Question 1
The nurse is caring for a patient with acute pancreatitis. Which lab value is most concerning?
- A. Elevated amylase
- B. Elevated lipase
- C. Elevated glucose
- D. Decreased calcium
Show answer and rationale
Correct answer: D — Decreased calcium
The correct answer is D, "Decreased calcium." In acute pancreatitis, calcium can be saponified by free fatty acids, leading to hypocalcemia. This is known as the "fat saponification" process and can result in severe complications such as tetany or cardiac arrhythmias. While elevated amylase and lipase are commonly seen in acute pancreatitis, they are not as concerning as hypocalcemia, which can have more immediate and life-threatening consequences. Elevated glucose may be seen due to the stress response of the body, but it is not as critical as hypocalcemia in this scenario. Therefore, monitoring and addressing decreased calcium levels are crucial in the care of a patient with acute pancreatitis.