NURS 3664 Lecture Notes - Lecture 19: Acute Pancreatitis, Peptic Ulcer, Pancreatitis
Document Summary
Spillage of pancreatic enzymes into surrounding pancreatic tissue causing autodigestion and severe pain******** Varies from mild edema to severe necrosis. Hypertriglyceridemia extremely high triglycerides cause inflammation of pancreas. Most common cause is autodigestion of pancreas. Alcohol may increase production of pancreatic enzymes. 5% to 10% of alcohol abusers develop pancreatitis. Fluid, enzyme, debris, and exudates surrounded by wall. Resolves spontaneously or may perforate and cause peritonitis. Upper abdominal pain, mass, high fever, leukocytosis. Npo status, ng suction, decreased acid secretion, enteral nutrition if needed. Plasma or plasma volume expanders (dextran or albumin) Assessment of patient for predisposing and etiologic factors. Encouragement of early treatment of these factors. Counseling regarding abstinence from alcohol and smoking. Get help for alcohol dependence and smoking cessation (if appropriate) Continuous, prolonged inflammatory, and fibrosing process of the pancreas. Alcohol, gallstones, tumor, pseudocysts, trauma, systemic disease. Cancer of ampulla of vater, duodenum, or pancreas. Inflammation and sclerosis in head of pancreas and around duct.
