NR 325 Final Exam 2023
inflammation of the gallbladder; this is typically caused by gallstones that block the
ducts that lead out of the gallbladder, which results in a backup of bile.
Cholecystitis (cholelithiasis)
what disease process do these clinical manifestations represent?
-RUQ pain th...
inflammation of the gallbladder; this is typically caused by gallstones that block the
ducts that lead out of the gallbladder, which results in a backup of bile.
Cholecystitis (cholelithiasis)
what disease process do these clinical manifestations represent?
-RUQ pain that radiates to the right shoulder
-Fever with chills
-Tachycardia
Cholecystitis
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name a few risk factors of cholecystitis
High fat diet, obesity, age over 40
what kind of diet can a client that was just diagnosed with cholecystitis have?
NPO. No eating or drinking allowed because eating can cause more pain and
complications.
this is a treatment procedure done for cholecystitis, it causes shock waves to break up
stones that are smaller in size.
Lithotripsy
when can a patient NOT have a lithotripsy procedure done?
When the stones are too large, then require surgery (cholecystectomy)
this is termed as the surgical removal of the gallbladder
Cholecystectomy
what are the two cholecystectomy procedures called?
Open cholecystectomy
Laparoscopic cholecystectomy
name a few risk factors that can cause a patient to have gallstones (cholelithiasis)
Female gender, multiple pregnancies, women, over 40, sedentary, lifestyles, estrogen
therapy
although the cause of cholelithiasis is unknown, __________ has been proven to be
involved by mixing with bile and helping stones form
Cholesterol
Clients with cholelithiasis are more prone to developing this disease process
Pancreatitis
How is pancreatitis caused by cholelithiasis?
Gall stones will get caught in small duct, causing pancreatitis
Patients with pancreatitis often have the clinical manifestation of __________
Jaundice
This is known as the infection of a gallbladder due to a stone obstruction from
cholelithiasis or biliary sludge
Cholecystitis
in patients with cholecystitis, the gallbladder will appear _____ and ____
, Edematous & hyperemic
these are risk factors of developing cholecystitis, because they slow down the bowels
Limited mobility, fasting, anesthesia, diabetes
these kind of meals can lead to pain in patients with cholecystitis
Fatty meals
if patients with cholecystitis become extremely ill, they will develop ___________
Diaphoresis
this is termed as chronic inflammation of the gallbladder that increases your chance of
developing gallbladder cancer
Chronic cholecystitis
in patients with chronic cholecystitis, the _____ _____ maybe occluded and will require
_________ treatment
cystic duct may be occluded
antibiotics
Gangrenous cholecystitis, pancreatitis, cholangitis, biliary cirrhosis, and subphrenic
abscesses are all complications of ....
Chronic cholecystitis
patients with cholecystitis will be given _______ for pain control.
Opioids
Clients postop of cholecystitis must be given ________ to help expand their lungs, so
they don't develop _______ ______ (atelectasis).
analgesics
splinted respirations
how does urine and stool appear in patients with cholecystitis?
Dark amber urine
Clay colored stool
this is the diagnostic test that is performed for patients with cholecystitis to see the
gallstones
Ultrasound
this diagnostic procedure goes into the gallbladder and scoop out the stones in patients
with cholecystitis
ERCP
How will patients with cholecystitis laboratory test appear?
** LFT, WBC, bilirubin
LFT elevation
Increased WBC count
Increased serum & urinary bilirubin levels
Increased serum amylase levels
Absence urobilinogen in urine
The surgical procedure is preferred in patients with cholecystitis
Laparoscopic cholecystectomy
when would a patient have an open cholecystectomy performed?
If their gallbladder is perforated or if they have gallbladder cancer
what must patients avoid after having an open cholecystectomy procedure performed?
Heavy, lifting for 4 to 6 weeks to avoid the dehiscence of incisions
What is the therapeutic effect of Ursodiol and Chenodial in clients with cholecystitis?
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