Acute-Y Patootie
Name two labs that will be elevated in acute pancreatitis?
What are Amylase and Lipase
What medication is commonly associated with drug-induced pancreatitis?
What are thiazide diuretics?
A client presents with severe epigastric pain, nausea, and vomiting. On assessment, you notice bluish discoloration around the umbilicus. This finding is called…
What is Cullen's Sign?
What type of diet is recommended for clients with chronic pancreatitis at discharge?
What is low fat, high calorie, avoid ETOH, high protein?
True or False- A client can have a acute Cirrhosis.
False
This surgical procedure may be diagnostic and therapeutic by identifying and removing gallstones endoscopically.
What is an ERCP?
A client with acute pancreatitis reports pain radiating to the left flank. Physical assessment reveals bluish discoloration over the flanks. This is known as…
What is Grey Turner's Sign?
When should pancreatic enzyme supplements be administered to patients?
What is with meals?
Name 2 nursing considerations for a liver biopsy
1) pre and post procedure coagulation labs
2) hold blood thinners
3) NPO 6 hours prior to procedure
4) lie on right side 2 hours post procedure
What is NPO?
Name one autoimmune disease that can cause pancreatitis and why.
What is cystic fibrosis due to an increase in secretions, leading to blockage of the bile duct.
A 68-year-old client is recovering from acute pancreatitis. On assessment, the nurse notes abdominal distention, absent bowel sounds, nausea, and vomiting. The patient reports no bowel movement in the past 3 days. What complication is most likely?
What is an ileus?
Those with chronic pancreatitis are at risk for pancreatogenic _____, which can result from insufficient insulin production.
What is diabetes?
Which are the more acute forms of hepatitis and which are the more chronic forms?
Hep A and E- acute
Hep B,C,D- Chronic
This imaging technique is preferred to detect complications like necrosis or fluid collections in acute pancreatitis.
What is a CT with Contrast?
A patient develops acute pancreatitis after an ERCP procedure. What is the nurse’s priority action?
A. Encourage oral intake immediately
B. Prepare for IV fluids and supportive care
C. Administer high-fat meals to stimulate digestion
D. Administer three large bore IVs
What is B?
A 55-year-old client with a history of chronic alcohol use reports persistent epigastric pain, unintentional weight loss, and oily, foul-smelling stools. The nurse recognizes these as classic clinical manifestations of chronic pancreatitis. Which of the following best explains the cause of the client’s steatorrhea?
A. Increased bile production
B. Malabsorption due to decreased pancreatic enzyme secretion
C. Excess gastric acid
D. Rapid gastric emptying
What is B?
Clients with chronic pancreatitis should be prescribed _____ such as prilosec to neutralize stomach acid.
PPIs
What are lactulose and rifaximin used to treat? How does each work?
They both are used to decrease elevated ammonia levels (greater than 60mcg/dl). Lactulose binds ammonia to stool which in then excreted. Rifaximin reduces production of ammonia by decreases the bacteria that helps form ammonia.