Mrs. Miller is an 88-year-old Caucasian female who presents with complaints of nausea, vomiting, and abdominal pain rating 9/10 on a numeric scale. She has a past medical history which includes congestive heart failure (CHF), hypothyroidism, gastroesophageal reflux disease (GERD) and hypertension.
Her vital signs on admission are: temperature 99.6F (37.6C), blood pressure 113/82, pulse 84, and respiratory rate 20. Her laboratory tests reveal a WBC count of 13,000/mm3, potassium (K+) 3.2 mEq/L, lipase 449 units/L, amylase 306 units/L, total bilirubin 3.4 mg/dL, direct bilirubin 2.2 mg/dL, aspirate aminotransferase (AST) 142 U/L, and alanine aminotransferase (ALT) 390 U/L.
Physical examination reveals a distended abdomen that is very tender on palpation. Bowel sounds are present in all four quadrants, however hypoactive. Mrs. Miller is admitted to the hospital with a diagnosis of acute pancreatitis. She will be kept nothing by mouth (NPO). Intravenous (IV) fluid of D5 NS with 40meq of potassium chloride (KCL) per liter at 100ml/hr is prescribed. The patient is also ordered her preadmission medications which include pantoprazole sodium and levothyroxine sodium (in IV form as patient is NPO). A nasogastric tube is inserted and attached to low wall suction.
Mrs. Millers NG tube is draining yellow green drainage. Her pain is being managed effectively with IV morphine 4mg every 4 hours.
Mrs. Miller is anxious and has many questions for the nurse: What is pancreatitis? What is the test I am having done today? Will I need to have surgery? Why did they put this tube in my nose? When will I be able to eat real food?
1. Discuss treatment options for pancreatitis and explain why Mrs. Miller has an NG tube to low wall suction.
2. Discuss the complications that can arise if pancreatitis is not treated.
I also need an annoyed bibliography for this site
Galletta, M., Portoghese, I., Aviles Gonzales, C. I., Melis, P., Marcias, G., Campagna, M., Minerba, L., & Sardu, C. (2017). Lack of respect, role uncertainty and satisfaction with clinical practice among nursing students: the moderating role of supportive staff. Acta bio-medica : Atenei Parmensis, 88(3S), 4350.
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This is also done in APA form with a title page and one annotated bibliography reference.
