Chronic Pancreatitis

Continuous, prolonged inflammatory, and fibrosing process of the pancreas
Etiology
- Alcohol, gallstones, tumor, pseudocysts, trauma, systemic disease
- Acute pancreatitis
- Idiopathic
Classifications
- Two major types
  - Chronic obstructive pancreatitis
    - Inflammation of sphincter of Oddi
    - Cancer of ampulla of Vater, duodenum, or pancreas
  - Chronic non-obstructive pancreatitis
    - Inflammation and sclerosis in head of pancreas and around duct
    - Most common cause is alcohol abuse
Clinical Manifestations
- Abdominal pain
  - Located in same areas as in acute pancreatitis
  - Heavy, gnawing feeling; burning and cramp-like
- Malabsorption with weight loss
- Constipation
- Mild jaundice with dark urine
- Steatorrhea
- Diabetes mellitus
Interprofessional Care
- Pancreatic enzyme replacement
- Bile salts
- Insulin or oral hypoglycemic agents
- Acid-neutralizing and acid-inhibiting drugs
- Antidepressants
Nursing Management
- Focus is on chronic care and health promotion
- Patient and family teaching
  - Dietary control
  - Pancreatic enzyme with meals/snack
  - Observe for steatorrhea
  - Monitor glucose levels
  - Antacids after meals and at bedtime
  - No alcohol

What Is Angina?

Español Angina can be a warning sign that you are at a higher risk of having a heart attack. If you have chest pain that

About Swimmer’s Itch

For Everyone KEY POINTS Swimmer’s itch is an infection caused by a parasite. It can cause an allergic reaction and rash on your skin. Swimmer’s

About Dementia

For Everyone WHAT TO KNOW Dementia is a condition that makes someone unable to remember, think clearly, or make decisions while doing everyday activities. Alzheimer’s

About Abuse of Older Persons

For Everyone KEY POINTS Many older adults require care and are vulnerable to violence perpetrated by a caregiver or someone they trust. More research is

Frontline ER - Dallas

Frontline ER - Houston

Insurance Information

Charge Master