Clinical Case Study2.pptx

Clinical Case Study2.pptx

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  Click to editMaster title style 1 Clinical Case Study “Acute Pancreatitis” Presented by : Hafiz Muhammad Tanveer Roll Number : 2022009 Class: BSc Nursing semester (IV)
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  Click to editMaster title style 2 2 Objectives: • Case Scenario • Pathophysiology • Diagnostic test • Integration of Health Assessment • Integration of Adult Health Nursing • Integration of Pharmacology • Patient Education
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  Click to editMaster title style 3 3 Patient Scenario:- A 42 years old male patient with the active complain of acute epigastric pain, fever, nausea, vomiting and vital signs BP=148/87, PR=111, SPO2=97%, T=100*F with an history of laparoscopic cholecystectomy done 15 days ago. Medical diagnosis: • Acute pancreatitis
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  Click to editMaster title style 4 4 What is Pancreatitis
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  Click to editMaster title style 5 Pathophysiology:- 5 Auto digestion of pancreas Inflammation of Pancreas Pancreatitis Accumulation of pancreatic enzymes Activation of Trypsin Stone in Common bile duct Temporary Obstruction of bile duct
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  Click to editMaster title style 6 Causes 6
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  Click to editMaster title style 7 Diagnostic test:- 7 • Serum Amylase • Serum lipase • Ultrasound • CT Scan • CRP • USG • Electrolytes Na= 140 K= 3.2 Ca= 8.6 • CBC • Bilirubin test 1.5
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  Click to editMaster title style 8 8 NORMAL CT SCAN IMAGE OF PANCREASE ABNORMAL ACUTE PANCREATITIS
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  Click to editMaster title style 9 Integration of Health Assessment:- Physical Assessment Pain radiating towards back No Edema No Ascites Bruises on Right Arm 9
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  Click to editMaster title style 10 Sign & Symptoms 10
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  Click to editMaster title style 11 COLDERRA Characteristics: Sharp pain Onset: After eating a meal Location: Epigastric region ( U p p e r l e f t s i d e o r m i d d l e o f t h e a b d o m e n ) Duration: continuesly Exacerbation: After mobilization (when the patient moves) and after eating Radiation: Radiate to back side of body Relief: When at rest and after taking medicine Associated signs and symptoms: Nausea, vomiting, and fever
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  Click to editMaster title style 12 Integration ofAHN:- 12 Nursing Intervention:  Monitor vital signs  Monitor labs  Taped sponging to reduce fever  Use of distraction techniques  Promoting deep breathing exercise  Reliving pain  Improving nutritional status  Limit caffeine and alcohol  Nasogastric suction to relive nausea and vomiting  Maintaining skin integrity  Administer analgesics as prescribed
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  Click to editMaster title style 13 Integration of Pharmacology:- 13 Vancomycin Doxycycline Pipracillin+Tazobactum Amlodipine Tramadol Enoxaparin Ketorolac Omeprazole Paracetamol
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  Click to editMaster title style 14 CMAP:- 14
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  Click to editMaster title style 15 NCP:- 15
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  Click to editMaster title style 16 “ 16 NCP
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  Click to editMaster title style 17 Patient Education: • Use Soft diet • Avoid fatty foods • Hand hygiene • Proper wound care • Avoid Alcohol and smoking • Monitor Temperature • Don’t skip any dose • Maintain healthy weight • Follow up
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  Click to editMaster title style 18 References:- 18 1. Bruner & Suddarth’s text book of Medical-Surgical Nursing 2. Porth’s Pathophysiology.
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  Click to editMaster title style 19 Thank You