Nursing Implementation Health Promotion Assessment of patient for predisposing and etiologic factors Encouragement of early treatment of these factors Early diagnosis/treatment of biliary tract disease

Nursing Management: Acute Pancreatitis Nursing Assessment Subjective Data Important Health Information Past health history: Biliary tract disease, alcohol use, abdominal trauma, duodenal ulcers, infection, metabolic

Interprofessional Care Objectives include Relief of pain Prevention or alleviation of shock Decreased pancreatic secretions Correction of fluid/electrolyte imbalance Prevention/treatment of infections Removal of precipitating

Complications Pseudocyst Fluid, enzyme, debris, and exudates surrounded by wall Abdominal pain, palpable mass, nausea/vomiting, anorexia Detected with imaging Resolves spontaneously or may perforate and

Pancreatitis Acute Pancreatitis Acute inflammatory process of pancreas Spillage of pancreatic enzymes into surrounding pancreatic tissue causing autodigestion and severe pain Varies from mild edema

Nursing Implementation Health Promotion Patient with a history of chronic gastritis, cirrhosis, or peptic ulcer disease is at high risk Patient who has had previous

Nursing Management Nursing Assessment Subjective Data Important Health Information Past health history: Precipitating events before bleeding episode Previous bleeding episodes and treatment Peptic ulcer disease

Interprofessional Care Endoscopic hemostasis therapy First-line therapy of upper GI bleed Goal: to coagulate or thrombose the bleeding vessel Useful for gastritis, Mallory-Weiss tear, esophageal

Diagnostic Studies Endoscopy Primary tool for diagnosing source of upper GI bleeding Before performing Lavage may be needed for clearer view NG or orogastric tube

Upper Gastrointestinal Bleeding Each year, 300,000 hospital admissions for UGI bleeding Approximately 60% of patients are older than 65 years Mortality rate has been 6%

Nursing planning Overall Goals Modify eating patterns Participate in a regular physical activity program Achieve and maintain weight loss to a specified level Minimize or

Nursing and Interprofessional management: Obesity Nursing Assessment Subjective Data Important Health information First rule out physical conditions that may be causing or contributing to obesity