Question

A patient with a history of alcohol abuse comes to the doctor and complains of abdominal pain. Lab studies help confirm a diagnosis of acute pancreatitis. The patient's vital signs are stable, but the client's pain is worsening and radiating to his back. Which intervention takes priority for this client?

1) Administer pain medication
2) Order a CT scan of the abdomen
3) Start intravenous fluids
4) Refer the patient to a specialist

Answer 1

The priority for a patient with acute pancreatitis and severe pain is to administer pain medication to manage their discomfort before pursuing diagnostic evaluations like CT scans .

Step-by-step explanation:

The priority intervention for a patient with acute pancreatitis and worsening pain radiating to their back is to administer pain medication.

This immediate step aims to manage the patient's pain, which is a significant symptom of pancreatitis. While a CT scan of the abdomen, intravenous fluids, and referral to a specialist are all important aspects

Furthermore, acute pancreatitis can lead to complications such as infection, bleeding, and tissue damage if not treated promptly. Intravenous fluids may be required to prevent dehydration.

If gallstones are suspected based on the initial assessment, which can involve abdominal ultrasound, an eventual CT scan might help in identifying complications like fluid around the pancreas.

However, the immediate concern is to ensure the patient's comfort and to manage the intense pain, which is often the most distressing symptom for which patients seek urgent medical care.

Once pain management is initiated, further diagnostic evaluations and consultations with specialists can be arranged to address the underlying cause and plan long-term management .