Essential Facts on the Go: Internal Medicine (13 page)

IVF

Fluid resuscitation with normal saline

Antibiotics

Recommended if evidence of severe pancreatitis with > 30% necrosis on CT scan

Broad spectrum antibiotics (ie, imipenem recommended)

Nutrition

NPO

Mild pancreatitis: NPO until abdominal pain improves and then encourage po intake as tolerated

Severe pancreatitis: early enteral feeding (nasogastric tube) recommended over TPN (total parenteral nutrition)

Complications

Necrosis

Abscess

Pseudocyst

Hypocalcemia