Pancreatitis Case Study Flashcards
Define acute pancreatitis
Serious and potentially life-threatening inflammatory process of the pancreas
Brought on by premature activation of enzymes that destroy ductal tissue & pancreatic cells
Resulting in autodigestion & fibrosis of the pancreas
List the 4 major Pathophysiologic processes that occur in acute pancreatitis
Lipolysis
Proteolysis
Necrosis of blood vessels
Inflammation
Potential complications of pancreatitis
Diabetes
Pleural effusion
Atelectasis
Pneumonia
Shock
MODS
ARDS
DIC
Jaundice
Renal failure
Two most common causes of pancreatitis
Alcohol
Biliary track disease
Two serum studies that are considered “cardinal” diagnostic signs of acute pancreatitis
Amylase
Lipase
What is the prominent symptom of pancreatitis?
Abdominal pain
Why are Anticholinergics given for pancreatitis?
To decrease vagal stimulation, decrease GI motility, and inhibit pancreatic enzyme & HCO3 volume & concentration
what is the common anticholinergic given for pancreatitis?
dicyclomine (Bentyl)
What may help a patient decrease their abdominal pain?
Fetal position
Describe chronic pancreatitis
Progressive destructive disease characterized by remissions and exacerbations
Resulting in inflammation and fibrosis and decreased function of organ
How should pancreatic enzymes be given?
With meals or snacks
What should the powdered form of pancreatic enzymes be mixed in?
Applesauce or fruit juice, not milk
What should enzyme preparation not be mixed with?
Foods containing protein
Patient care for after administration of the pancreatic enzymes
Wipe the mouth with a wet napkin
How often should glucose levels be check for a patient with pancreatitis
Ever 2-4 hours, esp if they’re on TPN
