Medical Surgical Nursing

(Tina Sui) #1
 Myocardial depression, hypocalcemia, hyperglycemia, and disseminated
intravascular coagulopathy(DIC) may also occur.

Assessment and Diagnostic Findings


 History of abdominal pain, the presence of known risk factors,

 In 90% of the cases, serum amylase and lipase levels usually rise in excess of
three times their normal upper limit within 24 hours

 Serum amylase usually returns to normal within 48 to 72 hours. Serum lipase
levels may remain elevated for 7 to 14 days

 Urinary amylase levels elevated and remain elevated longer than serum
amylase levels.

 WBC is usually elevated.

 Hypocalcemiais present in many patients and correlates well with the severity
of pancreatitis.

 Transient hyperglycemia and glucosuriaand elevated serum bilirubinlevels
occur in some patients with acute pancreatitis.

 X-ray.
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