GI (pancreas/HHS) Flashcards
which fxn of the pancreas relates to digestive enxymes
exocrine
which fxn of the pancreas realtes to hormones
endocrine
what happens when digestive enzymes start digesting the pancreas itself
pancreatitis
causes of pancreatitis
biliary diseases / gallstones
alcohol abuse
abd trauma
infections
assessment findings in acute pancreatitis
epigastric abd pain
n/v without relief
Grey turner sign (lower abdomen blue)
cullen sign (umbilicus blue)
what sign of pancreatitis is a bluish color of the lower abdomen
grey turner sign
what sign of pancreatitis is a bluish color of the umbilicus
cullen sign
lab findings of pancreatitis
inc serum amylase and lipase!!!
gold standard diagnostic for pancreatitis
CT scan
management of pancreatitis
pain management
rest pancreas (NPO!!!)
fluid resusscitation
nutrition (TPN, albumin)
evaluate for shock (tachycardia, dec. urine)
most severe complication of pancreaitits
shock
what other complication comes from the pancreas
HHS
occurs when pancreas produces relatively insufficient amount of insulin for high glucose
HHS
causes of HHS
pancreatitis
infection!!!
trauma / sepsis
meds (steroids / beta blockers)
s/sx of HHS
polyuria!! / polydipsia
increased sodium
hyperglycemia
hypovolemia (profound dehydration)
