Pancreatitis Flashcards

1
Q

What are the 2 separate functions of pancreas?

A

Endocrine: Insulin

Exocrine: Digestive enzymes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are the 2 types of pancreatitis?

A

Acute (alcohol; gallbladder disease)

Chronic (alcohol)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

S/s

Pain when eating

A

Increase

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

S/s

Abdominal area

A

-Distention/ascites
(Loosing protein rich fluids like enzymes and blood into the abdomen= ascites)

  • Abdominal mass (swollen pancreas)
  • Rigid board like abdomen (guarding or bleeding)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

S/s

Bleeding in abdomen can lead to ___

A

Peritonitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

S/s

Bruising

A

Around umbilical (Cullens sign)

Around flank area (Grey Turner sign)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

S/s

Fever why?

A

Inflammation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

S/s

GI

A

NV

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

S/s

Liver involved

A

Jaundice

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

S/s

BP

A

Hypotension = bleeding or ascites

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Diagnosis

Lipase and amylase

A

Increase

Serum lipase= most specific enzyme for pancreatitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Diagnosis

Normal lipase and amylase levels?

A

Lipase: 0-110

Amylase: 30-220

*these levels are ELEVATED with pancreatitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Diagnosis

WBC

A

Increased

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Diagnosis

Blood sugar

A

Increased

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Diagnosis

ALT and AST

A

Increase

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Diagnosis

PT, aPTT

A

Longer (bc liver dysfunction)

17
Q

Diagnosis

Bilirubin

18
Q

Diagnosis

H&H

A

Increased or decreased

Increased with dehydration
Decreased with bleeding

19
Q

Treatment

Goal?

A

Control pain

20
Q

Treatment

How to control pain?

A

Decrease gastric secretions (NPO, NGT to suction, bed rest)—want stomach empty and dry

Pain meds: PCA narcotics (morphine, hydromorphone); fentanyl patches

21
Q

Treatment

Why give steroids?

A

To decrease inflammation

22
Q

Treatment

Why give anticholinergics?

A

To dry up secretions

*benztropine, diphenozylate/atropine

23
Q

Treatment

GI protectants?

A

PPI, H2 blockers, antacids

24
Q

Treatment

Maintain ?

A

F&E balance

25
Treatment Clients with pancreatitis--keep stomach?
Empty and dry
26
Treatment Why give insulin?
Pancreas is sick (not making insulin like it should) Steroids increased BS (on steroid as tx for the inflamm) TPN (lots of dextrose in it)
27
Treatment Other
Daily weights Eliminate alcohol Refer to AA if this is the cause