Pancreatitis Flashcards

1
Q

risk factors

A
gallbladder disease (women)
chronic alcohol use (men)
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2
Q

mild pancreatitis

A

edematous/interstitial

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3
Q

Severe pancreatitis

A

necrotizing

Necrosis; organ failure; sepsis

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4
Q

acute

A

a week or 2

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5
Q

Chronic

A

fibrosis; secondary to cirrhosis; no cure

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6
Q

clinical manifestations

A

Severe Abdominal p!; left upper quadrant or mid-epigastric
sudden onset
flushing
N/V

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7
Q

procedure done

A

whipple

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8
Q

Grey turner’s sign

A

flank are is discolored

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9
Q

Cullens sign

A

blueish/greyish around belly button

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10
Q

infected pseudocyst

A

pancreatic abscess

drain immediately

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11
Q

Lab tests

A

Serum lipase level (more important)
amylase (climbs early; 24-72 hrs)

calcium/mag drops

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12
Q

best way to diagnose

A

CT scan

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13
Q

main treatment

A

NPO

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14
Q

if in shock:

A

plasma volume/volume expanders (albumin)

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15
Q

F/E problems

A

lactated ringers

Central venous pressure readings

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16
Q

Prevent infection

A

enteral nutrition
Antibiotics
Endoscopically or CT-guided percutaneous aspiration

17
Q

what needs to be checked?

A

glucose levels q6h

18
Q

Minimize pancreatic stimulation

A

NPO status
NG suction
decreased acid secretion
enteral nutrition if needed

19
Q

if pancreatitis is r/t gallstones

A

ECRP surgery

20
Q

diet

A

high carb, low protein is best

21
Q

chronic: pancreatic enzyme replacement

A

taking enzymes for life

drink 8 oz water; wipe lips off; rinse mouth out

22
Q

tests for hypocalcemia

A
Chvosteks sign (tap facial nerve)
Trousseaus sign (bp cuff inflation)
23
Q

positioning

A

fetal position
side-lying with HOB 45 deg

Semi fowlers