APMAdvances in Precision Medicine2424-85922424-9106WHIOCE PUBLISHING PTE. LTD.10.18063/APM.v11i3.1652ArticleNursing Care of a Patient with Severe Acute Pancreatitis after EVAR for Thoracoabdominal Aortic Penetrating Ulcerhttps://artdesignp.com/journal/APM/11/3/10.18063/APM.v11i3.1652LiPanpan,HeGuoqin,LiuChunhua,YuanLijuan,KongDeyu,SunQing,XieYujie20261132026-03-26To summarize the nursing care of a patient with severe acute pancreatitis after endovascular aortic repair (EVAR) for a thoracoabdominal aortic penetrating ulcer. Nursing points: Adopt a dual strategy of restrictive fluid resuscitation combined with goal-directed fluid management to effectively maintain hemodynamic stability; implement effective airway management and early use of high-flow oxygen therapy to maintain adequate oxygenation; implement a stepped pain management strategy, combined with the Meridian Flow Theory of Traditional Chinese Medicine to optimize the analgesic program and reduce symptoms of abdominal pain and bloating; according to the enteral nutrition tolerance classification and management requirements, develop a personalized diet plan to ensure energy supply. After multidisciplinary treatment and meticulous care, the patient recovered well and was successfully discharged from the hospital on the 21st day after surgery. During the follow-up visit 1 month later, the patient recovered well and had no recurrence of symptoms, such as abdominal pain and bloating.Penetrating aortic ulcer,Acute pancreatitis,Goal-directed fluid management,Enteral nutrition,Critical care

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