What is pancreatitis correct answer - Auto-digestion of the pancreas
What are the two separate functions of the pancreas?correct answer - Endocrine - insulin
Exocrine - digestive enzymes
What are the two types of pancreatitis correct answer - 1. Acute:
#1 Cause = Alcohol
#2 Cause = Gal...
Hurst - Gastrointestinal
What is pancreatitis correct answer - Auto-digestion of the pancreas
What are the two separate functions of the pancreas?correct answer - Endocrine - insulin
Exocrine - digestive enzymes
What are the two types of pancreatitis correct answer - 1. Acute: #1 Cause = Alcohol
#2 Cause = Gall baldder Disease 2. Chronic:
#1 Cause = Alcohol
Parts of the pancreas correct answer - a. Pancreatic Duct - travels through pancreas
b. Digestive Enzymes - Inactive while in pancreas until they get to the small intestines
c. Scar Tissue - forms in pancreatic duct by alcoholism which causes scar tissue and occludes duct
d. Gallstones
Enzymes get tired of waiting and activate while in the pancreas - so they start eating the pancreas
Note: if any part of the GI system gets sick - other parts of the GI can get sick as well.correct answer - Blank
S/S of Pancreatitis correct answer - a. #1 Pain - increases with eating
b. Abdominal distention/ascites (losing protein rich fluids like enzymes and blood into the abdomen) c. Abdominal mass - swollen pancreas
d. Rigid board-like abdomen (guarding or bleeding - developed pancreatitis) e. Bruising around umbilical area known as Cullen's sign Bruising in flank (side) area known as Gray Turner's sign
f. Fever (inflammation)
g. NV
h. Jaundice - liver is involved
i. Hypotension = bleeding or ascites
What is ascites?correct answer - Buildup of fluid in the space between the lining of the abdomen and abdominal organs
Pancreatitis Lab Valuescorrect answer - Amylase: 45-200 U/L (dye)
*Lipase: 0-110 U/L - most specific to pancreatitis*
AST: 8-40 U/L
ALT: 10-30 U.L
Hemoglobin: 12-18 (male 14-18; female 12-16)
Hematocrit: 38-54% (male 40-54%; female 38-47%) What is most specific in diagnosing pancreatitis?correct answer - Lipase
Dx: Serum lipase and amylase are....correct answer - Digestive enzymes and they are not supposed to be in the blood stream
Dx: WBC's
Blood sugar
ALT, AST-liver enzymes
PT, PTT
Serium bilirubin
H/H (hemoglobin & hematocrit)correct answer - Dx:
WBC's - elevated
Blood sugar - elevated - could be a diabetic forever now
ALT, AST - liver enzymes - elevated - if liver is messed up, #1 thing to worry about is bleeding
PT, PTT - longer - for blood to clot
Serium bilirubin - elevated
H/H - (hemoglobin & hematocrit) increases or decreases (not at the same time)
Why down? Bleeding
Why up? Dehydrated
Tx of Pancreatitis - Goal: Control Pain
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