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8 Cards in this Set
- Front
- Back
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Cholelithiasis |
Gallstones – 90% cholesterol gallstones |
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Cholecystitis |
Inflammation of Gallbladder( usually caused by obstruction d/t gallstones) |
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4 F's Risk Factors For Gallbladder disordes |
fat, female, fertile, forty, (flatulence, family hx) |
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Manifestations |
-indigestion, mild to severe pain RUQ, R shoulder, scapula, fever, jaundice, N,V -Cholelithiasis severity depends on the stone -dark amber urine foamy, clay coloured stool, pruritus, bleeding tendencies, steatorrhea (fat in feces), |
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Complications |
-Cholangitis (inflammation of bile duct) - rupture of bladder -fistula (abnorm. passaway) -bile peritonitis -biliary cirrhosis |
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Diagnostic Studies |
Ultrasonography/ ERCP (bile sample), Lab : visualize and detect stones |
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Collaborative Care |
Conservative therapyCholecystitis - pain mgt, abx, maintenance of fld & electrolyte balance, NG, anticholinergic – decrease secretion and counteract smooth muscle spasms Cholelithiasis – Biles acids – to dissolve stones, ERCP clears stones from 90%, extracorporeal shock wave therapy Surgical therapy - laparoscopic cholecystectomy Drug therapy – analgesics, anticholinergics (antispasmodics & relax smooth muscles), fat-soluble vitamins (A,D,E,K), bile salts (facilitate digestion & vitamin absorption) Nutritional therapy – smaller, more frequent meals, with some fat at each meal to promote gallbladder emptying, low in saturated fats (butter), high in fibre & Ca+ |
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Patient Teaching |
Cholecystectomy: remove bandage on puncture site after surgery, notify surgeon of redness or severe abdominal pain, resume normal activities gradually, return within 1 wk if no complications, normal/low-fiet diet -fat soluble supplement, avoid heavy lifting |
