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8 Cards in this Set

  • Front
  • Back

Cholelithiasis definition?

Gall stone formation


(Bile components/stasis)

Cholecystitis definition?

Inflammation of the gall bladder


Acute


(Acalculus/calculus)



Chronic (almost always gall stone formation)

Major types of cholelithiasis obstruction?

Cholesterol obstruction


Pigment gall stones (Ca+ salts


MIXED



Biliary obstruction can lead to cholecystitis

Cholelithiasis/ cystitis

Biliary colic


(Cramping in RUQ/epigastric)


Murphy's signs (tenderness/rigidity in RUQ) on palpation


S/S of fat intolerance (N+V, fullness)


Jaundice


Dark foamy urine


Clay colored stool


Steatorrhea


Fever, sweating, restlessness

C + C diagnostics?


ERCP ( endoscopic retrograde cholangiopancreatography)


PTC ( percutaneous transhepatic Cholangiography

C + C Labs?


WBCs (increased)


PT (increased/prolonged)


Elevated bilirubin/liver function tests


Serum amylase (increased)

C +C treatments/surgery?


Cholecystectomy



Lithotripsy/extracorporeal shock wave

Nursing diagnoses?

Pain


Risk for infection


Imbalanced nutrition: less than


Deficient fluid volume


Ineffective health self management