Assignment Help | Frank is being transferred to the ICU.

Forty-nine-year-old Frank has been a heavy drinker for the past 25 years. He also has a history of hypertension, hyperlipidemia, and recent upper respiratory viral infection. Frank’s only current medication is Lasix (furosemide) 40 mg od. He presents with severe epigastric pain that radiates to his back and worsens when lying down. His abdomen is distended, and bowel sounds are hypoactive. Frank has a fever and is diaphoretic and hypotensive, and his serum calcium is very low.

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In your initial post answer the following questions:

Frank is being transferred to the ICU. If you were the ICU nurse, what would you have to consider in Frank’s case?
What would you expect in the way of treatment modalities for Frank?

MODEL ANSWER

What to consider in the case of Frank?

Since Frank is a well-known chronic drinker and the fact that the symptoms to a great extent match the diagnosis of chronic pancreatitis, I am certain that he must be experiencing pancreatitis. As a nurse in the ICU, there are many aspects to consider when responding to Frank’s condition. The history states that he has had hypertension, respiratory viral infection as well as hyperlipemia. The daily dosage of 40 mg of Furosemide may be given as a prescription for treating hypertension, reduce problems of the kidney…

Expectations and Treatment modalities

Other than proper treatment plan for the patient, it will also be important to undertake several lab tests as well as provide good nutritional value as described in the following sections.

It is critical to underscore the fact that the management of this condition is mainly geared towards relieving symptoms associated with treatment complications. Since only Lasix has been so far given to the patient, my first consideration would be to administer enough baseline analgesia which is meant to relieve him of the abdominal pain.  Another treatment modality is to maintain the patient on bed rest condition in order to reduce the rate of metabolism (Forsmark, 2013). This eventually …  

The status of Nutrition First and foremost, it will be important to withhold all oral intakes so as to reduce the stimulation of the pancreas as well as the secretion of enzymes. I will also take note of factors that mostly alter the nutritional requirements of such patients….