a client is admitted to the emergency department (ed) complaining of severe abdominal and back pain with vomiting for the last 24 hours. the client was diagnosed with chronic pancreatitis 2 years ago and this is the fourth admission for an acute exacerbation of pancreatitis.

Respuesta :

chronic pancreatitis  and fourth admission for an acute exacerbation of pancreatitis.

  • With a frequency of roughly 14 per 10,000 ED visits, acute pancreatitis is a frequent emergency department (ED) diagnosis that frequently necessitates hospital hospitalization. The incidence is rising, nevertheless, and a significant fatality rate from severe, necrotizing cases persists.
  • An estimated 20–30% of cases are considered to be severe, and in severe instances, the in-hospital death rate ranges from 15% in some studies to 50%. 1,3 The likelihood of a successful result as an inpatient is increased when excellent treatment is started in the ED.
  • Abdominal discomfort, vomiting, and increased pancreatic enzyme levels are the hallmarks of pancreatitis, or inflammation of the pancreas. Pancreatitis can be categorized as mild (no organ failure, no local or systemic consequences), intermediate (transient organ failure, worsening of concomitant condition), or severe (organ failure for more than 48 hours) using the Atlanta criteria.

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