Acute Pancreatitis

Acute Pancreatitis

1. Patho

   • Inflammatory response of pancreatic cells from premature activation of pancreatic enzymes
   • Causes
     • Alcohol & Biliary disease (gallstones)
     • Abd Trauma
     • Viral Infections
     • Drugs
     • Tumors

2. Signs & Symptoms

   • Pain
   • Abd tenderness
   • N/V
     • Weight Loss
   • Jaundice
   • Gray-blue discoloration of thigh, peritoneal cavity, & periumbilical area

3. Interventions

   • Admin IV Fluids & Electrolyte replacement
   • Manage pain
   • NPO & NG tube placed
     • enteral feedings may be used distal to the duodenum
   • Bed Rest
   • ERCP (if biliary stones are present)
     • Cleaning out bile duct

4. Labs

   • Increased
     • Amylase
     • Lipase
     • Triglycerides
   • Decreased
     • Calcium