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Pancreatitis
PATIENT NAME _____________________________________ SOC ______________
INITIAL
Anatomy and physiology of the pancreas.
______ ______ A. It is located behind the stomach in a horizontal position with the head
attached to the small intestine and the tail reaching to the spleen.
______ ______ B. The pancreas excretes a digestive juice that is emptied into the small
intestine.
______ ______ C. The pancreas also produces two hormones—insulin and glucagon.
Define pancreatitis.
______ ______ A. It is an inflammation of the pancreas that may be acute or chronic.
______ ______ B. Damage to the pancreas is caused by premature activation of
enzymes.
______ ______ C. Chronic pancreatitis is progressive destruction of pancreatic tissue
replaced by fibrotic tissue.
Factors that increase risk of pancreatitis.
______ ______ A. Alcohol abuse (accounts for most chronic pancreatitis).
______ ______ B. Gallbladder disease.
______ ______ C. Drug toxicity.
______ ______ D. Pregnancy.
______ ______ E. Trauma to abdomen.
______ ______ F. Cancer.
______ ______ G. Duodenal ulcer.
______ ______ H. Mumps.
______ ______ I. High calcium levels.
Signs and symptoms of acute pancreatitis.
______ ______ A. Pain:
______ ______ 1. Pain usually has a sudden, severe onset following ingestion of a heavy
meal or alcohol.
______ ______ 2. Pain is located in left upper quadrant of abdomen or mid upper
abdomen and may radiate to the back.
______ ______ B. Nausea or vomiting.
______ ______ C. Abdominal rigidity and tenderness.
______ ______ D. Fever.
______ ______ E. Low blood pressure.
______ ______ F. Fast heart rate.
______ ______ G. Respiratory distress.
______ ______ H. Edema.
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Pancreatitis
PATIENT NAME _____________________________________ SOC ______________
symptoms of chronic pancreatitis.
______ ______ A. Dull, aching chronic epigastric pain.
______ ______ B. Jaundice.
______ ______ C. Impaired glucose tolerance.
______ ______ D. Frothy, foul-smelling stools.
______ ______ E. Weight loss.
______ ______ F. Nausea and vomiting.
______ ______ G. Symptoms of diabetes mellitus.
Measures to prevent or manage pancreatitis.
______ ______ A. Avoid alcohol.
______ ______ B. Eat a bland, high carbohydrate, low fat, high protein diet. (Fat will
aggravate the disease.)
______ ______ C. Take fat soluble vitamin supplements (vitamins A, D, E) and calcium as
ordered.
______ ______ D. Avoid stimulants such as nicotine and caffeine (coffee, tea, colas) to
decrease pancreatic secretions.
______ ______ E. Eat small, frequent meals to minimize the secretion of pancreatic
enzymes.
______ ______ F. Take analgesics for pain control.
______ ______ G. Take medications as ordered.
______ ______ H. Use lotions or creams to decrease itchy dry skin.
______ ______ I. Avoid smoking.
______ ______ J. Report any symptoms of severe epigastric pain; nausea and vomiting;
foul-smelling, clay-colored stools; weight loss; dark urine.
______ ______ K. Surgical intervention may be necessary.
Signs and symptoms of possible complications.
______ ______ A. Respiratory distress.
______ ______ B. Jaundice.
______ ______ C. Abscess.
______ ______ D. Circulatory or renal failure.
______ ______ E. Hemorrhage/Shock.
______ ______ F. Hyperglycemia.
______ ______ G. Peptic ulcer.
______ ______ H. Infection.
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