Acute Pancreatitis
Cause: Gall stone (Pakistan), Alcohol (USA), Increased level of Ca++, Mump infection, Diuretics.
Inv: Serum amylase: Increased level, Serum lipase: increased level, Specific
Management
- Keep patient NBM
- Inf N/S, Dextrose saline 1L IV TDS, Best fluid is R/Lactate
- Oxygen inhalation SOS
- If vomiting (Paralytic ileus) pass NG tube
- Inj Omeprazole (Risek) 40mg IV stat
- Inj Nalbuphine (Nalbin) 20mg IV stat SOS, OR inj Metoclopramide (Maxolon) IV Stat SOS
- Inj Ca-gluconate, if cause is hypocalcemia
- If shock Inj Dopamine
- Complicated pancreatitis, then surgical opinion
- When patient stable start oral medication
Disclaimer: This guide is an educational reference for healthcare professionals. It does not replace clinical judgement — always follow your hospital's protocols and current guidelines.