is a topic covered in the Pocket ICU Management
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First Things First (assess & treat for the following)
- Pancreatitis has a wide array of disease severity & should always be taken very seriously. An initially mild case can progress rapidly to fatal disease. It is easy to underestimate the fluid requirements & need for resuscitation.
- Does pt have evidence of hypovolemia or shock?
- SBP < 90 mmHg, MAP < 60 mmHg, urine output < 0.5 cc/kg/hr
- Does pt have electrolyte abnormalities or glucose abnormalities that require immediate attention?
- Does pt have evidence of the potential hemorrhagic complications of pancreatitis (flank hematoma, decreasing hemoglobin)?
- Does pt demonstrate evidence of systemic complications?
- Pt w/ 3 or more initial Ranson’s criteria should be monitored & cared for in the ICU (see below).
- Terminology of acute pancreatitis
- Acute interstitial pancreatitis
- Necrotizing pancreatitis
- Sterile necrosis
- Infected necrosis
- Pancreatic fluid collection
- Pancreatic pseudocyst
- Pancreatic abscess
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