15 Questions
What is the current recommendation for meeting nutritional needs in patients with pancreatitis?
Utilize the enteral route whenever possible
What is a potential benefit of escalating from low potency to higher potency of NSAIDs alone or in combination with opioids for pain management?
Improved pain management
When should enteral feedings be initiated in the course of acute pancreatitis?
Early in the course of the disease
Why should NSAIDs be avoided or used with caution in patients at risk for bleeding?
To lower the potential for bleeding
What is the role of parenteral nutrition in severe acute pancreatitis?
It is used when enteral nutrition cannot be tolerated
What common problems can be aggravated with the use of high-dose opioids in early acute pancreatitis?
GI paralysis and ileus
What symptom may nasogastric suction help relieve in acute pancreatitis?
Nausea and vomiting
Why is it important to follow guidelines for acute pain management in the perioperative setting?
Until evidence-based recommendations are developed
Why is the routine use of nasogastric tubes not supported for patients with acute pancreatitis?
To limit pancreatic secretion
What is a necessary correction in intensive care for patients with acute pancreatitis to prevent acute kidney injury?
Correction of fluid and blood loss
What type of therapy is discouraged in the literature but is still common for hospitalized patients?
Acid-suppressive therapy
Which type of medication inhibits gastric acid secretion by decreasing pancreatic activity?
Histamine-2 (H2) antagonists
What is the recommended approach to pain management in patients with pancreatitis?
Utilizing opioids and assessing effectiveness
Which medication may be used for patients who do not tolerate Histamine-2 (H2) antagonists or for whom this therapy is ineffective?
Proton pump inhibitors
What approach provides a pragmatic way to manage pain in patients with pancreatitis?
Implementing the World Health Organization (WHO) analgesia ladder
Learn about the stepwise escalation of potency from low to high in the management of pain using nonsteroidal anti-inflammatory drugs (NSAIDs) and opioids, as well as the potential benefits in lowering opioid dependency. Understand the considerations and precautions in using NSAIDs in patients.
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