click below
click below
Normal Size Small Size show me how
Ch 44 Pancreatitis
McClellan Test 5
Question | Answer |
---|---|
What is pancreatitis? | inflammation of the pancreas |
Biliary tract disease, alcoholism, abnormal organ structure, high cholesterol, hyperparathyroidism, pancreastic cysts or tumors, blunt or surgical trauma, kidney failure or transplantation, endoscopic examination of the bile ducts, certain drugs | causes of pancreatitis |
A patient complaining of intense epigastric pain centered close to the umbilicus and radiating to their back? possible _____ | pancreatitis |
Pain that is aggravated by eating fatty food, consuming alcohol, and lying in a recumbent position may be associated with? | pancreatitis |
Persistent vomiting, abdominal distention, diminished bowel activity, crackles at lung bases, mottled skin, jaundice, tachycardia, low-grade fever, cold, sweaty extremities are all signs of? | pancreatitis |
what two things are elevated 3-5 times normal levels during pacreatitis? | serum amylase and lipase |
During pancreatitis urine amylase is usually elevated for_____ weeks. | 1-2 |
Is serum calcium elevated or decreased in pancreatitis? | decreased |
Abdominal and chest x-rays show pleural ____ and bowel dilation and ileus during pancreatitis | effusions |
For pancreatits ECG may reaveal ST-segment ___ and T-wave inversion. | depression |
Treatment of pancreatitis includes IV replacement of fluids, ____, and electrolytes. | protein |
Why is someone with pancreatitis on NPO? | rest the pancreas |
Blood transfusions, NG tube suctioning, peritoneal lavage, surgical drainage, laparotomy to remove obstruction, drugs, analgesics, antacid, antibiotics, and insulin are all used in treatment of? | pancreatitis |
What position do you place a patient with pancreatitis in? | fowlers or high fowlers |
ABCs, fowlers/high fowlers, rest and activity, IV fluid replacement, monitor labs, alert for s/s of hypokalemia, I&O, daily weights, pain level, BS, emotional support, prep for surgery if needed. All interventions for? | pancreatitis |