Biliary Disorders

Question 1

Type of pancreatitis involving an obstructed duct with enzyme back up causing autodigestion and inflammation of the pancreas

Answer 1

Acute pancreatitis

Question 2

Type of pancreatitis that is a progressive inflammatory disorder where cells are replaced by fibrosis tissue eventually obstructing ducts

Answer 2

Chronic pancreatitis

Question 3

Self-digestion of what enzyme influences pancreatitis?

Answer 3

Trypsin

Question 4

Causes of pancreatitis

Answer 4

S/p surgery near the area
Gallstones
Alcohol use
Tobacco Use
Poor diet

Question 5

What are some s/s of pancreatitis?

Answer 5

Severe pain - esp after meals or alcohol. Antacids do not help
Abdominal pain/swelling
Flank ecchymosis
N/V
Hypotension
Respiratory Distress

Question 6

Pancreatitis can eventually lead to?

Answer 6

Respiratory Failure or ARDS

Question 7

How is pancreatitis managed?

Answer 7

Treat symptoms
Strict NPO
Enteral feeding - TPN if severe
NG-tube
H2 and PPI to decrease pancreatic activity
Bed rest
Monitor finger sticks

Question 8

Older adults are more prone to what complication?

Answer 8

MODS

Question 9

Potential Complications of pancreatitis?

Answer 9

F&E imbalances
Necrosis of pancreas
Shock
MODS
DIC

Question 10

What is a major symptom of chronic pancreatitis?

Answer 10

Recurrent attacks of severe upper abdominal and back pain accompanied by vomiting

Question 11

Patients with pancreatitis require a high-carb, low-fat, low-protein diet. T or F

Answer 11

True