Pancreatitis

Question 1

What hormones does the pancreas release

Answer 1

insulin and glucagon

Question 2

SS of acute attack

Answer 2

sever abd. pain that radiates from the epigastric region to the back.
Fever
N/V
Tachycardia

Question 3

What are some causes of pancreatitis

Answer 3

MC is ETOH and gallstones

as Drugs= corticosteroids, furosemide.

Question 4

What genetic dx is linked to pancreatitis

Answer 4

cystic fibrosis

Question 5

How do you DX and monitor Pancr..

Answer 5

amylase and lipase levels

Question 6

Chronic Pancreatitis

Answer 6

Similar to acute c wgt loss (malabsorption)

DM- occurs with distruction of insulin-producing cells of the pancreas

Question 7

Lab Values

Answer 7

WBC-12-20000
HCT increase as high as 50-55% (inflammation)
Hyperglycemia
Serum Ca decreases
Serum bilirubin increase (15-25%) due to pancreatic edema compressing the common bile duct.

Question 8

Amylase

Answer 8

> 3x the ULN supports dx
increase within 3-6hrs, rapidly within 8hrs, peaks in 20-30hrs.
Returns to normal within 3-5 days
Digests carbs

Question 9

Lipase

Answer 9

More specific and sensitive then amylase remains elevated for 8-14 days
>3x the ULN is dx.
Increases within 3-6hrs peaks at 24hrs
Less likely to be affected by chronic pancreatis
Digest fats

Question 10

Other Lab Values
CBC__
Metabolic panel___
C-reactive Protein

Answer 10

CBC=Leukocytosis
Metabolic panel-may show abd. vaules in Ca, BUN, and Glucose
C-Reactive Protein- >150mg/dl within first 72hrs=acute necrotizing pancreatitis. (wait 48hrs before ordering)

Question 11

A lipase:Amylase ratio >3 suggests?

Answer 11

Alcoholic cause

Question 12

Admission Criteria

Answer 12

GA-LAW
Glucose >200
Age>55
LDH>350
AST>250
WBC>16000

Question 13

48 hr criteria

Answer 13

C-HOBBS
Ca 10%
Oxygen5
Base Deficit>4 (HCO36L

Question 14

Score of 0-2
3-5
>5

Answer 14

minimal mortality
10-20% mortality
50% mortality