30 Questions
NSAIDs alone may provide an effective method of pain management according to Z.orniak et al. (2019).
True
High-dose opioids can alleviate the common problems of GI paralysis and ileus in early acute pancreatitis.
False
More research is not required to identify the best option for pain management in patients with acute pancreatitis.
False
Guidelines for acute pain management in the perioperative setting should be followed until evidence-based recommendations are developed.
True
Antiemetic agents should not be prescribed to prevent vomiting in patients with acute pancreatitis.
False
Histamine-2 antagonists are the preferred choice for pain management in patients with acute pancreatitis.
False
Proton pump inhibitors may be used as an alternative to H2 antagonists for patients who do not tolerate the latter or when H2 antagonists are ineffective.
True
NSAIDs are recommended for pain management in patients with pancreatitis.
False
The WHO analgesia ladder is a pragmatic approach to pain management in patients with pancreatitis.
True
Adverse effects should not be considered when administering opioids for pain relief in patients with acute pancreatitis.
False
In acute pancreatitis, all oral intake should be encouraged to stimulate the pancreas.
False
Enteral feedings are recommended to meet nutritional needs in patients with pancreatitis.
True
Parenteral nutrition is recommended for all patients with acute pancreatitis.
False
Nasogastric suction is used in acute pancreatitis to stimulate pancreatic secretion.
False
Research data supports the routine use of nasogastric tubes to remove gastric secretions in acute pancreatitis.
False
What is the purpose of escalating from low potency to higher potency of NSAIDs in pain management, according to the text?
To decrease the risk of opioid dependency
What problem can be aggravated with the use of high-dose opioids in early acute pancreatitis?
GI paralysis and ileus
Which statement regarding NSAIDs for pain management in acute pancreatitis is correct?
NSAIDs should be avoided in patients at risk for bleeding
What should be considered when administering opioids for pain relief in patients with acute pancreatitis?
Consider patient's overall health condition
What approach does the WHO analgesia ladder provide for pain management in patients with pancreatitis?
It provides a stepwise approach to pain management
What is a common practice for hospitalized patients despite being discouraged in current literature?
Acid-suppressive therapy
Which class of medications may be prescribed to decrease pancreatic activity by inhibiting the secretion of gastric acid?
Proton pump inhibitors
What is recommended for pain management in patients with pancreatitis, with assessment for their effectiveness and altering therapy if needed?
Use of opioids
Which approach provides a pragmatic method for pain management in patients with pancreatitis?
World Health Organization (WHO) analgesia ladder
When administering opioids for pain relief in patients with acute pancreatitis, what should be considered?
Considering potential side effects
What is the current recommendation regarding the route for meeting nutritional needs in patients with pancreatitis?
Enteral feedings should be used whenever possible
What is the role of parenteral nutrition in patients with severe acute pancreatitis?
It is particularly helpful for those unable to tolerate enteral nutrition
What may be used to relieve nausea and vomiting in acute pancreatitis?
Nasogastric suction
What does the text recommend regarding the routine use of nasogastric tubes in acute pancreatitis?
They are not to be used at all
In patients with severe acute pancreatitis, what is the recommended nutritional support when enteral nutrition cannot be tolerated?
Parenteral nutrition
Test your knowledge on the stepwise escalation from low potency to higher potency of nonsteroidal anti-inflammatory drugs (NSAIDs) alone or in combination with opioids for pain management. Understand the risks and benefits outlined in Z.orniak et al.'s study (2019).
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