Podcast
Questions and Answers
What is the current recommendation for meeting nutritional needs in patients with pancreatitis?
What is the current recommendation for meeting nutritional needs in patients with pancreatitis?
- Withhold all oral intake
- Utilize the enteral route whenever possible (correct)
- Administer nasogastric suction
- Use parenteral nutrition exclusively
What is a potential benefit of escalating from low potency to higher potency of NSAIDs alone or in combination with opioids for pain management?
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 (correct)
- Worsening of GI paralysis
- Increased risk of opioid dependency
- Higher potential for bleeding
When should enteral feedings be initiated in the course of acute pancreatitis?
When should enteral feedings be initiated in the course of acute pancreatitis?
- After trying nasogastric suction
- Early in the course of the disease (correct)
- At a later stage of the disease
- Only in severe cases
Why should NSAIDs be avoided or used with caution in patients at risk for bleeding?
Why should NSAIDs be avoided or used with caution in patients at risk for bleeding?
What is the role of parenteral nutrition in severe acute pancreatitis?
What is the role of parenteral nutrition in severe acute pancreatitis?
What common problems can be aggravated with the use of high-dose opioids in early acute pancreatitis?
What common problems can be aggravated with the use of high-dose opioids in early acute pancreatitis?
What symptom may nasogastric suction help relieve in acute pancreatitis?
What symptom may nasogastric suction help relieve in acute pancreatitis?
Why is it important to follow guidelines for acute pain management in the perioperative setting?
Why is it important to follow guidelines for acute pain management in the perioperative setting?
Why is the routine use of nasogastric tubes not supported for patients with acute pancreatitis?
Why is the routine use of nasogastric tubes not supported for patients with acute pancreatitis?
What is a necessary correction in intensive care for patients with acute pancreatitis to prevent acute kidney injury?
What is a necessary correction in intensive care for patients with acute pancreatitis to prevent acute kidney injury?
What type of therapy is discouraged in the literature but is still common for hospitalized patients?
What type of therapy is discouraged in the literature but is still common for hospitalized patients?
Which type of medication inhibits gastric acid secretion by decreasing pancreatic activity?
Which type of medication inhibits gastric acid secretion by decreasing pancreatic activity?
What is the recommended approach to pain management in patients with pancreatitis?
What is the recommended approach to pain management in patients with pancreatitis?
Which medication may be used for patients who do not tolerate Histamine-2 (H2) antagonists or for whom this therapy is ineffective?
Which medication may be used for patients who do not tolerate Histamine-2 (H2) antagonists or for whom this therapy is ineffective?
What approach provides a pragmatic way to manage pain in patients with pancreatitis?
What approach provides a pragmatic way to manage pain in patients with pancreatitis?
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