As calcium is bound to albumin, calcium leaks with the albumin, into the peritoneal area, compounding an already existing hypocalcemia. Assess for neuromuscular irritability, spasms, or tremors. The patient may need infusions of fresh frozen plasma or serum albumin. Monitor for arrhythmias, muscle weakness, and hypotension. Monitor for life-threatening arrhythmias.
Respiratory insufficiency is a common complication of acute pancreatitis.
Enzymes leaking from the pancreas enter the pleural space, leading to pleural effusions. Also, increased intra-abdominal pressure reduces diaphragmatic movement and lung expansion. 7 Treatment is geared to decreasing pulmonary complications and supporting respiratory function. 7 Multisystem organ failure may occur as pancreatic enzymes released into the circulation may lead to acute respiratory distress syndrome, acute renal failure, and septic shock. He had two episodes of nausea that day.