Case Study On Acute Pancreatitis

Concordia College College of Nursing         Case Study On Acute Pancreatitis                           INTRODUCTION   Acute pancreatitis is an acute inflammatory process with variable involvement of adjacent and remote organs. Although pancreatic function and structure eventually return to normal, the risk of recurrent attacks is nearly 50% unless the precipitating cause is removed. Initial manifestations and exacerbations of chronic pancreatitis may be indistinguishable from attacks of acute pancreatitis. And they should be treated as such. The inflammation begins in the perilobular and peripancreatic fatty tissue, manifested by edema and spotty fat necrosis. The disease may progress to the peripheral acinar cells, pancreatic ducts, blood vessels, and bordering organs. In severe cases; patchy areas of the pancreatic parenchyma become necrotic.     PATIENT’S PROFILE   Name: E.S Address: San Juan City Age:  55 years old Sex: Male Nationality: Filipino Religion: Roman Catholic Date & Time of Admission: April 16, 2010 (09:34 pm) Mode of Arrival: wheelchair Chief Complaint: Severe Abdominal Pain Source of Information: Patient, Chart, SO Final Diagnosis: Acute Pancreatitis     NURSING HISTORY   PAST MEDICAL HISTORY According to the patient’s SO, he had completed his childhood immunization. He had no allergy to foods or medications. He has hypertension and takes Amiodipine and Metropolol to manage her illness. On June 2006, the patient was admitted at a government hospital due to Cholelithiasis.   HISTORY OF PRESENT ILLNESS   According to the patient’s SO, 3 days prior to admission the patient experienced sudden onset of abdominal pain, diffuse. No meds taken or consultation made. 2 days PTA the patient still have the same abdominal pain, this time was more severe and they monitored it. The patient is negative to bladder change. Few hours PTA, the patient…

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