Pancreatic Insufficiency Flashcards
1
Q
what is pancreatic insufficiency
A
less secretion of pancreatic enzymes into duodenum
2
Q
what causes pancreatic insufficiency
A
- pancreatitis
- CF
- pancreatic tumors
- coeliac disease
- GI resection
3
Q
what can pancreatic insufficiency lead to
A
maldigestion and malnutrition
4
Q
tx of exocrine pancreatic insufficiency
A
pancreatic enzyme replacement = pancreatin
5
Q
what is pancreatin made up of?
A
- lipase
- amylase
- protease
6
Q
what does pancreatin do
A
digests fats, carbohydrates and protein so it can be absorbed
7
Q
what should be taken with pancreatin and why
A
meals and snacks to prevent early breakdown
8
Q
pt = cystic fibrosis + pancreatic insufficiency caution
A
- high cases of fibrosing colonopathy at high dose of pancreatin
- report any new abdominal symptoms
9
Q
daily dose of pancreatin for CF pt
A
do not exceed 10000 units/kg/day
10
Q
+ what should be given if needed
what should be monitored in pancreatic insufficiency
A
- levels of fat-soluble vitamins
- micronutrients
- give supplements if needed
