Pancreatitis

Question 1

most common causes of pancreatitis

Answer 1

alcoholism & cholelithiasis

Question 2

meds that put one at risk for acute pancreatitis

Answer 2

corticosteroids, thiazide diuretics, oral contraceptives

Question 3

a palpable mass in the LLQ indicates what

Answer 3

pseudocyst or abscess formation on pancreas

Question 4

is Cullen’s sign seen in acute or chronic pancreatitis

Answer 4

acute

Question 5

purplish discoloration in area of umbilicus

Answer 5

Cullen’s sign

Question 6

is Turner’s sign seen in acute or chronic pancreatitis

Answer 6

chronic

Question 7

gray discoloration that is widespread on the abdomen and comes around to the hips

Answer 7

Turner’s sign

Question 8

does amylase or lipase go up first

Answer 8

amylase

Question 9

why are antacids and H2antagonists given to pts with pancreatitis

Answer 9

the stomach is still making acid but no base is being produced, the acid needs help to get balanced

Question 10

diet for pt with pancreatitis

Answer 10

NPO at first

high carbs, high protein, low fat, avoid alcohol and caffeine

Question 11

specific complications from pancreatitis

Answer 11

peritonitis, L lung pleural effusion, pseudocyst

Question 12

CF pts may have acute or chronic pancreatitis

Answer 12

chronic due to mucous plugs

Question 13

s/s of chronic pancreatitis

Answer 13

intense abd pain
ascities
steatorrhea
jaundice
polyuria, polydipsia, polyphagia

Question 14

s/s of acute pancreatitis

Answer 14

wt loss
N/V
pain
hypoactive bowel sounds
left pleural effusion
palpable mass in LLQ

Question 15

enzyme replacement med

Answer 15

Pancrelipase (Pancrease or Viokase)

Question 16

role of a histamine receptor antagonist such as Ranitidine (Zantac) in chronic pancreatitis

Answer 16

neutralizes acid