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Nursing Concepts and Interventions (N3700) Pancreatitis In Class Case Study 2

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John Marsh
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Marquette University

Nursing Concepts and Interventions – Care for the Older Adult 1 (N3700)

Pancreatitis In Class Case Study 2

Patient Profile
K.Z. is a 39-year-old male who presents to the emergency department complaining of severe
pain in his abdomen that started after he went to bed last night. He has a history of hypertension.
He is currently taking hydrochlorothiazide (Diovan HCT) and lisinopril (Zestril).
Subjective Data
 Has severe, sharp pain in his abdomen and points to his left upper quadrant
 Pain got worse after he ate breakfast this morning; he vomited, but the pain did not
improve
 Has a 21 pack-year smoking history (½ pack)
 Drinks about two cases of beer a week
Objective Data
Physical Examination
 Temperature 100.9° F, pulse 110, respirations 26, blood pressure 110/62
 Height 5’11”, weight 180 lb
 Oxygen saturation 91% on room air
 Diminished breath sounds and crackles in left lower lobe
 Bowel sounds hypoactive in all quadrants
 Abdomen slightly distended with left upper quadrant tenderness and guarding
Diagnostic Studies
 Chest X-ray: small pleural effusion in left lower lobe
 Lab values
o WBC 14,000/μL
o Hematocrit 45%
o Hemoglobin 14 g/dL
o Platelets 190,000/μL
o Sodium 135 mEq/L
o Potassium 3.9 mEq/L
o HCO3 25.4 mEq/L
o Chloride 99.5 mEq/L
o Calcium 7.9 mg/dL
o Amylase 188 U/L
o Lipase 400 U/L
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Nursing Concepts and Interventions (N3700) Pancreatitis In Class Case Study 2

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