pancreatitis

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created 8 months ago by Akosua_Ruby
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updated 8 months ago by Akosua_Ruby
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1

most common cause of pancreatitis

  • alcohol
  • gall stones
2

other causes of pancreatitis

  • smoking, trauma, post ERCP
  • viral infection (HIV)
  • corticosteroids, other medications (oral contraceptive)
3

autodigestion of pancreas

digest enzymes in pancreas start to work before they get out of pancreas

4

mild-edematous pancreatitis

pancreas swells

5

severe-necrotizing pancreatitis

  • life-threatening (25% mortality)
  • pancreas death
6

clinical manifestation: LUQ or midepigastric abdominal pain

  • sudden onset, radiates to back
  • aggravated by eating, unrelieved by vomiting
7

clinical manifestation of pancreatitis

  • N/V
  • decreased or absent bowel sounds
  • low-grade fever, increased WBC
  • jaundice
8

pancreatitis complications: pseudocyst

  • filled with necrotic products.
  • could resolve on its own
  • could rupture
9

pancreatitis complications: abscess

  • within pancreas
  • could rupture and perforate
  • usually surgically drained or removed
10

systemic complication of pancreatitis

  • pleural effusion, pneumonia
  • hypocalcemia -> tetany
  • hypotension -> shock
11

complications of pancreatitis

chronic pancreatitis (alcohol abuse)

12

labs for pancreatitis

  • increased amylase and lipase
  • low calcium
  • high glucose due to insulin
13

nursing care

  • keep NPO to suppress pancreatic secretions
  • fluid/electrolyte balance - IV fluids
  • antibiotics
  • surgery
14

diagnostic test for pancreatitis

  • abdominal CT: look for cyst or abscess
  • ERCP
  • MRCP
  • NG tube to LIS if complication
15

prevention and removal

  • prevent and alleviate shock
  • removal of precipitating cause
16

collaborative care of chronic pancreatitis

  • may lead to DM
  • may experience steatorrhea (fat in stool)
17

steatorrhea

  • pancreatic enzymes with food
  • pancrealipase (pancreases): help break down fat if they eat high fatty foods