Perioperative Care

Continuous, prolonged inflammatory process pancreas becomes increasingly destroyed & replaced with fibrotic tissue. CHRONIC OBSTRUCTIVE-associated with biliary disease. CHRONIC CALCIFYING-most common, associated with alcohol.

diet low in fat, bland, high in carbs, NO alcohol

Nutrition

Anorexia, Weight loss, nausea

Integumentary- pruritis

analgesics, PPI, H2 Inhibitors

Hypertention Medication

Methylodopa

Hydrochlorothiazide

Diltiazem

Tolazoline

Enalapril

Bumetanide

pancreatic replacement-Pancreatin (viokase, pancreatin, pancrazyme, pancrelipase) Bile salts to facilitate absorption of DEAK, PPI, H2 inhibitors.

Imbalanced Nurition

Acute pain

Risk factors

Symptoms

Blood in Urine

Vision

Chest pain

Breathing Problems

Irregular Heartbeat

Nausea

Fatigue

Dizziness

Confusion

Severe Headaches

General Abdominal Pain not relieved by eating or anticids.

Patho

Diagnostics

Insulin

gallbladder disease, alcohol use, may be genetic, predisposition

Knowledge dificit

GI/GU-steatorrhea, foul smelling stool, jaundice, dark urine

CT, MRCP, ECRP, abdominal U/S, Endoscopic U/S

Amylase & lipase may be normal or elevated. Biliruben-inconclusive. Mild Leukocytosis. ESR-elevated secretin stimulation test may be used.

Pancreatitis

Metabolic: Diabetes

Causes/Contributing factors

Diabetes

Thyroid/Adrenal Problems

High Salt intake

Low potassium, magnesium, calcium intake

Lack of Activity

Aging

Sedentary lifestyle

Alcohol consumption

Obesity

Genetics

Smoking

Medications

what is HTN?

Arteries have persistently elevated B/P

Can lead to damaged/failed organs

Aneurysm

Heart failure

Stroke

Heart attack