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43 Cards in this Set

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  • Back
what is chole?
bile
cholang means
bile ducts
cholecystitis
inflammation of the gb
cholelithiasis
presence of stones
choledocho
common bile duct
most common reason for cholecysectomy is:
cholelithiasis
what is one of the most common diseases in the U.S.
Gall bladder disease
Gall bladder disead affects ______ of adults in the US
8-10%
how accurate is an ultrasound in detecting gall stones?
90-95%
cholecystostomy
incision in gb (usually for removal of stones)
chiledocholithotomy
incision into the common bile duct for removal of stones
cholecystogastrostomy
anastomosis b/n stomach and gb
what is the percentage of cholecystectomy's done laparoscopically
90%
In the lap choly surg procedure, the bed is placed into a ___-___ dgree ______ posistion for the initial incision
10-20
trendelenbergs
a fiberoptic endoscope passes into duodenum, provide radiographic visualization of the bile and pancreatic ducts
ERCP (endoscopic retrograde cholangiopancreatopgraphy
the first treatment for gall bladder disease is
supportive
high energy shock waves to disingrate stones can use for urethra/kidney stones etc.
lithotripsy
ANASTOMOSIS BETWEEN GB AND DUODENUM TO RELIEVE OBSTRUCTION AT THE DISTAL END OF THE COMMON BILE DUCT
cholcystoduodensostomy
removal of gb via laparoscopy using a dissecting laser
laparoscopic cholecystectomy
lap chole's can't be done if:
large CBD stones
peritonitis
pregnancy
abd sepsis
4 types of anticholenergic durgs:
banthine, probathine, atropine, scopolamine
where are the 4 incisions in the lap chole?
upper midline
midline incision
umbilical incision
lower later midline incision
what position is the person in who is getting a lap chole?
supine
a safety belt should be put on the pt.'s____ during a lap chole
thighs
when can the pt who had a lap chole done, return back to work?
3-7 days
during discharge teaching to the pt who had a lap chole, what should you tell them about their diet?
no fat to low fat diet, 6 glasses h20 daily
lap chole pt's shouldn't light more then ___lb for ____
5
4-5 wks
clients should may hurt after lap chole b/c of:
CO2
best way to make should feel better after lap chole is to:
ambulate
cough
deep breath
n/v is a clinical manifestation of gbd because:
bile isnt going into intestine to dissolve fats
if gbd is untreated it can lead to rupture of the gall bladder whi can also lead to:
peritonitis
cirrhosis
pancreatitis
bilirubin, wbc's and liver enzymes will be________ with gbd
increased
what is the color of the stool with the person with gbd?
clay colored
what does the urine look loke in the person with gbd?
dark
what quadrant will the person with gbd have tenderness?
RUQ
some causes of gbd: (5)
infection
disturb in metabolism
hormonal
delay in emptying gallbladder
immobility
dissolution therapy is:
oral drugs to dissolve gallstones
3 types of dissolution therapy
cdca
udca
actigal
why is the lap chole the most common?
post op course is shorter
fewer complications
what are the test done preoperatively with the lap chole?
cbc
abd xrays
hx & p
typed/cross matched
2 possible complications of lap choly
injuries to intestine and major vessels
bleeding
if the surgeon runs into a complication he may convert quickly to
an open choly
pt preparation intraoperative care:
cleanse site
ng tube decreases abd dist
foley cath