Pancreatitis Flashcards
(8 cards)
3 phases of pancreatitis
1) intrapancreatic digestive enzyme activation and acinar cell injury
2) intrapancreatic inflammatory reaction
3) effects of activated proteolytic enzymes and cytokines, released by the inflamed pancreas, on distant organs
major symptom of acute pancreatitis
Abdominal pain
pancreatic isoamylase and lipase levels may remain elevated for _____
7 to 14 days
serum lipase value is usually diagnostic of acute pancreatitis
3x elevation
risk factors for severity of acute pancreatitis
Age >60 years
Obesity, BMI >30
Comorbid disease
BISAP score
(B) Blood urea nitrogen (BUN) >22 mg% (I) Impaired mental status (S) SIRS: 2/4 present (A) Age >60 years (P) Pleural effusion
findings in acute pancreatitis
leukocytosis hyperglycemia hypocalcemia hyperbilirubinemia hypoxemia
Rx Acute pancreatitis
NPO
analgesics
IV fluids