Included In This Lesson
Study Tools
Pancreatitis Pathochart
(Cheat Sheet)
Outline
Nursing Points
General
- Pancreatitis
- Causes
- Obstruction of pancreatic ducts
- Gallstones
- Infection
- Alcoholism
- Drug Toxicity
- Cyclosporine
- Steroids
- Thiazides
- Tetracyclines
- Trauma
- Obstruction of pancreatic ducts
- Symptoms and Effects
- Pancrease–>In pancreatitis is “Eats itself”
- Hypocalcemia
- Uses calcium–> A damaged pancreas generates free fatty acids which will bind to the calcium salts and deposit them in the retroperitoneum
- Hyperosmolar hyperglycemic non-ketoacidosis (HHNK)
- Caused by a stress response
- Hyperglycemia
- Pancreas doesn’t release insulin
- Left side atelectasis –> pancreatitis causes a decrease in those diaphragm muscles
- Left side pleural effusion –> Leak and disruption of the pancrease
- Bilateral Rales
- Acute Respiratory Distress Syndrome (ARDS)–> Most common cause of death
- Internal bleeding from vessel damage causes
- Cullen’s Sign–Black and blue area around bellybutton
- Grey-Turners Sign-=Black and blue area in flank area
- Elevated Amylase
- Treatment
- Morphine for pain
- Causes
- Bowel Obstruction
- Large Bowel Obstruction
- Blockage in colon or rectum
- Causes intestinal swelling
- Can cut off blood supply to the bowel
- Symptoms
- Large distention
- No vomitting
- No diarrhea
- Blockage in colon or rectum
- Large Bowel Obstruction
- Small Bowel Obstruction
- Blockage in small intestine
- Complete or partial
- Causes gas and waste buildup
- Small distention
- Vomiting
- Diarrhea
- Blockage in small intestine
