A 65-year-old man who is 5 days status post–pancreaticoduodenectomy has ongoing clear output from his surgical drain—a volume of 500 mL over 24 hours and is otherwise recovering uneventfully. Drain amylase is 8000 U/L and serum amylase is 75 U/L. The most appropriate next step in management of this pancreatic fistula is which of the following?
A. Computed tomography scan of the abdomen and pelvis
B. Observation, maintenance of the surgical drain, nothing by mouth (NPO; nil per os), and total parenteral nutrition
C. Broad-spectrum antibiotics
D. Return to the operating room for revision of the pancreaticojejunostomy
E. Observation and maintenance of the drain
Select your answer:
Topics:
Vocabulary - Health Pulmonology/Respiratory Trauma Infection Upper Limb Oral Surgery Gaseous Exchange in Humans Excretory and Musculoskeletal System Teeth and Microbes Bone Physiology Biology Assessment Enzymes and Metabolic Pathways SSTI and Bone Infections Endodontic Surgery Inflammation and Tissue RepairOther quiz:
Fluid Therapy › ViewWhat is the correct fluid replacement calculation to use when a patient has episodes of vomiting or diarrhea?
A. 4ml/kg/episode
B. 5ml/kg/episode
C. 6ml/kg/episode
D. 8ml/kg/episode
Nutrition - Digestive System › View
Pancreas produces
A. carbohydrase
B. lipase
C. protease
D. all of the above enzymes