Pancreatitis Flashcards

1
Q

What is Pancreatitis?

A

Acute inflammatory process of pancreas

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2
Q

What causes Pancreatitis?

A

Men: Chronic alcohol intake
Women: Gallbladder disease

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3
Q

What is the main difference between acute and chronic Pancreatitis?

A

Acute has no issues with glucose while chronic can cause DM

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4
Q

How do patients with Acute Pancreatitis describe the pain?

A

Abdominal pain

  • Radiates to back
  • Sudden onset
  • Aggravated by eating
  • Not relieved by vomiting
  • Fetal position helps
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5
Q

Grey Turner’s spots/sign

A

Flank bruising

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6
Q

Cullen’s sign

A

Bruising around umbilicus

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7
Q

Acute Pancreatitis can cause what else to happen to the Pancreas?

A

Pancreatic abscess

  • Cannot let abscess rupture
  • Upper abd pain, mass, high fever, leukocytosis
  • Requires prompt surgical drainage
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8
Q

What systemic complications can occur from Acute Pancreatitis?

A

Hypocalcemia > Tetany

  • Trousseau: spasm of the muscles of the hand and forearm from blood pressure cuff
  • Chvostek: twitch of facial muscles that occurs when gently tapping an individual’s cheek, in front of the ear.
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9
Q

Normal amylase & lipase

A

<160

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10
Q

Care for pt with Acute Pancreatitis

A
NPO
Pain medication (usually morphine)
NGT to relieve N/V & remove stuff that can stimulate pancreatic enzymes 
Antibiotics 
Dopamine for ongoing hypotension 
Could need to remove gallbladder 
Concern for men is alcohol withdrawal
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11
Q

Why would you give Albumin if patient goes into shock from Acute Pancreatitis?

A

Albumin will help with fluid and has protective qualities like protein

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12
Q

Nutritional therapy for Acute Pancreatitis

A
  1. NPO status initially
  2. Paternal if long term
  3. Monitor triglycerides if IV given
  4. Small, frequent feeding when able that are high in carbohydrates
  5. No alcohol
  6. DAKE vitamins supplemented
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13
Q

What is the biggest concern with doing an ERCP?

A

It can bring on Pancreatitis

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14
Q

What is the big goal with acute Pancreatitis?

A

Relief of pain and no recurrent attacks

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15
Q

What is the worst complication from acute Pancreatitis?

A

Shock (flashcard on different set)

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16
Q

What is the most common complication from acute Pancreatitis?

A

Respiratory infection > Teach TCDB and keep semi fowler

17
Q

What is chronic Pancreatitis associated with?

A

Long term alcohol use and recurrent acute Pancreatitis

18
Q

Describe pain with Chronic Pancreatitis

A

Located in same areas as acute

Heavy, gnawing, burning, cramp like

19
Q

What is a common clinical manifestation of chronic pancreatitis?

A

Steatorrhea

20
Q

When do you take pancreatic enzymes?

A

Meals and bedtime