2.  Central objective:
 At the end of presentation, students are able to understand about
pancreatitis
 Specific objectives:
 To Define the pancreatitis.
 T define the types of pancreatitis o
 To Explain the causes of pancreatitis.
 To Explain the pathophysiology of pancreatitis.
 To List out the clinical manifestation of pancreatitis .
 To Explain the diagnostic evaluation of pancreatitis.
 To List out the medical treatment of pancreatitis.
 To Explain the surgical treatment of myocardial infarction .
 To list out the nursing diagnosis of pancreatitis

3.  Pancreatitis is inflammation of the pancreas. The
pancreas is a gland located behind the stomach. It
releases the hormones insulin and glucagon, as well
as digestive enzymes that help you digest and absorb
food.
 It is is inflammation in the pancreas. The pancreas
is a long, flat gland that sits tucked behind the
stomach in the upper abdomen. The pancreas
produces enzymes that help digestion and hormones
that help regulate the way your body processes sugar
(glucose)

4. 1 Acute
 Pancreatitis can occur as acute pancreatitis
meaning it appears suddenly and lasts for days.
Or pancreatitis can occur as chronic pancreatitis,
which is pancreatitis that occurs over many
years.
2Chronic
 It appears slowly and lasts for weeks to years

6.  Long term heavy drinking of alcohol
 Trauma
 Infection
 Billiary tract disease
 Cigarette smoking
 Certain medication
 Pancreatic cancer
 Abdominal cancer

8. Due to the long term heavy drinking of alcohol
Pancreatic acinar cell damage
Release of intracellular enzymes
Interstitial edema , impaired blood flow , ischemia
and further pancreatic cell damage
Edema vascular damage
Pancreatitis

9.  Bleeding
 Upper abdominal pain.
 Abdominal pain that radiates to your back.
 Abdominal pain that feels worse after eating.
 Fever.
 Rapid pulse.
 Nausea.
 Vomiting.
 Tenderness when touching the abdomen

10.  Medical History
 Physical Examination,
 Blood Test (Amylase)
 USG

11.  Fluid restriction < 1000 ml /Day
 Low salt diet
 Monitor Daily Weight and abdominal girth
 Advice for Completely stop of alcohol
 Prevent Infection:
 By adequate rest, appropriate diet, avoidance of hepatotoxic
substances.
 Beta-blocker or nitrate
 For portal hypertension. Beta-blockers can lower the pressure in the
varies and reduce the risk of bleeding. Gastrointestinal bleeding
requires an immediate upper endoscopy to look for esophageal varies
 Anti biotic
 Analgesic
 Anti emetic

12.  1Endoscopic surgery. Patients with
gallstones in the opening of their pancreas
(the pancreatic duct) may benefit from
endoscopic surgery and a treatment called
lithotripsy.
 2 Total pancreatectomy.-

13.  Acute pain in Abdomen related to disease condition as
evidenced by severe pain scale.8/10
 Impaired Thermoregulation Hyperthermia related to
infection as evidenced by increased in body temperature
higher than the normal value 100.2F.
 Fluid volume deficient related to increased vomiting as
evidenced by 4 to 5 times per day.
 Imbalanced nutrition less than body requirement related to
dietary restriction as evidenced by poor skin turgor.
 High risk for injury related to altered clotting mechanisms
and altered level of consciousness

14.  BRUNNER AND SUDDARTH text book of ” MEDICAL
SURGICAL NURSING”12th edition volume Page no: 910-960
 SR. NANCY text book of “ STEPHNNIES PRINCIPALAND
PRACTICES OF NURSING, NURSING ARTS
PROCEDURES”
6th edition volume Page no: 578-591
 MARILYNN E. DOENGES, text book of “ NURSING CARE
PLAN” guidness for individualing client care
7th edition volume Page no: 825, 926
 MOSBY’S text book of “ NURSING DRUG PRESENCE”
2012
25th editionPage no: 912-914,216-218, 41-42

15. Thank you