Case Study 7

488 WordsApr 10, 20122 Pages
1. Correlate the signs and symptoms Mr. P is experiencing with Ranson Criteria and the significance to Mr. P’s prognosis. The Ranson scale is used to predict the severity of acute pancreatitis. This scale is used most frequently, assists in detecting the severity of the disease and predicts mortality rates based upon symptoms the patient is experiencing. According to the Ranson scale, Mr. P is experiencing 6 (hypotension, abdominal mass, LDH level >350, WBC > 16,000, glucose level >200, and localizing signs) of the admission criteria. With the presenting signs, Mr. P’s mortality rate is 40%. If treatment is started he has a 60% chance of recovery. 1. Describe the pathophysiological alterations of acute pancreatitis in relation to assessment findings and interventions. Acute pancreatitis is inflammation of the pancreas that produces exocrine and endocrine dysfunction that may also involve surrounding tissues and remote organ systems. In acute pancreatitis, the normally inactive digestive enzymes become prematurely activated inside of the pancreas itself, which leads to autodigestion of the pancreatic tissue. Basically the pancreas begins to eat itself. This process is painful and can lead to death if not corrected and controlled. The clinical manifestations of acute pancreatitis range from mild to severe and often mimic the symptoms of other disorders. The manifesting clinical signs of a patient presenting to the hospital include but are not limited to, pain, vomiting, nausea, fever, abdominal distension, abdominal guarding, and hypoactive or absent bowel sounds. With severe disease the symptoms include peritoneal signs, ascites, jaundice, palpable abdominal mass, grey-turner’s syndrome (gray-blue discoloration of the flanks), Cullen’s sign (discoloration of the umbilical region), and signs of hypovolemic shock. 2. What is the

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