A client has been diagnosed with pancreatic insufficiency. Which treatment option does the nurse anticipate for this client?
1. Treatment with PPIs to decrease stomach acid
2. Replacement therapy with pancreatic enzymes
3. Decrease food intake
4. Treatment with stimulant laxatives
2
Rationale 1: Treatment with PPIs will not help with the loss of pancreatic enzymes to breakdown the food. PPIs block the enzymes for secreting hydrochloric acid in the stomach.
Rationale 2: The pancreas is responsible for the secretion of essential digestive enzymes. Lack of secretion, or pancreatic insufficiency, will result in malabsorption disorders. Replacement therapy with pancreatic enzymes is sometimes necessary.
Rationale 3: Decreasing food intake will not aid to breakdown the food.
Rationale 4:Stimulant laxatives promote peristalsis by irritating the bowel mucosa.
Global Rationale: The pancreas is responsible for the secretion of essential digestive enzymes. Lack of secretion, or pancreatic insufficiency, will result in malabsorption disorders. Replacement therapy with pancreatic enzymes is sometimes necessary.
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