Case Report on Management of case of Acute pancreatitis With Multiple organ dysfunction Syndrome
Acute pancreatitis is a common cause of pain in the upper abdomen. Because its clinical features are comparable to those of a variety of other acute disorders, a diagnosis based solely on symptoms and signs is difficult. Two of the following three criteria are used to diagnose acute Pancreatitis like stomach pain, serum lipase and amylase levels >3 times the upper limit of normal, and abdominal imaging abnormalities. Lipase's sensitivity and specificity in diagnosing acute pancreatitis are unquestionable.Lipase has established sensitivity and specificity in diagnosing acute pancreatitis.
Main Symptoms and Important clinical findings:
Pain in Abdominal since 4 days, difficulty in swallowing ,decreased appetite since 4 days, pain and swelling in regions of parotid glands since 4 days, whitish thrush tongue (before decreased tongue), generalized weakness since 4 days, fever since 4 days, loose motions since 4 days.
Diagnostic Evaluation- She is 26 years old male patients . And all diagnostic tests are done. Complete blood count:- 12.8gm/dl , CECT Abdomen , ultrasonography . .
Therapeutic Intervention: patients was treated inj meropenam 500 mg ( TDS) , Inj. Levoflox 500 mg ( OD) , Inj pan 40 mg ( OD) , Inj Emset 4 mg ( TDS), Inj Tramadol 100 mg ( TDS), Inj Thiamine 100 mg (TDS), Inj mucmix 600 mg ( BD), inj Doxy 100 mg ( BD), Inj Hydrocort 100 mg (TDS), Syp. Kesol 2TSP (TDS).
Outcome - Patients general condition was improved.
Nursing perspectives -Administered fluid replacement I. e DNS and RL. Monitor vital signs and check blood pressure per hourly. Maintained intake and output chart and provided Adequate rest and sleep to the patient. Administered medications according to doctor’s order.
Conclusion - Patient was admitted in AVBRH with chief complaint of abdominal pain, and associated with nausea and vomiting alter every meal, difficulty in swallowing, decreased appetite, pain and swelling in regions of parotid glands .since 4 days, generalized weakness, fever, loose motions. reduced with proper treatment , now patient in good condition.