NSG 210 Test 3 Study Guide

It is particularly useful in tx of pts who have ss

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Unformatted text preview: he pancreatic duct. The alkaline secretions help neutralize acid gastric juice in the duodenum. These secretions include: Amylase: which aids in the digestion of carbs Trypsin: aids in the digestion of proteins Lipase: aids in the digestion of fats  ­Hormones stimulate the secretion of these enzymes  ­Endocrine functions include secretion of insulin, glucagon & somatostatin directly into the bloodstream Insulin: major function is to lower blood glucose by permitting entry of glucose into the cells of the liver, muscle & other tissues. Without insulin, glucose would not enter the cells & is excreted in the urine (Diabetes Mellitus) Glucagon: it raises the blood glucose by converting glycogen to glucose in the liver. It has the opposite effect of insulin Somatostatin: has a hypoglycemic effect by interfering w/ release of growth hormone  ­Other hormones that raise the blood glucose level include epinephrine, adrenocorticosteroids, growth hormone & thyroid hormone BILIARY DISORDERS  ­Includes cholecystitis & cholelithiasis. (Treatment for both is similar so they are grouped together) Cholecystitis Disease Process  ­Acute inflammation of the gallbladder  ­2 types of acute cholecystitis: calculous (with gallstones) or acalculous (w/o gallstones) Calculous cholecystitis is the cause of more than 90% of cases. It happens when a gallbladder stone obstructs bile flowBile remains in the gallbladderedema, perforation & gangrene may result. Acalculous cholecystitis occurs after major surgical procedures (esp in pts who are immobile & not eating properly), severe trauma & burns. It may result from cystic duct obstruction, primary bacterial infections of the gallbladder...
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This document was uploaded on 03/29/2014.

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