Application of the Clinical Reasoning Cycle:
Management of Acute Pancreatitis
In an Adult Patient
Author First M Last
Institution Name
Course Number:
Course Name
Instructor Name
, Contents
Consider the Patient Situation.....................................................................................................................3
Collect Cues / Information...........................................................................................................................4
1) Subjective Data...................................................................................................................................4
2) Objective Data....................................................................................................................................4
3) Laboratory and Investigation Results.................................................................................................5
4) Case Context and Clinical Relevance..................................................................................................5
Process Information.....................................................................................................................................6
1) Pathophysiology.................................................................................................................................6
2) Clinical Reasoning...............................................................................................................................6
Identify Problems / Issues (Prioritization Table)..........................................................................................8
1) Problem 1 (Acute Pain):....................................................................................................................10
2) Problem 2 (Deficient Fluid Volume):.................................................................................................11
3) Problem 3 (Respiratory/Infectious Complications):..........................................................................11
Quality Use of Medications (QUoMs)........................................................................................................12
Conclusion.................................................................................................................................................13
References.................................................................................................................................................15
, Application of the Clinical Reasoning Cycle: Management of Acute Pancreatitis in an
Adult Patient
A CRC is a systematic methodology that enables a nurse to evaluate, prioritize, and plan
the intervention specific to their patients (Tadikonda Rama Rao et al., 2025). In this assignment,
the CRC will be applied in the treatment of Enni-won, who is a 43-year-old Koori man, who was
admitted with severe acute pancreatitis after partying all night. He presents with acute, constant
epigastric pain which is radiated to the back, incessant nausea, multiple bouts of vomiting, and
lack of bowel emptying or flatus since the last day. Considering the particular presentation of
Enni-won, the presence of the following evidence-based nursing care plan will contribute to
solving his priority issues: severe pain, deficient fluid volume, and the risk of respiratory or
infectious complications, according to the Australian standards and contemporary research. The
objective is to ensure culturally safe, person-specific management and to illustrate clinical
decision-making on the matter of the actual situation of acute care.
Consider the Patient Situation
Enni-won is a 43-year-old Koori (Indigenous Australian) male who had arrived at the
Emergency department at 0730 hours via ambulance, acutely unwell and diaphoretic, holding his
upper abdomen. He complains of severe and continuous epigastric pain that spreads to his back
with nausea and three bouts of vomiting starting the previous night following a heavy meal and a
few drinks of alcohol. The patient has not had stool or flatus since the last day, and his oral
intake has been significantly decreased because of continuous nausea. Upon arrival, the vital
signs of Enni-won were: temperature 38.2 0 C, heart rate 117 bpm and regular, blood pressure
96/60 mmHg, respiratory rate 20 breaths/minute, and SpO2 of 95% on room air. Physical
examinations have determined his pain level to be 10/10, and he felt tenderness at the epigastric
Management of Acute Pancreatitis
In an Adult Patient
Author First M Last
Institution Name
Course Number:
Course Name
Instructor Name
, Contents
Consider the Patient Situation.....................................................................................................................3
Collect Cues / Information...........................................................................................................................4
1) Subjective Data...................................................................................................................................4
2) Objective Data....................................................................................................................................4
3) Laboratory and Investigation Results.................................................................................................5
4) Case Context and Clinical Relevance..................................................................................................5
Process Information.....................................................................................................................................6
1) Pathophysiology.................................................................................................................................6
2) Clinical Reasoning...............................................................................................................................6
Identify Problems / Issues (Prioritization Table)..........................................................................................8
1) Problem 1 (Acute Pain):....................................................................................................................10
2) Problem 2 (Deficient Fluid Volume):.................................................................................................11
3) Problem 3 (Respiratory/Infectious Complications):..........................................................................11
Quality Use of Medications (QUoMs)........................................................................................................12
Conclusion.................................................................................................................................................13
References.................................................................................................................................................15
, Application of the Clinical Reasoning Cycle: Management of Acute Pancreatitis in an
Adult Patient
A CRC is a systematic methodology that enables a nurse to evaluate, prioritize, and plan
the intervention specific to their patients (Tadikonda Rama Rao et al., 2025). In this assignment,
the CRC will be applied in the treatment of Enni-won, who is a 43-year-old Koori man, who was
admitted with severe acute pancreatitis after partying all night. He presents with acute, constant
epigastric pain which is radiated to the back, incessant nausea, multiple bouts of vomiting, and
lack of bowel emptying or flatus since the last day. Considering the particular presentation of
Enni-won, the presence of the following evidence-based nursing care plan will contribute to
solving his priority issues: severe pain, deficient fluid volume, and the risk of respiratory or
infectious complications, according to the Australian standards and contemporary research. The
objective is to ensure culturally safe, person-specific management and to illustrate clinical
decision-making on the matter of the actual situation of acute care.
Consider the Patient Situation
Enni-won is a 43-year-old Koori (Indigenous Australian) male who had arrived at the
Emergency department at 0730 hours via ambulance, acutely unwell and diaphoretic, holding his
upper abdomen. He complains of severe and continuous epigastric pain that spreads to his back
with nausea and three bouts of vomiting starting the previous night following a heavy meal and a
few drinks of alcohol. The patient has not had stool or flatus since the last day, and his oral
intake has been significantly decreased because of continuous nausea. Upon arrival, the vital
signs of Enni-won were: temperature 38.2 0 C, heart rate 117 bpm and regular, blood pressure
96/60 mmHg, respiratory rate 20 breaths/minute, and SpO2 of 95% on room air. Physical
examinations have determined his pain level to be 10/10, and he felt tenderness at the epigastric
