Billy is being asked concerning his health in the emergency department. When obtaining a health history from a patient with acute pancreatitis, the nurse asks the patient specifically about the history of:
A. Alcohol use
B. Cigarette smoking
C. Diabetes mellitus
D. High-protein diet
Correct Answer: A. Alcohol use.
Alcohol use is one of the most common risk factors for pancreatitis in the United States. In the majority of cases, alcohol use, gallstones, and hypertriglyceridemia cause acute pancreatitis. A thorough history regarding alcohol use and medications should be gathered, keeping in mind that over five years of heavy alcohol use is often needed to induce alcohol-related pancreatitis.
Option B: Smoking is an important risk factor for the development of non-gallstone-related acute pancreatitis, but there is no association between smoking and gallstone-related disease. The duration of smoking rather than the smoking intensity increases the risk of non-gallstone-related acute pancreatitis.
Option C: While diabetes doesn’t cause pancreatitis, people with type 2 are at higher risk for it. There are several things that can cause pancreatitis, including infections and smoking. But the most common are heavy alcohol use and gallstones, which are small masses in the gallbladder.
Option D: It is important for pancreatitis patients to eat high protein, nutrient-dense diets that include fruits, vegetables, whole grains, low-fat dairy, and other lean protein sources. Abstinence from alcohol
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