ILOs Flashcards
What are the main signs and symptoms of acute pancreatitis
Upper epigastric pain, nausea and vomiting, pain radiating to the back, fever
What blood results are abnormal in acute pancreatitis?
Increase in both serum lipase and amylase
What is the pneumonic to remember the causes of acute pancreatitis?
GET SMASHED
When you believe your patient has pancreatitis should you feed them?
NOOOOOO
What is the SCORE system that we use when assessing patients with pancreatitis?
Ranson score
What is one of the early complications of acute pancreatitis?
Acute respiratory distress syndrome (ARDS)
What is one of the long term complications of pancreatitis?
Chronic pancreatitis and pancreatic insufficiency
When some one is malnourished what is the biggest risk factor that they face when they begin eating again?
Re-feeding syndrome
What is the problem that occurs in re-feeding syndrome?
Electrolyte imbalances
What type of feeding is parental feeding?
It is when the patient receives all of their nutrients from an IV route
What is the difference between parental nutrition (PN) and total parental nutrition (TPN)?
PN –> the patient only receives nutrients from the feed
TPN –> the patient receives all of their nutrients and fluids from the IV feed
What is one of the biggest complications seen with PN feeding?
Liver disease
What is Enteral Feeding?
This is when the patients feed is delivered directly to their gut as their gut is still intact
When do patients usually require enteral feeding?
When they have a neurological disorder
What should you ensure you have done once you have administered the feed?
Flush the tube
Who decides what feed a patient receives?
Dietician
Who are at the highest risk of developing gallstones?
4 F’s
Fat
Forty
Fair
Female
What is the main component of gallstones?
Cholesterol
When do gallstones become painful?
when they become stuck and cause obstructions
What type of pain is felt with gallstones?
Biliary colic pain
What is thought to cause gallstones?
An imbalance of chemicals in the bile causes the stone formation
What high levels cause the formation of gallstones? (theres 2)
- bilirubin
- cholesterol
Where will the pain be worst with gallstones?
Right Epigastric region
What is Cholecystitis?
Inflammation of the gallbladder
