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Pancreatitis
Pancreatitis
Pancreatitis
Pancreatitis
Pancreatitis
Pancreatitis
Pancreatitis
Pancreatitis
Pancreatitis
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Pancreatitis

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Pancreaitis

Pancreaitis

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  • Transcript

    • 1. Pancreatitis Sherry L. Knowles, RN, CCRN, CRNI Orlando Regional Medical Center Orlando Health Pancreatitis Can Be Fatal
    • 2. Anatomy & Physiology
      • The Pancreas secretes digestive enzymes into the duodenum via the pancreatic duct.
      • (Lipase, Amylase, Trypsin)
      • The Pancreas also secretes bicarbonate, water, and lytes into the duodenum.
      • The Pancreas produces and secretes insulin as needed.
    • 3. Definition of Pancreatitis
        • Inflammation of the pancreas associated with autodigestion
        • An autodigestive process resulting from premature activation of pancreatic enzymes.
        • May be acute or chronic
    • 4. Physiology of Pancreatitis
        • Inactive pancreatic enzymes are activated outside of the duodenum
        • The swelling pancreas causes fluids to shift into the retro peritoneum and bowel
        • Fluid shifts can cause severe hypovolemia and hypotension
    • 5. Causes of Pancreatitis
      • Alcoholism
      • Biliary Disease
      • Infections
      • Hyperparathyroidism
      • Hypertriglyceridemia
      • Hypercalcemia
      • Peptic Ulcer Disease
      • Cystic Fibrosis
      • Vascular Disease
      • Multiple Drugs
    • 6. Signs & Symptoms of Pancreatitis
      • Abdominal Pain
      • Nausea & Vomiting
      • Abdominal Distention
      • Jaundice
      • Malnutrition
      • Hematemesis
      • Grey Turner’s Sign
      • Cullen’s Sign
      • Elevated Amylase, Lipase, LDH,
      • AST, WBC’s BUN, and Glucose
    • 7. Complications of Pancreatitis
      • Hypocalcemia
      • Hypotension
      • Acute Tubular Necrosis
      • DIC
      • Obstructive Jaundice
      • Erosive Gastritis
      • Paralytic Ileus
      • Pseudocyst or Abscess
      • Bowel Infarction
      • Internal Bleeding
      • Fat Necrosis
      • Pleural Effusion
      • Pulmonary Infiltrates
      • Hypoxemia
      • Atelectasis
      • ARDS
      • Pericardial Effusion
      • Mediastinal Abscess
      • Hyperglycemia
      • Hypertriglyceridemia
      • Encephalopathy
    • 8. Treatment of Pancreatitis
      • Stabilization: Correct Fluid And Electrolyte Status
      • Respiratory Support (as needed)
      • Control Pain (Demerol)
      • NG Tube (NPO)
      • TPN (Restricted Diet)
      • Monitor For Complications
      • Monitor Blood Sugar
      • Drug Therapies (Somatostatin, Anticholinergics)
      • Watch For Signs Of Infection
      • Pray
    • 9. Pancreatitis Can Be Fatal THE END

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