Mr. Peters is a 43-year-old man admitted

Mr. Peters is a 43-year-old man admitted with complaints of severe epigastric pain and intractable nausea and vomiting after a weekend of heavy drinking. He has a history of alcohol abuse with previous admissions for GI bleeding. Mr. P’s initial vital signs are temperature, 100° F (37.8° C); heart rate (HR), 102; respiratory rate (RR), 24; and blood pressure (BP), 92/54. His initial laboratory studies reveal serum amylase, 320 units/L; serum lipase, 770 units/L; white blood cell (WBC) count, 17,000 mm3; lactate dehydrogenase (LDH), 365 units/L; aspartate aminotransferase (AST), 90 units/L; and serum glucose, 350 mg/dl. An ultrasound examination reveals an enlarged, edematous pancreas but shows no gallstones. A diagnosis of acute pancreatitis is made. On admission to the unit, Mr. P is oriented to person and place and is anxious and Uncooperative. His temperature is 38.6 ° C. He is tachycardic, diaphoretic, and tachypneic. Auscultation of the chest reveals clear breath sounds bilateral. His abdomen is distended without bowel sounds, and a catheter is placed with an output of 45 ml of dark, amber urine. A central line is placed, and central venous pressure (CVP) aka right atrial pressure (RAP) of 1 mm Hg is obtain Questions: SCIENCE HEALTH SCIENCE NURSING NUPD 701

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