CMSRN Medical-Surgical Nursing

Category - Gastrointestinal

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Which of the following is the drug of choice for pain control in the patient with acute pancreatitis?

Morphine
NSAIDS
Meperidine
Codeine

Explanation

Answer - C - Meperidine. Pain in acute pancreatitis is caused by irritation and edema of the inflamed pancreas, as well as spasm due to obstruction of the pancreatic ducts. Demerol is the drug of choice because it is less likely to cause spasm of the Sphincter of Oddi unlike Morphine which is spasmogenic.

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