Module 6: Pancreatitits (guidelines) TRAT

Question 1

3 criteria to used to diagnose pancreatitis

Acute Pancreatitis

Answer 1

-abdominal pain consistent with the disease
-serum amylase and/or lipase 3xULN
-characteristic findings from abdominal imaging

Question 2

Causes of acute pancreatitis

Acute Pancreatitis

Answer 2

-gallstones (40–70%)
-alcohol (25–35%)
-tobacco use
-medication
-infection status
-metabolic causes (hypercalcemia, hyperparathyroidism)
-high triglyceride (>1000 mg/dl)
-pancreaticobiliary tumors (obstruct the pancreas)

Question 3

Which fluid and rate should be given to patients with acute pancreatitis?

Acute Pancreatitis

Answer 3

Lactated Ringers (preferred isotonic crystalloid replacement fluid) -> to decrease BUN

Rate: aggressive: 200-500 ml/hr

less aggressive fluid rate in cardiovascular, renal, or other related comorbid factor

Question 4

What is the role of enteral/ oral nutrition in acute pancreatitis?

Acute Pancreatitis

Answer 4

patient who failed of hospitalized of 7-10 day

Question 5

In patients with acute pancreatitis, should all PO nutrition be withheld?

Answer 5

Oral feedings (either by mouth or per tube) should be initiated immediately

Question 6

Chronic

Answer 6

alcohol
tobacco

Answer 7

opioids used becasue of abdominal pain

Answer 8

We do not suggest the use of pancreatic enzyme supplements to improve pain in CP?