Pancreatitis Flashcards Preview

Urinary Analysis > Pancreatitis > Flashcards

Flashcards in Pancreatitis Deck (14):
1

What hormones does the pancreas release

insulin and glucagon

2

SS of acute attack

sever abd. pain that radiates from the epigastric region to the back.
Fever
N/V
Tachycardia

3

What are some causes of pancreatitis

MC is ETOH and gallstones
as Drugs= corticosteroids, furosemide.

4

What genetic dx is linked to pancreatitis

cystic fibrosis

5

How do you DX and monitor Pancr..

amylase and lipase levels

6

Chronic Pancreatitis

Similar to acute c wgt loss (malabsorption)
DM- occurs with distruction of insulin-producing cells of the pancreas

7

Lab Values

WBC-12-20000
HCT increase as high as 50-55% (inflammation)
Hyperglycemia
Serum Ca decreases
Serum bilirubin increase (15-25%) due to pancreatic edema compressing the common bile duct.

8

Amylase

>3x the ULN supports dx
increase within 3-6hrs, rapidly within 8hrs, peaks in 20-30hrs.
Returns to normal within 3-5 days
Digests carbs

9

Lipase

More specific and sensitive then amylase remains elevated for 8-14 days
>3x the ULN is dx.
Increases within 3-6hrs peaks at 24hrs
Less likely to be affected by chronic pancreatis
Digest fats

10

Other Lab Values
CBC__
Metabolic panel___
C-reactive Protein

CBC=Leukocytosis
Metabolic panel-may show abd. vaules in Ca, BUN, and Glucose
C-Reactive Protein- >150mg/dl within first 72hrs=acute necrotizing pancreatitis. (wait 48hrs before ordering)

11

A lipase:Amylase ratio >3 suggests?

Alcoholic cause

12

Admission Criteria

GA-LAW
Glucose >200
Age>55
LDH>350
AST>250
WBC>16000

13

48 hr criteria

C-HOBBS
Ca 10%
Oxygen5
Base Deficit>4 (HCO36L

14

Score of 0-2
3-5
>5

minimal mortality
10-20% mortality
50% mortality