NR 325 EXAM 3: BILIARY DISORDERS
Acalculous cholecystitis - ANS--acute gallbladder inflammation in the absence of stones
-cystic duct obstruction
-bacterial infection
acute pancreatitis - ANS--pancreatic duct becomes obstructed and enzymes back up, causing
autodigestion and inflammation
-amylase
-lipase
at risk population for acute pancreatitis - ANS--pt.'s with gallstones
-alcoholic patients
calculous cholecystitis - ANS--stone blocks the outflow of bile
-can result in gangrene
cholecystitis - ANS-inflammation of the gallbladder
chronic pancreatitis - ANS--irreversible damage
-tissue becomes sloughy and necrotic
-cells are replaced by fibrous tissue
-obstructing pancreatin and bile ducts
chronic pancreatitis presentation - ANS--recurrent attacks of severe upper abdominal and back
pain accompanied by vomiting
dietary needs for pancreatitis - ANS--NPO
-TPN
-monitor glucose
management of cholelithiasis - ANS--diagnostic ultrasound
-ERCP
-start with foods, then meds, then gallbladder removal
management of pancreatic cancer - ANS--palliative
-chemo
-radiation
-surgery (whipple)
management of pancreatitis - ANS--LOOK AT CALCIUM
-will be low
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