A patient with a 10-year history of alcoholism was admitted to the critical care unit with the diagnosis of acute pancreatitis. Based on the diagnosis, the patient
a. is at risk for hypovolemic shock from plasma volume depletion.
b. requires observation for hypoglycemia and hypercalcemia.
c. should be started on enteral feedings after the nasogastric tube is placed.
d. is placed on a fluid restriction to avoid the fluid sequestration.
A
Because pancreatitis if often associated with massive fluid shifts, intravenous crystalloids and colloids are administered immediately to prevent hypovolemic shock and maintain hemodynamic stability. Electrolytes are monitored closely, and abnormalities such as hypocalcemia, hypokalemia, and hypomagnesemia are corrected. If hyperglycemia develops, exogenous insulin may be required.
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