Question

Please help

CTA abnormal aorta w/ runoff

TBIs

Finding

Lung base: dependent atelectasis present

Liver: partially visualized, no focal lesion seen

Pancreas: few scattered punctate calcification, likely reflect chronic pancreatitis.  

Adrenal gland: unremarkable

Spleen: unremarkable

Both kidney are normal inside. 1-9 cm right renal cyst, unchanged. no hydronephrosis renal enhancement is symmetric, Nomobstructive left nhephrolith present.   Several tiny sub centimeter low density sessions too small are present. Several tiny sub centimeter low density sessions too small to characterize are present.

Reason for study because acute kidney injury. There is

reason for study because critical limb ischemic, but couldn’t find any abdominal to concern

Base on the result above please help to answer these question ( Please answer each question separate

1. Test,

2. Finding,

3. Why is this information needed? Explain the results and how the results relate to your patient. Include pathology and nursing considerations.

Answer 1

1. Test performed is CTA

2. The findings include atelectasis at the base of lung ,liver normal ,chronic inflammatory changes of pancreas ,adrenal gland normal , spleen and both kidneys are normal .

3. This information needed so that according to they the physician coulde starts the treatment . The results indicated that the patient has chronic pancreatitis . Pathophysiology of chronic pancreatitis

inflammation of the sphincter of Oddi. Injury or disruption of pancreatic acinar cells. Leakage of the pancreatic enzymes into the pancreatic tissue (trypsin, chymotrypsin, and elastase), this causes auto digestion.

Releases enzymes into tissue

Enzymes digest fat and blood vessels

Both increased in blood

Drop off in Amylase

Lipase levels maintained

Nursing consideration for chronic pancreatitis are :-

Nursing Diagnosis and Collaborative Problems for Patients with Acute Pancreatitis Include:

1. Acute Pain related to pancreatic inflammation and enzyme leakage (NANDA-I)

2. Inadequate nutrition related to the inability to ingest food and absorb nutrients

- Provide supportive care by relieving symptoms, to decrease inflammation, and to anticipate or treat complications.

- As for any patient, continually assess for and support the ABCs (airway, breathing, and circulation).

- In collaboration with the respiratory therapist, if available, provide oxygen and other respiratory support as needed.

- The collaborative plan of care depends on the severity of the illness.

- Abdominal pain is the most common symptom of pancreatitis.

- The main focus of nursing care is aimed at controlling pain by interventions that decrease GI tract activity, thus decreasing pancreatic stimulation.

- Pain assessment to measure the effectiveness of these interventions is an essential part of nursing care.

- If pancreatitis was caused by gallstones, an ERCP with a sphincterotomy (opening of the sphincter of Oddi) may be performed on an urgent or emergent basis.