Acute pancreatitis nursing care plan
Common Questions and Answers about Acute pancreatitis nursing care plan
pancreatitis
I have a history of acute recurrent Pancreatitis over 10years long, with dual Sphincterotomies done 9 months ago that also resulted in a retroperitoneal small bowel perforation and ongoing frequent attacks of acute Pancreatitis. My ampulla goes into a diverticulum in the small bowel.
A Triple phase CT Scan done today shows air in the intrahepatic radicals, and in the bile duct, which is dilated to 8.8 mms. There is also air in the Pancreatic Duct which is mildly dilated in the head 4.
My dog had acute pancreatitis over the weekend and I took him to an emergency vet on Sunday and to his vet on Mon. They both kept him overnight, IV, blood work, meds, and his vet did a rectal x-ray and abdominal x-ray with barium to look for obstruction. He found dirt/sand. My dog ate cat poop covered in dirt. He is at home now doing fine and I have him on a bland diet of canned white chicken and brown rice only. However, his lower abd/belly is a little distended and hard.
People with CP often end up taking digestive enzymes to help digest food and they often are advised to eat very low fat and avoid alcohol and smoking. You can have flares of acute pancreatitis so always go to er if you feel it coming on.
She has pancreatitis in the past but for about 7 times in the last 5 months she is been in an out of the hospital with acute pancreatitis. When pancreatitis occurs she always has a strong pain with elevated Amylase and Lipase levels suggesting a pancreatic dysfunction. Yesterday she woke up vomiting with just a litter abdominal discomfort. Blood work shows no significant levels of amylase or lipase. I thought for a moment she probably has a gastric virus but then the Dr.
Measuring pancreatic amylase, or P-amylase, may be useful in determining if an increase in a total amylase level is due to acute pancreatitis.
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What does the test result mean?
In acute pancreatitis, amylase in the blood often increases to 4 to 6 times higher than the highest reference value, sometimes called upper limit of normal.
I loss alot of weight a year ago, was real sick with abnormal bruising and weakness, falling down, ect, this was before pancreas started acting up again, prior to that I had only one acute episode of pancreatitis. Now its been basically non-stop, confirmed by mri, that it is chronic pancreatitis, and fatty liver. Im being sent to a pain specialist for the pain, and hoping he can offer relief, because Ive been recieving very little help from my doctor with that.
s or lipase levels, and only slightly elevated (120) amylase levels which is surprising since this identical to the pain I was having with the acute attacks of pancreatitis. I am being managed with low dose hydrocodone only taken when I am working (high stress, active, nursing job) in order to function, otherwise I am incapacitated. I have tried supplemental enzymes for months (creon 20,000) with little (maybe placebo-like) relief.
Theories now are SOD and IBS.
•Upper abdominal pain that radiates into the back. It may be aggravated by eating, especially foods high in fat.
•Swollen and tender abdomen
•Nausea and vomiting
•Fever
•Increased heart rate
How Is Pancreatitis Diagnosed?
To diagnose acute pancreatitis, doctors measure levels in the blood of two digestive enzymes, amylase and lipase. High levels of these two enzymes strongly suggest acute pancreatitis.
I recently got out of the hospital for an attack of acute pancreatitis. They did a cat scan, MRI and EDG and couldn't find the cause of my attack. The cat scan and MRI showed that I had multiple lymph nodes in my retroperitoneum. They were under 10mm on the cat scan but as large as 17mm on the MRI. I'm a 41 year old female and I don't have a history of alcohol abuse. I smoked for 25 years but I quit after having this attack.
In about 15% of cases of acute pancreatitis and 40% of cases of chronic pancreatitis, the cause is never known." Source: http://www.emedicinehealth.com/pancreatitis/page2_em.htm
Doing your own research can only help. Check out the "First Principles of Gastroenterology", http://gastroresource.com/GITextbook/en/Default.htm. I would take special note of the biliary system, Sphincter of Oddi Dysfunction and pancreatitis.
I was diagnosed with acute pancreatitis and gastroparesis, which was diagnosed by multiple CT scans and an endoscopy. My amylase and lipase values were also elevated. I am taking Reglan 3x a day before meals to help with the gastroparesis. The problem is that I'm still having pain, almost on a daily basis. My bad days certainly outweigh my good ones. Certain days I'm nauseous and can barely eat. Plus I have days of diarrhea, where I can barely hold anything in my stomach.
Can a person develop chronic pancreatitis after having acute pancreatitis that resulted from having an ERCP? I have developed abdominal pain that radiates to my side and back that is relieved when I lean forward and worsens when I lean back. No nausea or vomiting, no fever. Should I follow up with my doctor? I had the acute pancreatitis around 2004. Thanks for your response.
I had my first attack of acute pancreatitis last week. It was a mild attack. I spent a couple of days in the hospital on IV. I'm feeling much better and haven't had another painful attack. However, I still seem to have soreness on my left side, but not in the same location as the pancreatitis pain. My stomach is also still bloated. My attack was 5 days ago. My question is; is it normal to have some residual soreness after acute pancreatitis?
MY DAUGHTER IS HAVING RECURRENT STROKES OF ACUTE PANCREATITIS. NOW SHE IS 12 YEARS OLD AND HAVING THE PROBLEM FOR LAST 2 YRS. THE ATTACKS HAVE LESSEND A BIT THIS YEAR IN TERMS OF RECURRANCES. SHE HAS BEEN ADVISED SONOGRAPHY REPEATEDLY BUT GENERALLY EVERY TIME ONLY A BULGE IN THE TAIL OF PANCREAS IS FOUND. ERCP HAS BEEN DONE AND THE DUCTS ARE NOT DILATED. SO SCHRINTOMY WAS NOT POSSIBLE. PLEASE SUGGEST TREATMENT AND WHETHER AT ALL THIS IS CURABLE.
I came down with acute pancreatitis March 28, 2010. I spent 27 days in the hospital. Nobody has been able to tell me why I got so sick. I was a heavy nicorette chewer for years. I quit the day I went to the hospital. I do not know if there is an association with the nicorette and pancreatitis. Wondering.
An acute pancreatitis in my experience does not normally cause ascites. FIP is a possibility but I would be more interested in looking at causes of a low serum protein. Low protein causes a buildup of fluid in the abdomen and is often associated with a condition called exocrine pancreatic insufficiency. Protein could be lost via the intestine (protein losing enteropathy) or in the urine (protein losing nephropathy).
I am sorry but you are wrong, CT scans will not show chronic pancreantitis untill your pancreas is severely damaged, if it is in the early stage of this disease the only good test for this is a endoscopic ultra sound, ERCPs are very dangerous be cautious not to do this, especially if you think you have a pancreas problem! Chronic pancreatitis and acute are completely different!
He is paralyzed on the left side, has vision and swallowing problems, but can speak/communicate well and his mind is very sharp. He was sent to an acute care rehab hospital on 1/5/08. They said that their goal is to offer high intensity therapy and get patients off to a good start. Today. less than two weeks later, I was told that they plan to discharge him on 1/31/08 and that he will need to go to a skilled nursing facility.
How are your blood sugars and triglycerides/cholesterol? Those made my hubby have acute pancreatitis. I'm stunned a GI doc would say that Pancreatitis doesn't present that way and that it doesn't last that long... that's absurd! There are people with chronic pancreatitis and I knew a woman last year that had her entire pancreas removed because of it.
Since there is a history of cancer has a oncologist checked you out or is this all primary care and/or GI doc?
Scaring on pancreas due to an acute pancreatitis attack 5 years ago.
Yes get these checked at the emergency. Pancreatitis is dangerous if it is the acute kind. If your levels are not raised you could have chronic pancreatitis so you could get tested for that.
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