SB is a 60-year-old retired sales associate.SB c/o abdominal pain, often severe, nausea, and vomiting.She then began to experience back pain and reports seeing a little oil in her stool.SB says that she is unable to eat anything because she just vomits it back up.Because of SB's persistent symptoms, she checked into the hospital and an ultrasound and CT scan was administered.SB was diagnosed with severe acute pancreatitis.SB was NPO until symptoms ceased and was given Demerol.By day 5, SB's N/V had not yet been alleviated.SB was scheduled for a nasogastric suctioning. Ht: 5'5" Wt: 145# UBW: 175# Dx: severe acute pancreatitis PMH: cholelithiasis s/p shock-wave lithotripsy Labs:

Ser Ca: 5 mg/dL Amy: 122 U/L Alb: 3.0 g/dL Hct: 34%

Mg: 1.4 mEq/L Lip: 65 U/L Transferrin: 210 mg/dL Hb: 12.3

TG: 387 mg/dL

Meds: Demerol Diet: NPO -What would be the best way to feed her?

Question

SB is a 60-year-old retired sales associate.SB c/o abdominal pain, often severe, nausea, and vomiting.She then began to experience back pain and reports seeing a little oil in her stool.SB says that she is unable to eat anything because she just vomits it back up.Because of SB's persistent symptoms, she checked into the hospital and an ultrasound and CT scan was administered.SB was diagnosed with severe acute pancreatitis.SB was NPO until symptoms ceased and was given Demerol.By day 5, SB's N/V had not yet been alleviated.SB was scheduled for a nasogastric suctioning.
Ht: 5'5" Wt: 145# UBW: 175#
Dx: severe acute pancreatitis
PMH: cholelithiasis s/p shock-wave lithotripsy
Labs:

Ser Ca: 5 mg/dL	Amy: 122 U/L	Alb: 3.0 g/dL	Hct: 34%
Mg: 1.4 mEq/L	Lip: 65 U/L	Transferrin: 210 mg/dL	Hb: 12.3
TG: 387 mg/dL

Meds: Demerol Diet: NPO -What would be the best way to feed her?

Quizplus · Accepted Answer

Because SB is currently experiencing severe acute pancreatitis, it is best to provide enteral nutrition through a nasogastric tube rather than PN or a more invasive procedure like a gastrostomy or jejunostomy. This allows for the delivery of nutrients directly to the gastrointestinal tract and has been shown to reduce the risk of infection and improve outcomes in patients with acute pancreatitis. Once SB's symptoms have improved and she is able to tolerate food, the use of a feeding tube can be re-evaluated.

SB Is a 60-Year-Old Retired Sales Associate