CASE 3. Jared, 47-year-old male, is admitted

CASE 3. Jared, 47-year-old male, is admitted to the emergency center complaining of severe abdominal and back pain. He has been vomiting for the last 24 hours. Jared was diagnosed with chronic pancreatitis two years ago, and this is his fourth admission for an acute exacerbation of pancreatitis. The nurse’s initial assessment includes asking about a history of alcohol use and a review of Jared’s lab results. The nurse administers IV morphine for pain, maintains NPO status and inserts nasogastric tube before he is transferred to the medical unit. The nurse on the medical unit positions Jared to help relieve his pain and administers oxygen. Four days later, TPN is initiated. The nurse assists with central line insertion and plans to weigh Jared daily. What clinical manifestations does the patient have? What would be the priority Nursing Diagnosis (choose one). Interpret the ABG? What symptoms does the patient have specific to the ABG abnormality? What treatment would you expect based on the problem? What nursing interventions would you expect? ABG Normal Pt Value pH 7.47 PaCo2 45 HCO3 28 O2 Saturation 96% Electrolytes Na 145 K 3.3 Cl 98 Total Ca 8.0 Mg 1.5 Phos 2.8 SCIENCE HEALTH SCIENCE NURSING NSG 252

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