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Escalation of Potency in Pain Management with NSAIDs and Opioids

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Escalation of Potency in Pain Management with NSAIDs and Opioids

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Questions and Answers

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?

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?

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?

To lower the potential for bleeding (D) Signup and view all the answers

What is the role of parenteral nutrition in severe acute pancreatitis?

It is used when enteral nutrition cannot be tolerated (B) Signup and view all the answers

What common problems can be aggravated with the use of high-dose opioids in early acute pancreatitis?

GI paralysis and ileus (C) Signup and view all the answers

What symptom may nasogastric suction help relieve in acute pancreatitis?

Nausea and vomiting (D) Signup and view all the answers

Why is it important to follow guidelines for acute pain management in the perioperative setting?

Until evidence-based recommendations are developed (C) Signup and view all the answers

Why is the routine use of nasogastric tubes not supported for patients with acute pancreatitis?

To limit pancreatic secretion (C) Signup and view all the answers

What is a necessary correction in intensive care for patients with acute pancreatitis to prevent acute kidney injury?

Correction of fluid and blood loss (B) Signup and view all the answers

What type of therapy is discouraged in the literature but is still common for hospitalized patients?

Acid-suppressive therapy (C) Signup and view all the answers

Which type of medication inhibits gastric acid secretion by decreasing pancreatic activity?

Histamine-2 (H2) antagonists (A) Signup and view all the answers

What is the recommended approach to pain management in patients with pancreatitis?

Utilizing opioids and assessing effectiveness (B) Signup and view all the answers

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 (A) Signup and view all the answers

What approach provides a pragmatic way to manage pain in patients with pancreatitis?

Implementing the World Health Organization (WHO) analgesia ladder (C) Signup and view all the answers