Pancreatic Function

Question 1

Acute pancreatitis

Answer 1

sudden onset of pancreatic inflammation

Question 2

Mild acute pancreatitis

Answer 2

pancreatic edema and swelling, localized inflammation, no local/systemic/other organ complications, reversible, good prognosis

Question 3

Moderately severe pancreatitis

Answer 3

Organ failure that resolves in 48 hours or local/systemic complications without persistent organ failure

Question 4

Severe pancreatitis

Answer 4

longer duration, persistent single or multi-organ failure, poor prognosis, associated with sepsis and multiple organ dysfunction

Question 5

Pancreatitis pain

Answer 5

sudden onset of sharp deep upper abdominal pain, radiates to back, associated with N/V

Question 6

What does the intensity of pain reflect

Answer 6

the degree to which the disease process has extended beyond the pancreas

Question 7

Integumentary assessment

Answer 7

Cullens sign (blue around umbilicus), grey turner sign (blue in flank region)

Question 8

s/s of systemic inflammation

Answer 8

hypoxia, confusion, fever

Question 9

What labs are used to diagnose acute pancreatitis

Answer 9

serum amylase, lipase

Question 10

What imaging is done to diagnose pancreatitis

Answer 10

abdominal and chest radiography, CT scan, ultrasound, endoscopic retrograde cholangiopancreatography, MRI, cholangiopancreatography

Question 11

What is used to manage blood pressure

Answer 11

fluid resuscitation, inotropic therapy

Question 12

What is done to minimize pancreatic stimulation

Answer 12

NPO, IV fluid hydration, NG tube with intermittent suction, drug therapy