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What are the 2 functions of the pancreas?
Digestive (digestive enzymes) and Endocrine (insulin and glucagon)
Which is the most severe type of acute pancreatitis?
Necrotizing
Which is the least severe of the 2 types of acute pancreatitis?
Interstitial Edematous (more common)
List 4 causes of acute pancreatitis.
gallstones, alcoholism, bacterial/viral infection, blunt abd trauma, PUD, Hyperlipidemia, Hypercalcemia, Use of certain meds, after surgery near pancreas
Your patient with acute pancreatitis is having severe pain and nausea. What meds would you expect ordered?
IV pain meds, IV anti-emetics
A rigid, board-like abdomen is a common assessment finding with acute pancreatitis. True or False
False- this is ominous sign of peritonitis; not common but pancreatitis can lead to this
Which labs may be ordered for a patient with acute pancreatitis?
CBC, glucose, bilirubin, amylase, lipase, CMP
What is the most common cause of chronic pancreatitis in the US?
alcohol
What type of diet is recommended after acute pancreatitis?
Low fat, low protein, no alcohol or caffeine
Smoking has no effect on chronic pancreatitis. True or False?
False
Weight loss is common with chronic pancreatitis. True or False
True (80%)
What is an ERCP?
Endoscopic Retrograde Cholangiopancreatography; xray + endoscope; look at the ducts
What does a serum ALT test?
Alanine transaminase. enzyme found in liver; converts proteins to energy for liver cells. liver damage= alt released
Which hepatitis is transmitted primarily fecal-oral route?
Hep A (unsantitary food prep), Hep E
List 3 risk factors for developing hepatitis C.
Children born to infected mother, Health care worker needlestick, multiple contacts with infected person, multiple sex partners, IV drug use
Bed rest is important for patients with hepatitis B to allow the liver to heal. True or False?
True
