Pancreatitis pg 2246 Flashcards
the pancreas is a sensitive structure that is crucial to
the regulation of blood sugars and digestion of nutrients.
most common causes of pancreatitis
alcohol
gallstone
how do gallstones cause pancreatitis?
obstruct the ampulla of vater
leads to auto digestion of pancreas tissue
how does alcohol cause pancreatitis?
auto activation of pancreatic enzymes resulting destruction of pancreas
patient presentation of pancreatitis
Hx of alcoholism
Hx of cholelithiasis/cholecystitis
epigastric pain
steady, boring, abdominal pain
hallmark is feeling relief with sitting upright and leaning forward
pain radiates to back
jaudice is common
N/V
severe cases will have grey tuner and cullens sign
what labs do we run for pancreatitis
CBC: Leukocytosis 10,000 to 30,000
Gold standard is elevated LIPASE
UA: proteinuria, casts, glycosuria
Glucometer: hyperglycemia
gold standard imaging for pancreatits
CT scan
what is the gold standard for uncomplicated pancreatitis
NPO + aggressive fluid resuscitation
how much fluids will you give for pancreatitis
5-10 mg’kg/hr initially
when can you resume oral intake for pancreatitis
when the patient is free of pain
