GI-Renal Exam Critical Care {100%Success}
GI/Renal Exam Critical Care
Study online at https://quizlet.com/_fuvvd5
1. Acute Pancreati- premature activation of digestive enzymes aka autodigestion that ranges from mild
tis Types to severe
mild: edematous or intestinal
severe: necrotizing, organ failure, sepsis, shock
2. Acute Pancreati- Gallstones, alcohol, binge eating, idiopathic in 20% of cases, nephrotoxic medica-
tis Causes tions, TPN administration
3. Acute Pancreati- Trypsin - increased capillary membrane
tis Enzymes Elastase - hemorrhage
Phospholipase A - tissue necrosis
Lipase - more necrosis
4. Acute Pancreati- abrupt onset of severe epigastric pain radiating to the back that can be relieved
tis symptoms when the person leans forward, abdominal guarding, boardlike abdomen, para-
lytic ileus, fever, Grey Turner sign, cullen sign
5. Acute Pancreati- high amylase and lipase, electrolyte imbalances, high BG, elevated LFTs (high ALT)
tis labs
6. Acute Pancreati- - Ransom criteria
tis diagnosis - serum amylase and lipase
- Ultrasound
- CT (prefered)
7. Acute Pancreati- - older adults (55+)
tis Ranson Crite- - high leukocytes
ria - BG over 200
- Lactase over 350
- AST over 250
- BUN rise of 5+
, GI-Renal Exam Critical Care {100%Success}
GI/Renal Exam Critical Care
Study online at https://quizlet.com/_fuvvd5
- hypocalcemia
- PaO2 under 60
- high CRP
8. Acute Pancreati- - IV fluids (albumin, LR)
tis Management - Pain medications
- NPO/NG tube
- TPN in central line
- insulin + BG monitoring
- antibiotics
- electrolyte replacement
9. Acute Pancreati- NPO > Low fat small frequent meals w/o alcohol or caffeine > normal diet
tis Diet (ADVANCE AS TOLERATED)
10. Acute Pancreati- Pulmonary - ARDS, pulmonary edema, atelectasis, pleural effusion
tis Complications
Cardiovascular - decreased tissue perfusion, hypovolemia, shock
Renal - ARF, tissue necrosis, abscess
Hematologic - DIC, MDF
Metabolic - hyperglycemia, hypertriglyceridemia, hypocalcemia, metabolic acido-
sis
Gastrointestinal - GI Bleeds, esophageal varices
11. GI Bleed (4 Types Hematemesis: Vomiting with bright red blood
of Blood Presen-
tation) Melena: digested; looks like coffee grounds, usually from upper GI bleed
Hematochezia: bright red blood in stool, usually from lower GI bleed
Occult bleeding: microscopic bleeding found in stool samples
GI/Renal Exam Critical Care
Study online at https://quizlet.com/_fuvvd5
1. Acute Pancreati- premature activation of digestive enzymes aka autodigestion that ranges from mild
tis Types to severe
mild: edematous or intestinal
severe: necrotizing, organ failure, sepsis, shock
2. Acute Pancreati- Gallstones, alcohol, binge eating, idiopathic in 20% of cases, nephrotoxic medica-
tis Causes tions, TPN administration
3. Acute Pancreati- Trypsin - increased capillary membrane
tis Enzymes Elastase - hemorrhage
Phospholipase A - tissue necrosis
Lipase - more necrosis
4. Acute Pancreati- abrupt onset of severe epigastric pain radiating to the back that can be relieved
tis symptoms when the person leans forward, abdominal guarding, boardlike abdomen, para-
lytic ileus, fever, Grey Turner sign, cullen sign
5. Acute Pancreati- high amylase and lipase, electrolyte imbalances, high BG, elevated LFTs (high ALT)
tis labs
6. Acute Pancreati- - Ransom criteria
tis diagnosis - serum amylase and lipase
- Ultrasound
- CT (prefered)
7. Acute Pancreati- - older adults (55+)
tis Ranson Crite- - high leukocytes
ria - BG over 200
- Lactase over 350
- AST over 250
- BUN rise of 5+
, GI-Renal Exam Critical Care {100%Success}
GI/Renal Exam Critical Care
Study online at https://quizlet.com/_fuvvd5
- hypocalcemia
- PaO2 under 60
- high CRP
8. Acute Pancreati- - IV fluids (albumin, LR)
tis Management - Pain medications
- NPO/NG tube
- TPN in central line
- insulin + BG monitoring
- antibiotics
- electrolyte replacement
9. Acute Pancreati- NPO > Low fat small frequent meals w/o alcohol or caffeine > normal diet
tis Diet (ADVANCE AS TOLERATED)
10. Acute Pancreati- Pulmonary - ARDS, pulmonary edema, atelectasis, pleural effusion
tis Complications
Cardiovascular - decreased tissue perfusion, hypovolemia, shock
Renal - ARF, tissue necrosis, abscess
Hematologic - DIC, MDF
Metabolic - hyperglycemia, hypertriglyceridemia, hypocalcemia, metabolic acido-
sis
Gastrointestinal - GI Bleeds, esophageal varices
11. GI Bleed (4 Types Hematemesis: Vomiting with bright red blood
of Blood Presen-
tation) Melena: digested; looks like coffee grounds, usually from upper GI bleed
Hematochezia: bright red blood in stool, usually from lower GI bleed
Occult bleeding: microscopic bleeding found in stool samples
