CHRONIC PANCREATITIS Chronic+pancreatitis

DEFINITION

CAUSES

PATHOPHYSIOLOGY

DIET THERAPY

CLINICAL MANIFESTATIONS

PHARMACOTHERAPY

MANAGEMENT

DIAGNOSTIC PROCEDURES

NURSING INTERVENTIONS

Inflammation of the pancreas that does not improve over time

Pancreatic inflammation does not heal over years and becomes chronic

Pancreas becomes permanently scarred and damaged

Acute pancreatitis occurs and lasts for a short period of time

Calcium stones and cysts develop on the pancreas

Blockage of duct that carries enzymes to the and juices to the stomach blocks

Blockage decreases the levels of enzymes

Body fails to digest food and regulate blood sugar which may lead to malnutrition and diabetes

Narrow pancreatic duct

High blood levels of calcium

Long term alcohol abuse

Cystic fibrosis

Nausea and vomiting

Shortness of breath

Fatty, pale, loose stools

Excessive thirst

Upper abdominal pain

MRI

CT scan

Abdominal X-Ray

Endoscopic ultrasound

Artificial digestive enzymes if enzyme levels are low

Insulin if you have diabetes

Analgesia for pain

Surgery to unblock pancreatic duct

Endoscopy to get rid of blockages :

Cherry tomatoes

Whole grain food

Low fat diet

Refined floor

Monitor ABG for aggressive respiratory care

Restrict alcohol, coffee and spicy food intake

Insert nasogastric tube to remove gastric secretions

Replace calcium

Reduce pancreatic stimulus by NPO

Frequent oral care

Put patient on Semi Fowlers position to improve breathing patterns

Reduce body metabolism