lewis ch 43 pancreatitis Flashcards
common causes acute pancreatitis (2)
- gallbladder disease (women)
- chronic alcohol use (men)
what can severe pancreatitis lead to (4)
- endocrine and exocrine dysfunction
- necrosis
- organ failure
- sepsis
S+S acute pancreatitis (8)
- LUQ pain
- sudden pain
- cyanosis
- N/V
- hypotension, tachycardia
- dyspnea, crackles
- decreased/absent bowel sounds
- abdominal skin discoloration
potential complications acute pancreatitis (3)
- pseudocyst
- pancreatic abscess
- other systemic complications
S+S pseudocyst (4)
- abdominal pain
- palpable mass
- N/V
- anorexia
complication of pseudocyst
peritonitis
Infected pseudocyst
Results from extensive necrosis
May rupture or perforate
pancreatic abscess
S+S pancreatic abscess (4)
- upper abdominal pain
- mass
- high fever
- leukocytosis
examples systemic complications that could result from acute pancreatitis
- pleural effusion
- atelectasis, pneumonia
- hypotension
- pulmonary emboli
- hypocalcemia, tetany
what 3 fluids could you give to treat shock or fluid/electrolyte problems due to acute pancreatitis
- shock: plasma/plasma volume expanders (dextran or albumin)
- fluid/electrolyte problems (LR)
what vasoactive drug can you give for ongoing hypotension due to acute pancreatitis
dopamine
what two nursing interventions can be done to minimize pancreatic stimulation
- NPO status
- NG suction
5 drug therapy options for acute pancreatitis
- antacids
- antispasmodics
- carbonic anhydrase inhibitor
- morphine
- PPIs
2 drug therapy options for chronic pancreatitis
- insulin
- pancreatic enzyme products
causes of chronic pancreatitis (6)
- alchol
- gallstones
- pseudocysts
- autoimmune pancreatitis
- cystic fibrosis
- trauma
