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What makes pancreatitis so dangerous?
It is a rapidly fatal disease that does not respond to treatment
How fast does pancreatitis occur and what can cause the severe pain?
Acute onset of 24-48 hours. a large meal or alcohol can cause the pain
Turners and cullens sign may indicate what?
severe hemorrhagic pancreatitis
What is the med for pain management with pancreatitis?
Parenteral morphine
True or false: you need to avoid heavy meals and alcohol with pancreatitis
True
Pancreatitis is closely associated with what two conditions/factors?
Alcohol and cholelithiasis
What May relieve back pain with pancreatitis?
Sitting up and leaning forward
With pancreatitis.. does lipase or amylase stay elevated longer?
Lipase stays elevated longer.. amylase May return to normal 48-72 hours later
In the post acute phase of pancreatitis what meds are discontinued?
Thiazide diuretics, corticosteroids, and oral contraceptives
Daily weights, I & O, and one touches q12h is necessary?
Everything is true except one touches q4-6h
True or false:
With pancreatitis the older you are the worse it can be
True
What indicates peritonitis?
A hard- rigid- board like abdomen
What are the three complications of pancreatitis?
Fluid and electrolyte disturbances, pancreatic necrosis, and shock and multiple organ dysfunction
What kind of diet for the post acute pancreatitis patients?
Low in fats & protein is introduced slowly
if the patient has pancreatic necrosis what do you need to do?
Transfer them to the ICU to monitor their hemodynamic status
What is the enzyme called that causes the pancreas to self destruct
trypsin
Do these patients have increased or decreased bowel sounds?
Decreased
When a patient is in the acute phase of pancreatitis what is the main GOAL?
Relieve symptoms. Also to prevent/treat complications.
Should you post acute pancreatitis patient be on bed rest?
Yes, it decreases metabolic rate and reduces secretions of pancreatic enzymes
Name four things that will be low with a patient suffering from pancreatitis?
Hint: one vital sign, two electrolytes and one fluid status.
Hypotension, decreased urine output, low calcium ( hypocalcemia) and low magnesium (hypo magnesium)
What is pancreatitis major symptom?
Severe abdominal pain.. mid-epigastrium
Ecchymosis in the flank area is called ?
Ecchymosis in the umbilicus area is called?
(What sign)
Umbilicus- Cullens sign
Why do you want to keep acute pancreatitis patients NPO?
This inhibits pancreatic stimulation and secretion of enzymes
Why might you have to provide frequent reteaching with these patients?
Because they may be confused due to severe pain, fluid and electrolyte imbalances and hypoxia
What position in bed should you patient be in?
Semi-Fowlers and repositioned every 2 hours