Flashcards in Pancreatitis Deck (14):
What hormones does the pancreas release
insulin and glucagon
SS of acute attack
sever abd. pain that radiates from the epigastric region to the back.
What are some causes of pancreatitis
MC is ETOH and gallstones
as Drugs= corticosteroids, furosemide.
What genetic dx is linked to pancreatitis
How do you DX and monitor Pancr..
amylase and lipase levels
Similar to acute c wgt loss (malabsorption)
DM- occurs with distruction of insulin-producing cells of the pancreas
HCT increase as high as 50-55% (inflammation)
Serum Ca decreases
Serum bilirubin increase (15-25%) due to pancreatic edema compressing the common bile duct.
>3x the ULN supports dx
increase within 3-6hrs, rapidly within 8hrs, peaks in 20-30hrs.
Returns to normal within 3-5 days
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
Other Lab Values
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)
A lipase:Amylase ratio >3 suggests?
48 hr criteria
Base Deficit>4 (HCO36L