Trends in nutritional management of the patient with pancreatitis are changing.As a result,the nurse understands that
A) patients with pancreatitis must eat nothing in order to prevent release of secretin.
B) nasogastric suction is essential in treating patients with pancreatitis.
C) a nasogastric tube is no longer required to treat patients with ileus.
D) immediate oral feeding in patients with mild pancreatitis may help recovery.

Question

Quizplus · Accepted Answer

Nasogastric suction and "nothing by mouth" status were classic treatments for patients with acute pancreatitis to suppress pancreatic exocrine secretion by preventing the release of secretin from the duodenum.Normally,secretin,which stimulates pancreatic secretion production,is stimulated when acid is in the duodenum; therefore,nasogastric suction has been a primary treatment.Nausea,vomiting,and abdominal pain may also be decreased with nasogastric suctioning.A nasogastric tube is also necessary in patients with ileus,severe gastric distension,and a decreased level of consciousness to prevent complications resulting from pulmonary aspiration.However,trends in nutritional management are changing.NPO status and NG suction are not used as much,especially for mild cased.Early nutritional support may be ordered to prevent atrophy of gut lymphoid tissue,prevent bacterial overgrowth in the intestine,and increase intestinal permeability.Immediate oral feeding in patients with mild acute pancreatitis is safe and may accelerate recovery.Early enteral nutrition appears effective and safe.

Trends in Nutritional Management of the Patient with Pancreatitis Are