Critical Care 3

Question 1

Define severe pancreatitis

Answer 1

Acute (usually necrotizing) pancreatitis w/ >48 hrs of injury in at least one other organ system

Question 2

Common types of extrapancreatic injury in severe pancreatitis (name 3)

Answer 2

ARDS, AKI, shock

Question 3

Volume and rate of fluids for pancreatitis

Answer 3

Bolus (e.g. 1.5 L) and high drip rate (e.g. 250 mL/hr x 24-48 hrs May improve mortality, but evidence is poor.

Question 4

Pressor for severe pancreatitis (If needed)

Answer 4

Norepinephrine

Question 5

How early should nutrition be started in pancreatitis?

Answer 5

Within 48 hours

Question 6

Fraction of necrotizing pancreatitis that becomes infected

Answer 6

1/3

Question 7

One of what 2 criteria makes the diagnosis of INFECTED necrotic pancreatitis?

Answer 7

• bubbles in necrotic areas in CT
• positive aspirate culture

Question 8

Treatment for infected necrotic pancreatitis

Answer 8

Surgical debridement

Question 9

Fraction of severe pancreatitis that develops abdominal compartment syndrome

Answer 9

1/2

Question 10

Main sign of abdominal compartment syndrome

Answer 10

Oliguric renal failure

Question 11

How to investigate abdominal compartment syndrome

Answer 11

Intra-abdominal pressure measurement