Pancreatitis : Nursing Implementation

  • 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
      • Elimination of alcohol intake
    • Acute Care
      • Monitoring vital signs
      • Monitor response to IV fluids
      • Closely monitor fluid and electrolyte balance
      • Assess respiratory function
      • Monitor fluid and electrolyte balance
        • Chloride, sodium, and potassium
        • Hypocalcemia
          • Tetany
          • Calcium gluconate to treat
            • Chvostek’s sign is contraction of facial muscles in response to a light tap over the facial nerve in front of the ear.
            • Trousseau’s sign is a carpal spasm induced by
            • Inflating a blood pressure cuff above the systolic pressure for a few minutes.
        • Hypomagnesemia
      • Pain assessment and management
        • Morphine
        • Position of comfort with frequent position changes
          • Flex trunk and draw knees to abdomen
          • Side-lying with head of bed elevated 45 degrees
        • Frequent oral/nasal care
        • Proper administration of antacids
        • Observation for signs of infection
        • TCDB, semi-Fowler’s position
        • Wound care
        • Observation for paralytic ileus, renal failure, mental changes
        • Monitor serum glucose
        • Post-op wound care
    • Ambulatory Care
      • Physical therapy
      • Assessment of opioid addiction
      • Counseling regarding abstinence from alcohol and smoking
      • Dietary teaching
        • Low-fat, high-carbohydrate
        • No crash diets
      • Patient/family teaching
        • Signs of infection, diabetes mellitus, steatorrhea
        • Medications/diet
      • Expected Outcomes
        • Have adequate pain control
        • Maintain adequate fluid volume
        • Be knowledgeable about treatment regimen
        • Get help for alcohol dependence and smoking cessation (if appropriate)

Share:

More Posts

What Is Angina?

Español Angina can be a warning sign that you are at a higher risk of having a heart attack. If you have chest pain that

About Swimmer’s Itch

For Everyone KEY POINTS Swimmer’s itch is an infection caused by a parasite. It can cause an allergic reaction and rash on your skin. Swimmer’s

About Dementia

For Everyone WHAT TO KNOW Dementia is a condition that makes someone unable to remember, think clearly, or make decisions while doing everyday activities. Alzheimer’s

About Abuse of Older Persons

For Everyone KEY POINTS Many older adults require care and are vulnerable to violence perpetrated by a caregiver or someone they trust. More research is