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    Pancreatitis - Rhuby Abenoja

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    Rhuby Pascual Abenoja
    This document discusses pancreatitis, including its causes, types, signs and symptoms, diagnostics, complications, nursing interventions, and management. It identifies the key differences between acute and chronic pancreatitis. Acute pancreatitis is a sudden, reversible inflammation while chronic pancreatitis is irreversible and causes long-term damage. Causes include alcohol abuse, gallstones, and certain medical procedures. Nursing focuses on pain management, monitoring for complications, maintaining hydration and nutrition, and educating patients to prevent future episodes.

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    Pancreatitis - Rhuby Abenoja

    Uploaded by

    Rhuby Pascual Abenoja
    17 views17 pages
    This document discusses pancreatitis, including its causes, types, signs and symptoms, diagnostics, complications, nursing interventions, and management. It identifies the key differences between acute and chronic pancreatitis. Acute pancreatitis is a sudden, reversible inflammation while chronic pancreatitis is irreversible and causes long-term damage. Causes include alcohol abuse, gallstones, and certain medical procedures. Nursing focuses on pain management, monitoring for complications, maintaining hydration and nutrition, and educating patients to prevent future episodes.

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    PANCREATITIS_ RHUBY ABENOJA

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    This document discusses pancreatitis, including its causes, types, signs and symptoms, diagnostics, complications, nursing interventions, and management. It identifies the key differences between acute and chronic pancreatitis. Acute pancreatitis is a sudden, reversible inflammation while chronic pancreatitis is irreversible and causes long-term damage. Causes include alcohol abuse, gallstones, and certain medical procedures. Nursing focuses on pain management, monitoring for complications, maintaining hydration and nutrition, and educating patients to prevent future episodes.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    17 views17 pages

    Pancreatitis - Rhuby Abenoja

    Uploaded by

    Rhuby Pascual Abenoja
    This document discusses pancreatitis, including its causes, types, signs and symptoms, diagnostics, complications, nursing interventions, and management. It identifies the key differences between acute and chronic pancreatitis. Acute pancreatitis is a sudden, reversible inflammation while chronic pancreatitis is irreversible and causes long-term damage. Causes include alcohol abuse, gallstones, and certain medical procedures. Nursing focuses on pain management, monitoring for complications, maintaining hydration and nutrition, and educating patients to prevent future episodes.

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    Learning Objectives

     Identify the causes of pancreatitis.

     Differentiate between acute and chronic pancreatitis.

     Recognize clinical features of acute and chronic pancreatitis.


    SLIDESMANIA
    PATHOPHYSIOLOGY

    Inflammation within the pancreas that


    happens when enzymes begin to digest
    the pancreas (autodigestion).

    PANCREATI
    TIS
    SLIDESMANIA
    Functions
    ● Exocrine: Produce Digestive Enzymes

    ● Endocrine: Secrete Insulin &


    Glucagon
    SLIDESMANIA
    3 Enzymes

    ● Protease: proteins

    ● Lipase: fats

    ● Amylase: carbs
    SLIDESMANIA
    ACUTE CHRONIC

    Sudden inflammation that is Chronic inflammation that is


    REVERSIBLE if prompt recognition IRREVERSIBLE
    and treatment is done.

    There will still be working functions of


    the pancreas. You will see different s/s due to
    prolonged damage & loss of function.
    SLIDESMANIA
    CAUSES

    Alcohol abuse Cystic Fibrosis

    Gallbladder disease ERCP procedure


    Endoscopic retrograde
    cholangiopancreatography
    SLIDESMANIA
    Signs &
    Symptoms
    ACUTE
    ● Epigastric Pain (LUQ pain “radiates
    to the back” )
    ● Nausea & Vomiting
    ● Fever
    ●  HR & BP
    ●  Glucose
    ● Rigid/ board-like abdomen
    ● Grey-Turner’s sign
    SLIDESMANIA

    ● Cullen’ sign
    Signs &
    Symptoms
    CHRONIC
    ● Chronic epigastric pain or no pain
    ● Pain  after drinking ETOH or after a fatty
    meal
    ● Steatorrhea “fatty stools”
    ● Weight loss
    ● Jaundice
    ● Diabetes Mellitus
    ● Dark urine
    SLIDESMANIA
    DIAGNOSTICS ( Laboratories)
    Elevated enzymes
    • Amylase

    • Lipase

    Elevated glucose
    “Hyperglycemia”

    Elevated WBC (over 10,000)


    SLIDESMANIA
    DIAGNOSTICS ( Laboratories)
    Elevated coagulation time
    • PT & aPTT

    Elevated bilirubin
    SLIDESMANIA
    COMPLICATIONS

    Acute Respiratory Fever (over 100.3 F)


    Distress Syndrome

    Peritonitis Rebound tenderness


    SLIDESMANIA
    COMPLICATIONS

    “Rigid” or “board-like Increasing pain,


    abdomen” tenderness

    Restless Fast HR & RR

    (tachycardia/ tachypnea)
    SLIDESMANIA
    Nursing Interventions
     Manage pain & discomfort associated with pancreatitis.
     Monitor and stabilize v/s.
     Administer intravenous fluids and maintain hydration.
     NPO status & provide nutritional support as necessary.
     Administer appropriate medications for pain control & to manage inflammation w/c include opioid or non-
    opioid analgesics, histamine receptor antagonist, PPI’s.
    DOC: Morphine Sulfate
     Monitor pancreatic enzyme levels & pancreatic function.
     Address complications such as infections.
     Educate pt. on dietary modifications & lifestyle changes to prevent future episodes.
     Keep environment free of food odors. Sensory stimulation can activate enzymes, increasing pain.
    SLIDESMANIA
    Nursing Interventions

    >Emphasize the importance of avoiding alcohol, caffeine, and foods that tend to cause abdominal discomfort.
    >Manage any endocrine insufficiency such as DM, by initiating dietary and insulin oral hypoglycemic therapy.

     Positioning: Side-lying, NOT SUPINE!


    SLIDESMANIA
    SURGICAL MANAGEMENT

    Pancreatic Jejunostomy Whipple Resection

     Joining of the pancreatic duct to the  Can be carried out to relive the pain of
    jejunum chronic pancreatitis

     Allows drainage of the pancreatic


    duct to the jejunum
    SLIDESMANIA
    DIET

    BLAND LOW FAT AND LOW SUGARS


    SLIDESMANIA
    Thank you!

    By :
    RHUBY P. ABENOJA
    BSN III- A
    SLIDESMANIA

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