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학습 자료 둘러보기 →The immediate, highest priority is pancreatic rest. Any oral intake stimulates enzyme secretion, worsening autodigestion and the inflammatory cascade. Maintaining strict NPO status is the primary intervention to achieve this.
Aggressive IV fluid resuscitation with lactated Ringer's is critical to manage massive fluid shifts and prevent hypovolemic shock. Monitor for early signs of SIRS (fever, tachycardia, tachypnea) and MODS.
Pain management is a priority but secondary to pancreatic rest. Administer prescribed IV opioids to reduce metabolic stress and splinting, which can compromise respiratory function. Avoid morphine if possible due to potential spasm of the sphincter of Oddi.
Do not initiate oral diet until pain is resolved, bowel sounds return, and pancreatic enzymes are trending down. Premature feeding is a major cause of relapse. A NG tube is not routinely required unless persistent vomiting or ileus is present.
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