Term
| DEFINE acute pancreatitis |
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Definition
| acute inflammatory process of pancreas;ranges from mild to severe necrosis |
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Term
| risk factors for acute pancreatitis |
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Definition
middle aged
AA
biliary tract disease
alcoholism
trauma,illness, fatt foods,
drugs |
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Term
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Definition
| injury to pancreatic cells, and activation of enzymes |
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Term
| pancreatic enzymes activated in pancreatitis...WHATS THE BIG DEAL? |
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Definition
| inflammation, vascular permeability..damage! |
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Term
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Definition
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Definition
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Term
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Definition
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Term
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Definition
| degree of necrosis correlates with severity of manifestations |
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Term
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Definition
ABD PAIN=big one LUQ, radiated to back
edema, dyspnea, n/v,decreased or absent bowel sounds, flushing, cyanosis distention crackles |
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Term
| describe acute pancreatitis pain? |
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Definition
| sudden, severe, aggravated by eating, not relieved by vomiting |
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Term
| labs with acute pancreatitis |
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Definition
amylase
lipase
BG
serum CA
triglycerides |
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Term
| what criteria is ued to determine mortality with pancreatitis |
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Definition
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Term
| cullens signs define; indicative of? |
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Definition
| bruising and edema around umbilicus;pancreatitis |
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Term
| grey turner signs indicative of? |
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Definition
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Term
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Definition
prevent shock
suppression of enzymes
surgery |
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Term
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Definition
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Term
| solution for fluid/electrolyte imbalance |
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Definition
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Term
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Definition
| dopamine; monitor hypocalcemia, hypomag |
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Term
| how do you suppress pancreatic enzymes> |
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Definition
| NPO, ng to suction, prevent infection |
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Term
| surgical therapy for pancreatitis |
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Definition
ERP
endoscopic sphincterotomy
laparoscopic cholecystectomy |
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Term
| drug therapy for acute pancreatitis |
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Definition
morphine-pain
nitroglycerin-angina
antispasmodics-gall bladder can be spasm
antacids-stomach
h2 |
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Term
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Definition
bland, high carb, low fat, high protein, small frequent feedings
iv lipids, fat soluble vitamins no caffeine/alcohol |
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Term
| most of the time, pancreatitis is related to what? |
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Definition
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Term
| complications with acute pancreatitis |
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Definition
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Term
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Definition
| cavity surround outside of pancreas filled with fluid very painful---> have to drain |
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Term
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Definition
| large fluid containing cavity within pancreas from necrosis |
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Term
| main systemic complications of acute peancreatitis |
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Definition
| pleural effusion, atelectasis, pneumonia, hypotension, tetanny |
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Term
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Definition
| continuous, prolong inflammatory and fibrosing pancreas_> destroyed |
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Term
| two types of chronic pancreatitis |
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Definition
chronic obstructive
chronic calcifying |
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Term
| chronic obstructive pancreatitis |
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Definition
biliary disease is most common cause
inflammation of sphincter associated with gallstones |
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Term
| chronic calcifying pancreatitis; aka? |
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Definition
| inflammation and sclerosis aka alcohol induced pancreatitis |
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Term
| most common form of chronic pancreatitis |
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Definition
| chronic calcifying pancreatitis |
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Term
| what happens in chronic calicifying pancreatitis? |
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Definition
| ducts are obstructed with precipitates and calcify causing atrophy |
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Term
| big signs of chronic pancreatitis (pancreas is being destroyed |
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Definition
gnawing feeling, abd tenderness, malabsorption with weight loss
FROTHY URINE
STEATORRHEA
DB |
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Term
| labs in chronic pancreatitis |
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Definition
amylase and lipase may be slightly raised or not at all
^ bilirubin
^ alp
mild leukocytosis |
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Term
| diet for chronic pancreatitis |
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Definition
bland low fat, high carb diet TPN
no ETOH
control D
bile salts to help absorb fat soluble vitamins
pancreatic enzyme replacement |
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Term
| surgerie for chronic pancreatitis |
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Definition
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Term
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Definition
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Term
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Definition
| pancreaticjejunostomy; take supllements |
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Term
| 4th leading cause of deaeth |
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Definition
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Term
| whre does pancreatic ca usually occur |
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Definition
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Term
| as pancreatic ca grows, what happens? |
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Definition
| common bile duct becomes obstructed-> jaundice |
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Term
| survival rate for pancreatic ca |
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Definition
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Term
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Definition
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Term
| risk factors for pancreatic ca |
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Definition
| high fat diet, exposure to chemicals, smoking |
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Term
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Definition
abd pain, weight loss, n, jaundice
PAIN, JAUNDICE, WEIGHT LOSS |
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Term
| most effective treatment for pancreatic ca |
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Definition
surgery...whipple procedure,
(chemo is another tx) |
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Term
BONUS QUESTION!
what are student learning outcomes (5) |
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Definition
cpiaf
Communicate appropriately
Plan & revise nursing care using NP
Implement care safely and skillfully
Accept professional responsibility
Function as member of health care team |
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Term
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Definition
first to rise in acute pancreatitis (2-12 hrs)
25-125 |
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Term
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Definition
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Term
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Definition
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Term
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Definition
| 70-110; elevates if pancreas is affected |
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Term
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Definition
| 3.5-5; falls if third spacing and drop in ca |
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Term
| what does calcium levels fall? |
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Definition
| bind to fatty acids during necrosis...fatty acids bc liver cant absorb fats normal 8.8 |
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