Here are some Qs about the pancreas gone wrong.
http://www.nursingcenter.com/prodev/ce_article.asp?tid=271586
I will post answers in the next day or 2.
1.
Which of the following statements about the pancreas is true?
a. The pancreas is located in the posterior curve of the stomach behind the duodenum and spleen.
b. The pancreas is located in the left lower quadrant of the abdomen.
c. The pancreatic duct connects to the gall bladder.
d. The pancreatic duct connects to the anterior stomach segment.
2.
Which cells of the pancreas secrete pancreatic enzymes?
a. alpha
b. beta
c. delta
d. acinar
3.
The islets of Langerhan secrete
a. somatostatin and glucagon.
b. trypsin and chymotrypsin.
c. lipase and amylase.
d. elastase and phospholipase.
4.
Acute pancreatitis occurs when pancreatic enzymes
a. are oversecreted.
b. multiply rapidly.
c. are activated prematurely.
d. fail to be released.
5.
Patients who have mild pancreatitis
a. have a mortality rate of approximately 50%.
b. usually develop necrotizing pancreatitis.
c. have increased gastric motility.
d. usually recover with few complications.
6.
Signs and symptoms of acute pancreatitis include
a. pain limited to the lower abdominal quadrant.
b. bradycardia.
c. high grade, intermittent fevers.
d. jaundice.
7.
One of the first lab values to become elevated in patients who have acute pancreatitis is
a. calcium.
b. amylase.
c. lipase.
d. albumin.
8.
The gold standard diagnostic tool for acute pancreatitis is the
a. CT scan.
b. MRI.
c. MUGA scan.
d. PET scan.
9.
Pulmonary complications related to pancreatitis include
a. pneumothorax.
b. obstructive disease.
c. hypoxia.
d. V/Q match.
10.
In patients who have pancreatitis, third spacing of intraperitoneal fluid results in
a. increased filling capacity of the ventricle.
b. decreased heart rate.
c. increased cardiac output.
d. decreased blood pressure.
11.
Patients who have pancreatitis are at risk for all of the following cardiovascular complications except
a. pulmonary emboli.
b. chronic vascular insufficiency.
c. intravascular thrombosis.
d. disseminated intravascular coagulation.
12.
Patients who have acute pancreatitis are at risk for which of the following renal complications?
a. increased glomerular filtration rate
b. hyperperfusion of the kidney
c. increased renal plasma flow
d. acute tubular necrosis
13.
The goal of pancreatic rest is to
a. halt the secretion of pancreatic enzymes.
b. increase the production of hydrochloric acid.
c. stimulate pancreatic enzyme secretion.
d. encourage the production of secretin.
14.
Hemodynamic stability can be maintained for patients who have acute pancreatitis by the use of
a. blood products.
b. hyperalimenation.
c. histamine blockers.
d. anticoagulants.
15.
A positive Chevostek sign is associated with
a. decreased calcium.
b. decreased sodium.
c. increased magnesium.
d. increased potassium.
16.
Current research identifies which of the following as the drug of choice for the management of pain for patients with acute pancreatitis?
a. codeine
b. morphine
c. fentanyl
d. meperidine
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1 comment:
Hi,
Took Onglyza off and on for a year. I have an enlarged adrenal gland. Still I await the outcome of that CT, but I know that much. Will find out more.
I had the CT because of chronic pancreatic pain that started out as "attacks" from a couple of times a month to finally after 3 months of use without interruption, "attacks" 2-3 times a week. My PA put Onglyza on my allergies list.
In the meantime, I lost almost 50 lbs in 5 months due to illness. Loss of appetite, pancreatic pain, chronic diarrhea, then eventually, inability to move my bowels. Severe back pain from the pancreas, and severe chest pain sent me to the ER where I was worked up for cardiac pain. I was cardiac cleared, but told my amylase was very low.
Still seeking a diagnosis, but I lay the blame squarely on Onglyza. I'd had pancreatic issues in the past, and argued with the PA that prescribed it, she was calling me non-compliant, and I feared repercussion from my insurance company.
I even took an article about the dangers of Onglyza, particularly in patients with a history, and she made me feel foolish.
I wish I had listened to my instincts, I fear not only damage to my pancreas that is irreversible, but also severe damage to my left kidney, though I have bilateral kidney pain.
I was off all diabetes meds, and control sugars strictly low to no carb. I can barely eat anymore, I have severe anorexia.
I would warn anyone taking Onglyza to consider a change and try Dr Itua Herbal Medicine, and anyone considering taking it, to select a different avenue. I have been suffering severely for about 9 months, but the past 7 months have been good with the help of Dr Itua herbal medicine which I took for 4 weeks.
I have been off Onglyza now, for 7 months, and simply 100% improvement with the help of Dr Itua. I had none of these issues except a history of pancreatitis in my distant past.
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