Pancreatitis

Question 1

What are two separate functions of the pancreas

Answer 1

1. )Endocrine­__insulin

2) Exocrine­___ digestive___ enzymes

Question 2

What are the 9 s/s of Pancreatitis

Answer 2

1. )Pain
2. )Abdominal distention/ascites
3. )Abdominal mass­
4. )Rigid board­like abdomen
5. )Bruising around umbilical area/flank
6. )Fever
7. )N/V
8. )Jaundice
9. )Hypotension

Question 3

Doe the pain increase with eating ?

Answer 3

Yes

Question 4

Why do we have Abdominal distention/ascites ?

Answer 4

because we’re (losing protein rich fluids like enzymes and blood

Question 5

Why do u have a Rigid board­like abdomen (guarding or bleeding)

Answer 5

is the pancreas auto digest its self its destroying pancreatic tissue
so you’re also damaging blood vessels in the pancreas so now you have blood peritoneal cavity and this cause peritonitis and this what the rigid board like abdomen mean They have peritonitis

Question 6

What is bruising around the umbilical are called ?

Answer 6

Cullen sign

Question 7

What is bruising around the flank area called ?

Answer 7

Grey turner sign

Question 8

What does fever mean ?

Answer 8

Inflammation

Question 9

What does Jaundice tell us

Answer 9

The liver is involved

Question 10

Why is does the client have hypotension?

Answer 10

Bleeding or ascites

Question 11

Normal Amylase

Answer 11

30-220 u/L

Question 12

Normal lipase

Answer 12

0-110 U/L

Question 13

Normal AST

Answer 13

8-40

Question 14

Normal ALT

Answer 14

10-30

Question 15

What 7 things do use to dx Pancreatitis?

Answer 15

1. )Serum lipase and amylase
2. )WBCs
3. )blood sugar
4. ) ALT, AST liver enzymes
5. )PT, PT
   6) Serum bilirubin
6. )H/H (Hemoglobin & Hematocrit)

Question 16

Why does the Serum lipase and amylase go up?

Answer 16

These are the digestive enzymes they are trying to go to the small intestines but they can’t get there because there’s an occlusion so they sit in the pancreas so long that the blood absorbed them.

Question 17

What is the Lipase is most specific in diagnosing pancreatitis?

Answer 17

Lipase is the one that is most specific in diagnosing pancreatitis

Question 18

What is the tx

Answer 18

1. ) NPO_, NGT to suction, bed rest
2. ) pain meds
3. ) steroids
4. )Anticholinergics
5. )antacid
6. ) proton pump inhibitor
7. )h2 blockers
8. )Maintain fluid and electrolyte balance
   9) Maintain nutritional status → ease into a diet
   10) Insulin
   11) Daily weights
9. )Eliminate alcohol
   13) Refer to AA if this is the cause of pancreatitis

Question 19

Why is the client KEEP them NPO_, NGT to suction?

Answer 19

Keep stomach empty and dry. This is very important for these people because if anything gets in their stomach they going to think they need to make more enzymes and this is what makes them hurt

So this will help decrease gastric secretions

Question 20

morphine sulfate

Answer 20

narcotics

Question 21

hydromorphone

Answer 21

narcotics

Question 22

fentanyl patches(

Answer 22

narcotics

Question 23

Why do we give steroids?

Answer 23

used to decrease inflammation

Question 24

Why do we give Anticholinergics meds?

Answer 24

They dry you up and we want the stomach empty and dry .

Question 25

benztropine

Answer 25

(Cogentin®)

Question 26

diphenoxylate/atropine

Answer 26

(Lonox®)

Anticholinergics drugs

Question 27

What do you give to decrease stomach acid?

Answer 27

1. ) proton pump inhibitors
2. ) H2 blockers
3. ) Antacid

Question 28

How do you maintain nutrition status?

Answer 28

Ease into a diet

Question 29

What do we give insulin ?

Answer 29

1. because the The pancreas is sick so it may not be producing adequate insulin 2. They may be on steroids and steroids make your blood sugar go up
2. The client may be getting TPN

Question 30

Alt and ast are

Answer 30

Liver enzyme and they never go down there either normal or they go

Question 31

If the pt, Pitt is long what does it mean

If they are short what does it mean ?

Answer 31

Long = bleeding

Short = clotting

Question 32

If Hemoglobin & Hematocrit is up what does it mean ?

If they are down what does it mean ?

Answer 32

Up = dehydration

Down = bleeding