100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
NURS 405A Exam 3 Study Guide Solutions $13.49   Add to cart

Exam (elaborations)

NURS 405A Exam 3 Study Guide Solutions

 1 view  0 purchase
  • Course
  • Nursing Tests 2024
  • Institution
  • Nursing Tests 2024

NURS 405A Exam 3 Study Guide Solutions Anatomy of the pancreas - ANSWER-It is both an exocrine (acinar cells) and endocrine (islets of langerhans) organ acinar cells - ANSWER-Secrete digestive enzymes including amylase, protease and lipase intot he pancreatic duct Islet cells - ANSWER-secrete ...

[Show more]

Preview 4 out of 79  pages

  • October 30, 2024
  • 79
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Nursing Tests 2024
  • Nursing Tests 2024
avatar-seller
Emillect
©EMILLECT 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




NURS 405A Exam 3 Study Guide Solutions


Anatomy of the pancreas - ANSWER✔✔-It is both an exocrine (acinar cells) and endocrine (islets of

langerhans) organ


acinar cells - ANSWER✔✔-Secrete digestive enzymes including amylase, protease and lipase intot he

pancreatic duct


Islet cells - ANSWER✔✔-secrete insulin, glucagon, somatostatin, pancreatic polypeptide into

bloodstream


Function of insulin - ANSWER✔✔-beta cells of the islets of langerhans move glucose from the blood into

other body tissues where it is used for energy


Function of glucagon - ANSWER✔✔-alpha cells cause liver to convert glycogen to glucose


What does the gallbladder do? - ANSWER✔✔-Stores and releases bile (made in the liver) to digest fats


Acute pancreatitis - ANSWER✔✔-acute inflammation of the pancrease that can range from mild to

severe, severe can be life threatening


pancreatic enzymes spill into surrounding tssues and organs causing autodigestion and pain



Page 1/79

, ©EMILLECT 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




pancreas typically recovers from an acute episode


Most common causes of acute pancreatitis (U.S.) - ANSWER✔✔-Gallbadder disease (gallstones) due to

high fat diet (more common in women than men)


Chronic alcohol use (more common in men)


idopathic


hypertriglyceridemia


less common causes of acute pancreatitis - ANSWER✔✔-drug reactions (thiazide diuretics, DM meds)


pancreatic cancer


trauma


gallstones are... - ANSWER✔✔-hardened deposits of undissolved cholesterol, salts or bilirubin


Clinical manifestation of acute pancreatitis - ANSWER✔✔-abdominal pain (cause your pancreas is

digesting itself) (mid-epigastric and LUQ radiating to back, worse with eating, worse when recumbent

(lying flat))


N/V


Vital signs (resemble sepsis): dec BP, inc HR, low grad fever



Page 2/79

, ©EMILLECT 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




Labs: inc amylase, inc lipase (Lipase more specific to pancreas) (amylase can elevate with mumps,

cerebral trauma, renal transplant)


Hyperglycemia and hypocalcemia (combining of calcium and fatty acids during fat necrosis)


S/S of hypocalcemia - ANSWER✔✔-Early sign of hypocalcemia is numbness/tingling around lips and

fingers


muscle twitching and tetany can also occur


postive chovstek and trousseau signs


Nursing assessment for acute pancreatitis - ANSWER✔✔-abdomen is painful, guarded, distended


bowel sounds decreased or absent


crackles in bases of lungs


Grey Turner's (flank: bruise like sign on skin) and Cullen's signs (preumbilical red line)


Acute pancreatitis primarily affects what systm? - ANSWER✔✔-cardiovascular and pulmonary systems


Patient's with Grey Turner's and Cullen's signs - ANSWER✔✔-less than 1% of patients have these signs

and they are associated with a high rate of mortality


Acute Pancreatitis complications - ANSWER✔✔-Inflammation and free digestive enzymes can affec

nearby organs, vessels and lungs:

Page 3/79

, ©EMILLECT 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




hemorrhage


shock


necrosis


peritonitis


pancreatic pseudocyst


pancreatic abscess, acute renal failure


ARDS, Hypocalcemia


DIC


pancreatic pseudocyst from acute pancreatitis - ANSWER✔✔-a localized collection of pancreatic juices

confirned to a retoperitoneal area by a fibrous membrane


pancreatic abscess from acute pancreatitis - ANSWER✔✔-a collection of pus and necrotic tissue


ARF from acute pancreatitis - ANSWER✔✔-caused by hypoxemia, release of pancreatic amylase from

injured pancreas with impairment or renal microcirculation, decrease in renal perfusion pressure due to

abdominal compartment syndrome, intraabdominal hypertension or hypovolemia


ARDs from acute pancreatitis - ANSWER✔✔-due to systemic inflammation, potentially the most serious

manifestation of AP w/ mortality rate in the range of 30-40%

Page 4/79

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller Emillect. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $13.49. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

84146 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$13.49
  • (0)
  Add to cart