Question

Joe Harrison, a 62-year-old bank executive, presents to the emergency room with severe abdominal pain. He describes the pain as excruciating, and indicates it is located in the mid epigastrium with radiation into his back. The patient states he has not eaten anything in the past 24 hours, but 2 days ago attended a wedding dinner and consumed a large meal and about 4 to 5 alcoholic beverages. Mr. Harrison admits to being a “social drinker,” ingesting 2 to 3 alcoholic beverages several days a week. Based on his clinical presentation and history, Mr. Harrison is admitted with a diagnosis of rule-out pancreatitis. (Learning Objectives 4 and 5)

A. Blood and urine samples are sent to the lab, and the results indicate that the serum amylase and lipase are markedly elevated. How do these findings correlate to the diagnosis of acute pancreatitis?

B. The nurse notes that Mr. Harrison’s stool is pale and bulky, while his urine is a dark tea color. Correlate these findings to the pathophysiology of acute pancreatitis.

C. Mr. Harrison’s WBC is 18,500, and his serum glucose is 325. His LDH is 300 IU/L and the AST is 120 U/mL. Based on the Criteria for Predicting the Severity of Pancreatitis, what is Mr. Harrison’s mortality risk?

D. Mr. Harrison develops hypocalcemia secondary to the acute pancreatitis. What nursing interventions should the nurse implement related to this complication?

Answer 1

A. Amylase is an enzyme that helps digest carbohydrates.it is made in the pancreas and the glands that make saliva. When the pancreas is inflammed,amylase releases in to blood.

Lipase is a digestive enzyme, and aids in the digestion of digestive enzymes.these enzymes will elevate in pancreatitis condition

B. Pale and bulky stool due to trapping of undigested fats with water in the feces.Dark colour urine is because it contains more bile than normal.

C. He is having 15% mortality risk.

D. the nurse should provide a safe enviornment to the patient.because fracture may occur secondary to fall.