PANCREATITIS Flashcards
what is pancreatitis?
inflammation of the pancreas
no 1 cause of pancreatits
alcoholism
acute pancreatitis
- develops quickly
- lasts for days to weeks
- no permanent damage
chronic pancreatitis
- years
- gradual occurence
- irreversible
- loss of pancreatic function
function of the pancreas (endocrine function)
○ Regulates blood sugar
■ Releases insulin
■ Releases glucagon
exocrine function (pancreas)
○ Plays a big role in digestion
■ Produces and releases digestive enzymes
● Trypsin → Break down proteins
● Amylase → Breaks for carbohydrates
● Lipase → Breaks down fats
■ Enzymes released into the duodenum
breaksdown proteins
trypsin
breaksdown carbohydrates
amylase
breaksdown fats
lipase
assessment for pancreatitis
● Pain
○ Increases with eating due to increased enzymes
● Abdominal distention
● Ascites
● Abdominal mass
● Rigid abdomen
● Cullen’s sign
● Gray Turner’s sign
● Fever
● Nausea & vomiting
● Jaundice
● Hypotension
● Labs
○ Increased WBCs
○ Increase serum lipas
bluish discoloration the umbilical area
Cullen’s sign
bluish discoloration on flank area
Gray Turner’s sign
treatment for pancreatitis
● NPO
● NGT to suction
● Bed rest
● Pain medications
● Steroids
● GI protectants
○ PPIs
○ H2 blockers
○ Antacids
● Monitor I&O’s
○ Fluid and electrolyte balances
● Daily weight
● NO ALCOHOL
GI protectants drugs
○ PPIs
○ H2 blockers
○ Antacids
what is antacids?
● Neutralize gastric acid by acting as a buffer in the acidic environment of the
stomach.
● Increases the pH in the stomach.
what are the examples of antacids?
Calcium carbonate (alka-seltzer, tums)
Magnesium hydroxide
Bismuth subsalicylate (Pepto-Bismol
