Mr. Dunn is a 48 year-old admit to the ED with complaints of weight loss of 40 lbs. within 6 weeks and nausea without emesis. He has had consistent RUQ pain radiating all over for weeks, intense severe itching, and liquid stools which appear “fatty” in nature. Mr. Dunn’s history reveals no chronic illnesses, ideal weight, healthy, social drinker (1-2 beers a week), exercises, and appendectomy when he was 12 years old. Vital signs are, BP – 112/89, HR – 127 bpm, RR – 28, Temp – 100.8, SPO2 – 90% on room air, Pain – 7/10
After going over the chief compliant, history, and vitals, the provider orders routine lab work (CBC, CMP w/amylase and lipase, LFT’s, and CT of abdomen).
Lab work shows:
WBC – 16,000
Hgb – 12
Hct – 33
Total Billirubin 9.8
Lipase – 423
Glucose – 378
Mr. Dunn is being worked up for possible pancreatitis. Provider ordered an NG tube to LIWS (low intermittent wall suction) and STRICT NPO.
What signs/symptoms suggest pancreatitis?
How do you come to this conclusion?
What is the best course of treatment for this client? Why?
Develop two nursing diagnoses with one intervention for each. Ensure these nursing diagnoses and interventions are among the PRIORITY for this client’s care.
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