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Diagnosing Acute Pancreatitis
- Diagnose acute pancreatitis using clinical presentation, lab results (3x lipase), and imaging.
- Use contrast-enhanced CT cautiously, considering patient's volume status and risk of contrast-induced nephropathy.
Risk Stratification in Pancreatitis
- Assess acute pancreatitis severity using labs (BUN, creatinine, hemoglobin) and SIRS criteria.
- Use the BISAP score (BUN, mental status, SIRS, age, pleural effusion) to further stratify risk and guide ICU admission.
Early Management of Pancreatitis
- Manage acute pancreatitis with bowel rest (NPO), aggressive isotonic crystalloid resuscitation (lactated Ringer's preferred), and pain control.
- For pain, use patient-controlled analgesia (PCA) with IV narcotics but watch for side effects.