Miscellaneous
This medication may provide relief from pruritus. It is a resin that binds bile salts in the intestine, increasing their excretion in the feces.
What is Cholestyramine?
It becomes progressively destroyed as it is replaced with fibrotic tissue. The nurse should:
-Assess s/s of diabetes
-Assess pain which radiate to the back
-Administer narcotic to control the pain
- provide small, bland,low in fat, frequent meal to decrease the stimulation.
What is chronic pancreatitis?
The treatment is Calcium gluconate.
What is hypocalcemia?
pt shows:
Restlesness, anxiety
Low grade fever
Flushing, diaphoresis
Cyanosis, Jaundice
Decreased skin turgor
Dry mucous membranes
What is Acute Pancreatitis nursing assessment's objective data?
The cause is unknown but risk factors are Chronic pancreatitis, Diabetes mellitus, age, cigarette smoking, family history of it, high-fat diet, exposure to chemicals such as benzidine. African-American have higher risk rate than others.
What is Pancreatic Cancer etiology and pathophysiology?
This drains bile and allows common bile duct patency.
What is T-tube?
-Chronic pancreatitis is a risk factor
-Signs and symptoms occurs in the late stage
-Jaundice, fatigue, and weight loss may be present
-Have a bad prognosis and metastasize
What is pancreatic Cancer?
The treatment is Magnesium Sulfate.
What is hypomagnesemia?
The patient shows these symptoms:
Tachypnea, Tachycardia
Basilar crackles
Hypotension
Abdominal distention/tenderness, Diminished bowel sound
What is acute pancreatitis nursing assessment data?
The stones may be lodged in the neck of the gallbladder or in the cycstic duct.
What is Cholelithiasis cause?
These types of foods should be avoided in patients with gallbladder disease.
What is high fat?
This activity lowers the metabolic rate and reduces the enzyme secretion?
What is bedrest?
This disease therapy medication is Rifaximin which is to decrease the ammonia level in blood.
What is Cirrhosis therapy?
High Serum amylase/lipase levels
Leukocytosis
Hyperglycemia
Hypocalcemia
Abnormal US and CT scan result
What is acute pancreatitis lab findings?
It is more common in Asian-Americans and African-Americans. It is especially high in Native American population, particularly in the Navajo and Pima tribes.
What is Gallbladder disease?
The night before this test, the patient is given 6 dye tabs 5 min apart.
What is oral cholecystography?
The therapy included:
IV morphine
Antispasmodics
Carbonic anhydrase inhibitors
Antacids
Proton pump inhibitors
What is Acute pancreatitis drug therapy?
This products are usually enteric coated to prevent their breakdown, or inactivation by gastric acid.
What is pancrelipase (Pancrease, Zenpep, Creon, Viokase) contain amylase, lipase, and trypsin that are used to replace the deficient pancreatic enzymes?
Occurs 3-6 hrs after high-fat meal or when patient lies down
May be referred to shoulder/scapula
Tendernes in RUQ
CLay colored stools
intolerance of fatty foods
Steatorrhea
What is Cholelithiasis clinical manifestation?
It can be inserted for palliative care when inoperable liver, pancreatic, or bile duct carcinoma obstructs bile flow. The catheter is used when endoscopic drainage has been unsuccessful. The catheter is inserted percutaneously and allows for decompression of obstructed extrahepatic bile ducts so that BILE can flow freely.
What is Transhepatic Biliary Catheter?
This nursing precaution ensures free flowing drainage of bile to the collection bag.
What is to position bag below the incision and straighten tube so there are no kinks?
The therapy included:
NPO status initially
Enteral versus parenteral nutrition
Small frequent feedings when the pt is able to
High carbohydrate diet because it is the least stimulating to the exocrine portion of it
No alcohol
Supplemental fat-soluble vitamins
Monitor triglycerides if IV lipids given
What is Acute pancreatitis nutritional therapy?
Bile acids (cholesterol solvents) such as ursodeoxycholic acid (ursodiol [Actigall]) and chenodeoxycholic acid (chenodiol) are used to dissolve stones.
What is Cholelithiasis oral therapy?
The majority of patients die within 5-12 months of the initial diagnosis. The 5 yr survival rate is less than 5%.
What is the prognosis of Pancreatic cancer?
Two major causes:
1- Gallstones cause inflammation of sphincter of Oddi
2- Inflammation and sclerosis in head of pancreas and around duct
In the US, it is found in individuals who abuse alcohol.
What is chronic Pancreatitis pathophysiology?