Pancreatitis
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?
- Does pt have evidence of hypovolemia or shock?
- 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
- Sterile
- Infected
- Pancreatic pseudocyst
- Sterile
- Pancreatic abscess
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Last updated: May 10, 2010
Citation
"Pancreatitis." Pocket ICU Management, PocketMedicine.com, Inc, 2010. Anesthesia Central, anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534007/all/Pancreatitis.
Pancreatitis. Pocket ICU Management. PocketMedicine.com, Inc; 2010. https://anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534007/all/Pancreatitis. Accessed November 21, 2024.
Pancreatitis. (2010). In Pocket ICU Management. PocketMedicine.com, Inc. https://anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534007/all/Pancreatitis
Pancreatitis [Internet]. In: Pocket ICU Management. PocketMedicine.com, Inc; 2010. [cited 2024 November 21]. Available from: https://anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534007/all/Pancreatitis.
* Article titles in AMA citation format should be in sentence-case
TY - ELEC
T1 - Pancreatitis
ID - 534007
Y1 - 2010/05/10/
BT - Pocket ICU Management
UR - https://anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534007/all/Pancreatitis
PB - PocketMedicine.com, Inc
DB - Anesthesia Central
DP - Unbound Medicine
ER -