Pancreatitis

Question 1

What 3 main substances does the pancreas make

Answer 1

Bicarbonate, digestive enzymes and insulin

Question 2

Function of bicarbonate

Answer 2

Neutralizes gastric acid as meal enters small intestine

Question 3

Fnctn of digestive enzymes

Answer 3

Turn meal to liquid for absorption

Question 4

Fnctn of insulin

Answer 4

Signals the body to store ingested nutrients.

Question 5

What cells secrete glucagon, insulin and somatostatin

Answer 5

Glucagon-alpha
Insulin-Beta
Somatostatin-Delta

Question 6

What do basophilic cells make

Answer 6

Pancreatic lipase and amylase

Question 7

Number one cause of pancreatitis

Answer 7

Alcohol in US, gallstones worldwide

Question 8

Classic presenting history of pancreatitis

Answer 8

Acute onset persistent abdominal pain with nausea and vomiting, pain radiates to back, poor appetite, constant, pain somewhat decreased with leaning forward, +/- febrile, may have hx of alcohol, gallstones, cholesterole problems

Question 9

How do you treat pancreatitis

Answer 9

NPO, hydration with normal saline or LR (6-12 L in first 24 hours) , pain control, antibiotics (if needed), enteral nutrition (if needed)

Question 10

How long for clinical resolution of pancreatitis

Answer 10

3-7 days, exocrine function may take months

Question 11

After severe pancreatitis, some pts…

Answer 11

develop diabetes, have persistent pain, have chronic diarrhea, malnourishment