Pancreatitis assessment

Aurora77 · Feb 28, 2014

Tell us what you have first. What would you be looking for in a patient with pancreatitis? What sort of focused assessment do you need to do?

cherylb2 · Feb 28, 2014

I am sorry, I do not know why my posts are looking so weird... hopefully this time it will work

I am not done yet but this is what I have so far....

I think that I am going overboard... I cared for a patient with pancreatitis who is also an alcoholic so I need to include a CIWA assessment

My priority nursing diagnosis is:Ineffective breathing pattern r/t sedating effects of medication secondary to PCA analgesic administration, AMB alterations in depth of breathing and bradypnea seen as respiration rate of 10/min.

Assess patient for: pain level, CMS checks

Integumentary:

flushing diaphoresis, discoloration of abdomen and flanks, cyanosis, jaundice, dry mucus membranes,

Respiratory : Lung sound, rate, rhythm, depth of respirations, o2 saturation

Monitor for dyspnea, tachypnea, use of accessory muscles, basilar crackles, O2 saturation, SOB

Cardiovasular, BP, Pulse, heart rate, rhythm, pattern,

Monitor for: Tachycardia, hypotention, dizziness

Gastrointestinal: bowel sounds in all quadrants, light palpation, I & O, urine color, BM, flatus present

monitor for; distention of abdomen, tenderness upon palpation, muscle guarding, diminished or absent bowel sounds, nausea, vomiting

Esme12, ASN, BSN, RN · Feb 28, 2014

Is this a real patient? You are in your last semester? If this is a real patient what was your assessment of your patient?

nurseprnRN, BSN, RN · Mar 1, 2014

I am sorry, I do not know why my posts are looking so weird... hopefully this time it will work
I am not done yet but this is what I have so far....
I think that I am going overboard... I cared for a patient with pancreatitis who is also an alcoholic so I need to include a CIWA assessment
My priority nursing diagnosis is:Ineffective breathing pattern r/t sedating effects of medication secondary to PCA analgesic administration, AMB alterations in depth of breathing and bradypnea seen as respiration rate of 10/min.
Assess patient for: pain level, CMS checks
Integumentary:
flushing diaphoresis, discoloration of abdomen and flanks, cyanosis, jaundice, dry mucus membranes,
Respiratory : Lung sound, rate, rhythm, depth of respirations, o2 saturation
Monitor for dyspnea, tachypnea, use of accessory muscles, basilar crackles, O2 saturation, SOB
Cardiovasular, BP, Pulse, heart rate, rhythm, pattern,
Monitor for: Tachycardia, hypotention, dizziness
Gastrointestinal: bowel sounds in all quadrants, light palpation, I & O, urine color, BM, flatus present
monitor for; distention of abdomen, tenderness upon palpation, muscle guarding, diminished or absent bowel sounds, nausea, vomiting

I may be missing something, but it seems to me that your nursing diagnosis, while very possibly an accurate one though you give me no evidence for it, has no plan of care attached to it that relates to altered breathing, except the resp assessment. So where are the rest of his nursing diagnoses that justify all those other things you are assessing and monitoring? Any alcoholic c pancreatitis can be reasonably be expected to have a lot more wrong with him from a nursing assessment standpoint. What else do you have? Why do you think so?

cherylb2 · Mar 3, 2014

I don't need help with the care plan. I was just looking for help on an abbreviated synopsis of an assessment for a patient with pancreatitis. Perhaps I wasn't clear. I am almost done with the project,at this point, but I do appreciate your attempt to help me. :)

Lev, MSN, RN, NP · Mar 4, 2014

Post your assessment and I will help you abbreviate it. Have to be careful to use approved abbreviations.

cherylb2 · Mar 4, 2014

Thank you ..

I have already submitted my assignment. Everyone is so helpful! I really love this website!!