT) d. Serum amylase 3. Which of the following would MOST likely be a major nursing diagnosis for a client with acute pancreatitis? a. Impaired swallowing b. Ineffective airway clearance c. Excess fluid volume d. Imbalanced nutrition: less than body requirements 4. Which of the following nursing intervention is INAPPROPRIATE for a client with…Case study: Constipation and pharmacological management of peptic ulcer A 75-year-old female patient has visited the clinic with a presenting history of not having had a bowel movement for four days. She states that she is ‘always regular or every day. She lives in a residential home and suffered a sprained ankle two weeks ago, for which she has been taking co-codamol, which has been effective in managing the pain. She admits that the injury has restricted her movements, and she has been unable to ‘get about’ as she usually does. She also reveals that she has been experiencing heartburn regularly, especially after a spicy meal or after a glass of whisky, which she sometimes takes to help her to relax since the injury. She has been taking an antacid for the last few days, which initially helped, but she is still experiencing indigestion. She has a past medical history of hypertension and persistent atrial fibrillation (AF), for which she takes digoxin 125micrograms od, aspirin 75mg od,…Case study: Constipation and pharmacological management of peptic ulcer A 75-year-old female patient has visited the clinic with a presenting history of not having had a bowel movement for four days. She states that she is ‘always regular or every day. She lives in a residential home and suffered a sprained ankle two weeks ago, for which she has been taking co-codamol, which has been effective in managing the pain. She admits that the injury has restricted her movements, and she has been unable to ‘get about’ as she usually does. She also reveals that she has been experiencing heartburn regularly, especially after a spicy meal or after a glass of whisky, which she sometimes takes to help her to relax since the injury. She has been taking an antacid for the last few days, which initially helped, but she is still experiencing indigestion. She has a past medical history of hypertension and persistent atrial fibrillation (AF), for which she takes digoxin 125micrograms od, aspirin 75mg od,…
- B. Give the medical term for the below surgical procedures 11. Removal of the gallbladder - 12. Large bowel resection - 13. Suture of a weakened muscular wall (hernia) - 14. New opening of the first part of the colon to the outside of the body - 15. Surgical repair of the abdomen - 16. Incision of a ring of muscles - 17. Removal of the pancreas and duodenum - 18. Opening of the third pat of the small intestine to the outside of the body - 19. Removal of gum tissue - 20. Anastomosis between the gallbladder and second part of the small intestine - 21. Surgical puncture of the abdomen for withdrawal of fluid - 22. Surgical repair of the roof of the mouth - C. Give the meanings of the following abbreviations 13. ΤΡΝ- 14. PUD - 15. EGD - 16. IBD - 17. ВЕ- 18. BRBPR - 19. LTFS 20. GERD - 21. HBV - 22. СТ—CASE STUDY: A 26 year old woman appeared in the outpatient clinic with the complaint of abdominal discomfort, diarrhea, and an 18lb, unintentional weight loss during the past 2-3 years. She related a similar period of 5-6 years of abdominal distress and diarrhea in childhood, but this essentially disappeared when she was about 12-13 years old. She was now having three to five bowel movements daily, which were described as bulky, malodorous, and floating. She weighed 106lb and was 67 in tall. She never had surgical procedures. Physical examination revealed poor skin turgor, general pallor, and a protuberant abdomen. Abnormal clinical laboratory values included those in Case Study table 28.5.1 Fecal examination revealed no ova or parasites, and bacteriologic culture revealed no pathogens. CASE STUDY TABLE 28.5.1 Analyte Result Hemoglobin 8.1 g/dL Hematocrit 30% RBC count 4.1 X 10^6/uL Serum sodium…Case Study: Upper GI Chap 33 Mrs. B is a 54 y/o female that went to her PCP with complaints of heartburn, dyspepsia, nausea and chest pain. She feels bloated and obtains little or no relief from OTC antacids. Her past medical hx includes 2 ppd cigarette smoking, a stressful job and chronic use of NSAIDs for chronic back pain. 1- Mrs. B’s doctor ordered an esophagoscopy (EGD). Why was this test ordered? 2- What teaching would the nurse provide to the client who is scheduled for EGD? 3- What classification of medication might be used during the procedure? What nursing considerations should be considered while pt is receiving this medication? 4- After EGD Mrs. B was diagnosed with GERD. What are nursing considerations & patient education that should be provided to the client with GERD? 5- What discharge instructions & patient education should be provided to Mrs. B after having EGD?
- Describe the nursing interventions for a patient with inflammatory bowel disease (Crohn's disease or ulcerative colitis).CASE STUDY: Nelson Amoah, 54-year-old male presents to the emergency department with abdominal pain, nausea, vomiting, abdominal distension and constipation which started 3 days prior to presentation. He denied fever, chills and headache. Except for peptic ulcer disease, he is otherwise healthy with no previous surgeries. He is a smoker, smoking a little less than a pack a day for twenty-two years. On examination he was afebrile, with a heart rate of 120 beats/min, blood pressure 130/80 mmHg and respiratory rate of 22 cycles/min. Abdominal examination revealed mild distension with generalized guarding and marked rebound tenderness in the epigastrium. There were no palpable masses and bowel sounds were absent. Erect and supine abdominal and chest radiographs were normal. However, abdominal ultrasonography revealed free fluid throughout the abdomen and pelvis. a. State at least FIVE questions that you would ask in analyzing Mr. Amoah’s pain b. Identify all;…Describe the nursing considerations for a patient with a gastrointestinal bleed.