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Common OPD Cases

Acute Pancreatitis

Not yet clinically reviewed

This protocol was migrated from the earlier Pharmapedia and Ward Guide apps for educational use. Follow your hospital's own policies and consult seniors when in doubt.

Cause: Gall stone (Pakistan), Alcohol (USA), Increased level of Ca++, Mump infection, Diuretics.

Inv: Serum amylase: Increased level, Serum lipase: increased level, Specific

Management

  1. Keep patient NBM
  2. Inf N/S, Dextrose saline 1L IV TDS, Best fluid is R/Lactate
  3. Oxygen inhalation SOS
  4. If vomiting (Paralytic ileus) pass NG tube
  5. Inj Omeprazole (Risek) 40mg IV stat
  6. Inj Nalbuphine (Nalbin) 20mg IV stat SOS, OR inj Metoclopramide (Maxolon) IV Stat SOS
  7. Inj Ca-gluconate, if cause is hypocalcemia
  8. If shock Inj Dopamine
  9. Complicated pancreatitis, then surgical opinion
  10. When patient stable start oral medication