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GI > Pancreatitis > Flashcards

Pancreatitis Flashcards

1
Q

What are the two separate functions of the pancreas?

A
  • Endocrine: insulin

- Exocrine: Digestive enzymes

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2
Q

What are the two types of pancreatitis?

A

Acute and chronic

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3
Q

What are the 2 main causes of pancreatitis?

A
  1. Gallbladder disease

2. Alcohol

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4
Q

What are s/s of pancreatitis?

A
  • Pain
  • Abd distension/ascites
  • Abd mass
  • Rigid board-like abdomen
  • Bruising around umbilical area
  • Fever
  • N/V
  • Jaundice
  • Hypotension
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5
Q

Does pain increase of decrease with eating?

A

Increase (sends signals to initiate digestive enzymes)

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6
Q

Why does and distension/ascites occur?

A

Losing protein right fluids like enzymes and blood into abd

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7
Q

Why is there an and mass?

A

Swollen pancreas

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8
Q

What does a rigid board like and mean? (with guarding)

A

-bleeding that can lead to peritonitis

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9
Q

What is a Cullen’s sign?

A

bruising around umbilical area

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10
Q

What is a Grey-Turners sign?

A

Bruising in the flank area

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11
Q

Why do they have a fever?

A

Inflammation

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12
Q

Why do they have hypotension?

A

Bleeding or ascites

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13
Q

Will serum lipase and amylase be elevated or decreased?

A

Elevated

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14
Q

Will WBCs be elevated or decreased?

A

Elevated

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15
Q

Will blood sugar be elevated of decreased?

A

Elevated

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16
Q

Will ALT, AST which are liver enzymes be elevated or decreased?

A

Elevated

17
Q

Will PT and aPTT be longer or shorter?

A

longer

18
Q

Will serum bilirubin be elevated or decreased?

A

Elevated

19
Q

Will H/H be elevated or decreased? Why?

A

Either

  • Elevated if dehydration
  • Decreased if bleeding
20
Q

What is the treatment goal?

A

Control pain

21
Q

Why do we want to decrease gastric secretions?

A

Want stomach dry and empty (NPO, NGT to suction, bedrest)

22
Q

What pain meds may be used?

A
  • morphine sulfate
  • hydromorphone
  • fentanyl patches
23
Q

Why will anticholinergics be used?

A

Dry the stomach

24
Q

What anticholinergics could be used?

A
  • benzotropine

- diphenoxylate/atropine

25
Q

What GI precautions will be used?

A
  • Pantoprazole
  • Antacids
  • Famotidine
26
Q

Should fluids and electrolytes be maintained?

A

Yes

27
Q

Amylase levels

A

30-220 U/L

28
Q

Lipase levels

A

0-160 U/L

29
Q

They should ease into a diet why?

A

To maintain nutritional status

30
Q

Why may they need insulin?

A
  • Pancreas is sick

- on TNA (aka TPN)

31
Q

Should we monitor daily weights?

A

Yes

32
Q

Should alcohol be eliminated?

A

Yes

33
Q

Should they be referred to AA if alcohol is the cause?

A

Yes

GI (10 decks)

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