Chapter 37 Alterations in function of gallbladder and exocrine pancreas
More than half of the initial cases of pancreatitis are associated with
alcoholism
Chronic pancreatitis may lead to
diabetes mellitus malabsorption weight loss
The definitive treatment for cholecystitis is
Cholecystectomy
Which digestive enzyme is secreted from the intestinal mucosa during a meal
Cholecystokinin and secretin
Chronic cholecystitis can lead to
Biliary sepsis Calcified gallbladder Porcelain gallbladder Higher risk of cancer
Patients who may be at risk for development of cholesterol gallstones include
High spinal cord injuries Patients receiving total parenteral nutrition Patients with rapid weight loss Pregnant women Use of oral contraceptives Obesity Diabetes
A patient with pancreatitis may experience muscle cramps secondary to
Hypocalcemia
The finding of hypotension, rigid abdomen, and absent bowel sounds in a pt with pancreatitis
Indicates peritonitis with substantial risk for sepsis and shock
Associated laboratory findings of acute pancreatitis include
Leukocytosis Hyperlipidemia Hypocalcemia
Narcotic administration should be administered carefully in patients with acute pancreatitis related to potential for
Sphincter of Oddi dysfunction
The pain associated with chronic pancreatitis is generally described as
Steady and boring in nature Nausea Located in the upper abdomen particularly in the epigastrium, and radiates to the back
It is true that biliary cancer
Tend to be asymptomatic and progress insidiously
It is true that gallstones are
Twice as common in women as in men Native Americans- susceptible to gallstones
Most gallstones are composed of
cholesterol
A biliary cause of acute pancreatitis is suggested by an elevated in which serum laboratory results?
Alkaline phosphatase and bilirubin levels
Untreated acute cholecystitis may lead to
Gangrene of the gallbladder wall
The most challenging aspect of treatment for chronic pancreatitis is
Pain control
Elevated serum lipase and amylase levels are indicative of
Pancreatitis
Patients with acute pancreatitis are generally made NPO and may require continuous gastric suctioning in order to
Remove the usual stimuli for pancreatic secretion
Normal bile is composed of
Water, electrolytes, and organic solutes