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Week 9 Acute Pancreatitis
Terms in this set (33)
What is Acute Pancreatitis?
Inflammation of pancreas related to autodigestion
What is autodigestion of the pancreas?
Leakage of pancreatic enzymes into pancreatic tissue break down tissue and cause edema, dammage, hemorrhage
Can result in necrosis
What lab values are associated with the pancreas?
Amylase and Lipase
Are lab values associated with acute pancreatitis increased or decreased?
What is the normal lab value of amylase?
True or False: Amylase values rise within 12 hours of acute pancreatitis onset and return to normal in 3-5 days
What is the normal lab value of lipase?
True or False: An increase of lipase with pancreatitis is within 4-8 hours of symptoms and decrease within 8-14 days
What happens with amylase and lipase lab values as the pt starts getting better?
Amylase would drop before lipase would if they are getting bette
What are some signs and symptoms of acute pancreatitis?
N/V (can lead to dehydration)
Grey Turner's sign
What assessment findings might you find with abdominal pain? (What does a patient with abdominal pain r/t pancreatits look like?)
Distention and guarding
Nursing Care: Measure abdominal girth!
What is Grey Turner's Sign?
Flank bruising from retroperitoneal hemorrhage
What is Cullen's Sign?
Edema and bruising around umbilicus
What are some pulmonary manifestations of acute pancreatitis?
What are some cardiac manifestations of acute pancreatitis?
What are some hematological manifestations of acute pancreatitis?
DIC and other coagulopathis
What are some GI manifestations of acute pancreatitis?
Bleed, abscess, pseudocyst
What are some renal manifestations of acute pancreatitis?
What ABG deficiency is associated with acute pancreatitis? (acidosis/alkalosis, respiratory/metabolic)
What are some causes of Acute Pancreatitis?
Post procedure (ERCP)
Injury to pancreas; tumors
What are the most common causes of acute pancreatitis?
Post procedure (ERCP)
Ingestion of medications in toxic doses or drug reaction
What other lab values are increased with acute pancreatitis?
Serum and urine amylase
liver functions may be elevated
What lab values are decreased with acute pancreatitis?
What are some diagnostic tests for acute pancreatitis?
Clinical findings and labs
C-reactive protein, trypsin
CT or US
Endoscopic Retrograde Cholangiopancreatography (ERCP)
What is Endoscopic Retrograde Cholangiopancreatography (ERCP)?
Endoscope through mouth and into duodenum, goes through ducts to pancreas
Can biopsy or retrieve stones/blockage
Treatment for Acute Pancreatitis
NPO (May need NG)
May be on ATBs
Why would a patient need and NG tube with acute pancreatitis?
What is the goal for fluid replacement?
Want HR <100, urine output >30 ml/hr, stable Hct and Hgb
What electrolyte imbalance are you trying to correct with acute pancreatitis?
What are some clinical manifestations of hypocalcemia?
Dysrhythmias, tetany, trousseas and chvostek's
What is the goal of nutritional support with acute pancreatitis?
Maintain proper glucose levels (usually result of stress on body)
When would surgery be indicated for acute pancreatitis?
Surgery done to decompress Abdominal Compartment Syndrome (ACS)
What is abdominal compartment syndrome?
Intraaabdominal pressure greater than 20mmHg with new-onset organ failure
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