Pancreatitis

Question 1

What lab is the gold standard for diagnosis of pancreatits?

Answer 1

Lipase

Question 2

Normal lipase levels

Answer 2

Less than 160

Question 3

What other labs are important to monitor with pancreatits?

Answer 3

BS
Amylase
WBC

Question 4

Cullen’s sign

Answer 4

periumbilical bruising

Question 5

Grey Turner’s Sign

Answer 5

Flank bruising

Question 6

Clinical manifestation of pancreatitis

Answer 6

Epigastric pain that radiates to back and shoulder
Gas
Indigestion
Bloating
Fever
Anorexia

Question 7

Why is a pt. with pancreatitis kept NPO?

Answer 7

To stop the painful secretions of the pancreatic enzymes

Question 8

A pt. has been clear of symptoms of pancreatits for 3 days. What diet should the nurse implement?

Answer 8

Clear liquids
Then advance as tolerated
Clear > full > soft > reg

Question 9

Tx for pancreatits

Answer 9

NPO
IV isotonic fluids
Pain meds
Endoscopic procedures
Cholecystectomy - if gallstones present

Question 10

If a pt. exhibits Cullen’s or Grey Turner’s Sign what is the nurse’s action?

Answer 10

notify the provider immediately - means there is bleeding in peritoneal area

Question 11

Causes of pancreatitis

Answer 11

Chronic alcohol use
Gallstones
Medication
Hypercalcemia
Nicotine
Bile duct abnormalities
Trauma

Question 12

Pancreatitis can result in ____

Answer 12

Pancreatitis can result in diabetes