Question 1

i have a patient that has acute pancreatitis from hyperlipedemia and lab values are out of wack why? (high wbc, low rbc, low hematocrit, low sodium, high chloride)

Accepted Answer

You said it: Acute pancreatitis depending on the severity likely to have abnormal labs you mentioned. High WBC is caused by inflammation, low rbc and hematocrit caused by the bleeding within the pancreas or from dic, creatinine and BUN can be elevated when kidneys are failing etc.

Question 2

what is the prognosis of severe acute pancreatitis?

Accepted Answer

It depends: This is a very severe disease which can lead to infections, multiple surgeries, bleeding, pseudocyst formation and even death.  Prognosis is better with early recognition and aggressive initial treatment.

Question 3

treatment of acute pancreatitis?

Accepted Answer

Pancreatitis: Pancreatitis comes in two basic forms--mild and severe. Even mild pancreatitis is accompanied by severe pain. The basic treatment is bowel rest and IV fluids and medication as needed for pain. Severe pancreatitis can be associated with multiple complications and is usually treated in an icu. Each complication (infection, shock, respiratory impairment, bleeding, etc.) is  treated as they arise.

Question 4

what are the treatments for acute pancreatitis?

Accepted Answer

PANCREATITIS  TX: PANCREATITIS which is inflammation of the Pancreas is treated with bowel rest(NPO STATUS) Hydration &amp; Pain control. While being closely monitored the cause needs to be evaluated.  IE GALLSTONES/ALCOHOL USAGE/MEDICATION/ANATOMICAL/. Trauma.  The cause of the pancreatitis will dictate further options. You need a full exam &amp;plans . CT SCAN OF ABDOMEN AND PELVIS AND CLOSE OBSERVATION.

Question 5

how hypercalcemia can lead to acute pancreatitis?

Accepted Answer

Enzyme activation: Hypercalcemia appears to cause pancreatitis through two mechanisms. These are:

1. Decreased secretion of digestive enzymes into the gut so that they accumulate in the pancreatic cells.

2. Increased activation of these enzymes within the cells where they start digesting the pancreas.

Alcohol intake, gallstones, obesity and high triglycerides can all make acute pancreatitis more likely.

Question 6

what antibiotics can i take for acute pancreatitis?

Accepted Answer

NONE: YOU SHOULD NOT GET ANY ANTIBIOTICS FOR PANCREATITIS, you need to seek medical view because pancreatitis is a high mortality condition.

Question 7

will i still be able to drink after mild acute pancreatitis?

Accepted Answer

Maybe: Depends what the pancreatitis is due to. If it is from gallstone or medication and you have had them delt with or stopped the medicine then it shouldn't be an issue.  If it was from alcohol you could drink (no one can physically stop you) but you will be putting yourself at risk for future attacks and the nest time it might not be a mild attack.

Question 8

does it take years of heavy drinking to get acute pancreatitis?

Accepted Answer

Pancreatitis : It could happen acute or chronic , so heavy drinking alcohol in short term could get pancreatitis too.

Question 9

what % of chronic or acute pancreatitis shows elevated lipase or amylase?

Accepted Answer

Acute tests: A 1998 study found that 100% of patients with acute pancreatitis had an elevated lipase, and 95% had an elevated amylase directly upon admission to the hospital.  As their hospitalization continued, those values dropped off and so the tests would be less useful for diagnosis.

Question 10

does mild acute pancreatitis increases creatinine and decreases egfr temporarily?

Accepted Answer

Not necessarily: Acute pancreatitis could be associated with decreased kidney function (termed acute kidney injury or aki). However, the severity of pancreatitis is the main prognostic factor for aki with severe pancreatitis being more likely than mild one to have associated aki. That being said, there are other factors that can make mild pancreatitis patients develop aki like dehydration or certain medications.

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Doctor answers about:

Acute pancreatitis lab values

A member asked:

I have a patient that has acute pancreatitis from hyperlipedemia and lab values are out of wack why? (high wbc, low rbc, low hematocrit, low sodium, high chloride)

A member asked:

What is the prognosis of severe acute pancreatitis?

A member asked:

Treatment of acute pancreatitis?

A member asked:

What are the treatments for acute pancreatitis?

A member asked:

How hypercalcemia can lead to acute pancreatitis?

A member asked:

What antibiotics can i take for acute pancreatitis?

A member asked:

Will i still be able to drink after mild acute pancreatitis?

A member asked:

Does it take years of heavy drinking to get acute pancreatitis?

A member asked:

What % of chronic or acute pancreatitis shows elevated lipase or amylase?

A member asked:

Does mild acute pancreatitis increases creatinine and decreases egfr temporarily?

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