Pancreatitis
lab tests used to diagnose acute pancreatitis
What is amylase and lipase?
risk factors for cholelithiasis
what is age, race, family history, obesity, hyperlipidemia, rapid weight loss, and biliary stasis?
Protocol done immediately upon recognition of sepsis where lactate levels are measured, blood cultures are drawn, and broad spectrum antibiotics are administered.
what is the 1 hour sepsis bundle?
Intervention involves withholding oral intake to let the pancreas rest during acute inflammation
What is an NPO diet?
clinical manifestations of cholelithiasis
What is RUQ pain (biliary colic) that may radiate to the back and right shoulder?
what to administer if BP is unresponsive during or after fluid resuscitation
what is a vasopressor?
clinical manifestations of acute pancreatitis
What is LUQ pain, abdominal fullness, fever, tachycardia, and hypotension?
preliminary diagnostic test for cholelithiasis
What is an abdominal ultrasound?
gallstones obstruct the bile duct, causing pancreatic enzyme activation, inflammation, and infection that can progress to systemic inflammatory response and organ dysfunction
what is sepsis secondary to pancreatitis caused by cholelithiasis?
diagnostic test/procedure used for pancreatic disease?
what is ERCP?
common sharp pain after laparoscopic cholecystectomy
what is "free air pain"/ shoulder pain?
total bolus minimum needed if hypotensive or have lactate level of >4 mmol/L in septic patient
what is 30ml/kg of NS or LR?
enzymes released causing immune response which breaks down capillary membrane in the lungs causing this condition
what is acute respiratory distress syndrome?
post op nursing interventions
TCDB, NPO then advance to regular diet, monitor bowel sounds, monitor for post-op ileus, prevent DVT's, and treat pain
signs of organ dysfunction
What is a SBP<90, Map<65, urine output>30ml/hr, bilirubin>2, lactate >2, and creatinine >2?