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PANCREATITIS

– a progressive and chronic destruction of the pancreas.
– it is basically a chronic inflammation of the pancreas.

TYPES OF PANCREATITIS

  • ALCOHOL INDUCED PANCREATITIS
  • CHRONIC OBSTRUCTIVE PANCREATITIS

CAUSES:
Bacterial/ Viral Infection
Alcoholism
Disease of the Biliary Duct

DIAGNOSTICS:
Cullen’s Sign (positive)
Blood Studies includes increased lipase, amylase and lipids.

ASSESSMENT:

  • PAIN IN LUQ (LEFT UPPER QUADRANT)
  • ASCITES, JAUNDICE
  • ABDOMINAL TENDERNESS
  • JAUNDICE, STEATORRHEA

INTERVENTIONS:
Diet: Low Fat, High Protien
Bed Rest is important.
Administer IV fluid to maintain hydration and prevent hypovolemia

Complications:

  • Hypovolemic Shock
  • Illeus
  • Infection
  • Diabetes Mellitus
  • Jaundice
Surgical Intervention
  • Pancreatectomy.

MEDS:
Analgesics for pain:  (Demerol)  Morphine*** is contraindicated with Pancreatitis.
Corticosteroids: Hydrocortisone
Anticholinergics: Prophanteline (Pro-Banthine)

Histamine Antagonists: Cimetidine (Tagament) Ranitidine (Zantac)

♠ Remember for the NCLEX:

* a patient with pancreatitis can have PERITONITIS, which is an inflammation of the peritoneum.

  • Assessment (Peritonitis): Abdominal pain, elevated temp. N & V, Rebound Tenderness and Increase in White Blood Cells.,
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