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?

Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
Section: Chapter Questions
Problem 1SRQ
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Answer number 4, 5 and 6 only

CASE STUDY
Acute Pancreatitis
Patient Profile
V.A. is a 55-year-old man admitted to the hospital with acute pancreatitis.
Subjective Data
• Has severe abdominal pain in the LUQ radiating to the back
• States that he is nauseated and has been vomiting
Objective Data
Physical Examination
• Vital signs: Temp 101°F (38.3°C), HR 114 bpm, RR 26, BP 92/58
• Jaundice noted in sclera
Laboratory Tests
• Serum amylase: 400 U/L (6.67 mkat/L)
• Serum lipase: 600 U/L
.
Urinary amylase: 3800 U/day
• WBC count: 20,000/μL
Blood glucose: 180 mg/dL (10 mmol/L)
• Serum calcium: 7 mg/dL (1.7 mmol/L)
Collaborative Care
• NPO status
• NG tube to low, intermittent suction
• IV therapy with lactated Ringer's solution
Morphine PCA
Pantoprazole (Protonix) IV
.
Transcribed Image Text:CASE STUDY Acute Pancreatitis Patient Profile V.A. is a 55-year-old man admitted to the hospital with acute pancreatitis. Subjective Data • Has severe abdominal pain in the LUQ radiating to the back • States that he is nauseated and has been vomiting Objective Data Physical Examination • Vital signs: Temp 101°F (38.3°C), HR 114 bpm, RR 26, BP 92/58 • Jaundice noted in sclera Laboratory Tests • Serum amylase: 400 U/L (6.67 mkat/L) • Serum lipase: 600 U/L . Urinary amylase: 3800 U/day • WBC count: 20,000/μL Blood glucose: 180 mg/dL (10 mmol/L) • Serum calcium: 7 mg/dL (1.7 mmol/L) Collaborative Care • NPO status • NG tube to low, intermittent suction • IV therapy with lactated Ringer's solution Morphine PCA Pantoprazole (Protonix) IV .
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?
Transcribed Image Text: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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