NCLEX Quiz # 977

NCLEX Examination.

Practice Question # 977.

 

nclex quiz

 

Pancreatitis (inflammation of the pancreas) is a serious disorder. The most basic classification system used to describe or categorize the various stages and forms of pancreatitis divides the disorder into acute or chronic forms. Acute pancreatitis can be a medical emergency associated with a high risk for life-threatening complications and mortality, whereas chronic pancreatitis often goes undetected until 80% to 90% of the exocrine and endocrine tissue is destroyed.

Acute pancreatitis does not usually lead to chronic pancreatitis unless complications develop. However, chronic pancreatitis can be characterized by acute episodes. Typically, patients are men 40 to 45 years of age with a history of alcoholism or women 50 to 55 years of age with a history of biliary disease.

Acute pancreatitis ranges from a mild, self-limiting disorder to a severe, rapidly fatal disease that does not respond to any treatment. Mild acute pancreatitis is characterized by edema and inflammation confined to the pancreas. Minimal organ dysfunction is present, and return to normal usually occurs within 6 months. Although this is considered the milder form of pancreatitis, the patient is acutely ill and at risk for hypovolemic shock, fluid and electrolyte disturbances, and sepsis. A more widespread and complete enzymatic digestion of the gland characterizes severe acute pancreatitis.

The tissue becomes necrotic, and the damage extends into the retroperitoneal tissues. Local complications consist of pancreatic cysts or abscesses and acute fluid collections in or near the pancreas. Systemic complications, such as acute respiratory distress syndrome, shock, disseminated intravascular coagulopathy, and pleural effusion, can increase the mortality rate to 50% or higher

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