Term
| Pancreatitis: Acute Medical Management |
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Definition
Treat the cause: NO alcohol, implement low fat diet, cholecystectomy
NPO, NG, IV, Nutrition(parenteral), Blood, Antibiotics, Narcotics
Drugs: antacids, H2 Blockers, Insulin (temporary) |
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Term
| Pancreatitis: Chronic Medical Management |
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Definition
Pain medication
Replace pancreatic enzymes and hormones r/t loss and malabsorption issues |
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Term
| Narcotics for Acute/Chronic Pancreatitis (3) |
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Definition
Demerol
Morphine
Dilaudid IVP |
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Term
| Pro-Banthine: Use, Action |
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Definition
-Antispasmotic used to treat pancreatitis
-Decreases bicarbonate and pancreatic enzyme excretion. |
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Term
| Pro-Banthine: Considerations |
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Definition
-take 30 minutes ac
-do not give within 1 hour of an antacid/antidiarrheal |
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Term
|
Definition
-given to pancreatitis patients
-IV gtt to sliding scale |
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Term
| Antacids to treat Pancreatitis (3) |
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Definition
Tums
Mylanta
Maalox
(to neutralize gastric acids) |
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Term
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Definition
-monitor electrolytes
-take 1hr apart from orals
-take on an empty stomach
-take with a glass of water |
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Term
| Protonix: Class, Use, Route |
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Definition
-proton pump inhibitor
-given to pancreatitis patients
-IVP |
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Term
| Sandostatin-Use, Action, Route |
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Definition
-Inhibits secretion of pancreatic enzymes
-treats pancreatitis
-IV drip |
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Term
|
Definition
-H2 blocker
-decreases production of hydrochloric acid so pancreatic enzymes cannot be activated
-given to treat pancreatitis
*give with or immediately after meals |
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Term
|
Definition
-H2 blocker
-decreases production of hydrochloric acid so pancreatic enzymes cannot be activated
-given to treat pancreatitis
*give with or immediately after meals |
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Term
|
Definition
-H2 blocker
-decreases production of hydrochloric acid so pancreatic enzymes cannot be activated
-given to treat pancreatitis
*give with or immediately after meals |
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Term
|
Definition
Cotazym
Creon
Pancrease
Viokase
*primarily used with chronic
*oral cavity sensitivity with powder, enzymes eat at teeth |
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Term
|
Definition
Tigan
Dramamine
*used to treat s/s of hepatitis |
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Term
| Interferon Alpha: Class, Route, Use |
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Definition
-antiviral
-given IM
-acute treatment of Hep C, reduces the risk for chronic |
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Term
|
Definition
-antiviral
-used to treat chronic Hep C |
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Term
|
Definition
-beware of hemolytic anemia and birth defects
-use birth control (2 forms)
-monitor blood levels
-will develop flulike s/s, treat with acetaminophen cautiously |
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Term
|
Definition
-antiviral
-used to treat chronic Hep C |
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Term
|
Definition
-beware of hemolytic anemia and birth defects
-use birth control (2 forms)
-monitor blood levels
-will develop flulike s/s, treat with acetaminophen cautiously |
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Term
|
Definition
-Diet: high cal, high carb, moderate proteins, moderate to low fat with vitamins.
-avoid alcohol! |
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Term
| Cirrhosis: Medical Management |
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Definition
-bedrest if necessary
- increase carbs, vitamins, moderate to high protein unless ammonia is high then restrict protein, limit sodium, fluid restrictions |
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Term
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Definition
-allow ascitic fluid to drain from the abdomen and return to the bloodstream via the venous system via the jugular vein
-rarely used, poor response |
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Term
|
Definition
Acetominophen
Barbs
Sedatives
ETOH! |
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Term
|
Definition
-diuretic
-used with cirrhosis to avoid ascites r/t increased aldosterone levels |
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Term
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Definition
-laxative
-used to decrease ammonia with cirrhosis |
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Term
|
Definition
-antihypertensive
-combined with Imdur
-prevents rebleeding in esophagus and decreases portal venous pressure in cirrhosis patients |
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Term
| Hematologic Support for Cirrhosis |
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Definition
Ferrous sulfate
folic acid
vitamin k
blood products |
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Term
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Definition
-antianxiety med
-used to treat agitation with cirrhosis patients |
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Term
| Cirrhosis: Dietary Changes |
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Definition
-Na restriction, <2gm/day
-fluids 1500ml/day (individualized)
-vitamin and mineral supplements, B complex and A,D,E are common |
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